Polycystic Ovarian Syndrome PCOS affects up to 1 in 10 women, causing irregular periods, weight gain, fertility problems etc. Don't suffer in silence, reach out for consultation. Send me a direct message.
#PCOS
#PCOSAwareness
#ConsultationAvailable
#ORBWomensclinic
FIVE TESTS YOU MUST DO AS A WOMAN
1. Know your breasts: regular breast self examination and knowing how your breasts look and feel will help you stay alert to sudden unfamiliar changes.
2. Cervical Screening Tests: If you are 21 years and above, sexually active or have
A pregnant woman that safely
delivers through cesarean section immediately becomes a what after?
A pregnant woman that safely delivers through the vagina immediately becomes a what after?
Both have SAFELY become MOTHERS
That is all that counts
@aproko_doctor
#safemotherhood
Dear woman living with Fibroids,
You are not alone, millions of women are living with it.
You can still get pregnant
You can still have vaginal delivery
Not all women with fibroids have challenges getting pregnant & not all require Ceserean section to deliver their babies.
Doctor I have been 'MENSTRUATING' in this pregnancy.
You can't menstruate while pregnant. What you are experiencing is 'BLEEDING' in pregnancy.
Few reasons you may be bleeding in early pregnancy(First Trimester)
1 Implantation bleeding
2. Miscarriage
@aproko_doctor
LIFESPAN OF PREGNANCY
Pregnancy is meant to last for 280 days which is 40 weeks in humans
Some babies can still survive two additional weeks.
After 42 weeks, the placenta starts aging rapidly & the water that provides food for them also starts drying up.
#Notobabyscam
RT
ABRUPTION OF PLACENTA
My wife went to the market yesterda
The bike she took had an accident but luckily she wasn't injured
She however said the baby was not moving as usual
I rushed to bring her to hospital this morning
Doctor, I did not have any injury she said
@aproko_doctor
Welcome to June.
You see this image down here 👇🏽is often misinterpreted.
I have heard many say if a man with genotype AS marries a woman with genotype AS, their 1st child will be AA, the 2nd & 3rd will be AS & the fourth will be SS.
This belief has led to many couples with
WOMEN’S REPRODUCTIVE JOURNEY
At birth- confirm she is a female with normal outer organs, hopefully she is the desired gender
Birth-Puberty; check for proper growth; if breasts/menses arrives too early or too late, fear, threat & panic
Teens; menstrual pain, heavy menses,
FIBROIDS
July is Fibroid Awareness Month
Few facts
They are abnormal growths of the muscles of the womb
The exact cause is unknown
They are not cancers
They are common, in 50-70% of women
Less than half of women with fibroids have symptoms
Can be huge
@aproko_doctor
@aproko_doctor
Let me add gynae twist
Nonsteroidal anti-inflammatory drugs (NSAIDs) have also been implicated in INFERTILITY
They prevent ovulation & lower progesterone levels in young women.
It prevents follicle from breaking to release egg so there is nothing to fertilise by the sperm
PREPARING FOR FIBROID SURGERY
Some women with fibroid have no other choice; they MUST have surgery to improve their quality of life, relief their symptoms, or achieve fertility.
Here are some few tips if you are preparing for Fibroid removal surgery( Myomectomy)
A THREAD
Antenatal Care Schedule
Antenatal care should start IMMEDIATELY your pregnancy test is Positive (not 3 or 4 months after).
A good antenatal care should have at least 8 visits
This is a guide, your visits can be more depending on your overall health & needs
@aproko_doctor
HELP! MY PREGNANT WIFE KEEPS EATING DIFFERENT CONCOCTIONS
'Help me doc! my wife has been eating all sorts since we did scan at 7 month and they said the baby's buttocks is down instead of head.
My wife said she must eat concoctions if not, baby will not turn.'
PCOS
Polycystic Ovarian Syndrome
This is one of most troublesome conditions that women have resulting from Hormonal problems
They may have abnormally high levels of male hormones leading to excess hair/beard/pimples/deep voice/balding
@aproko_doctor
@DrZobo
@TheTalkDoctor_
STRETCH MARK OF PREGNANCY
One of the most remarkable skin changes seen among women in pregnancy & it's called
Straie gravidarum
It affects about 55-90% of pregnant women
It is from scarring of connective tissues of the body
More in women who’s skin are inelastic
Female Genital Mutilation (FGM)
It constitutes all procedures which involves the partial & total removal of external female genitalia or any injury to female genital organ whether for cultural or any other non therapeutic reason
There are four types let's focus on type 4.
