Daily Health Tips: Can My Pregnant Wife Get Pregnant Again If We Have Sex?

Since my post on sexual intercourse during pregnancy last night, I have received further questions:
But some women do not like sex or enjoy sex during pregnancy.

But what if the woman gets pregnant while she’s already pregnant?

All of these are valid and germane concerns. 

Sex is generally considered safe during pregnancy. As I noted in my post yesterday, except the doctor has noted some medical issues that may cause some restrictions on sexual intercourse, couples can generally continue to have sexual intercourse during pregnancy. 

Having said that, it doesn’t mean that every woman wants to indulge 😀 Unfortunately,  no. Some women do experience increased libido, some decreased libido and some are just completely exhausted by their itinerary (wife, worker, sister, daughter, intending mother, worries about the pregnancy or intending birth, care of already existing children, if she has them etc) that sex is the farthest thing on their minds, most times. So, where’s the solution or compromise? Communication lines between couples have to be open. The husband needs to understand what’s going on in the mind and body of his wife. Providing emotional and tangible support by helping her out with some chores/activities, providing a daily evening massage….which becomes something wifey can look forward to, can help create the right mood. Remember that for women, sexual Intercourse starts from the emotional before it gets to the physical 😀 Couples can also explore other means of sexual intimacy apart from sexual intercourse.

Some issues that may cause a doctor to issue some restrictions on sexual activity include:
Threat of a miscarriage
History of pre-term labour
Unexplained bleeding in pregnancy
Cervical incompetence (where the mouth of the womb is open leading to a risk of miscarriage) etc

If you’re not sure whether you belong to any of these groups or not, please ask your obstetrician.

Now, there also some risky activities during sexual intercourse in pregnancy:

If you indulge in oral sex, hubby please do not blow into your wife’s vagina as this can lead to an air bubble being lodged in a blood vessel causing problems in mother and/or baby

Having STI with an infected partner can lead to STI in pregnant mum. This infection can be transmitted to the baby. So, hubbies be sure that you stay faithful

Anal sex is also discouraged.

Now to the question, what if my pregnant wife gets pregnant again? Well, theoretically, this Is not possible because during pregnancy ovulation is supposed not to occur. Essentially, for pregnancy to happen, an egg was fertilised and once this happens, there’s a signal that goes to the ovary stopping it from releasing eggs since clearly, there’s no more need 🙂 In some rare cases, however, after pregnancy has occurred,  the ovary still releases an egg which ends up being fertilised leading to pregnancy in an already pregnant woman. This situation is called super-fertation. However, the incidence of this is very rare that it is not considered standard practice to tell pregnant couples to avoid sexual intercourse during pregnancy to avoid this. In fact, there appear to be just about 10 documented cases worldwide.  

So, there….I hope I’ve done justice to all the questions.

Have a good night y’all 😀

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Stand A Chance To Win N2000 Airtime.

This challenge is not about right or wrong. It’s about the most compelling story ☺

For a chance to win N2000 airtime, please answer the question below:

What health tip do you wish you had known before and started practicing earlier? How would it have helped you today?

Terms and conditions
You have to be a fan of this page to qualify. If you’re not, you have to like this page to qualify.

The most compelling story wins this challenge

Edited answers will be disqualified.

This challenge ends on Tuesday, 11th November, 2014.

Winners will be announced on our facebook page.

So, go for it. Let’s hear your stories, y’all 😀

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Daily Health Tips: When Should I Stop Having Sex With My Pregnant Wife?

Q: Hello Dr.ketch, when can one stop having sex with his wife during pregnancy ?

A: Well, unless you’re planning to stop having sex with your wife for other reasons other than the pregnancy, there’s really no need to stop having sex! Pregnancy does not mean starvation of any kind 😀 Provided your wife’s obstetrician has not noted any situation which makes sexual intimacy a ‘problem’, you and your wife are at liberty to continue with your pre-pregnancy routine. In fact, some women actually have more of a libido while pregnant than at other times. Of course, you may have to get inventive with comfortable positions based on your wife’s growing tummy 😉

More details on other pregnancy myths are in my book coming out next month 😀 As the Nollywood peeps would say…’Book your copy now!’ 😀

Have a great week ahead, y’all 😀

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Daily Health Tips: Is It Normal For My Baby’s Top Middle Teeth To Sprout First?

Q: Hi Doc, please is it normal for a baby to sprout the upper teeth first?

