Question 1

I've been diagnosed with an ectopic pregnancy at 6 weeks and my doctor prescribed a 100mg Methotrexate injection, which I took today around 4pm. Since then, I've had constant but bearable pain is this normal? I really want to avoid surgery. Can I take any painkillers for this? Would appreciate your advice.

Accepted Answer

It usually results in faster recovery, less pain, and minimal scarring.

Question 2

I'm curious about when the best time is to take the CCQ50 tablet. Also, I've been kind of anxious about figuring out the optimal time to have sex with my partner if we're trying to conceive. Could you shed some light on these?

Accepted Answer

Possible Causes*

1. *Vestibular disorders*: Inner ear problems, such as benign paroxysmal positional vertigo (BPPV), labyrinthitis, or vestibular migraine, can cause dizziness, giddiness, and falling sensations.
2. *Anxiety and panic disorders*: Severe anxiety and panic attacks can manifest physically, leading to symptoms like dizziness, stomach discomfort, and a feeling of being pushed.
3. *Postural orthostatic tachycardia syndrome (POTS)*: This condition causes a rapid heart rate and other symptoms, including dizziness and lightheadedness, when standing upright.
4. *Neurological conditions*: Certain conditions, such as multiple sclerosis, peripheral neuropathy, or Parkinson's disease, can cause balance problems, dizziness, and falling sensations.

*Next Steps*

1. *Consult a doctor*: Schedule an appointment with your primary care physician or a specialist (e.g., neurologist, ENT specialist, or cardiologist) to discuss your symptoms.
2. *Undergo diagnostic tests*: Your doctor may recommend tests, such as:
    - Vestibular function tests (e.g., electronystagmography or videonystagmography)
    - Balance and equilibrium assessments
    - Imaging studies (e.g., MRI or CT scans)
    - Blood tests to rule out underlying conditions
3. *Address anxiety and panic*: Consider seeking help from a mental health professional to manage your anxiety and panic symptoms.
4. *Lifestyle modifications*: In the meantime, try to:
    - Avoid triggers that exacerbate your symptoms
    - Practice relaxation techniques, such as deep breathing, meditation, or yoga
    - Stay hydrated and maintain a balanced diet
    - Avoid standing for long periods or changing positions quickly

Question 3

I'm really worried about my girlfriend. On Monday, I fingered her and since then she had continuous pain which lasted until Friday. Now, it seems to have lessened to just once a day. When I was fingering her, it felt like I was hitting something. Can you help diagnose what's going on and suggest any treatment options? Also, if there's a way to contact you, can you let me know?

Accepted Answer

Overcoming Gynecomastia Without Surgery

_Possible Non-Surgical Treatments_

1. _Hormonal treatments_: Medications like tamoxifen or raloxifene can help balance hormone levels and reduce breast tissue.
2. _Selective estrogen receptor modulators (SERMs)_: These medications can help reduce estrogen's effects on breast tissue.
3. _Testosterone replacement therapy (TRT)_: If low testosterone levels are contributing to gynecomastia, TRT may help.
4. _Lifestyle changes_: Maintaining a healthy weight, exercising regularly, and avoiding certain substances (e.g., steroids, marijuana) can help reduce breast tissue.

_Cost of Non-Surgical Treatments_

1. _Hormonal treatments_: $50-$200 per month, depending on the medication and dosage.
2. _SERMs_: $30-$100 per month, depending on the medication and dosage.
3. _TRT_: $50-$200 per month, depending on the treatment plan and medication.
4. _Lifestyle changes_: No direct cost, but may require investments in gym memberships, healthy food, or fitness classes.

_Surgical Treatment Costs (for comparison)_

1. _Male breast reduction surgery_: $3,000-$6,000 or more, depending on the surgeon, location, and procedure complexity.

What is the difference between ovary and uterus?

Ovary is small gland which produces eggs and is connected to uterus through fallopian tubes. Uterus is hallow muscular organ located in pelvis which is resposible for menstruation and carrying a fetus during pregnancy.

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I'm curious about when the best time is to take the CCQ50 tablet. Also, I've been kind of anxious about figuring out the optimal time to have sex with my partner if we're trying to conceive. Could you shed some light on these?

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