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question:I am Going to marry in this month,my partner is 6 months younger than me,and now i am 24 yrs old.we both are decided to postpond our baby for 1 year,is it ok to have safe sex with condoms during this 1 year...otherwise i will affect baby formation after 1 year???
answer:Hallow Dear,I must congratulate and compliment you for advance planning of your family. Safe period like traditional methods are not safe methods for avoiding pregnancy. Though in this era there are many contraceptive methods available, they can be grossly categorized into three main groups:1. Hormonal Methods: They include pills, implants, etc. 2. Condom like barrier methods3. Intrauterine devicesEmergency contraceptive pills should not be used as a regular method of contraception and should be reserved only for emergency situations. According to me, pills or condom should be best suiting for you to start with. Later on you may switch over to the other long term methods. I hope this gives you preliminary guidelines. Dr. Nishikant Shrotri
question:I was on period delaying tablets due to going on holiday. I was on them for 3 weeks. I got my period 2 days after coming off of the course and finished my period 2 days ago (7 day period) I ve now started again with fresh blood spotting. Is this normal or does it need medical help?
answer:Hallow Dear,Usually within 4-7 days after discontinuation of pills withdrawal bleeding starts. Such bleeding stops within 5 days. However, your withdrawal bleeding started within 2 days and continued for 7 days. Even after stopping the bleeding, it restarted again after few days. This is not expected. It is denoting some hormonal imbalance. It can happen if you have taken Oestrogen only pills. I will advise you not to neglect it. Please report to your Gynaecologist ASAP. You may need low oestrogen birth control pills cyclical treatment for about 3 months. I hope this helps you. Dr. Nishikant Shrotri
question:I had unprotected sex last weekend. I forgot to take my pill a few week ago i cant remember. My boyfriend claimed he never cam in me but when i stood up some stuff came out and im pretty sure it was not me. then he told me it might of been him. Please i need help.
answer:Hallow Dear,If you are on regular oral contraceptive pills and have missed only one pill in the complete cycle, there should not be any concern about it. Missing up to 3 pills is permissible in one cycle.It is very difficult to believe that ejaculation did not effect in the vagina when you have seen semen flowing out of your vagina. Even precum also contains some sperms which can impregnate a woman. In case of unprotected intercourse, following methods can give protection against pregnancy: 1. Consumption of emergency contraceptive pills within 72 hours of unprotected sexor2. Getting intrauterine contraceptive device inserted within 5 days of unprotected sex. The advantage of this method is then you get ongoing contraceptive protection for many years to come. If neither of these methods were followed within stipulated time and the pregnancy has resulted, it can be terminated by Medical Methods of termination up to 9 weeks of pregnancy. However, these medicines should be taken only with Obstetrician's advice. I hope this serves your purpose. Dr. Nishikant Shrotri
question:Ive had a mirena iud in place for 5 years. The doctor try to take it out but couldnt grasps the strings. I had went to the doc originally thinking i was preg. My belly looked 2 mths preg. Neg test. He ordered a ultrasound to see where the iud is situated. Been nausea ous for 2 mths. Took laxatives. Belly went away but im still sick. Whats your advice. Ultrasound on the 15 of this mth.
answer:Hallow Dear,Since the threads of Mirena are neither visible nor palpable, it is likely that it has migrated outside the uterine cavity - may be in the peritoneal cavity by perforating the uterine walls. Perforation of intrauterine device, particularly in the abdominal cavity can cause nausea, vomiting, abdominal distension, etc.. You are having these symptoms for about 2 months. Therefore it is likely that Mirena has perforated since that date. Your doctor therefore has advised you Ultrasonography. It will locate the position of Mirena. If it has perforated the uterine wall - partially or completely, you will need surgical intervention for removing the device. Please follow your doctors religiously. You need Gynaecologist's care. Dr. Nishikant Shrotri
question:I have been on depo for over a year and no spotting/bleeding and this morning I had spotting not enough for a tampon but more than a normal spotting and fpr 3-4 days been having terrible night/day sweating and I am not the person to sweat easy and it s been terrible theses couple days is this normal or should I talk to my obgyn?
answer:Hello, and I hope I can help you today.Alhough most women will not menstruate at all after being on Depo-Provera for a long time, Depo Provera can give you irregular periods even years after you start using it. Whatever the hormone fluctuations that caused you to bleed probably produced the side effects of the night sweats.Most of the time, these symptoms resolve themselves after a week or so, so try to be patient and your hormones will probably be back to normal soon. Unless you have other reasons to have hot flashes (if you are over 40, or have thyroid disease or other medical problems) this is unlikely to recur. If you continue to have these symptoms for more than a week, you may just want to check in with your OBGYN regarding hormone tests for your thyroid and menopause if you are of an age to be at risk.I hope i was able to adequately answer your question today and that my advice was helpful.Regards,Dr. Brown
question:I have been feeling like I am pregnant. I ve had the implanon in for 2.5 years and I feel movement in my stomach and I have gained at least 5lbs. I m shocked because I work out at least 3 times a week. My last menstrual cycle was the 24th of July. I know it may be soon to tell but I just have a strong feeling. I have done 4 pregnancy test and they all came out negative...is there a possibility that I may be pregnant?? Can the implanon give multiple false negative??
answer:Hello, and I hope I can help you today.If your pregnancy tests are negative, then you are not pregnant. The Implanon will not cause a false-positive pregnancy test. However, the hormone in the Implanon, called Progesterone, can cause many similar symptoms to pregnancy, because the same kind of hormone is produced in your body by pregnancy. So feeling bloated, having breast tenderness, spotting or irregular periods and weight gain can all just be side effects of the Implanon. Many women think they feel fetal movements, but most women don't feel fetal movement until they are at least four to five months pregnant, so you are likely mistaking the movements of your intestines for fetal movement.I suggest you discuss your situation with your healthcare provider, as you may prefer to try an alternate method of birth control which may not give you these symptoms. Your Implanon will need to be replaced at 3 years anyway, and other hormonal contraceptives that are not systemic, like the hormonal IUD, can give long-term pregnancy protection without as many systemic side effects.I hope I was able to adequately answer your question today and that this information was helpful.Best wishes,Dr. Brown