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Questions and answers p. 7

Hello. I had unprotected intercourse, after which emergency contraception was taken within 10 hours. After 2 weeks, at the expected time, menstruation became irregular, with a delay of 5-10 days due to polycystic ovary syndrome), I made a pregnancy test and it was positive. As far as I understand, the fertilized ovum, but it should not establish and with the first menstruation it should come out or do I need to do an extra abortion?
Answer: 03.12.2020

In some cases, pregnancy tests can be misinterpreted or done in violation of instructions or can be false positive (expiration date, ovarian cyst). Emergency contraception may also not work due to individual characteristics and if the pregnancy occurred before this episode. It is necessary to establish the fact of pregnancy - to take a blood test for HCG and confirm its location and duration by ultrasound scan. In case of a pregnancy, further tactics depend on the woman’s desire.

Zhuk Svіtlana Ivanіvna
Gynecologist. First category.
Hello. I had a medication-induced abortion on June 21, the discharge ended on June 30, ultrasound did not show any problems. I did physical exercises and on July 7 I had blood discharge which lasted till July 1. On August 1 my normal period started; they ended as usual after 6 days. Today is August 31, but no period came (usually my cycle is 28-29 days). I have a nagging lower abdominal pain, rarely I have creamy white discharge and mild nausea after eating, not in the morning. The tests are negative. Tell me, please, what can it be? I can’t see a doctor until September 5. Thanks in advance for your reply.
Answer: 03.12.2020

Not enough information. Presumably, it could be the following:

  1. The latent infection which was manifested as a menstrual disorder, discharge and a nagging lower abdominal pain.
  2. New pregnancy (tests can be false negative, especially in cases of tubal (ectopic) pregnancy.
  3. Ovulation did not occur adequately and follicle hung, in connection with this process there may be a delay in menstruation.

In any case, initially, a transvaginal ultrasound is recommended; also, in order to exclude pregnancy, take a blood test for HCG. After that, it is necessary to consult a gynecologist for the examination.

Zhuk Svіtlana Ivanіvna
Gynecologist. First category.
Hello! Could you please help me: somewhere 6-7 months into the pregnancy, very large quantities of hair began to fall out (hair was thick and long), within 7-8 years I tried almost everything (shampoos, masks, vitamins, visits to a dermatologist), but nothing helped me ... Hair continues to fall out to this day ((.. What shall I do in this case?
Answer: 03.12.2020

Hello! Typically, hair loss begins after childbirth and is a normal reaction of the body to changes in a woman’s hormonal levels. Skin and hair are a mirror of the body state and are among the first to react to endocrine profile disorders, diseases of internal organs or a deficiency of vitamins and minerals. Without examination and identification of the cause of hair loss, any methods of treatment and stimulation of hair growth may have a temporary effect or even be ineffective. I sincerely wish you to find “your” trichologist who will help you identify the cause of hair loss and solve the problem!

Tominets Oksana Vasilevna
Dermatologist. The highest category.
Hello! Some pimples appeared on the body in a bunch, they itch a little, something like water appears after scratching them, then it dries up, becomes rough. I have it on the arm at the elbow, on the leg under the knee, at the wrist on the arm. What can it be, how to treat it?
Answer: 03.12.2020

Hello! This picture is characteristic of several dermatological diseases; dermoscopy and more information will be needed to establish an accurate diagnosis.

Ozirska Nataliia Serhiivna
Dermatovenerologist, trichologist. First category.
Hello! Five years ago, I found a light pink spot 5 cm in diameter on my side. I thought I had rubbed it or scratched off somewhere. It didn't bother me. Two months ago I noticed that it had tripled and darkened a little. I also found 3 small spots on the opposite arm and one small similar spot on the other side. The skin feels a little calloused at a touch and is less sensitive to touch than on normal skin areas. What is it? I suspect that it may be lichen or something else and how to cure it?
Answer: 03.12.2020

Hello! The rashes described by you can be of a fungal or bacterial nature, or simply inflammatory and not infectious (like Gibert’s disease). Unfortunately, it is impossible to make a diagnosis in absentia, and the treatment will depend on the diagnosis. To do this, the dermatologist will need to examine the skin and do additional tests (scraping of smooth skin for parasitic fungi, culture, etc.)

