How Fertile Am I?

How Fertile Am I? Dear Doctor, I have undergone several several semen analyses,and each time, it has indicated low sperm count and poor motility.The semen is however drawy.I then had a hormonal analysis, which suggested that I have increased prolactin,and decreased testosterone. Could you please let me know what is responsible for this, and what drugs could be used to correct it? While I appreciate that it may not be possible for you to personally reply to every mail that you receive, I will nonetheless appreciate if you could oblige me with a personal reply. Many thanks, JKO, Ugep, Cross River Dear JKO, You do not give your age or circumstance: Are you married? Trying for a baby?hormonal imbalance is usually the hidden factor to look for in infertility and sexual inadequacy--the doctor has not properly investigated you who has not made sure your hormones are all correct --if you are looking for a baby or are having sexual frustrations or difficulties. And that statement is true for both males and females--absolutely no difference.The relevant hormones to check out in infertility treatment in the female are a) Prolactin which helps her to produce milk for breastfeeding a baby; b)FSH or Follicle Stimulating Hormone--which helps the ovary produce eggs for fertilization,; c)Leuteinizing hormone --which helps the ovary to produce progesterone that establishes the pregnancy and d)Progesterone-- without a sufficient amount of which a woman cannot get pregnant.The same hormones are tested in the male --except for this difference--that Testosterone instead of Progesterone is tested. Now, testosterone is a very important hormone in the male helping to make a man a man --as in high libido, sexual aggressiveness and assertiveness--in short-- male virility. Prolactin,if whether in the male or the female means decreased libido and reduced fertility.For because --think about it -- it is telling the female's (and male too) system that she needs no baby since she is (equivalent to) breastfeeding a baby with her high prolactin levels. The biggest thing, however is that your hormonal imbalances are treatable-- by a doctor of course, who understands it --and you yourself will testify that very few do. Else it would not take so long to get your hormones checked since your semen analyses were always awry. You need to let an expert do it. I'm sure you do see that by now? Expert treatment will not only get your sperm count up; But it'll get you to impregnate your wife By the Grace of Almighty God while it Restores your stamina and ability sex wise turning you into a darling of your wife again-- A hungry lion! The issues involved are intricate so understand that any doctor wanting to help you he'll need need to see u first -- absolutely non negotiable and you'll need to go see him with all your results .And its only then you'll know how much it'll cost. But it won't be cheap----Soup wey sweet; na money kill am. However, remember that most doctors treating infertility understand the pressure on the pocket and ensure treatment is pocket -friendly. If you want to see us we have sent you details--by God's grace you won't fail this time --if indeed (and it seems very likely) you are looking for a baby. Don't waste time and money any further. Give it the best you've got Cheers

