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 thinking about family planning with my partner, and we'd rather just focus on each other and not have kids for now. Could you give some advice on effective ways to prevent childbirth while still maintaining a healthy relationship? Would really appreciate your expert insight on this!

Accepted Answer

Family planning is a personal decision, and it's great that you and your partner are on the same page.

_Exploring Permanent Birth Control Options_

1. *Vasectomy (Male Sterilization)*: A minor surgical procedure for men, which prevents sperm from reaching the semen.
2. *Tubal Ligation (Female Sterilization)*: A surgical procedure for women, which blocks the fallopian tubes to prevent eggs from being fertilized.

_Temporary Birth Control Options_

1. *Condoms*: A barrier method that prevents sperm from reaching the egg.
2. *Intrauterine Device (IUD)*: A small device inserted into the uterus to prevent pregnancy.
3. *Hormonal Birth Control*: Pills, patches, or injections that regulate hormones to prevent pregnancy.

_Consult a Healthcare Provider_

Discuss your options with a healthcare provider to determine the best method for you and your partner. They will help you understand the benefits, risks, and potential side effects of each option.

Remember to consider factors like:

- Effectiveness
- Reversibility
- Potential side effects
- Lifestyle and personal preferences

Question 3

I found a moderate well-defined echo-free cyst in my right adnexa measuring 54mm x 36.8mm and the right ovary isn't visible because of it. There's no septa, calcification, or solid parts right now. Should I be worried about this? Do I need surgery or can it be managed with medicine?

Accepted Answer

A simple adnexal cyst without solid parts or septation is usually benign. Observation and follow-up scans are preferred unless symptoms worsen.

I'm in my second month of pregnancy, and yesterday I ate some papaya. My neighbors told me it could cause an abortion. I'm really worried about this. Is it true that eating papaya and pineapple can lead to a miscarriage?

Visit your Physician for evaluation and appropriate management

More Obstetrics & Gynaecology Health Queries

I'm thinking about family planning with my partner, and we'd rather just focus on each other and not have kids for now. Could you give some advice on effective ways to prevent childbirth while still maintaining a healthy relationship? Would really appreciate your expert insight on this!

I found a moderate well-defined echo-free cyst in my right adnexa measuring 54mm x 36.8mm and the right ovary isn't visible because of it. There's no septa, calcification, or solid parts right now. Should I be worried about this? Do I need surgery or can it be managed with medicine?

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