Pcos and diabetes

Questions
Doctors

My husband was recently diagnosed with a thoracic aortic dilation of 4.2 during a preop echocardiogram. Cat scan was also done. No evidence of dissection. He is having bilateral knee replacement on January 17. His cardiologist has cleared him for surgery for both knees. Should we be getting a second opinion. I should mention he is 67 years old, no evidence of heart blockages, no diabetes.

surely get the second opinion from other cardiologist ...

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I have had amenerhea after the pill and had not had a period since last April (9 months ago). My OB put me on progesterone to induce withdrawal bleed and is likely going to diagnose PCOS. She is supposed to call today but first labs showed a Fsh:lh of over 3:1 so it looks like PCOS. I am having a very painful withdrawal bleed on this progesterone. Started with right side pain, constant ache in pelvic region now, and pain during bowel movements/urination? Does this sound normal for a progesterone withdrawal bleed?

Hi, Small cyst rupturing does not cause pain usually and since you are better with nsaids, you don't need to do anything and may continue with nsaids. But haemorrhagic cyst are painful(extreme degree) and if your pain is not relieved by nsaids or you think pain is aggravating or it may be unbearable,it will be advisable to go for an ultrasound abdomen to rule out any kind of haemorrhage. Feel free to ask more questions. ...

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Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Hi, Since you are a known diabetic,few changes which have to be brought in are lifestyle modifications. If you have already not changed them or if you are not serious about them because they are the only steps which would help you the most. Drugs just bring down sugar for a few hours and then would raise back again and your body can become slowly resistant to the same drug dose so first you will have to bring lifestyle modification(changes) in yourself. 1)Eat a low-cholesterol, low-fat diet, ...

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Hello Doc I am diagnosed for PCOS ,TTC with siphene 100mg. On the 13th day of my periods the follicular study shows Right 8.3X8mm ,left 9.9X7.2 mm, i was not convinced with the scan report due to some reasons which i faced during my previous scan ,so went for another ultrasound scan from another hospital on the 14th day of my periods. The folicular size on 14th day shows Right :10.6x7.6mm and Left 14.9X9.4mm My question here is how can the follicules in a day grow from 9.9x7.2mm to 14.9X9.4 mm? and are there any chances for me to concieve this time with follicules 14.9x9.4 mm on the 14th day by an HCG shot at the right time ? and taking ultrasound scans many times is of any harm ????

Hi, Ideally if some one has a regular cycle(periods) the follicle should be mature and ready to rupture on thirteenth day,size of a mature follicle is around 20-21mm when it ruptures. It depends why metformin is given to you if the only cause is pcod and is just given for this then it would be stopped after you conceive,but if you have type 2 diabetes(insulin resistance) along with pcod then it would be continued life long. Many people achieve periods after they have their first baby. ...

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Hi, I am 28years old and married 4years ago. I am trying to concieve. I am having PCOS and lil high prolactin. I have done the follicle study 3times and all the 3times egg was released but no success in getting preg. This time too my doctr gave me initial 5days siphine 100mg tablets and did scanning till 14th day however i was having multiple small follicles. Doctor told me this time chances for releasing egg is less however i will get my period on time. Now it is 40th day and i have done home preg test but negative. Usually whenever i have taken 5days siphine 100mg tablets i used to get my periods on 28 to 30days. What is the reason for delay in getting my period this time? Will there be chances for preg ?

Hi!! If your pregnancy test is negative( home kit),then you should still get a blood test to rule out pregnancy.This is called a serum beta hcg test and can be done in any routien laboratory any time of the day.This test if value less tahne 5 will confirm that there is no pregnancy. Your period can also be delayed due to PCOD, like you said that the doctor said that the eggs were not ruptured in this cycle.If the pregnancy beta hcg test is negative ,take withdrawal medication of meprate and star ...

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how sucessfull is stem cell therapy in diabetes

Hi, The treatment is mostly succesful in type 2 diabetes which you are suffering from(usually reserved for people in whom the sugar is not controlled by drugs and disease is chronic - you did not tell me anything about this point whether you are controlled on medicines or not.),but it will have to be confirmed by tests that you don't have any auto antibodies which means antibodies against your own cells. But the treatment is still not advocated commonly. ...

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I am 7 weeks pregnant and have taken meprate 10 mg for 5 days thrice daily thinking I am suffering from PCOS. I didn't have my periods since nov'12. I did an ultrasound and everything is normal in that. I didn't got bleeding as well since I was pregnant. I am hearing mixed opinions about side effects of meprate on foetus. Can you suggest, can I go ahead with my pregnancy, is there an complications attached...

Hi!! Meprate ( medroxyprogesterome acetate) is safe if taken accidentally in pregnancy.It is norethindrone( norethisterone ) that has harmful effects of genital organs of the female fetus. Also,fetal genital organs are affected between 7-9 weeks of pregnancy. There is no method to know that fetus does not have any congenital malformations.Even ultrasound cannot pick up many congenital malformations which may be due to various reasons ...

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Given my medical history of Hypertension, anemia, and borderline diabetes, is it good to have a tbsp of sharkeferol tonic every night?

Hi, Unless you have micronutient deficiencies only then you can take them daily otherwise you should avoid to take them daily. For anemeia you take iron in syrup or tablet form. ...

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Hi, I am Satish Aggarwal (58 years old). I have been suffering from Diabetes since last 5 years. I was taking Tribet-2 (Abbott) till last month (one tablet in morning and one in evening). My sugar levels were around 170 (in random) while taking it. Last month I read in newspapers about side effect of Tribet-2 and my doctor advised me to switch to Diamicron XR MEX 500 (2 tablets in morning). While taking it my sugar levels have been around 240 (in random). Now I have just heard that there is some clarification from Tribet-2 that it is safe. My doctor has asked me to move back to Tribet-2. My query is that is Tribet-2 really safe ? and should I move back to it again ? Thanks, Satish

Hi, Yes this is true that tribet 2 is back in market, but they have allowed it with safety precautions written on the pack like its prone to cause bladder cancer. If you have repeated history of seasonal allergies or difficulty in breathing or you are working in place which deals with chemicals,then i would recommend you to avoid the drug. If you have any problems in urine like frequency or urgency or pain in urine report to your doctor immediately. ...

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I just turned 57 yrs old. I had periods until Sept 2012 with spotting each month through Dec 2012 then nothing until October 2013, had a light period that lasted about a week, cramps, tender breasts etc. Had spotting this month Nov 2013 also with tender breasts. Had hot flashes while I wasn't having periods but those went away since I started having periods again. I also was having huge amounts of cervical mucous that strands all the way into the toilet at times. I was checked a couple years ago and the Dr noted the large amount of clear mucous but no ideas. The huge amount of mucous is back. Is this normal? I know I'm a late peri-menopause. I do carry too much belly fat and was wondering if I might have PCOS or something? Any certain tests that should be done?

Yes, I suggest that a workup done to investigate why you still have bleeding, if this is still menstrual period or post-menopausal bleeding. Please have a transvaginal ultrasound done. If endometrial stripe is thick, you may discuss with your gynecologist if endometrial biopsy is warranted. ...

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