N, 32, had fertility issues. She had been married for the past 4 years and was diagnosed as having polycystic ovarian syndrome (PCOS). She was obese with a BMI of 30. Her menses were irregular, occurring once every 2 to 3 months. The menstrual flow was heavy at times and could last for between 10...
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Air Pollution and Reproduction
What do the following conditions: low sperm count, menstrual irregularities and premature births have in common? These conditions are a reflection of disruptive changes in our reproductive system. Among the many factors that can cause these changes, an environmental factor which many people may not be aware of is air pollution (AP). What are the...
Long Covid and Female Reproduction
L, 40, had Covid 6 months ago. She was admitted to the hospital for a week for the treatment of her respiratory symptoms. After discharge, she still felt tired and listless with occasional headaches. She also had difficulty thinking clearly and likened it to a brain fog. Before the infection, she was always on the...
Can Human Papilloma Virus infect Men?
J, 39, was upset when he was told that his wife had a high-risk Human Papilloma Virus (HPV) in her cervical screening test recently. “Doc, how could she get the virus when we are in a stable relationship?” he asked. “Can I have the HPV test done on me? What impact will the infection have...
Does Vaginal Birth Affect Long-term Sexual Enjoyment?
G, a 28-year-old first-time mum, requested caesarean section as a mode of delivery for her baby. She was concerned that natural birth might “permanently tear” her birth canal and cause a “loose” vagina which could affect her sex life subsequently. She was told that a laxed vagina could reduce sensation during intercourse which could lead...
Managing Anxiety During Childbirth
“The very thought of childbirth makes me nervous and anxious. My heart rate would go up and I would feel clammy. I actually avoid watching labour and delivery scenes in movies as I have been traumatized mentally by many negative birth stories I heard….I could imagine the day I delivered my baby, there would be...
I was pregnant with an IUCD
Despite her preventative measures, K was shocked to find that she was pregnant. K, 33, had a copper-T intrauterine contraceptive device (IUCD) fitted 2 months after she gave birth to her second child a year ago. She knew something was awry when she felt ill for a few weeks. “I was feeling nauseous and I...
Soy and Fertility: To Eat or Not to Eat?
Will taking soy products make it difficult for me to conceive? Soya milk and tofu were the staple food for G, a 34-year-old teacher and a vegetarian. She was getting married soon and came for a preconception check. She was keen to get pregnant after marriage because of her age. But she was confused and...
Reproductive Aging. What is it?
Menstrual flow getting less For theMen past six months, H, 40, was puzzled as to why her menstrual cycles were getting very irregular, lasted for a shorter duration and the flow was less. “My menses used to be very regular every month and lasted 6 days,” she recounted. “But now, I menstruate between 40 to...
Nipple Discharge and Brain Tumor
Irregular menses M, a 16-year-old student was shocked when she found a small amount of whitish discharge oozing out from her nipples when she accidentally pressed on them while bathing. Upset and disturbed, she went and told her mother who brought her to see me the next day. M had her first menstruation at the...