Daily Trust - NO MENSES AFTER CLOMID MEDICATION
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NO MENSES AFTER CLOMID MEDICATION

Since January 30,  I have not seen my menses after taking Clomid. I also most times feel nausea, even though a number of pregnancy tests all turned out negative. What do I do?

– Safiya, Kogi.

I will suggest you see your Gynaecologist again instead of home treatment. Let me advise that, though you have done pregnancy test three times and it all turned out negative, it should still be repeated before taking medication for normal menstrual flow.

PAP SMEAR: HOW OFTEN?

How frequent is it advisable to do a Pap smear test? I am thirty-eight-year-old now. I last took the test in 2017.

Mrs IK, ABUJA

Pap smear is recommended annually or once every two years.

COULD IT BE ECTOPIC?

A family friend had a baby like 6 months ago and somehow took in last month again. They decided to abort the pregnancy since it was still in its early stage and by taking some self-prescribed medications. A pregnancy test still shows positive, indicating a pregnancy is still there, but a scan shows otherwise.  Could it be ectopic?

– Chioma, Karu (ABUJA)

There are two or three different possibilities. One is the fact, that the pregnancy may still be there, despite the attempt at termination. This may be due to underside or failure to respond. Another possibility is the fact that a pregnancy test becomes negative between about ten to fourteen days after miscarriage or termination of pregnancy. While your suggestion of ectopic is also a possibility. I will suggest Transvaginal scan, and if done by an expert whether intrauterine or ectopic pregnancy, it can easily be picked at this stage.

Quantitative serum beta hCG may be necessary where there is doubt.

DIFFICULTY IN PASSING URINE

My husband finds it difficult to pass urine. Even when he does, it’s very little and he goes at frequent intervals. Sometimes he wets himself before getting to the toilet.  What can be done?

– Mrs Ayodele, Gwagwa, Abuja

How old is he? If he is around fifty years or above? The possibility of prostate disease is high. It may be either benign prostatic enlargement or prostatic cancer, among other things. Kindly take him to see an Urologist.

WHAT ARE MY OPTIONS? 

My first two pregnancies were both delivered by Caesarean Section. I am 41-year-old and currently in my last trimester of a pregnancy. I have been booked for another CS in three weeks time. My doctor says, because of my weight and hypertensive state, I should do bilateral tubal ligation during the operation. I don’t like this. Please what are my options?

– Mrs Abdulmumuni

This question had been addressed before. But when we are dealing with family planning, it cannot be overemphasized.

I agree with the recommendation of your doctor in view of your medical history of hypertension, obesity, age and number of operation for bilateral tubal ligation. Because most of the other effective options are hormonal which is not too suitable for the background medical history.

But if you still object other options include mechanical like male and female condoms, intrauterine devices and safe period. The latter is not reliable with a high failure rate. Another option if your spouse can agree to male sterilization.

 

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NO MENSES AFTER CLOMID MEDICATION

Since January 30,  I have not seen my menses after taking Clomid. I also most times feel nausea, even though a number of pregnancy tests all turned out negative. What do I do?

– Safiya, Kogi.

I will suggest you see your Gynaecologist again instead of home treatment. Let me advise that, though you have done pregnancy test three times and it all turned out negative, it should still be repeated before taking medication for normal menstrual flow.

PAP SMEAR: HOW OFTEN?

How frequent is it advisable to do a Pap smear test? I am thirty-eight-year-old now. I last took the test in 2017.

Mrs IK, ABUJA

Pap smear is recommended annually or once every two years.

COULD IT BE ECTOPIC?

A family friend had a baby like 6 months ago and somehow took in last month again. They decided to abort the pregnancy since it was still in its early stage and by taking some self-prescribed medications. A pregnancy test still shows positive, indicating a pregnancy is still there, but a scan shows otherwise.  Could it be ectopic?

– Chioma, Karu (ABUJA)

There are two or three different possibilities. One is the fact, that the pregnancy may still be there, despite the attempt at termination. This may be due to underside or failure to respond. Another possibility is the fact that a pregnancy test becomes negative between about ten to fourteen days after miscarriage or termination of pregnancy. While your suggestion of ectopic is also a possibility. I will suggest Transvaginal scan, and if done by an expert whether intrauterine or ectopic pregnancy, it can easily be picked at this stage.

Quantitative serum beta hCG may be necessary where there is doubt.

DIFFICULTY IN PASSING URINE

My husband finds it difficult to pass urine. Even when he does, it’s very little and he goes at frequent intervals. Sometimes he wets himself before getting to the toilet.  What can be done?

– Mrs Ayodele, Gwagwa, Abuja

How old is he? If he is around fifty years or above? The possibility of prostate disease is high. It may be either benign prostatic enlargement or prostatic cancer, among other things. Kindly take him to see an Urologist.

WHAT ARE MY OPTIONS? 

My first two pregnancies were both delivered by Caesarean Section. I am 41-year-old and currently in my last trimester of a pregnancy. I have been booked for another CS in three weeks time. My doctor says, because of my weight and hypertensive state, I should do bilateral tubal ligation during the operation. I don’t like this. Please what are my options?

– Mrs Abdulmumuni

This question had been addressed before. But when we are dealing with family planning, it cannot be overemphasized.

I agree with the recommendation of your doctor in view of your medical history of hypertension, obesity, age and number of operation for bilateral tubal ligation. Because most of the other effective options are hormonal which is not too suitable for the background medical history.

But if you still object other options include mechanical like male and female condoms, intrauterine devices and safe period. The latter is not reliable with a high failure rate. Another option if your spouse can agree to male sterilization.

 

More Stories