Hello Welcome to iCliniq. I understand your concern. We will pay close attention to your worries and address all your questions with the utmost care. The ultrasound scan report (attachment removed to protect the patient's identity), which you have posted, shows a single follicle dominant, which may be in the right ovary. The endometrial thickness and uterus seem to be of normal size. This does not appear to be a polycystic ovarian syndrome with normal size ovaries.
Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. You have switched from a high-dose oral contraceptive continuous pill regimen, Jolessa (Ethinyl Estradiol and Levonorgestrel) to a low-dose pill, Lessina (Ethinyl Estradiol and Levonorgestrel). Hence, there is an early withdrawal in the form of a breakthrough bleed. Continue the pills as scheduled, and you can add antifibrinolytics to control the bleeding.
Hello, Welcome to icliniq.com. The presence of smell and bleeding with discharge after your menses have stopped, indicates a possibility of cervicitis with bacterial vaginosis (infection). If you are sexually active then the chances of contracting infection are higher. You shall require a per speculum examination by your gynecologist to rule out cervical erosions. I hope it helps.
Hello, Welcome to icliniq.com. The presence of ANA (antinuclear antibody) positivity (attachment removed to protect patient identity) indicates that you have thrombophilia (a condition where blood clots easily), and this could be acquired or inherited. Hence, you would have to get a complete thrombophilia screening done, like ACLA (anticardiolipin antibody), APLA (antiphospholipid antibodies), LAC (lupus anticoagulant ), protein C, and S deficiency, antithrombin 3 deficiency, factor 5 Leiden mutation, and serum homocysteine levels. Pregnancy is possible. But, once the heart rate is evident, you would have to be on LMWH (low molecular weight Heparin) or Enoxaparin injections daily till your delivery to sustain and maintain pregnancy.
Hello, Welcome to icliniq.com. She is a case of PCOS/PMOS (polycystic ovary syndrome/polyendocrine metabolic ovarian syndrome). She is having anovulatory cycles with decreased estradiol levels and painful menses with severe premenstrual symptoms. She needs to be placed on low-dose oral contraceptive pills for at least three to six months, and Myo-inositol supplementation along with antispasmodics to be used as and when required when the dysmenorrhea sets in. OC pills shall avoid clots, decrease blood flow and maintain the hormonal imbalance.
Hello, Welcome back to icliniq.com. As the pictures are really unclear, kindly avoid sending photos of the report. You may just scan the written report and send it to me. I would like to see the ultrasound report. Thank you.
Hello, Welcome to icliniq.com. Having seen the reports (attachments removed to protect the patient's identity), with ANA (antinuclear antibody) positive status, this makes her a case of inherited thrombophilia where chances of intra-capillary coagulation are increased during pregnancy. The other parameters like APTT (activated partial thromboplastin), protein-c, protein-s, and antithrombin-3 are also at high normal status. So, she would be required to be placed on Aspirin 75 mg and also low molecular weight Heparin injections daily from the day fetal viability is confirmed or, in simple terms, the fetal heartbeat arrives to avoid missed abortion. Ultrasound confirmation is the only investigation to find out heartbeat and USG (ultrasonography) during pregnancy are safe.
Hello, Welcome to icliniq.com. The test to be done is the high vaginal swab culture test (HVS) which can help isolate the causative organism and then the treatment should be directed towards the cause. The presence of itching and white discharge per vaginam do indicate thrush, but you have to understand that in cases of recurrence you have to take a complete course of six days with Clotrimazole (antifungal) and Clindamycin (antibiotic) vaginal pessaries and also can take Lactobacillus capsules to improve the local flora against infection inside the vagina. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Regards.
Hello, Welcome to icliniq.com. I understand your concern. This is not an implantation bleed at all, as even a urine pregnancy test is negative. Considering that you have been having regular spotting during this month since the 14th of this month with hypomenorrhoea, there is a possibility that your serum Estradiol levels are low, which is a possible cause of such irregular shedding of the endometrium. You must get an ultrasound pelvis done to check for endometrial thickness, which, if less than 8 m,m then likely that you will not conceive during this cycle.
Hello, Welcome to icliniq.com. Melatonin is actually secreted by the placenta during pregnancy and one does not really require an extra dose of it. As you are in just the 7th week of pregnancy, there are chances that you may have sleeping troubles. You can take liquid Melatonin but not more than 2 mg per day. This dose is enough to raise the body levels by more than 20 times normal, and it is hence enough.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.