Question 1

I'm 25 weeks pregnant with my first baby and I'm planning to travel to Assam during my 27th or 28th week. While most of my trip from Chennai will be by air, I'll spend the last two hours on some really bad and bumpy roads. Is it safe for someone in my condition to make this trip on such roads? What precautions should I take, and what emergency signs should I be on the lookout for, given that there isn't a good medical facility nearby?

Accepted Answer

Traveling during your 2728th week of pregnancy with bumpy roads may pose risks, such as discomfort, back pain, and potentially, preterm labor or placental abruption; to minimize risks, consider consulting your obstetrician before traveling, wear a seatbelt, take regular breaks, stay hydrated, and avoid fatigue; monitor yourself for emergency signs, including severe abdominal pain, vaginal bleeding, contractions, or decreased fetal movement, and research local medical facilities along your route in case of an emergency, despite their limitations.

Question 2

I have a large 13 cm fibroid on the posterior wall of my uterus but my periods are normal should I consider surgery or try homeopathic medicine first? I'm worried about the size and not sure what the best option is

Accepted Answer

For a fibroid of that size (13 cm), surgical intervention is generally recommended. While homeopathic medicine might offer some relief, it's unlikely to shrink a fibroid of this size significantly, and it's essential to rule out other potential causes of your symptoms

Question 3

I'm really worried about my girlfriend. On Monday, I fingered her and since then she had continuous pain which lasted until Friday. Now, it seems to have lessened to just once a day. When I was fingering her, it felt like I was hitting something. Can you help diagnose what's going on and suggest any treatment options? Also, if there's a way to contact you, can you let me know?

Accepted Answer

Overcoming Gynecomastia Without Surgery

_Possible Non-Surgical Treatments_

1. _Hormonal treatments_: Medications like tamoxifen or raloxifene can help balance hormone levels and reduce breast tissue.
2. _Selective estrogen receptor modulators (SERMs)_: These medications can help reduce estrogen's effects on breast tissue.
3. _Testosterone replacement therapy (TRT)_: If low testosterone levels are contributing to gynecomastia, TRT may help.
4. _Lifestyle changes_: Maintaining a healthy weight, exercising regularly, and avoiding certain substances (e.g., steroids, marijuana) can help reduce breast tissue.

_Cost of Non-Surgical Treatments_

1. _Hormonal treatments_: $50-$200 per month, depending on the medication and dosage.
2. _SERMs_: $30-$100 per month, depending on the medication and dosage.
3. _TRT_: $50-$200 per month, depending on the treatment plan and medication.
4. _Lifestyle changes_: No direct cost, but may require investments in gym memberships, healthy food, or fitness classes.

_Surgical Treatment Costs (for comparison)_

1. _Male breast reduction surgery_: $3,000-$6,000 or more, depending on the surgeon, location, and procedure complexity.

Visit Physician for evaluation and appropriate management

More Obstetrics & Gynaecology Health Queries

I have a large 13 cm fibroid on the posterior wall of my uterus but my periods are normal should I consider surgery or try homeopathic medicine first? I'm worried about the size and not sure what the best option is

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