ABC to be a Rape Survivor

ABC of Rape Dear Dr, I was gang-raped three days ago by some boys and I am seriously confused; I don’t know what to do. Please advise me Linarita, Lanlate, Oyo State Dear Linarita, Very sorry about your plight but these things happen and everyone— (all women especially since children and men can also be raped) has to listen well and learn what to do about rape because its getting increasingly common. I’ll call this write-up the ABC of rape. First is A-APART—you need to go settle down somewhere safe and compose yourself – that’s of course after crying and being shocked and numbed and feeling like suicide. All that is normal. You need to think and review the situation and make important decisions. So find a safe place and make up your mind on some issues. Do you want to keep quiet about it or get justice or just want an apology—the whole choice is yours but you must set APART all the evidence so you can make your point well when you decide to do so.Don’t wash, don’t clean up, don’t remove your clothes or any torn clothing or pants; don’t do anything that will change the evidence. Keep all evidence apart; sit down; set time apart and even WRITE what happened --so you can recall it better when and if you need to. Maybe you are so confused you don’t know what to do? That brings us to B—BULWARK or Support. You need a bulwark – strong support in the situation you find yourself . which friend, sister, relative acquaintance do you want to call and confide in and rely upon for help and general emotional, physical and other kinds of support at this time? This brings us to the next point, C—CALL or calling the police. If you need to call us and we'll help you--see the numbers below. It is a good thing to have someone go with you to the police; a times you must be warned—they can be very funny and the reason is, generally men(most police are men) believe that any woman reporting rape was complicit in the act. In other words they may not be too sympathetic because they tend to feel you were careless. But when you go with somebody else they may be forced to be more humane. Bits of the rapists hair or strands of fabric or maybe a belt or shoe or torn shirt etc will definitely interest the police as evidence. D. DOCTORS. In their search for evidence, the medical will come into play so they will arrange for you to be seen by a doctor and the evidence you preserved will come in very handy. Any semen or male discharge even if dried on your body or genitals, blood , bruises, etc will be detailed by the doctor who will take care to examine you after taking specimens for lab tests of STD’s /HIV etc. The doctor may need a urine specimen to check out if you drugged in cases where this happened. Apart from these, it’s only a doctor that can help you make sure you do not get pregnant and bring a rapist’s bastard into the world. Again, you can call or e mail us or visit our blog at www.mediamedix.blogspot.com to access quality help.E stands for EXPEL or expelling the evil from your system.Any woman who has undergone rape needs to be mended emotionally and even spiritually of her wounds which are internal. It is only a counselor that can help you expose and expel whatever psychological or spiritual demons are lurking in your inner man. Your self respect, self assurance, self-respect, self esteem all need to be restored-- that's on the psychological level. On the spiritual, I affirm that evil spirits take advantage of folks who are battered and shocked and use such opportunity to jump inside people and torment them. A wise counselor/pastor will help you exorcise all such problems as difficulty relating with men after rape, fear of sex; constantly recurring memories of the rape attack; feelings of guilt and regret that perhaps you were responsible for the attack and so on. this, I find, is key to being a rape survivor rather than a rape victim. A final word on how to avoid rape – women should be less trusting and more thrifty with their love and acceptance of all men whether acquaintance or relative or stranger. DO NOT agree to be ALONE with any man in a closed room if you are not married to him. The Quran,I am told, says that in all such situations, Al Satan(Satan) is the third personality attendant; and in the Bible, the story of Tamar, David’s daughter and her half brother, Amnon in 1 Samuel 13, buttresses this view and is very instructive to women. BE VERY CAREFUL Cheers Dr Caleb Bibbi Oluranti

Go And Marry!

Go And Marry! Hello Sir, Greetings to you in the name of the Lord Jesus. I want to bless the name of the Lord for His blessings upon you and how He has been using you to bring people out of their predicaments .I need your help Sir. I am a man of about 30yrs single confronted with a series of problems- spiritual, academic, health, finance etc.I am tired of my life. Life has become a burden to me. Its problem all the times.For some times now I have been battling with sexual thoughts leading to masturbation. I thought I would get out of it but it looks as if the more I try the more it becomes harder. I am tired of my life! I don't know how to get over this problem.Sexual thoughts and imaginations are always filling my mind at all time and this has been responsible for the evil act.Many times I thought I could kill myself and leave this world considering the shamefulness and the problems associated with it. But then I would think of heaven because I know that if I die now its hell straight and I don't want to go to hell. I cry everyday! Daddy please help me. How can I come out of this problem. The more I repent, confess my sins and pray the more it looks harder to overcome. Please help me.If I loose everything I don't want to loose heaven.Please pray for me. You can reply through this medium or my number is kjdsbfthojweatntn'. I will be very happy if you can help me. I find it difficult to discuss it with my pastor being a shameful thing! Please help me. If you can help,I will be very grateful and I will never forget you. Thanks. Fadeyi from Ikare Dear Fadeyi Ikare, You have absolutely no problem-- you ought to go get married -- that's all. At 30, you are ripe for marriage and sex -- that's simply what your body is telling you, okay? Even the Bible says "it is better to marry than to burn" for lust -- which is what you are doing. So, go do it and stop all this masturbation business. Now, if you are having problems getting into fruitful relationships, or being married you are still held by masturbation, then call our help-lines, okay? Cheers

Do I Have Onchocerciasis or river blindness?

