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Question Asked:

"Hi doctor , I had been in a relationship for 4 years with the hope of getting married by Dec unfortunately my genotype has gone from the AA I used to be from the previous test to AS and the lady involved is AS as well . I broke the news to her but it doesn't move her until I told her it won't be possible for us to get married again to avoid sickle child . she broke in tears and promise to commit suicide if I ever leave her . she's so lovely and nice and I wouldn't like to have her blood on me because she can commit the suicide as said . is there any remedy to this AS & AS getting married ? I already read the prenatal test and the IVF procedure , can you share more light to this about what is involve and advice . Thanks "

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    A 31 years year old male asked:
    6 months ago
    Hi doctor , I had been in a relationship for 4 years with the hope of getting married by Dec unfortunately my genotype has gone from the AA I used to be from the previous test to AS and the lady involved is AS as well . I broke the news to her but it doesn't move her until I told her it won't be possible for us to get married again to avoid sickle child . she broke in tears and promise to commit suicide if I ever leave her . she's so lovely and nice and I wouldn't like to have her blood on me because she can commit the suicide as said . is there any remedy to this AS & AS getting married ? I already read the prenatal test and the IVF procedure , can you share more light to this about what is involve and advice . Thanks
    Dr. Adedayo A answered:
    6 months ago
    Hello,I'm gLad you have done some valid research yourself.it must be devastating for her but if she and you must go on.She must fully understand the risks,pains,sleepless night's that MAY be involved.Like you have said,prenatal testing and pre implantation genetic testing are viable but expensive options.essentially,what happens is she gets pregnant and around 11 weeks a small needle is inserted into her womb to get samples from the baby and tested,if it turns out to be SS foetus,you are given an option to abort it or not. With ivf it means the fertilization happens outside the body and the cells are tested before they are implantated in the womb.
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    A 31 years year old male asked:
    6 months ago
    Thanks . Prenatal test could cost how much in nigeria ? how many try can she go through if the first pregnancy said to come as SS ?
    Dr. Adedayo A answered:
    6 months ago
    hi....I'm not sure but you can get all the information you may need : because you may be able to have babies normally,they may offer you amniocentesis or chronic villous sampling. Sickle Cell Foundation Nigeria National Sickle Cell Centre, Opp Lagos University Teaching Hospital(LUTH), Ishaga Road, Idi-araba, Lagos. Nigeria. P.O Box 3463 Surulere, Lagos Telephone +234-1-7621522 +234-803 584 6666 +234-8100002001 +234-8100002003 Email info@sicklecellfoundation.com scf-ng@hotmail.com
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    A 31 years year old male asked:
    6 months ago
    Hi Dr I want my ulcer to heal and gone forever . Is it possible ? I already visit Dr's and already places on medications it relieved but not heal . Any medication pls ?
    Dr. Adedayo A answered:
    6 months ago
    Yes,ulcers may heal completely within a month or two .Treatment can be tailored towards the cause.Is it caused by Hpylori infection for which it can be tested for by stool or breath test.if it's by infection you will have a course called triple antibiotic therapy and possibly an extended course of PPIs...if it's due to your constant use of drugs like aspirin,albumin,ibuprofen,diclofenac,steroids,then you must stop these and you will be placed on PPIs for a one to two month period. if all these don't work,then you will need a camera down your throat check what's happening there.this may cost close to 80,000. Unfortunately,I'm not allowed to prescribe these meds for you via this platform .
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