Question 1

I'm really concerned about my mom. She's in a lot of pain in her abdomen and her menstrual bleeding is pretty heavy. Her hemoglobin level came back at 7.8 gm, which seems low. The sonography shows a bulky uterus. What could be causing all these symptoms? Do you think she might need surgery, or could it be treated with medication?

Accepted Answer

Can be indicative of conditions such as fibroids, adenomyosis, or endometriosis. The treatment will depend on the underlying cause. In the case of fibroids or adenomyosis, medications such as Tranexamic acid can help with heavy menstrual bleeding. For pain relief, your mother can take Ibuprofen. If the symptoms are severe and affecting her quality of life, surgery may be considered. It is important to consult with a gynecologist for a proper evaluation and treatment plan.

Question 2

I've been dealing with a cyst on my left ovary, and initially, it was 4cm but now it's shrunk to 3cm. Occasionally, I get these sharp abdominal pains, which are pretty concerning. I also have my periods every 20 to 22 days, but they bring on intense pain in my legs, thighs, and lower left back. My doctor hasn't prescribed any meds for the cyst yet, and I'm wondering if that's something I should be worried about. Is it crucial to get this cyst treated, or will it just resolve on its own? Could it cause issues down the road?

Accepted Answer

A 3cm ovarian cyst might resolve on its own, especially if it's functional, but the sharp pains and irregular, painful periods suggest it should be monitored closely. If symptoms worsen or persist, treatment may be needed to prevent complications like rupture or fertility issues. Discuss further with your doctor.

Question 3

I'm 32 weeks pregnant and I've been having this annoying itching on my hands and legs, but only at night. It's really bothering me. I got my liver function test done and it seems like my SGPT and SGOT levels, along with AP, are higher than normal. Everything else looks okay though. I've attached the report. Is there a chance I've got cholestasis or is there any risk I should be worried about with these results?

Accepted Answer

Based on your symptoms of itching in the hands and legs at night, along with high levels of SGPT, SGOT, and AP in your liver function tests, there is a possibility of cholestasis. Cholestasis is a condition where the normal flow of bile from the liver is impaired, leading to a buildup of bile acids in the body which can cause itching. To manage cholestasis during pregnancy, you can take Ursodeoxycholic acid (UDCA) at a dosage of 300mg to 600mg per day. UDCA helps to improve liver function and reduce itching in cholestasis. Additionally, you may also be prescribed antihistamines like Chlorpheniramine to help with the itching. It is important to follow up with your obstetrician for further evaluation and management of your condition. Regular monitoring of your liver function tests and close observation of your baby's well-being may be necessary to ensure a safe pregnancy outcome.

I've been trying to conceive for a year now with no success. I have a 3x3cm intramural fibroid could that be affecting my chances? My first IUI failed, and now my doctor is suggesting fibroid removal. Is this surgery a big procedure, and what's the best option for someone trying to get pregnant?

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