Do I Have Onchocerciasis or river blindness? Dear Doctor, More grease to your elbows for the way you solve people's problems. Sir, I often experience (Narun-Yoruba) and as soon as I take Fulcin it will go only to reappear again. Although it has reduced to some extent through regular use of herbs. A friend-- a medical student says he suspects onchocerciasis. Sir, I believe your in your insightful and penetrating analyses and lasting medication to this. Hoping to read from you. Thank you. MMW, Ikere- Ekiti Dear MMW, Though I am Yoruba, I'm sorry I'm at a loss what Narun really means --though you seem to think it means Onchocerciasis; a chronic debilitating disease (caused by the germ Onchocerca volvulus and transmitted by the blackfly Similium damnosum found around some rivers in the rain-forest/savannah regions) that ends with river blindness and causes a skin condition that includes itching and nodule-formation-- rashes that make the skin look like that of a leopard. Onchocerciasis makes sufferers --usually farmers living in the rural areas near these black-fly laden rivers-- so very weak that they are useless economically and on the farm (before eventually making them blind) and has affected whole villages—wiping out the human population. A World Bank statement on the disease says, "River blindness (Onchocerciasis) is a common disease, in Africa. A parasitic worm that develops in the human body and causes serious skin disease is the cause.It not only engenders blindness but also disfigurement and unbearable itching in its victims. Since it is very discomforting, many farmers who are victims are normally rendered incapable to till large tracks of farmland. It is spread by the blackfly that breeds in fast-flowing rivers. It is estimated that between 10 and 30 percent of its victims consequently become blind. The disease primarily affects African rural communities in 19 African countries in central, eastern and western Africa, which include Angola, Burundi, Kenya, Cameroon,Central African Republic, Chad, the Democratic Republic of Congo, Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, Liberia, Malawi, Mozambique, Nigeria, Rwanda, Sudan, Tanzania and Uganda.These areas have nearly 100 million people who are at risk of contracting the disease. Of those, about 22 million are infected. Treatment, though available in those days when we were in medical school, took all of 180 days of swallowing drugs daily; non--stop. All of that is the bad news. The good news? Today, Ivermectin, developed by diligent researchers of Merck (Mectizan is a readily available brand) cures Onchocerciasis or river blindness--a single oral dose of ivermectin, taken annually for the 10- to 15-year lifespan of the adult Onchocerca Volvulus worms, is all that is needed to protect the individual from onchocerciasis. So you see, onchocerciasis has no business afflicting anyone any longer-- even if that's what you have. Do you really have Oncho? I do not know and cannot say--but if you visit a dermatologist he will be able to tell you and cure you after testing your skin and blood. You can find a dermatologist at Federal Medical Centres, Teaching and Specialist Hospitals and if you are lucky, a General hospital. Cheers

Tubo-Ovarian Abscess

Tubo-Ovarian Abscess Dear Doctor Bibbi, I want to commend you for the way you solve peoples problem. I saw your column in the Daily Sun newspaper and I really praise God for giving you such wisdom. Firstly, my question is this -- what is Tubo-Ovarian Abscess? What are the symptoms, causes and dangers? My friend asked me to help her to ask and if there is any drug you can prescribe for pityriasis versicolor. I am looking forward to your reply.Thanks. Modinat Fatiullai, Ilorin Modi Dear, Tubo-Ovarian Abscess (TOA) is a bag of pus—like a very big boil-- involving the tubes and ovaries of a woman and causing, majorly, infertility. Pains in the pelvis or lower abdomen, fever, a swelling in the lower abdomen, sweating and irregular menses are some of the symptoms and signs to look for. Also a Pelvic Ultrasound Scan will reveal details of the condition. Any TOA is a matter for surgery by a competent Obsterician-Gynaecologist. Infection of the tubes and ovaries by bacteria are the culprits—germs like Staphylococcus, Streptococci,Diplococcus, Neisseria etc. Pityriasis Versicolor is easily treated with antifungal creams. Call me and we’ll sort you out Cheers