GETTING PREGNANT IN YOUR 40s
A lot of women are delaying starting or completing their family sizes for different reasons
Are you 40years & above & trying to get pregnant?
Here are some tips
Getting pregnant in your 40s may not be as fast & easy as it was when you were younger
I saw a thread of someone that saw a young girl with contraceptive pills and assumed she was using it to prevent pregnancy.
Contraceptive pills have many other none contraceptive benefits and uses like:
Regulation of menstrual cycle
Good morning & happy weekend.
Remember 'you are getting fat', 'your arms are too big', 'your boobs are sagging', 'you are getting dark' are not healthy ways to greet nursing/new mothers
Be kind and sensitive please
They are going through a lot
Happy weekend 😇
@aproko_doctor
WHERE IS TH PLACENTA PLEASE?
It is always interesting how families ask for baby's placenta after birth.
It is almost as important as the baby
Do you know why placenta is collected after birth, please share?
@aproko_doctor
@DrZobo
@janemichfitness
#April
Image from google
TEN BASIC TESTS FOR PREGNANT WOMEN & WHY
This list is not exhaustive, there may be more depending on the woman & her needs
1. Blood PT
2. Ultrasound Scan to confirm location & viability of pregnancy
3. Blood Group & Rhesus status, to known what to do if you need blood
Smoking Away the Babies
Cigarette contains many harmful chemicals that can affect fertility in both men & women negatively
In men
Can reduce sperm count
Can affect ability of sperm to move Cause abnormal sperm with damaged DNA
Can reduce volume of semen
#fertilityfriday
Facts about Normal Vaginal Discharge
1. The pH of vaginal discharge is ~ 3.8 & 4.5
2. Mainly composed of water, electrolytes, microorganisms, fatty acids, proteins, carbohydrates & epithelial cells.
3. Estrogen & pH are two important factors that influence the type of bacteria
If you are one of those women that get pregnant easily and carry it uneventfully, be thankful and know that you are extremely blessed and lucky.
To women who struggle to conceive and those who have difficult pregnancies, I am sending you love, light and strength to push through
ABUSE OF OVULATION INDUCTION DRUGS
I've met a lot of women self-.medicate these drugs without knowing the state of their ovaries or if its the best option they are using
Not all fertility issues need ovulation stimulation, some are simply from wrong timing
#fertilityfriday
CARE AFTER REPAIR OF PERINEAL TEAR
Please refer back to Tweet from 15/06/2020
Episiotomy; A surgical incision made at the vagina entrance to allow the delivery of the baby
Repair of episiotomy is Episiorrhaphy
Care Tips
DO’S
Complete your antibiotics/multivitamins/pain relief
TEAR AT DELIVERY
Vaginal delivery is popular, can we talk about PERINEAL TEAR TOO!
Tear aka perineal tear is associated with vaginal delivery.
It happen on its own to allow baby to pass through at delivery
It can be a serious complication
@aproko_doctor
HEAT & SPERM
Are you OVER HEATING your FACTORY?
Nature put the testes outside the body in the scrotum because sperm production requires lower temperature than the body.
Sperm production occurs at around (34ºC) which is (2.5-3ºC) below normal body temperature
@aproko_doctor
ALL ABOUT TWINS
There are two main types of twins.
1. (IDENTICAL TWINS)
The woman ovulates ONE EGG which is joined by ONE SPERM & becomes ONE ZYGOTE.
This now splits into 2 babies
This type of twins are usually so similar you can barely tell them apart
They are same sex.
WHAT NO ONE TELLS YOU ABOUT STIs/STDs
Sexually transmitted infections/diseases are more common than you think.
1. There are many sexually transmitted diseases
2. Condoms do not protect against all types of STIS/STDS
3. Some may not show obvious symptoms
@aproko_doctor
As we round up PCOS awareness month
Here are a few tips
1. Do not self diagnose PCOS
2. Not all women with PCOS will experience delay in getting pregnant.
3. PCOS is beyond menstrual irregularities
4. If you are diagnosed, you should have comprehensive tests done
#PCOSaware
Listening to relationship advice & attempting exact same thing on your partner is like trying to cook food exactly as someone else's does without knowing if they use gas, stove, fire wood or electric cooker.
Listen to counsel but be discerning! Assess your own relationship.
BLOCKED/DAMAGED FALLOPIAN TUBE(S)
Women have 2 fallopian tubes
One good fallopian tube is enough to get pregnant
Blocked/damaged tubes can cause Infertility
Can be from sexually transmitted infections, surgeries, endometriosis, adhesions, ectopic pregnancies etc.