A: When it comes to teething, there are varying grades of normal. The usual time for babies to start teething is between 4 to 10 months. However, some may have developed some teeth as early as three months and some as late as one year. Indeed, some children are born with teeth (neonatal teeth) and that is absolutely not witchcraft as I always say whenever I write on this 😀 If you have more than one child, you would have also noticed differences in the speed or rate of development from one child to the other. Each child is different 😉

In the same way, the bottom central incisors (teeth at the middle of the mouth) are usually the first to sprout. But your baby could very well decide to do it differently and sprout the top incisors first. There’s absolutely no problem with that. The bottom incisors are likely to follow almost immediately after.

So enjoy your baby and his/her uniqueness. Remember this lesson when he/she grows up and don’t try to make him/her to be like any of your other children or heaven forbid, your neighbour’s child! 😀 Let’s encourage our children to ‘stand out’ and not ‘blend in’

For more on teething, please click on the links below:

Daily Health Tips: Is It Okay To Give My Baby Teething Powder At 3 Months?

Daily Health Tips: Is My Baby Teething Too Early???

Daily Health Tips: Teething in babies

Daily Health Tips: Baby Bottle Tooth Decay

Please remember to visit my blog http://www.chatwithdrketch.com to search for any wellness topic you might want answers to. For instance, if your question is on teething, just type teething into the search box and you will be presented with all my posts on the subject. That should answer your question(s). If it doesn’t, please be sure to bring it here! 😀

Have a great weekend y’all. Have you noticed how the rest of the year appears to be quickly racing by? Is it just me? 😀

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Daily Health Tips: How Soon After A C-Section Can I Try For A New Baby?

Q: Good day Dr Ketch, I had c-section last year December and I just realized I’m a few weeks pregnant this month. Is it safe for me to carry this baby and also deliver normally? I’m so disturbed, please advice accordingly. Thank you.

A: Thanks for writing in. This is a common question amongst women who have had a Caesarian Section. How soon can I get pregnant again? This is an especially important question as the argument about how much time the body needs to heal rages. It only makes sense that the longer the body is allowed to heal, the stronger the better the wound healing. Different schools of opinion exist from 6 months to 1 year to at least 2 years. However, generally, a gap of 6 months is considered fair to have given the body sufficient time to heal. So, is it safe for you? You are around 10/11months since your last baby and so, technically you’re fine. I strongly recommend that you register for Antenatal classes as soon as possible to ensure a problem free pregnancy.
Can you deliver normally? I prefer to ask, ‘can you deliver vaginally? There is nothing abnormal about having a baby through Caesarian Section. You’re as normal as the woman next door and you feel the same maternal urge as she does…maybe, even more 😀 It’s because we think C-section is abnormal that women who would benefit from this procedure turn it down and then end up dying because they wanted to do it ‘normally’! We need to change this mind set! For women who think ladies who had C-section are lesser mortals than them because they had a vaginal delivery, try cutting up yourself with a knife and then sewing it back up and you would know who’s more super-human! By the way, just in case you wondered, I’m not taking it personal because I had a C-section. I had all three of my children vaginally but would most certainly have opted for a C-section if I was advised to do so. But I digress….

So, can you deliver vaginally? Absolutely! Unless there are issues that may have led to your having a Caesarian section (indications) even if you hadn’t had one before. A few years back, having had one C-section meant you could still try for a VBAC (pronounced Vee-Back and means Vaginal Birth After a Caesarian) but once you’d had two C-sections, you could only have subsequent children with the same procedure. That thinking has changed now and having had 2 C-sections may not be an automatic sentence to the knife, anymore 😀

Now, these are general rules of thumb. Your specific medical history may be different, requiring a different approach. So, be sure to discuss the options open to you with your doctor.

And please, remember to discuss contraception/family planning options with your doctor during your 6 weeks appointment if you’ve had a baby. I’ve had quite a number of people writing in to ask if breast feeding protects against pregnancy and if it was possible for them to get pregnant even before their periods return or if it was safe to breastfeed a baby while pregnant (The answers by the way, are yes to getting pregnant while breastfeeding, yes to possibility of getting pregnant before periods return and yes to breastfeeding while pregnant); this means that there are probably a couple of people getting pregnant earlier than they had planned. Let’s take the right decisions.
Don’t forget to visit my blog, http://www.chatwithdrketch.com to search for any health/wellness topic you want information on. If you can’t find the answer you need, bring it here 😀

Good night, y’all 😀

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Daily Health Tips: Help! My One-Month Old Baby Has Rashes Around Her Genitals!

