Question 1

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.

Question 2

I'm just wondering if I'll need to have a cervical stitch if we decide to go for a second pregnancy. Last time, during my second trimester, I had a cervical cerclage because of two previous miscarriages. My first child is 2 years old now, and I'm curious if this procedure would be necessary again. Any advice you could share would be really helpful.

Accepted Answer

Since you had a cervical cerclage during your second trimester in your previous pregnancy due to a risk of miscarriage, it's possible that your doctor may recommend a cervical stitch again for a subsequent pregnancy kindly consult your gynecologist

Question 3

Why do periods change dates?

Accepted Answer

Periods are dependant on hormones and every month period date may change slightly based on the hormone variations. For this reason, if next cycle starts from 28 +/- 7 days from the first date of last menstrual cycle then it is considered a normal cycle.

I'm finding some lumps around my nipples, breasts, and arms, but I don't seem to have any other symptoms right now. Should I be worried about these lumps? What could they mean, and should I get them checked out soon?

refer to a surgeon get it checked as soon as possible

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