Dear Couple in waiting,
You are both waiting together
You are both trying to make a baby
It's not just the woman that should be tested
The man must also be checked
This saves a lot of time & heartache
Wishing all couples in waiting positive & double blessings
(Twins👍)
1Fertility Friday
Couple testing for infertility.
Husband "Sperm Test" result is out
You both saw result & you are just seeing million million sperm count.
Please look well, there are other important parts of that sperm test.
@aproko_doctor
#NaijaOBGYNdoctor
A THREAD
The five Cs of STI
Sexually Transmitted Infections.
These Infections are dangerous and sometimes life threatening. E.g. HIV, Hepatitis, Gonorrhoea, Chlamydia, Trachomona, syphilis etc.
Contact tracing: contact everyone you have had sex with. Please
Congratulations to all expectant mums and new mums out there.
If you are on any medication for any medical condition in pregnancy,
Please don't stop on your own. If you have any complaints about it, go to the hospital.
Wishing you all a safe experience
FIBROIDS & TIME
Fibroids are more common than you think. For a lot of women who have fibroids, they do not have symptoms
For my dear women who have fibroids with symptoms, seek out a gynecologist early. Just like fibroids have various symptoms,there are many options of treatment
Dear HIV positive Parents
The power to break the cycle of infection lies with you
Unlike an adult that gets infected, children born with HIV have a low survival rate. A lot of them die by 2 years, majority by 5th year.
KEGEL/PELVIC FLOOR EXERCISES
We all have a pelvic floor,
It supports our bladder, intestine, womb & vagina
Pregnancy, childbirth, aging, surgery, weight gain, coughing for long, straining from constipation can weaken this floor.
BENEFITS
Helps tighten vagina
#athread
Yorghut & Vaginal Health
So you heard from some women that yorghut is good for vaginal health?
It is true!
When you eat/ drink yorghut, it keeps your vagina ACIDIC, which keeps its protected.
Keep it moderate though, too much of everything is not good 😇👌
#gynaeclinic
HOW IVF & other Assisted Reproductive Technology(ART) have saved our generation STRESS & HEART BREAK.
1. Saved Relationships:In the past, there was no way some men & women would have had children together leading to divorce, now some of such cases are now treatable
#MedTwitter
Dear couples in waiting(women), please stop taking self prescribed ovulation induction drugs.
When it doesn’t work, some even increase the dose on their own.
This can be dangerous, sometimes what you need is not an increase in dosage rather a modification or
@aproko_doctor
Happy Sunday
Now that all of us are in the front line, here is a list of items you need to have in your 'Frontline Starter Pack'
Face mask
Face shield
Hand sanitizer
Home thermometer
Soap and water (wash wash wash)
Bleach for floor and surfaces in your house
@aproko_doctor
PID Pelvic Inflammatory Disease( PID)
This is the inflammation of a Woman’s upper reproductive organs involving the Uterus, Tubes & Ovaries.
It is often caused by sexually transmitted infections.
Symptoms may be absent or mild, the symptoms may include some/all of these:
5. An annual comprehensive health check-up: This offers a detailed view of your overall wellness. These tests check your heart, kidneys, liver, etc, and also screens you for Diabetes Mellitus, cholesterol disorders, etc.
Prioritize your health NOW!!
#checkup
One day, we will talk about how parents think that their young sons & daughters can access internet & social media where they can literally learn every and anything but think it’s wrong for them to learn about sexual and reproductive health especially contraception and STIs.
Dear beautiful lady,
If you are trying to get pregnant & you have a diagnosis of symptomatic uterine fibroids located in a place preventing pregnancy & can only be treated by myomectomy surgery,please do the surgery on time while you still have good ovarian reserve(healthy eggs)
VAGINAL BIRTH AFTER CESEREAN SECTION (VBAC).
Women often ask if they can still have vaginal delivery after a CS.
My answer is YES, in a carefully selected group of women who meet the safety check list.
@aproko_doctor
Images from google
'Doctor, the scan says our baby is not normal'
This is one of the most disheartening experiences for any intending parent
What to do if SCAN shows the baby has abnormalities
1.Take a deep breath
2.Take result to tertiary hospitals
3. Seek 2nd/3rd opinion
@aproko_doctor
What is genotype and blood grouping about ?
Do you know your genotype ?
Do you know your blood group?
Do you know your Rhesus status ?
Do you know the difference between genotype and blood group ?
Information about your genotype, blood group & Rhesus status
Hello ladies
If you had fibroid removal surgery as part of work up to achieve pregnancy, please wait the recommended time as prescribed by your Gynaecologist before attempting to get pregnant.