Blood Groups and Marriage

Blood Groups and Marriage Dear Dr, I am a regular reader of your column titled You & Your Health, in the SUN newspaper. I want you to know about my situation. I am A+ and the girl am dating is also A+, can we marry each other? Please enlighten me more about this. Thanks you Celeste Gbosau, Badagry Dear Celeste, Ordinarily, you can get married. When we talk blood from the lab/ test/marriage angle, we have to differentiate two different but very important concepts. The first is the genotype --the type of Hemoglobin you have. The second is blood groups--what type of blood is your class or category. The two are different but often --understandably, though, confused for one another. Every human being has blood that belongs to one of four classes or groups A or B or O or AB. By another classification--the Rhesus classification -- all human beings are either Positive or Rhesus Negative. The big significance of grouping is the simple but very true and sobering fact that if you are given blood from another group that is not your own, death is the result. So the most important application of Blood group Serology is that of transfusion--simply find out the correct blood group needed to help some dying, bleeding patient from accident, fractures, operation, delivery or gunshot wound. Before a certain doctor called Carl Landsteiner discovered that humans are pre--grouped into these four groups, attempts to transfuse blood to bleeding victims of war, injury and damage was usually fatal and no one understood why. Until Dr Landsteiner elucidated it around 1900/1901, it was an extremely dangerous thing to have blood transfused--more often than not the patient died. Genotype is another matter entirely. Genotype refers to the type of Hemoglobin that a person carries. Hemoglobin is the dye or pigment that colours the blood red and carries oxygen around the body. Genotype is what you need to ascertain before you marry because the practical application is in heredity. If you are genotype AS, this means your parent 1 gave you An A; the other an S. And you in turn can give either an A or an S to your offspring. If your wife to be is also AS, for example, the same applies as above. Now, if you married and each time you both made a baby, you give that baby your S each, then you will have an SS as a child. Hemoglobin S is variant hemoglobin that easily forces the red blood cell carrying the hemoglobin to assume a sickle--looking shape rather than the biconcave disc that red cells are meant to have. The result of this scenario is anaemia--not enough blood for the victim; early death; suffering before death and so on. That is why it is a good thing for intending couples to go ahead and do the necessary lab tests to determine they are not risking having SS babies. Now back to your question: You both can marry if your genotype and/or faith allow it. So do your genotype before we conclude on the matter. The A+ you mentioned is just Blood Groups--implications for blood transfusion only; not for heredity and the inheritance you are liable to give your children. Cheers

First Sex Blues

Hello doctor, Complements of the season.I would like to know what experiences\things to notice\feel when a woman attempts to have or has sex for the first time because I am not sure of myself. The answers I get from people--what they say has not happened to me so I want you to tell me in detail the common things\experiences a girl feels at such a time? Please I need the answer fast to verify some things even if you want to send it as an attachment please just put your own answer down for me to read and learn. Doctor, I am relying on you and please do not publish my name and email address. May God continue to give you knowledge, bless you and your family; Amen Mariam, Makurdi Dear Mariam, To go straight to the point,these are some of the detailed expectations to mentally prepare for as you get disvirgined 1.Pain-- because of the breaking of the hymen 2.Some bleeding --of course you will make sure you are not menstruating 3.Little pleasure -- and some times no pleasure at all 4.Disappointment as to expectations of pleasure 5.Closeness to the man --even if painful 6.Fulfillment and joy and contentment if you loved him 7.Feeling of regret if you did not love him 8.Wondering about STD's (including "Almighty" HIV) --even if you used prevention and what to do to prevent them 9.Fears about getting pregnant-- again, even if you tried to prevent it 10.Deeper thoughts about whether the guy would love you, marry you, dislike you -- some amount of confusion about whether you did the right thing morally. These are some of the answers to your queries A last comment--precisely because of all these insecurities, you are advised to wait till marriage-- most of the above concerns will disappear because of the feeling solid all round security you feel in marriage-- I'm sure you understand? Please feel free to call and discuss any of the above issues and whatever else may trouble you at this juncture of your life as a woman Cheers