Question 1

I'm a bit worried about my situation. I had an ectopic pregnancy that was found at 8 weeks in, and my doctor gave me a methotrexate injection since my hCG level was 39,000. A week later, I was prescribed methotrexate tablets for ten days. After taking the tablets the first day, I started bleeding heavily for five days. Then, after a two-day gap, the bleeding was more like a normal period but without any pain. My hCG levels have been decreasing steadily, and now they're at 601. Does this mean my problem is resolving, or should I be worried about anything else?

Accepted Answer

It is important to monitor hCG levels to ensure they continue to decrease until they reach non-pregnant levels. To help clear the ectopic pregnancy completely, you can continue taking methotrexate tablets as prescribed by your doctor. Additionally, it is essential to follow up with your doctor for further evaluation and monitoring of hCG levels to confirm resolution of the ectopic pregnancy. If you experience any concerning symptoms such as severe pain, heavy bleeding, or dizziness, seek medical attention promptly.

Question 2

I'm 32 weeks pregnant and I just did my glucose tolerance test. My results came back showing that my fasting glucose is 79 mgdL, the 1-hour test is 219 mgdL, the 2-hour test is 192 mgdL, and the 3-hour test is 181 mgdL. My doctor suggested I start taking metformin tablets. I'm concerned about how this might affect my baby. Could you please help me understand if there's any potential impact on my baby from taking this medication?

Accepted Answer

Interpreting dengue test results can be complex.

_Test results:_

1. _NS1- Weakly positive_: Indicates possible early infection or low-level viral load.
2. _IgM- Negative_: Suggests no recent infection or inadequate immune response.
3. _IgG- Negative_: Indicates no past infection or immunity.

_Treatment approach:_

1. _Consult a doctor_: Discuss your test results with a healthcare professional for personalized guidance.
2. _Monitor symptoms_: Keep track of your symptoms, such as fever, headache, or joint pain.
3. _Supportive care_: Focus on relieving symptoms, such as:
    - Resting and staying hydrated.
    - Managing fever with medication (e.g., paracetamol).
    - Avoiding non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen.
4. _Follow-up testing_: Your doctor may recommend repeat testing to confirm the diagnosis or monitor your condition.

_When to seek immediate attention:_

1. _Severe symptoms_: If you experience severe headache, difficulty breathing, or severe abdominal pain.
2. _Bleeding or bruising_: If you notice unusual bleeding or bruising.
3. _Deteriorating condition_: If your symptoms worsen or you experience severe fatigue, vomiting, or diarrhea.

Question 3

I'm dealing with some unexpected clitoris swelling today, everything was alright yesterday. Can you suggest a basic cream that's suitable for treating infections in such sensitive areas?

Accepted Answer

#NAME?

More Obstetrics & Gynaecology Health Queries

I'm dealing with some unexpected clitoris swelling today, everything was alright yesterday. Can you suggest a basic cream that's suitable for treating infections in such sensitive areas?

Health Articles for you

Understanding Bicornuate Uterus and Its Diagnosis

Breast Cancer Symptoms and Signs

Guide to Abnormal Uterine Bleeding

Controlling Your Risk: A Guide to Preventable Breast Cancer Factors

The Ultimate Nutrition Guide for Moms: Fueling Your Body and Busy Life