I know you are anxious but proper healing of the womb critical to help
I pray for every parent or intending parent on my timeline.
May death not snatch you away.
May poverty not take you away from your kids.
May poverty not force our kids off our hands.
May our kids not be forced to live in terror or horror while with us or others.
🙏
Celebrating World Breastfeeding Week(August 1-7 2020)
Theme "Support breast feeding for a healthier planet”
The focus this year is on skilled breastfeeding counselling as a critical support to effective breastfeeding
@aproko_doctor
Let's recap on the goodness of breastmilk
IMPORTANT TIPS FOR WOMEN IN THEIR 40s TRYING TO GET PREGNANT.
If you already have preexisting health conditions: fibroids, hypertension, diabetes, hormonal disorders, mental health issues etc, once you are back from honeymoon, book a session with a specialist.
Hypertensive disorders of pregnancy remains a leading cause of complications and death among our women
We must raise awareness so that our women at risk get early optimal care.
If you, your loved one or acquittance have experienced Eclampsia, Pre-eclampsia, HELLP syndrome etc
NUMBERS IN WOMEN'S HEALTH
Your blood pressure
Your heart rate
Your weight
Your body mass index
Your menstrual pattern
Your sugar level
Your cholesterol level
Your date for breast examination
Your date for cervical cancer screening
Your age😇
Add more numbers
@aproko_doctor
Certain medical conditions should be treated/controlled before pregnancy to ensure a healthy journey.
Diabetes Mellitus
Hypertension
Thyroid Disorders
Overweight/Obesity
Anaemia
Hyperprolactinaemia,
PCOS
Mental health disorders
Infections: Hepatitis B &C, HIV
STRESS
We don’t talk enough about the emotional & mental stress that people with difficult/chronic conditions like PCOS, Endometriosis, Infertility, Miscarriages,Thyroid dysfunction, challenging menopausal symptoms, symptomatic fibroids, anaemia etc. live with
@aproko_doctor
Other things that can cause this separation includes high blood pressure, smoking, drug abuse etc.
Please if any pregnant woman has any form of physical trauma/accident, go to the hospital immediately, this may save the lives of both mother &/child.
#pregnancy
#Health
DEXAMETHASONE
PLEASE DON'T READ
the headlines only
Summary of role☝️in COVID19
1. NO benefit was seen in milder cases.
2. In critically ill patients on ventilator, it reduces death by 33%
3. In critically ill patients requiring only oxygen, it reduces deaths by 20%
Dear couples in waiting, having an unpredictable menstrual cycle can make it difficult to time when you are likely to get pregnant.
If you are trying to conceive, it is important to keep record of your menstrual pattern especially the first day of your period. There are apps
Been in the past, factor this into your schedule ( there are multiple ways to do this: self-test, Pap smear, HPV DNA sampling etc)
3. Know your genotype, blood group, and rhesus status: all these help you when dating or choosing a life partner
#healthcheck
#HPV
TEN BASIC TESTS FOR PREGNANT WOMEN & WHY
This list is not exhaustive, there may be more depending on the woman & her needs
1. Blood PT
2. Ultrasound Scan to confirm location & viability of pregnancy
3. Blood Group & Rhesus status, to known what to do if you need blood
Menstrual irregularities is only one of the symptoms/manifestations of PCOS. PCOS is a multi-systemic disorder that extends beyond the reproductive system
While the exact cause remains unknown, the interplay of the hormones involved predisposes to diabetes mellitus, elevated
Herpes Simplex Virus(HSV)
Has 2 types HSV 1 & HSV 2
HSV 1 is oral herpes but can affect genital area
HSV 2 is genital herpes- STI
It is a life long infection
No vaccine or cure for herpes.
Transmissible through kisses & tooth brush sharing.
A THREAD
@aproko_doctor
Dear ladies,
Here are a few ways to stop the spread of HIV infection
1. Know your status, get tested
2. If negative, stay that way by abstinence, mutually monogamous sexual relationships, use of barrier method of contraception
3. If positive, commence treatment so that your
Reproductive Health Tips for Sickle Cell Warriors.
You may start your period later than non warriors around you.
You may get to menopause earlier.
Do not underestimate heavy menstrual bleeding, that is a symptom you must attend to immediately.
ECTOPIC PREGNANCY: What You Need to Know
A pregnancy is ectopic when the embryo fails to attach inside the womb. It can cause life-threatening complications.
But you can save a life by helping educate women on your timeline with this.
