Family Doctor Ask Free Online Medical Question Answer

sir aslam o alikum . mere shadi hoo chuki hai aur menses ki wajah se kya mere biwi always {napkins} use kar sakte hai . plz app napkins k bare main kuch batian k aksar jawan larkian bhi yeh kyun pehanti hain . thanku

ji haa menses ke doran aap ki biwi napkin use kar sakti hai. balkeh karna bhi chahye. menses mai napkin istemal karna chahye.

2. Secondly I want to ask the question about my wife pregnency. She told me that her menses never starts naturally, normally she used the medicines to start her menses for last six years, and after get medicine her menses period starts and stops normally. She is age of 20. Her medicall reports were normal. And her family doctor says it will fine after get married. Please tell me that my wife is normal and able to born baby. I am so wondering about it. She got menses right after one day of our wedding for 7 or 8 days. Now the menses cycle not resume after 30 days, Should we take the pregnency test? Pls advise. Thanks.

2. normal menses cycle is 28 days. but 1-5 day + or - is also normal. If your wife's medical report is normal then she can be pregnant and able to born baby.

Primary dysmenorrhea occurs during regular ovulatory cycles. Women with primary dysmenorrhea have increased activity of the uterine muscle with increased contractility and increased frequency of contractions. Prostaglandins are released during menstruation due to destruction of the endometrial cells and the resultant release of their contents.

Release of prostaglandins and other inflammatory mediators in the uterus (womb) is thought to be a major factor in primary dysmenorrhea (Wright et al. 2003). Prostaglandin levels have been found to be much higher in women with severe menstrual pain than in women who experience mild or no menstrual pain. Drugs which inhibit the production of prostaglandins, such as the non-steroidal anti-inflammatories (NSAIDs) Naproxen, Ibuprofen and Mefenamic Acid, can provide relief for the discomfort and other associated symptoms of excessive prostaglandin release, such as nausea, vomiting, and headache.

Clinical Features
The cramping associated with dysmenorrhea usually begins a few hours before the start of bleeding and may continue for a few days. The pain is usually described as being in the lower abdomen, possibly radiating to the thighs and lower back. Other symptoms associated with primary dysmenorrhea are nausea and vomiting, fatigue, diarrhea, lower backache, and headache.

Treatment
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, are very effective in the treatment of primary dysmenorrhea (Andreoli et al. 2004). As earlier stated, their effectiveness comes from their ability to inhibit prostaglandin synthesis. However, many NSAIDs can cause gastrointestinal upset as a side effect. Patients who cannot take NSAIDs may be prescribed a cyclo-oxygenase (COX) inhibitor. Oral contraceptives are also sometimes used since they reduce menstrual flow and inhibit ovulation.

Oral contraceptives are second-line therapy unless a woman is also seeking contraception, then they would become first-line therapy. Oral contraceptives are 90% effective in improving primary dysmenorrhea and work by reducing menstrual blood volume and suppressing ovulation. It may take up to 3 months for the oral contraceptives to become effective. Norplant and Depo-provera are also effective since these methods often induce amenorrhea. (wikipedia)

MERE HUSBAND GULF MAY HAI AUR EK SAAL BAAD AATEY HAI. MUJHEY MAHVARI BARABAR NAHI AATI AUR HAMESH BADAN SE SAFED SAFED MADDA NIKLTEY RAHETA HAI PICHLEY KAI MAHINO SE YEH PARESHANI MERA PEECHA NAHI CHORTI AUR MAHAVRI MAY BHI DUSHVARI HOTI HAI.

ماہواری کے علاج کے لئے کسی لیڈی ڈاکٹر سے علاج کریں۔ بدن سے سفید مادہ آنے کی بات سمجھ نہیں آئی۔ اگر آپ یہ کہنا چاہ رہی ہیں کہ آپ کو لیکوریا کی شکایت ہے تو پریشانی کی ضرورت نہیں۔ یہ کوئی بیماری نہیں۔ 

sir i have menses problem.sir mera problem ye hai k mujhy pehly menses 20, say 22 din k waqfy k bad shuru hoty thy or takriban rozana aty thy or thori pain b hoti thi.magar aik din mujy pasina aya or main nay naha liya.pichly kuch arsa say mujhy kafi problem hai.pehyly ye 2 month bad ai phir 1 month bad or us k bad 7,8 month aye hi nai.or us k bad 4 month proper aye.phir 2 month ka gap per gay. or ab start to ho gaye hain magar bohat kam hain.i feel very tention.

Asslam-o-Alikum Dr.Shab. i have a question to ask you plzz give me reply in detail. The question is that i am a widow. My husband died 7 or 8 years ago.There are lot of tensions in my home. My periods days are gonna fixed. Every month periods start some time 2 or 3 days later of the previous month date and sometime start befor 2 or 3 days from the previous months predios date. aur last khuch dino say mery ghar main bhuat tension chal rehe thee.main ney last date note ke the wo 22 thee. but ab next month k start hotay hee phir periods start ho gaye hay. main bhuat peryshan hoo, mujay kisi ney batya hay k yeh bachadani main (rasoli) ho sakti hay. mera apna khyal yeh hay k main ney last month tension bhuat le hay may be its due to that. ap plz tafeel say jawab dejay ga. mian wait ker ge. Good bye

Hi, my problem is that :during menses in the start means first 3 or 4 days i dont feel any pain at all very normal bleeding without any pain everything ok in first four days but in the end of menses when they r going to be in the end i feel much pain i want to ask why because mostly girls told me they feel pain in the beginning but in my case i feel pain in the end like 5th or 6 th day .kindly reply to my question. thx a lot. bye