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Pregnancy Bliss | Reproductive Health Hub

Pink discharge in early pregnancy

Question:  Hello, I am 28 years old, more than six weeks pregnant. last night i have experienced a light pink colour vaginal discharge, this morning it was brown colour without clots. I have no abdominal pain or any discomfort, just a bit heavy feeling in my lower abdomen which i had before in about three weeks into my pregnancy.

I have an appointment in family planning clinic on wednesday am (in 2 days time). I just would like to know if i should try to get an appointment with  my GP or wait till the wednesday. Thank you very much. L. (UK)

Answer: Any suggestion of a possible vaginal discharge in early pregnancy is a legitimate cause for concern. If you are very anxious, you can try to bring forward the appointment and see the GP before your clinic appointment. However, in the absence of any other symptoms (pain, cramps, fresh blood loss etc), it may be more practical for you to just wait for that appointment in 2 days time. This is provided you are sure there is going to be an ultrasound scan as part of that consultation. If that appointment was just for a chat, you do need to arrange to see the GP so an urgent scan can be arranged. With those symptoms, pregnancy location and viability needs to be confirmed. An ultrasound scan is the only way you can do that.

Abnormal labour

Question:  What are the consequences of abnormal labour and how can abnormal labour be managed to avoid these consequences? N.S. (Cameroon)

Answer: Abnormal labour is a very broad subject and not specific enough for it to be dealt with in a question and answer format we have here. Any labour that departs from the accepted norm is clearly abnormal. For instance, prolonged labour is abnormal in a completely different way from precipitate labour which is also abnormal. You may therefore wish to specify which form of abnormal labour you are interested in for us to address. Alternatively, you can click on the topic of abnormal labour on this site to see what we have to say about the subject in general.

Conception after a miscarriage

Question:  How many months after a miscarriage should one wait before conceiving again? O. (Nigeria)

Answer: The body recovers very quickly after a miscarriage. In many cases of first or even second trimester miscarriage, ovulation resumes within 4 - 6 weeks of the pregnancy loss. It is therefore possible to conceive in less than a month after a miscarriage. Were conception to ensue after such a short interval, there are really no health risks to the mother or the pregnancy. It is therefore standard advice to a mother who has had a miscarriage that she can start trying again as soon she feels emotionally ready to do so.

Health education to the people

Question:  I wish to inform you that thing fall part in the world. Please would you mind to keep on training people to help themselves by using health professional ideas and information.  Thanks. K.M. (Kenya)

Answer: Thank you for your positive comment and encouragement. We intend to continue to do our bit to ensure people have objective, correct and up to date information about relevant health issues wherever they may be on the globe. Many thanks.

Risks associated with Clomiphene (Clomid) use

Question:  How many doses of Clomid can I have and what are the risks of using this medicine. I have got polycystic ovaries and I have used this for 9 months now. A.J. (Pakistan)

Answer: Clomid or Clomiphene is a drug commonly used to induce ovulation and it is particularly useful in this regard for women like yourself with polycystic ovarian syndrome (PCOS). The standard advice is that no more than 12 cycles of Clomiphene should be used. There is credible evidence that using it for longer than this can increase the woman’s lifetime risk of ovarian cancer by up to 3 times. For this reason, it is essential to keep within the recommendations.

Fresh vaginal bleeding in early pregnancy

Question:  my girlfriend is 3½ weeks pregnant and twice she as had 2 spots of fresh blood when going to the toilet. Her doctor has done a examination and she says it’s fine but we are still not happy can you confirm if it is or not it is our first and are very worried, it’s not major bleeding just 1 spot 2 days ago and 1 spot this morning. S.M. (UK)

Answer: Your anxiety is completely understandable. It is always difficult to reassure somebody at such an early stage of pregnancy because the status of the pregnancy can be very hard to ascertain.

Just so I am sure we are talking about the same thing; I take it by 3½ weeks, you are counting from the start of her last period. If that is the case, then it is impossible to see anything on an ultrasound scan. If, on the other hand, you are counting from when she is supposed to have conceived, which will be around mid-cycle, that will make the pregnancy technically at least 5½ weeks. At that gestation a scan is useful and arguably essential in a case of early pregnancy bleeding. I hope you will have the clarity and peace of mind quickly.

Chlamydia infection and effect on fertility

Question:  How will you dictate how long you have lived with chlamydia. (2)Can it affect your chances of getting pregnant.if yes,can you still get pregnant when treated. C.B.

Answer: It can be very difficult and sometimes impossible to tell how long a person has had chlamydia infection. Since, in the majority of cases, chlamydia infection is silent, with no discernible symptoms, a woman can carry the infection for years without being aware.

With regard to its effect on fertility, the answer is yes; chlamydia is one sexually transmitted infection that can make it difficult to conceive in the future and also can increase the risk of ectopic pregnancy. The longer a person carries the infection, the more likely it is to have these effects on fertility. What’s more, if treatment is delayed, the damage to the fallopian tubes may be irreversible even after the infection itself has been successfully cleared. Not every chlamydia infection episode leads to these complications.

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