A thread 🧵
Hypertension is a BIG DEAL
It is even worse because it is usually silent until it causes life changing complications.
It is dangerous in pregnancy & outside pregnancy
It is one of leading causes of maternal deaths.
Young people can have hypertension.
Image from google
FERTILITY FRIDAY
FATHERS IN WAITING
Women get more attention in infertility-cause, effect & support
MEN SUFFER TOO
Feeling of inadequacy, threatened masculinity & virility
Denial, guilt,disbelief,social ridicule & selfdoubt
Anxiety/depression- Impotence
@aproko_doctor
Hi Doc,
I have been trying to get pregnant for nearly a year after stopping my contraceptive but nothing is happening.
I asked, which one she was using, she answered the one her friend used.
Do you know the Return to Fertility after stopping contraception?
No, she said
50s- menopause, prolapse, risk of different types of cancers
Check up must be regular
60s/70s- Living with all of these but must still do 'omuguo' for the next generation; travel all over the country/world
May our journeys be smooth & healthy
Add more to the journey
#Tuesday
I have called almost 100 women in the last 24 hours.
I have the highest respect for customer care services staff.
Having to say thesame thing over and over again is not easy.
Whew😰😰
Welldone to customer service team everywhere 👏👏
Contraception is one of the most discussion a couple must have.
You should talk about what you want to achieve with it, duration and take responsibility for it.
The next step is to speak to a reproductive health expert on available options to safely decide
#contraception
FOUR SPECIALISTS THAT CAN SAVE YOU & YOUR BABY'S LIFE
Pregnancy is a dynamic state and time, you must be in care of those who know what to do
These 4 specialists are a MUST
in the hospital you choose for antenatal care & delivery
1& 2.
Obstetrician & an experienced Midwife
Fertility Friday
Delay in achieving pregnancy
Is the challenge from the man or woman?
WOMEN
Some female factors that can cause delay
1. Ovulation issues; PCOS, ovarian failure, elevated prolactin levels, thyroid, stress & this may show in her menses pattern
ATHREAD
Dear New Mums,
Congratulations on your safe delivery🎊🎉
Incase you haven’t gone for your postnatal visit as scheduled, make time for it.
Post partum period/puerperium is considered the fourth trimester.
A full medical review after delivery is important in reducing maternal
Effective ways to stop the spread of Sexually Transmitted Infections (STI)
Abstinence
Being faithful
Condom use
This is the standard ABC of prevention of spread of HIV through sexual activities.
HIV & other sexually transmitted infections require even more proactive
May 28th is dedicated to Menstrual health. We still post today 😂💐🎈
The start of menstruation in a girl’s life is called MENARCHE & the end of menstruation in a woman’s life is MENOPAUSE. In btw these two life events are many health related challenges, here are a few of them
4. STI panel: This is important for sexually active women. Know your status(HIV, hepatitis, Chlamydia etc), this will help you care properly for yourself, preserve your reproductive health, and protect your loved ones.
@DrZobo
@aproko_doctor
@CancerAwareNG
@ORBWomensClinic
Hello ladies
If your only reason for not using contraceptives or family planning is because you don't want to add weight/fat, please the weight gain in pregnancy is much more.
If you are sexually active & you are not ready to get pregnant, use suitable form of contraceptives
ANTENATAL MONDAY
Before you get pregnant, know your Blood pressure
When you are pregnant, check your it regularly
Make sure at each visit, Urinalysis is done for you
This way you can know your baseline and know if anything is changing
Check it after you deliver too
FERTILITY FRIDAY
Doctor! My husband's sperm always flows after sex
I have lost count of times that women have said this
A lot of women who are trying to get pregnant also assume this is the cause of their delay.
This is a MYTH with many names
@aproko_doctor
#aThread
PROTECT YOUR BABY
These infections can be transmitted from a pregnant mother to her baby
HIV
Hepatitis B
Gonorrhea
Syphilis
Genital Herpes
Chlamydia
Cytomegalovirus
Malaria
If you have any of these, inform your care provider so they help you plan & protect your baby
RT
Eating these items can lead to other deficiencies, blockage of intestines & infections etc.
Pica can also happen in children, men & in non pregnant women.
Don't sit on it,go to the specialist to find out if your craving is actually a warning sign.
@aproko_doctor
#MedTwitter
Hello Doctor, I THINK I WAS DUPED
I and my wife did all the tests relating to fertility before getting married & we saw no problems.
Now we have been trying for 2 years, yet no baby. Did we miss a test?
There is a phenomenon known as UNEXPLAINED INFERTILITY(UI)