Question 1

So, my boyfriend and I are kind of new to having sex, and last night we used a condom, but it broke. He's using those Trojan ultra thin ones. He hadnt ejaculated, only pre-cum, and he did go to the bathroom several times after his last ejaculation, so he wasnt too worried about any leftover semen. The condom broke right at the tip, and we quickly got a Plan B pill, but this is the third time weve relied on Plan B, though its our first time this year. Should we be worried about me possibly getting pregnant?

Accepted Answer

_Elevated Alkaline Phosphatase (ALP) Level: Guidance on Liv 52 and Next Steps_

Given your wife's elevated ALP level and normal scan reports, here's a summary of the situation and recommendations:

_ALP Level Interpretation_

1. _Mild elevation_: An ALP level of 141 UL is mildly elevated, which can be caused by various factors, such as:
    - Bone growth or repair
    - Liver or bile duct issues
    - Certain medications
2. _Normal scan reports_: The normal scan reports suggest that there are no obvious underlying conditions causing the elevated ALP level.

_Liv 52 Considerations_

1. _Liv 52 benefits_: Liv 52 is a herbal supplement that may help support liver health and promote liver function.
2. _Liv 52 and ALP levels_: There is limited scientific evidence to suggest that Liv 52 can directly lower ALP levels. However, it may help support overall liver health.

_Recommendations_

1. _Consult a doctor_: Schedule a follow-up appointment with your wife's doctor to discuss the elevated ALP level and determine the best course of action.
2. _Monitor ALP levels*: The doctor may recommend regular blood tests to monitor ALP levels and assess any changes.
3. _Liver function tests*: The doctor may order additional liver function tests to evaluate liver health and function.
4. _Liv 52 supplementation*: If the doctor recommends Liv 52 supplementation, ensure your wife follows the recommended dosage and monitors her ALP levels regularly.

_Important Notes_

1. _Individualized advice*: Consult with your wife's doctor before starting any supplements, including Liv 52.
2. _Regular follow-ups*: Regular health check-ups and follow-ups with your wife's doctor are essential to monitor her ALP levels and overall health.

Question 2

I'm trying to get pregnant, and I've missed my period for over 25 days now. My last period was on January 16th. I did both a sonography and a urine pregnancy test, and both came back negative. My doctor suggested I take Deviry tablets, 10mg, two tabs a day, but there's still no sign of my period. This has never happened to me before. Could I still be pregnant somehow? I'm also starting to feel really nauseous and weak. What could be going on?

Accepted Answer

-It's possible to be pregnant even with a negative test, as sometimes the test may not detect the pregnancy early enough. However, since you're feeling nausea and weakness, it's worth consulting with your doctor for further tests or to reassess your situa

Question 3

I've been having really heavy periods that last 10 to 18 days with clots and bad cramps. My ultrasound showed a bulky uterus measuring 73x47x55 mm with a 12-13 mm endometrial echo. There's also a simple cyst on my right ovary around 30x14 mm. Should I consider surgery for this or are there other options?

Accepted Answer

You need hysteroscopy and D&C. If you completed your family then you can go for mirena insertion.

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