Question 1

I'm feeling a bit worried because my wife's been advised to get an HSG X-ray test. Is this something that's complicated? I'm also concerned about whether it might affect her chances of getting pregnant in the future. Could it possibly cause any infections or have side effects?

Accepted Answer

HSG (Hysterosalpingography) is a common radiology procedure used to evaluate the shape of the uterine cavity and the patency of the fallopian tubes. It involves injecting a contrast dye into the uterus and fallopian tubes while taking X-ray images. The procedure itself is generally safe and well-tolerated, with minimal complexities. It is not known to have a negative impact on future pregnancies. However, like any medical procedure, there are risks of infection or side effects, such as pelvic discomfort, cramping, or a slight risk of allergic reaction to the contrast dye used. These risks are usually minimal and the benefits of the test often outweigh the potential risks. It is important to follow any pre-test instructions provided by the healthcare provider and to inform the medical team of any allergies or medical conditions before undergoing the HSG test.

Question 2

I'm really worried and looking for some guidance. If a miscarriage happens around the 4th week, what should the HCG levels typically look like at that point, and how do they change after a miscarriage? Also, I'm curious about what the HCG levels are when someone isn't pregnant. How long does it usually take for the HCG levels to return to normal after a miscarriage?

Accepted Answer

The normal hCG levels at 5 weeks LMP is 18  7,340 mIUml. The hCG level in your blood doubles every two to three days when you're pregnant. If your hCG doubling time is slower than expected, or if it decreases over time, this may be a sign of a miscarriage or an ectopic pregnancy. An hCG level of less than 5 mIUmL is considered negative for pregnancy, and anything above 25 mIUmL is considered positive for pregnancy. It can take a variable amount of time for hCG levels to come to normal after miscarriage but it usually comes to normal within 2 weeks after miscarriage.

Question 3

I'm really concerned about my wifes situation. She's got these two chocolate cysts on her right ovary, and our gynecologist advised her to take Lupride Depot 3.75 injections monthly for three months to shrink the cysts and prevent damage to ovarian tissue during surgery, which could lead to infertility. Her periods have been a bit strange since we started this treatment. Her last one was on August 19th, but before that, she got it on August 1st. We gave her the injection on August 5th, within those five days of her cycle starting. But now, she got her period again earlier than expected. I thought it makes sense to take the next injection within five days of this new period, but the gynecologist says it should be given on the same date as last month, like September 5th. I'm a bit confused hereshould we stick to the once-monthly schedule, or go with the period dates?

Accepted Answer

Kegels and Reverse Kegels for Premature Ejaculation (PE)

_Understanding the PC and BC muscles:_

1. _PC muscle_: Pubococcygeus muscle, responsible for ejaculation and orgasm.
2. _BC muscle_: Bulbocavernosus muscle, helps control ejaculation and supports the penis.

_Kegels vs. Reverse Kegels:_

1. _Kegels_: Contracting and releasing the PC muscle can strengthen it, but may not directly help with PE. Over-toning the PC muscle might even contribute to PE.
2. _Reverse Kegels_: Relaxing the BC muscle can help relax the pelvic floor, potentially delaying ejaculation and improving control.

_Recommendation:_

1. _Try Reverse Kegels_: Focus on relaxing the BC muscle to help manage PE.
2. _Combine with other techniques_: Use Reverse Kegels in conjunction with other methods, such as:
    - _Start-stop technique_: Stop and start sexual activity to regain control.
    - _Squeeze technique_: Squeeze the PC muscle to pause ejaculation.
    - _Breathing exercises_: Practice relaxation techniques to reduce anxiety.

More Obstetrics & Gynaecology Health Queries

I'm feeling a bit worried because my wife's been advised to get an HSG X-ray test. Is this something that's complicated? I'm also concerned about whether it might affect her chances of getting pregnant in the future. Could it possibly cause any infections or have side effects?

Health Articles for you

How To Increase PappA Levels In Pregnancy?

Breast Cancer Awareness and Prevention Tips

Difference Between PCOS and PCOD Explained

Your Complete Guide to Reproductive Health and Wellness

Menopause and Osteoporosis: Key Connections