Male sub/infertility

Male subfertility/infertility. Having children can be a wonderful experience but often, getting pregnant can be a source of anxiety and stress for many couples. Even in perfectly healthy couples the chance of successful pregnancy in any given month is about 15-25%. So, many months of trying may be necessary to be successful. If there are factors affecting fertility (in either partner) then this chance drops. Here I will consider the male side of infertility. Male infertility is considered to be responsible for 20% of cases of infertility in...

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Vaginal lumps and bumps

 Vaginal lumps and bumps At some point, some women may develop lumps, or bumps in the vaginal area. This is a common cause for concern. Most of the time, these lumps or bumps can be nothing to benign cysts, or they could be signs for infection, malignancy or sexually transmitted disease. Harmless Bumps : Harmless bumps in genital region include cysts, molluscum, vestibular papillomatosis (VP) and Fordyce spots. Cysts Ever felt a round lump that feels like a small pebble just under the skin over the vulva? This is usually a cyst. Cysts are...

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My Child & I : The Coughing Child

One of the most common reasons for concerned parents visiting the doctor is a coughing child. Coughs are one of the most frequently encountered symptoms in the primary care setting and when seen in a child can be a source of great anxiety. We’ll try to address some common causes of cough here as well as present some remedies that may be of use. What is a cough? Simply put, a cough is a reflexive action that tries to expel irritants out of the lungs. It does this by creating a rapid burst of exhaled air. Coughs are triggered by airway...

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Can ultrasound be used during fertility assessment?

The simple answer is yes. There is a role for ultrasound but it is not the only investigation used during fertility assessment. However, for the scope of this article I will concentrate on the uses of ultrasound. Firstly ultrasound can be used as a basic imaging assessment to screen for abnormalities of female reproductive organs. A transvaginal ultrasound can be performed to visualise the cervix, uterus, uterus lining (endometrium), and ovaries. Should there be any obvious abnormality such as anatomical variants (e.g. bicornuate uterus,...

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Ultrasound scanning in pregnancy

Ultrasound scanning in pregnancy. Ultrasound scanning is the most common imaging tool used for monitoring the growth and progress of your baby. From the several scans that will be performed over your pregnancy the medical team can identify your baby’s growth pattern and gender, as well as certain genetic abnormalities. The very first time you will receive a scan will usually be at the 6-8 week mark. This scan will be a transvaginal scan (the probe will be inserted into the vagina to get a better view of the uterus). At this stage we can...

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What is Ultrasound?

An ultrasound scan is a radiological investigation that can be used in a variety of situations. As the name suggests, the scan is performed using sound waves that bounce and reflect off different substances within the body and return to the probe. Depending on the speed of return and strength of the soundwave (wave strength diminishes with distance) and image is recreated on the screen giving us a picture the body’s internal organs. Most substances within the body exhibit a degree of sound reflectivity and sound transmittance allowing us...

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