Question 1

I'm really stressed out because I was supposed to get my period around the time of my surgery, but it hasn't happened. I've been worried about the extraction for about a week. Then, I picked up a cough and cold, along with some digestive issues, and had to take a few antibiotics and steroids. I've never missed a period before, and I'm still a virgin, so this is freaking me out a bit. The last time I had my period was around May 15th. Should I be concerned about this delay? What could be causing it?

Accepted Answer

Elevated Total Bilirubin Level (2.9)

_Interpretation and Recommendations_

1. _Mild elevation_: A total bilirubin level of 2.9 is slightly elevated, but still within a relatively mild range.
2. _Possible causes_: Elevated bilirubin can be caused by various factors, such as:
    - Liver dysfunction or inflammation
    - Hemolysis (red blood cell breakdown)
    - Bile duct obstruction
    - Medication side effects
3. _Next steps_:
    - _Repeat the test_: To confirm the elevated bilirubin level and rule out laboratory errors.
    - _Liver function tests (LFTs)_: Schedule a follow-up test to assess liver function and identify potential underlying causes.
    - _Medical evaluation_: Consult your doctor to discuss the results and determine the best course of action.

_Mildly Elevated Bilirubin Levels Typically Don't Require Immediate Attention_

Question 2

I'm using Femilon for my PCOS and started it from the first day of my period for 21 days. After five days, I noticed some light spotting. Do you think this could be a medical issue? Also, when should I start the next 21-day strip of Femilon? I'm a bit worried and could use some guidance.

Accepted Answer

Ureteral Stone (Calculus) Diagnosis:
 
 *6mm stone in right lower ureter, 1cm from Ureterovesical Junction (UVJ)*
 
 *Treatment Options:*
 
 1. *Watchful Waiting*: Monitor stone movement with regular ultrasounds.
 2. *Medical Expulsive Therapy (MET)*: Medications to help stone passage (e.g., alpha-blockers).
 3. *Extracorporeal Shock Wave Lithotripsy (ESWL)*: Non-invasive shockwave treatment to break stone.
 4. *Ureteroscopy*: Minimally invasive procedure to remove stone.
 5. *Laparoscopic Surgery*: Reserved for complex cases or failed other treatments.
 
 *Complications requiring immediate attention:*
 
 1. Severe pain
 2. Infection (fever, chills)
 3. Kidney damage
 
 *Next Steps:*
 
 1. Consult Urologist for personalized guidance.
 2. Discuss treatment options and risks.
 3. Schedule follow-up ultrasound to monitor stone movement.

Question 3

I'm dealing with an intense itching sensation in the area between my vagina and anus, and it's been going on for about a month now. It's really hard to stop scratching and it's becoming quite uncomfortable. Could you guide me on what might be causing this or suggest what I should do?

Accepted Answer

Itching between the vagina and anus can have many causes, including:
Skin conditions: Eczema, dermatitis, psoriasis, lichen sclerosus, and lichen simplex chronicus can all cause itching. 
Irritants: Sweat, tight clothing, soaps, perfumes, detergents, and razor burn can all irritate the skin. 
Allergies: An allergic reaction to something in your environment can cause itching. 
Sexually transmitted infections (STIs): Genital herpes, genital warts, HPV, syphilis, and gonorrhea can all cause itching. 
Pinworms: These parasitic worms can cause intense itching at night when females lay their eggs around the anus. 
Yeast infection: A yeast infection in the vagina or anus can cause itching. 
Fecal contamination: Contact with fecal material can cause itching. consult dermatologist

I took an ipill on the 20th after having unprotected sex on the 19th and 20th. Now on the 27th, I'm experiencing vaginal bleeding. Is this normal?

Its common to experience vaginal bleeding after taking the i-pill, as it can affect your hormonal balance. This bleeding is usually a side effect and should stop within a few days. However, if it persists or you have concerns, its best to consult your doctor for further guidance.

More Obstetrics & Gynaecology Health Queries

I'm using Femilon for my PCOS and started it from the first day of my period for 21 days. After five days, I noticed some light spotting. Do you think this could be a medical issue? Also, when should I start the next 21-day strip of Femilon? I'm a bit worried and could use some guidance.

I'm dealing with an intense itching sensation in the area between my vagina and anus, and it's been going on for about a month now. It's really hard to stop scratching and it's becoming quite uncomfortable. Could you guide me on what might be causing this or suggest what I should do?

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