Q: Thanks Dr for answering our questions. Please, Doctor my baby of about one month plus has a kind of inflamed and reddish rash around her vagina which I thought was a diaper rash. I have been applying baby Tribotan for the past few weeks but no improvement. Please help me with what I can use. I’m a first-time mum and I’m really worried.

A: Congratulations on your new baby and don’t worry, it just looks harder than it really is. In a few months now, you’ll be dispensing motherly advice to other new mums 😀

Diaper rashes are common in babies and they could happen on the butt or anywhere around the area including the lips of the vagina as you have observed. The causes include
• Prolonged contact with urine or stool
• Diapers that are too tight
• Harsh detergents, soaps
• Baby wipes.
• Sensitivity

Prevention essentially focuses on the causes. So,
• Change your baby’s diaper as soon as you realize it’s wet or soiled
• Be sure to buy the right size of diapers and avoid harsh soaps and detergents.
• Keep baby’s butt open to air dry as long as practicable 😀 I hear some of you mums groaning…I know, you’re taking a huge fat risk that he or she will do their business while you’re trying to air dry them 😀
• Ensure that baby’s butt is dry before closing up the diaper after a change
• Pat baby’s butt dry especially if he/she already has a diaper rash to prevent irritation
• Always have a diaper rash cream handy. Creams that contain zinc like Sudocrem or Desitin are good examples. I used the latter for my babies and it always worked like a charm.
Diaper rash that does not ‘sneak’ away after a couple of days (about a week) may be due to a yeast (candida) infection. And before you raise your eyebrows, yes this can in babies and may be due to yeast overgrowth in babies taking antibiotics or breastfeeding babies whose mothers are on antibiotics, poor hygiene when cleaning baby up after a poo (such that baby is cleaned from the back to the front), the moist and warm environment provided by unchanged diapers etc These rashes are usually well defined with raised borders.

If the rashes develop some pus like fluid, then this is the sign of a bacterial infection (impetigo) and needs to be treated with antibiotics.

So rule of thumb is change your baby often to prevent prolonged contact with poo or urine and keep the area clean. Use barrier (nappy rash cream) at the first sign of a rash and if this does not improve after a few days, she should be ideally seen by her doctor to confirm whether this is a fungal infection. Note that other rare causes of rashes are eczema, psoriasis etc

In the case above, I assume that you had used a barrier cream initially (or maybe not) before using the antifungal cream. Since the rashes are not getting any better, please take your baby to see her paediatrician.

For more on diaper-related issues, please click on the links below:

Daily Health Tips: My Baby Is Having A Reaction To Her Diapers!

Daily Health Tips: More Diaper Tips

Daily Health Tips: Diaper Bag Essentials

Daily Health Tips: Diapering your baby

Have a good night, y’all 😀

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Daily Health Tips: Pentazocine Addiction

Q: Hello ma’am, I have a very serious and dangerous issue. I need your help please. Save me from killing myself. I am a sickle cell patient. I was introduced to Pentazocine early last year. Before I knew it, I got addicted. From August last year till date, I took 2 or 3 ampoules every day. Please, save me. I don’t want to die or damage my heart or go mad please.

A: The first step towards dealing with an addiction is realizing that you have one. You’re already at this point. Killing oneself never helped anyone (whether intentionally or through a process that you know will inevitably lead to this)…the one taking his life is essentially saying that they’ve given up on life! And yet, life is so beautiful and has so much to offer. Every morning brings with it, the sheer miracle of life, being surrounded by people who love us and the resolve to do it better today than yesterday! I just lost a friend today and that’s why your mail struck an even stronger chord (…and no, she didn’t take her own life). She was someone who saw enough in my ideas to start me on my TV journey. People always think that you need to know someone to succeed. Not true! You just need someone who believes in you and is willing to go all out for you. This starts when you believe in yourself first and hey, you can’t be believing in yourself and wanting to die at the same time!

And remember all the people who love you, people who are rooting for you, people who, practically, feel as much pain as you do whenever you’re unhappy…think of these people and remind yourself that they make life beautiful for you.

More specifically to your matter, pentazocine is a pain killer, originally thought to be non-addictive, but that has since been found to be a drug of addiction that affects mood and behavior. This drug is used for moderate to severe pain and I assume that this was prescribed during an episode of bone crisis, perhaps. It can be taken as tablet or as an injection which should be taken under a doctor’s supervision. So, it’s worrisome to me how come you have an abundant supply of this drug. Are you buying it or getting a supply from somewhere?

