Question 1

I've got a bit of a concern about my period and Plan B. I had my period mid-July, from the 14th to the 18th, and then I had unprotected sex on the 19th. I took the emergency contraception pill on the 22nd. But then, oddly, I got my period again on the 28th, and it only lasted about 4 days. Is this normal? Could this be a side effect of taking Plan B?

Accepted Answer

-Yes, the bleeding you experienced on July 28 could be a side effect of the Plan B pill. Its common for emergency contraception to cause irregular bleeding or spotting, even if your period comes around the usual time.

Question 2

I just read my ultrasound report and I'm a bit worried. It mentions something like "retained products of conception," and "small left ovarian simple cyst." Also, it talks about a "heterogenous endometrium" and some vascularity, but I'm not really sure what all this means. Could this be serious? There was also something about minimal fluid in the pelvis and no obvious wall thickening in the bladder. Should I be doing something about this or is it something that will resolve on its own?

Accepted Answer

The report indicates the presence of small retained products of conception (RPOC) in the uterus, which can be seen as endometrial contents with vascularity. This finding should be evaluated clinically to determine its significance. Additionally, a small simple cyst is present on the left ovary, but it appears to be benign with no concerning features like septations or solid components.

Question 3

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.

My wife has an 18x17 mm submucous fibroid in the fundus region of her uterus, and it's indenting the endometrium. She's had four miscarriages in a row, all with bleeding between 6 to 12 weeks. Could this fibroid be causing the miscarriages? Would she need surgery to remove it?

A submucous fibroid can cause miscarriages and surgery like hysteroscopic myomectomy may be needed to improve pregnancy chances.

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