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Question Asked:

"Pls Doc. I didn't see my flow in the month of January. it then came out on the 1st of February and stopped on the 7th day. now this is March 3 and still no sign of it. What could be the problem and what can I do to save the situation. N/B ...I am and was not pregnant even in the month of January. Anticipating your reply"

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    A 27 years year old female asked:
    8 months ago
    Pls Doc. I didn't see my flow in the month of January. it then came out on the 1st of February and stopped on the 7th day. now this is March 3 and still no sign of it. What could be the problem and what can I do to save the situation. N/B ...I am and was not pregnant even in the month of January. Anticipating your reply
    Dr. Adedayo A answered:
    8 months ago
    Hello madam...sorry about this. May I ask what your normal cycle length is. Importantly you seem to have ruled out pregnancy,so that is out the way. What I usually advise is that it's very unusual for us to investigate a woman until she has missed three consecutive periods and is confirmed not be pregnant. Other causes of a missed period include, stress,illness,contraception use,excessive weight loss,excessive exercise,hormone problems like thyroid and prolactin problems.
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    A 27 years year old female asked:
    8 months ago
    Hello Doc. As at September to December last year, I had 28 days circle, until January this year I experienced that. But before then, I don't usually have a regular circle; it changes.
    Dr. Adedayo A answered:
    8 months ago
    Hello again...It seems you have never really had a steady cycle length apart from those three months at the end of last year. Are you saying before September,your cycle length was not 28 days.If so,then what were the sort of cycle lengths you were getting. If it sort of hovered between 21 and 35 days,then I wouldn't worry Much. Finally,I would suggest you give it time. If you miss three consecutive periods and not pregnant,then your doctor should investigate.
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    A 27 years year old female asked:
    8 months ago
    Does PID have a correlation with this problem? Also, if diagnosed of PID, what are essential medics for the cure?
    Dr. Adedayo A answered:
    8 months ago
    Hello madAm... Pelvic inflammatory disease (PID) is an infection of the female reproductive organs. It usually occurs when sexually transmitted bacteria spread from your vagina to your uterus, fallopian tubes or ovaries. No what you have described doesn't sound like PID. symptoms that may suggest PID include pain around the lower tummy. discomfort or pain during sex that's felt deep inside the pelvis,pain during urination, bleeding between periods and after sex,heavy periods,painful periods ,unusual vaginal discharge, especially if it's yellow or green. So I doubt this is a case of PID.
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    A 27 years year old female asked:
    8 months ago
    Thanks Dr for your quick responses. For that of the cycle length, yes it has been between 21-35 not steady and flow for 7days. I brought that of PID up because from the first vaginal swab test I did someone 2012, the DR made mention of it from the results. Up until 2017 I repeated the test as well as Pelvic Scan because I was having itches and abnormal discharges, it was cited again by the Doctor. So it got me worried and thinking as well if it has no cure.
    Dr. Adedayo A answered:
    8 months ago
    Ok...madAm...Itching and abnormal discharge may be an indicator of PID,but it can also be an indicator of things like thrush and vaginosis. I will advise the following. 1.Avoid unprotected intercourse if sexually active.Ask your partner to always use a condom. 2. Avoid washing the inside of your vagina with anything.Just wash the outside with water.Douching can cause abnormal discharge and itching. 3.Avoid indiscriminate use of antibiotics. 4.If you are sexually active and have it unprotected,then your partner should be treated if your doctor is going to treat you for PID . 5.Consider getting treated for thrush if this discharge is white and cheesy. Tabs fluconazole 150mg stat.
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    A 27 years year old female asked:
    8 months ago
    2012 has it thus" yielded a moderate growth of staphylococcus spp after 24hrs of incubation at 37° C. 2017 "culture yielded heavy growth of Candida albicans after 24hrs of incubation at 37°C. For the Ultrasound, I have "the uterus is normal, non gravid and introverted measuring 65mm *38mm*53mm in its longitudinal, AP and transverse dimension respectively. the myometruim is homogenous in echo texture. No uterine mass seen. the endometruim plate is thin, empty and intact. No evidence of uterine cyesis seen. Both adnexea are free.There is moderate fluid collection in POD. The urinary bladder wall is normal in thickness and contains no stone or sludge. 24/1/2018. " The uterus is normal in size and anteverted. The myometruim is homogenous in echotexture. No uterine mass seen. The endometrial plate is thickened measuring 14mm and intact. Both adnexea are free. There is moderate echo-free fluid collection noted in the POD. The urinary bladder wall is normal. Blood sample of Pregnancy test negative. Please Doc, I don't understand any of these except that PID suggestion and impression I seen on my result. I need help. with this menses issue , I am worried.
    Dr. Adedayo A answered:
    8 months ago
    Thank you for the results.I would like to reassure that there is unlikely to be anything serious wrong. The first result shows a bacteria that's nothing but a contaminant of the swab taken. I would confidently disregard that result.When a sample is poorly processed in the lab,staph that lives on most of us can be mistakenly introduced into the sample. The 2017 result shows something common in many women called yeast cells.When they overgrow,they cause the whitish discharge with itching easily treated with fluconazole 150mg stat.It doesn't cause PID. The scan result is essentially normal in terms of the structure of your female organs.The fluid in the POD is not necessarily PID because other non disease states can cause it. However I appreciate the difficulty in diagnosing PID even here in the UK with all our sophisticated tests. That's why I have given you a lists of advice in my last post. Like I said earlier,the symptoms you gave me are not suggesting PID.However,your doctor may consider treating you anyway I can't guarantee it will make a difference. The variations you described in your menses is not abnormal enough to make me think it's PID. I think you just need to try to relax,get your doc to treat you one off for PID and your sexual partner over the last 3months which would have been the source.
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    A 27 years year old female asked:
    8 months ago
    I took that tab last yr and it helped...but what I don't get is the result of the ultra sound I did this yr again and the impression of PID. That's why I asked the question still , can't be cured for once?
    Dr. Adedayo A answered:
    8 months ago
    hi..Sorry about the late reply. I would like to reiterate that PID is not the only cause of fluid in the pouch and i think you seem to be a bit fixated on that.but i can see why you would be concerned.these are other causes of the same fluid seen on scan: ruptured follicles,retrograde menstruation,increase in ovarian permeability due to oestrogen influence.Non of which need something doing about. I strongly do not believe you've got PID. but to answer your question ,YES active PID is treatable with antibiotics but its very important ones current sexual partner is treated as well.
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    A 27 years year old female asked:
    8 months ago
    I have a diabetic mum, she loves coconut a lot. can she eat it alongside pawpaw? Also, she hardly sleeps, pls what can she take ?
    Dr. Adedayo A answered:
    8 months ago
    Yes she can take paw paw and cocunut.They are good sources of fibre a! impact on blood sugar is not bad.Moderation is also key with everything. About her sleeping,I am not one to usually recommend sleeping tablets. I'd rather recommend good Sleep Hygeine. Read this website https://www.nhs.uk/conditions/insomnia...... Sleeping pills can have serious side effects and she can become dependent on them.
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