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Yesheen (dr.) Singh Medical Doctor View profile



Dear R



Thank you for your question. PCOS is a challenging disease to manage in the western medicine model of health care, where most doctors rely on synthetic hormones to regulate periods and fertility drugs like Fermotid or insulin receptor modifier drugs like Metformin. These all attempt to treat the symptoms of PCOS but don't do anything to heal the underlying imbalance. Sometimes the work and a woman with PCOS will fall pregnant but the underlying inflammatory disease process continues and simply chooses another avenue to display itself. The rate of successful pregnancy on the combination of Provera and Fermotid is unpredictable but the general consensus is a success rate of around 20% depending on the complexity of the underlying pathology.



I would recommend completing your course of medication since you have already begun it. I would not advocate using any other form of therapy in conjunction as they may adversly affect the medication. But if you come to the end of your course and are still not pregnant then contact me via www.healthnation.co.za if you would like to try an alternate approach to rebalancing your underlying oestrogen:progesterone imbalance and thus improving your chances of falling pregnant.



Many thanks and warm regards

Yesheen Singh


Yesheen (dr.) Singh Medical Doctor View profile

Dear K



Thank you for your question. Implantation devices have a failure rate of about 0.05%. What this means s that there is still a chance of falling pregnant despite haveing the device in-utero. Urine based tests are usually good enough as a screening tool but I would recommend having a blood-based test done asap. If this is positive you need to have the Implanon removed asap if you want to keep the baby as it's presence will cause serious malformation and deformity problems, and possible lead to a spontaneous abortion.



If you do decide to keep the baby don't forget to use a pregnancy-specific multivitamin supplement with appropriate levels of Folate and Iron.



Many thanks and warm regards

Yesheen Singh

Yesheen (dr.) Singh Medical Doctor View profile

Dear T



Thank you for your question. The rate of abdominal distension during pregnancy varies greatly across the general population. There are no predictive factors or normal growth curves to follow. But usually there is a faster pace of growth earlier in pregnancy that plateaus as the fetus reaches full dimensions in-utero. Sometime a good gage is to ask your mom or the mother of the baby's father how her rate of abdominal expansion was during her pregnancy - sometimes this can be predictive. If there are concerns though that your abdomen is expanding faster than you expected or that the rate of growth is uncomfortable then the next step would be to have an utrasound, which you are due to have in a couple of days.



My advice would be to ensure that you are eating healthily, using a good pregnancy multivitamin, exercising appropriately and maintainng healthy lifestyle choices while you wait for you appointment.



Many thanks and warm regards

Yesheen Singh

Yesheen (dr.) Singh Medical Doctor View profile

Dear V



Thank you for your question. From what you write I think you have a great chance of being anaemic due to all the blood you are loosing. This is probably contributing to the symptoms of depression, fatigue and weight loss. Iron deficiency is also know to contribute to dusfunctional uterine bleeding. I would immediately test your iron levels, begin you on a form of iron supplementation and make sure that the foods you were eating contain high levels of natural iron - think leafy green vegetables.



As for the dysfunctional uterine bleeding my first advice would be to take a complete time-out from all forms of synthetic contraception. These havetotally confused your body's own ability to balance estrogen and pregesterone, resulting in the abnormal bleed. Unfrtunately your body will have to detox itself of the medication contained within it, especially the injection, before it can begin to return to some form of normal menstrual cycle. I am afraid that without a proper consult with a detailed history and examination I cannot offer you any advice regarding medication or alternate therapies you can try. You are welcome to contact me for an appointment via www.healthnation.co.za



Many thanks and warm regards

Yesheen Singh

Yesheen (dr.) Singh Medical Doctor View profile

Dear M



Thank you for your question though I am not entirely sure of what it is you are asking. I am going to assume that you are worried that you may be pregnant. If so my advice would be to have a pregnancy test done as this is the only way to be certain of your condition. If, on the other hand, you are worried about the spooting you are experiencing my advice would be to visit a gynaecologict for an examination. Perhaps during intercourse you damaged a part of the vaginal canal resulting in bleeding. Perhaps there is an endocrine issue and your oestrogen:progesterone ratios are out of sync resulting in dysfunctional uterine bleeding. Only a proper consult wil ellicit this cause.



Many thanks and warm regards

Yesheen Singh



Please Note:

The Wellness Q & A is for informational purposes only, and is not intended to diagnose or provide treatment for any condition. If you have any concerns about your health, you should always consult directly with your healthcare professional. Wellness Warehouse will not be liable for any errors in the Wellness Q & A, or for any actions taken in reliance thereon. The advice on the Wellness Q & A is not comprehensive and does not replace the assessment and advice of your own healthcare professional. Consultation with your healthcare professional is extremely important if you are experiencing persistent or severe symptoms.

Caution:

Consult your doctor, healthcare professional, and/or pharmacist before using any supplements or before making any changes in prescribed medications. If you have a chronic illness or routinely take prescribed or over-the-counter (OTC) medication, or you are pregnant or breastfeeding, it is extremely important to consult your doctor, healthcare professional, and/or pharmacist before taking any new medication. Do not stop taking any prescription medication without consultation and guidance from your doctor.

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