Question 1

I'm over 10 weeks into an ectopic pregnancy and really worried is surgery my only option at this point? If yes, how long would I need to stay in the hospital after the procedure?

Accepted Answer

Can't keep ectopic for long. It's risky if you are continuing it for long. Consult your obstetrician at earliest

Question 2

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.

Question 3

I'm currently pregnant and dealing with some diarrhea. I've heard about Lactic Acid Bacillus and I'm wondering if it's safe for me and the baby. Are there any side effects I should be worried about?

Accepted Answer

Given your father's medical report and ongoing symptoms, here are some suggestions for further action:

*Medication Review*

1. *Re-evaluate current medication*: Consult your father's doctor to review his current medication regimen. Adjusting the dosage or switching to a different medication might help alleviate symptoms.
2. *Combination therapy*: Consider combining medications, such as alpha-blockers (e.g., Tamsulosin) and 5-alpha-reductase inhibitors (e.g., Finasteride), to address both urinary symptoms and prostate enlargement.

*Lifestyle Changes*

1. *Fluid management*: Encourage your father to drink fluids in moderation, avoiding excessive intake, especially before bedtime.
2. *Urination habits*: Suggest that your father:
    - Urinate when he first feels the need, rather than delaying.
    - Take his time while urinating to ensure the bladder is fully emptied.
    - Avoid straining or pushing during urination.
3. *Pelvic floor exercises*: Kegel exercises can help strengthen the pelvic floor muscles, improving urinary control.
4. *Dietary modifications*: Encourage your father to avoid or reduce:
    - Caffeine and spicy foods, which can irritate the bladder.
    - Foods high in sugar, salt, and unhealthy fats, which can exacerbate prostate issues.

*Further Evaluation*

1. *Urodynamic tests*: These tests can help assess bladder function, urine flow, and pressure.
2. *Cystoscopy*: A visual examination of the bladder and urethra to rule out any obstruction or other issues.
3. *Prostate-specific antigen (PSA) test*: To monitor prostate health and detect any potential issues.

What happens if prolapse is left untreated?

It may get worser and can lead to obstruction and infection of kidney due to urinary retention

More Obstetrics & Gynaecology Health Queries

I'm over 10 weeks into an ectopic pregnancy and really worried is surgery my only option at this point? If yes, how long would I need to stay in the hospital after the procedure?

I'm currently pregnant and dealing with some diarrhea. I've heard about Lactic Acid Bacillus and I'm wondering if it's safe for me and the baby. Are there any side effects I should be worried about?

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