WHY IS SHE BLEEDING?

My wife is thirteen weeks pregnant. The issue now is she is having some drops of blood. She did scan and the baby is okay but I do not know why it is happening so. Dough she was asked not to stress herself. But before then she had an operation to remove some growth they found in her stomach about six months ago, is that the cause of the bleeding? Adeleke, Abuja

It is not likely that previous operation is the cause of the bleeding now. It’s what will calll threatened miscarriage. I agree with your doctor that your wife may benefit from adequate rest.

Also there will be need to repeat ultassound scan to rule out low lying placenta. MISSED PERIOD FOR THREE MONTHS

I missed my period for about three months now and am not pregnant. I have seen a doctor and he advice I do a pelvic scan, which I did and the result shows a cyst. He placed me on some medication which I have been taking, apart from Cypro, Folic acid and Fesolate tabs he gave me. Is there any other medication I can take? Grace, Jos

Cyst is hardly treated with antibiotics. Let your docotor do progesterone withdrawal bleeding test. He will know the drug to give. Concerning the cyst the size will determine what to do. Usually if it’s less than 5cm in diameter, conservative approach can be used especially if not associated persistent pains. Kindly see a Gynaecologist.

ANY RELATIONSHIP?

Dear Doctor, for a long time now, almost all cases of stroke (all types) happen in the early morning, (4, 5, 6 am)and mostly in bathrooms. why so? Maikas

Are you sure? How many cases of stroke of stoke have you seen? I am not aware of any relationship between stroke or cerebrovascular accident and early morning hours. We believe in evidence based facts.

Well since you mention I will try and observe further.

CAN DEPO-PROVERA-CUASE PID

I have PID and it has been on for about 8 years now (2011-now), as a result of taking depoprovera family planing injection. I’ve taken all the treatments available but it wont heal. Now my monthly period’s blocked, eventhough I ovulate, but the period cannot find its way out.

Let me state categorically that the depoprovea is not the cause of the infection. It is also unusual to say Pelvic inflammatory disease did not respond to treatment for eight years. It could be due to under dosaging, wrong medication or fake drugs. I think you have to see a Gynaecologist for proper examination and treatment

Also the menses not flowing out is a problem on its own and maybe some tests including possibility of hysteroscopy will help.

PREGNANCY AFTER SEVEN MONTHS OF C/ S?

Please doctor, I got pregnant seven months after a cesarean section. Please can I try labour? I don’t want to deliver by Caesarean section again. Aisha Katsina

It is a little too early at seven month. Why not wait for a year? The preferable interdepivery interval is minimum of eighteen months. Your own will be less. It is not save for you to try normal delivery, it has to be by Caesarean section because of the short interval between pregnancy.