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Trying to conceive, suffering due to abdominal pain during periods, blood clots in urine - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 680 Questions
Doctor :   Hi
Doctor :   Dr AAAAAAA here
User :   Hi, I need gynec advise
Doctor :   yes , sure please proceed
User :   We are planning a baby since an year, but no result.. I am also suffering abdominal pain during periods, i have been advised dat there are blood clots around uterus, dat is why it pains.
Doctor :   ok
User :   I would also like to bring to ur notice dat I do not have right fallopian tube...
Doctor :   ok
User :   ma'm can u advise me further
Doctor :   may i ask you a few relevant questions?
User :   sure..
Doctor :   may i know your age?
User :   31
Doctor :   how have your menses been till now? were they regular?
User :   yes, just 2 days up and down
Doctor :   ok
Doctor :   have you been on any birth control methods before planning this baby
User :   from last 2 months, my breast turns very tender and i feel pukish, but then no result
User :   no
Doctor :   ok , may i know if any scan was done , did you see a gynec for this?
User :   yes.... i was on some injections to increase follicles but still no result... i have experiences ectopic preganncy...
Doctor :   i did not get you , have you conceived before
User :   yes.... there were twins but then.. one got aborted and the other got stuck in fallopian tube.. and the tube was taken out
Doctor :   ok , sorry to hear that
Doctor :   may i know when was this?
User :   2004
Doctor :   ok , was this is only pregnancy so far? or did any other follow?
User :   no
Doctor :   ok
Doctor :   have you done the tube test to check if the other fallopian tube is open?
User :   yes.. the other tube is fine.. gt the check done from naval
Doctor :   ok , when was the last scan done ?
User :   2005
Doctor :   ok , when was the last review with the gynecologist after that
User :   i m in touch with a dr. from last 3 months now... for d treatment.
Doctor :   ok , are you presently on HCG injections?
User :   no... i was asked to take a course of 4 palcentrix..
Doctor :   ok
User :   but due to some reason i could not do it
Doctor :   ok , what has the doctor finally suggested you?
User :   nothing, every dr. is giving d dates to plan a baby as per d periods date..
Doctor :   ok
Doctor :   I would want to give my suggestions
User :   sure.. go ahead
Doctor :   since you said you have pain during cycles, this is a normal thing called dysmennorhea happening with everyone
Doctor :   but if the pain persists for many days , without coming down on the second day at least we must do a scan
Doctor :   to look for any uterus related problems like fibroid , obstruction , etc , which may be causing delay in pregnancy
Doctor :   since your periods are regular and no other problems , i will take this as normal mensrual pain
User :   the pain starts from 2 nd day and remains till d last day till d time i take d medicines prescribed to me
Doctor :   apart from this , even with a single fallopian tube , one can still conceive provided there is no obstruction
User :   dr. told me i have a disease called endometreus
Doctor :   ok , are the cycles increased in flow or become heavier?
Doctor :   xactly , uterus is endometium and any problem in uterus in medical term is called endometriosis, if there is inflammation .
User :   no.. its normal but carries on till 6 th day but very light and fourth day sometimes it just stops
Doctor :   in endometriosis , we expect some hormonal changes
Doctor :   there may also be some adhesions, in the uterus causing disturbances in implantation after fertilisation
User :   ok.... wt shud i do to concieve, we have tried following d dates as well.
Doctor :   ok , we need to make sure the hormones are fine , with medicines and hormonal injections this will be done
Doctor :   after that , we give it some time .
Doctor :   ad ask to kep trying .
User :   ok.... wt injections shud i take
Doctor :   you have taken placentrex
Doctor :   i feel this is fine for now
User :   no.. i cud not not take for some reason
Doctor :   and some doctors also advice on folic acid as well
Doctor :   ok , I may not be able to prescribe medicines here as they are prescription drugs
User :   dey are very painful and creates a lot of ithiness for about an hour
User :   i was taking follic acid, i believe dat is when i concieved
Doctor :   the gynecologist will be doing this on taking your scan
User :   ok..
Doctor :   we must analyse what exactly is the uterus state now , and then plan accordingly
Doctor :   were you told that your ovaries are fine?
User :   i got d sonogaraphy doen, and the uterus size and status was normal
User :   yes.. there seems to be one cyst in left ovary
Doctor :   it depends on the uterus thickness, the state of endometritis and the ovarian function as well
User :   uterus thickness was good..
Doctor :   if the ovareis are producing a dominant good follicle , then the chances of conception increases to great extent
Doctor :   the tubes, ovaries and the uterus , all the above must be fine
Doctor :   in the mean time did you check you hemoglobin levels for anemia?
User :   the quality of follicles were excellent but still i could not concieve.. as told by Dr.
Doctor :   ok , may i ask you if your husband has done a check up for the same ?
User :   my hb generally remaons low
Doctor :   what is your Hb level?
User :   no.... seimen test is still pending
Doctor :   ok , I suggest that your husband also get the semen analysis done
User :   ok.. and shud i start taking follic acid tablets
Doctor :   as the couple must together seek investigations and treatment
User :   very true
Doctor :   yes , you can ake , it is generally advised to start before one or 2 months before planning a pregnancy
Doctor :   take*
Doctor :   also check your hemoglobin and get a thyroid profile test done
User :   in dat case i ll start taking it from tomorrow
User :   and get d checks done
Doctor :   ok, you can have a word with your gynec about folic acid and take a prescription for the same from her
User :   sounds good..
Doctor :   you can let me know about the medicines that she suggests later and also about your husbands semen reports
Doctor :   we would give our suggestions
Doctor :   i hope you followed my advise.
User :   ok.. i ll do dat... i also have swelling in my legs, i believe dat is due to water retention, i mean i am not sure.. will it also affect pregnancy
User :   yes it seems to be really helpful. i was actually confused what to do..
Doctor :   swelling of legs could be a normal physiology , water retention , excessive movement in a day or working long hours may be the reason
Doctor :   have you checked your blood pressure?
User :   ya some times it goes low but very rare
Doctor :   i suggest you get your blood pressure checked as well and also do a urine routine test along with the blood tests
Doctor :   1. complete blood count
User :   ok
Doctor :   2. urine routine and microscopy
Doctor :   3. blood sugar fasting and ppbs
Doctor :   4, thyroid function tests
Doctor :   5. ultrasound abdomen and pelvis
Doctor :   these tests will be useful
Doctor :   if everything is fine , nothing to worry about general health
Doctor :   did i answer all your questions?
Doctor :   are you with me?
User :   yes ma'm, i believe all queries answered, i ll kee in touch wid u after the tests...
User :   thank u so much...
Doctor :   sure , you can chat with our doctors anytime again
Doctor :   pleasure here
Doctor :   thanks for consulting me
Doctor :   Bye for now , good day
User :   thank.. u too hv a wonderful day ahead
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