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Gynaec problem - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Getting Pregnant
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2569 Questions
Doctor :   Hi
User :   hello doc
Doctor :   How can i help you
User :   good morning
User :   i have a query related to gyne
User :   are you a gynecologist
Doctor :   Good morning to you too please tell me
User :   ?
User :   ok...
User :   we are planing to start family
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Occupation: Location: Weight and Height: Dependents: Yes/ No.
User :   we will start trying in september
User :   30,housewife,57 ,5feet 3 inches,no
User :   how to increase the chances of conception that i become pregnant in september itself
Doctor :   Are your Periods regular and How many days cycle do you have
User :   my periods are regular ...28-30 days cycle
User :   last month i had on 31st ...
User :   and before that on 2nd ...
User :   this month due
Doctor :   ok
User :   28-30 days normally
Doctor :   Were there any Contraceptive measures that you have been using till now to avoid getting Pregnant
User :   5 days
Doctor :   ok
User :   condoms ...and avoiding in unsafe time
User :   you there ?
Doctor :   Yes
Doctor :   ok then there is nothing for you to be worried about
User :   ok
Doctor :   you will have to have sex during the 10th -18th day of the cycle
Doctor :   and it will need to be regular
Doctor :   every day take measures to keep the semen inside not allowing it to drip down
User :   how i cna do that ...? normally flows out..
Doctor :   Please fill the feedback form say done when done
Doctor :   ok for that you will need to keep the Pillow underneath your back at the time of sex and also
Doctor :   Practice some exercise measures like trying to stop your urine in between your urination
Doctor :   that will strengthen your vaginal muscles and hence inturn prevent it from flowing out
User :   ok
Doctor :   Please fill the feedback form say done when done
User :   i am taking foilc acid and iron tablets
User :   do i have to continue taking them
User :   you there ?
Doctor :   Yes it is essential since they need to be taken before conception to avoid the
User :   one more thing i want to tell you about my past histroy
Doctor :   Neural Tube defects
Doctor :   ok
User :   i had a miscariage last year during my first pregnancy
User :   it was 7 weeks pergnancy
Doctor :   You need to care full during that time now and What was the cause for the Miscarriage then
User :   not known...all reports were normal
User :   i had undergone d and c for it
Doctor :   ok Just keep extra Precautions then at that time of pregnancy now, were you married in close relation
Doctor :   ok
User :   no...
Doctor :   How long back was this D & C done
User :   in june last year...
Doctor :   ok
Doctor :   Then it is quite appropriate for you to be starting your family now
User :   what extra precautions i have to take ...please tell me in detail..!!
Doctor :   That will need to be based on the cause for the Pregnancy Loss then since there are many factors for first trimester Pregnancy loss like
Doctor :   Cervical Incompetence, Genetic errors, and chromosomal anomalies
User :   the cause is not know ...the doc said most likely some chromosomal defect....
User :   as that was a very early loss
Doctor :   ok did they advise you on any Genetic Counseling
User :   no...
User :   what is that ?
Doctor :   ok since it is not known then in general you need to be cautious
Doctor :   That is where both the Genes from you and your
Doctor :   Husband are studied and based on the deletions and the presence of few factors they can tell what
Doctor :   is the most likey defect that your child can possibly have and if it is present only
Doctor :   Hence then they will keep a Watch at regular intervals to see the progress
Doctor :   in Pregnency at any Time they feel that your child has developed that you would be advised or suggested likewise
Doctor :   Have you Followed it
User :   yes ...thanks
User :   please guide me regarding some precautions that i can take this time .
Doctor :   Avoid any Strenuous Exercise, take atleast 2-3 hours of Rest During the Day
Doctor :   and do not lift weights and other Heavy items from the Floor directly instead if you have to do not bend from the Waist
Doctor :   Sit down and stand up with the weight
User :   regarding diet?
Doctor :   Folic Acid is one drug that you need to take to avoid any Neural Tube Defects or Spinal Defects in your child and that you have already started on
Doctor :   So by and large there would be nothing at all
User :   ok any sepcial diet ...?
Doctor :   Diet Rich In Dry Fruits and Dates are essential since you will need extra Calories if you take Non veg Diet make it
Doctor :   2-3 times during the Week
Doctor :   Avoid Full meals during the night and instead take regular small meals that will Prevent you developing any Nausea and Vomiting sensation too
User :   i don't take non veg
Doctor :   Eggs
User :   no
Doctor :   Soya Proteins and proteins from other Pulses are also help full
Doctor :   Tofu and Milk And Milk based Products
User :   do i need to get any USG done ..once pregnancy is confirmed ...
Doctor :   Not immediately but at later dates to know the Progress of the Pregnancy
User :   last time doc did transvaginal USG for me 6 week
User :   can that be the cause of loss
User :   you there ?
Doctor :   No
Doctor :   It is not likely to be the cause
User :   ok..
Doctor :   I would suggest you to get Abdominal Ultrasound done rather than Trans Vaginal Sound
User : what time of preganancy?
Doctor :   Your Gynecologist will be the Correct Person to Guide you on that Since they are done at varying dates for Different Purposes so
User :   ok doc ...thanks a lot ...bye
Doctor :   You are Welcome.. Bye for now ..
Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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