Ozirska Nataliia Serhiivna
Dermatovenerologist, trichologist. First category.
Hello! I have a problem: the skin on the hands in the biceps area itches, there is no rash or redness, it only turns red after scratching. What could it be?
Answer: 03.12.2020

Hello! Itching can be a symptom of various skin diseases (mainly of an allergic or infectious nature) or an independent disease, the so-called idiopathic itching, which requires a thorough examination and search for internal causes to identify the causes. An antihistamine can be taken to relieve itching (symptomatic treatment).

Tominets Oksana Vasilevna
Dermatologist. The highest category.
Which doctor should I consult if I have different labia sizes? Do I need intimate plastic surgery? Is this some kind of pathology? I do not experience any discomfort during intercourse or walking, but I am very worried that with age it will look even worse. Could you advise what to do?
Answer: 03.12.2020

Intimate plastic surgery is conducted by a gynecologist. This procedure called labioplasty is performed under local anesthesia without the need for hospitalization. The procedure lasts from 30 to 60 minutes.

Hello! Recently I have been treating ovarian cysts, but I cannot see a gynecologist because I am sick and I would not want to go to the hospital with a fever. If I have all the necessary information, all tests, ultrasound images, etc., can I get an online consultation with a gynecologist?
Answer: 03.12.2020

Hello! We conduct online consultations, but to determine the treatment method, it will be better to visit a gynecologist after the symptoms of a cold disappear.

Kravchenko Viktoriya Anatoliyivna
Gynecologist. The highest category.
Hello! I need a consultation with a dermatologist. The fact is that I have a tumor under the skin; I searched the Internet for information and found out that it could be a lipoma. What should I do now? Is this wen threatening my health? I failed to find the answer in the Internet article.
Answer: 03.12.2020

Hello! A lipoma is a benign non-life-threatening neoplasm. Unfortunately, a dermatologist does not treat lipomas and other subcutaneous neoplasms. You need a consultation by a surgeon. You may also need a soft tissue ultrasound to make a diagnosis.

Ozirska Nataliia Serhiivna
Dermatovenerologist, trichologist. First category.
I have red spots on my hands, which began to peel off, I am worried that it could be eczema. Do I need a consultation by a dermatologist first, or do I need to take some tests before taking it? And can you see a dermatologist online?
Answer: 03.12.2020

Before consulting a dermatologist, you do not need to take any tests. But if you have the latest test results, you should show them to your doctor. Yes, we conduct online consultations, you are welcome to contact us!

Ozirska Nataliia Serhiivna
Dermatovenerologist, trichologist. First category.
I have tinea versicolour, but no ointments and creams help to cure it. Am I doing something wrong? I adhere to all recommendations, but nothing helps, I don't know what to do. Is it possible to have an online consultation with you?
Answer: 03.12.2020

Tinea versicolour is a fungal disease that is quite easily treated with local, sometimes pill, antifungal drugs. Tinea versicolor often leaves light spots that fade over time, but can be misleading. There are several methods of confirming the diagnosis, one of them is a microscopic examination of scrapings from the rash site. Yes, we conduct online consultations, you are welcome to contact us!

Ozirska Nataliia Serhiivna
Dermatovenerologist, trichologist. First category.
A strange rash appeared on the body and face, bulging spots of a large size, with a clear outline, they are itching. Facial edema is present. I already had this once last year, rashes appeared in the evening, and by the evening of the next day, everything was gone. Last time I went to a dermatologist in Kyiv, but this time I don't even know if it makes sense to see a doctor. Maybe I can wait and everything will pass by itself?
Answer: 03.12.2020

We recommend you to consult a dermatologist for diagnosis and treatment tactics. You may have an allergic reaction given the swelling of your face. You should see a specialist as soon as possible. Delay can be dangerous!!

Ozirska Nataliia Serhiivna
Dermatovenerologist, trichologist. First category.
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