Pentazocine can cause addiction and subsequently people addicted to this can go into withdrawal if they try to stop taking it because they have already become physically dependent on it. The drug appears to make addicts more sociable, euphoric and serene. The presence of underlying psychological problems like depression can compound this issue.

To wean yourself off this, it’s usually best to get into a voluntary program for drug addiction where there will be a combination of clinical psychologists and psychiatrists. A long hard look at one’s life including unhealthy relationships, toxic home/family environment etc will be encouraged. The program will involve detoxification, exercise, counseling and other creative activities like music, art, dance, drama etc Getting enrolled with a help group will also be helpful, if this can be found.

If you perhaps live in an area where none of the above can be readily achieved, you may have to go it alone…perhaps with the support of family. There are two options: cold turkey (where you stop completely at once and ride out the withdrawal symptoms) or where you stop gradually and you reduce the dose of drugs from 3 ampoules daily, to 2 and then 1 and then on alternate days until it’s completely tapered off.

I will speak with a clinical psychologist friend tomorrow and see if I can get you more specific help. Do you live in Nigeria? Please inbox me your location so that even if you’re not in Lagos, he can suggest a good alternative.

Life is beautiful…don’t be in a hurry to let go.

In memory of my friend and mentor: Pamela ‘Uchenna’ Ofoegbu (beautiful inside and outside). I know you’re at peace and you’re resting. I truly hope I will be able to show kindness one way or another to your children. Rest in peace…

Have a good night y’all

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Daily Health Tips: Can I Use Tissue Paper To Clean Up After Having IUD Inserted?

Q: Hello doctor how are you doing? Please, I just did coil family planning (IUD). The midwife told me not to use tissue or water to wash my Vagina to avoid infection… that the best thing for me is to live it like that after urinating. And also my hubby should not finger me while having sex so that it won’t shift. Thanks. Please I hope the coil will not shift if I’m doing tummy exercise.

A: Thanks for writing in and I’m still shaking my head in amazement about all the words of advice the midwife dispensed. Now, if this same midwife was the one who inserted the IUD, my first advice will be for you to go to another hospital and get it checked out. We need to be sure that this was properly inserted to start with.

People with IUDs are not sentenced to a life of boredom and no fun, No! You can absolutely exercise. And please clean up after you have urinated. If you don’t, then the urine and other secretions accumulate on your panties and make the area nice, warm and moist and a wonderful culture medium for micro-organisms to thrive.
If she says not to use water to wash your vagina, did she perhaps suggest an alternative? A douche (or any concoction of water, vinegar etc? If she did, please do not use any of those. They are more likely to mess with the normal environment of your vagina causing fungal organisms to overgrow.

The IUD is in your uterus (womb) and not your vagina and so, it is hardly likely that your hubby would get that high. Having said that, the string can be felt high up in the vagina (by the cervix) and indeed it may be even be a good idea to have your hubby (with squeaky clean hands :D) feel for it before and after sexual intercourse just to confirm that it is still there. I will say moderation is key and if you’re particularly bothered about specific aspects of your sexual routine with your hubby that might affect this, please be sure to check with your doctor. Other than that, you can generally carry on with your life as before.

General information about IUDs:
• They are more than 99% effective
• You and your partner cannot feel the IUD either during sexual intercourse or while checking for it
• Your partner may however be able to feel the string during sexual intercourse and the string can also be felt if a finger is into the vagina.
• People who have inserted IUDs may feel abdominal cramps or lower back ache for a few weeks after insertion
• Bleeding in between periods may also happen.
• There is a risk of infection if the user of IUD or her sexual partner have other sexual partners.

For more on IUDs, please click on the link below:

Daily Health Tips: Does The Intra-uterine Contraceptive Device (Coil) Make You Look Older?

Generally, check for the presence of inserted IUDs after every period.

Have a good night, y’all 😀

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Daily Health Tips: Why Do I Have Candidiasis Around The Time Of My Menstrual Period?

Q: Well done Dr. Please, I have this itching vagina for which I was given Fluconazole and some other antifungal drugs for insertion and after taking them, the situation still occurred again. I went to another clinic and was given the same drugs and Ciprotab. But I still feel this itching especially after my menses. Please, what else can I do because I am TTC (trying to conceive)?

Q: Good day ma’am. My vagina sometimes itches especially when I am about starting my period. What is wrong?

A: Vaginal thrush, which is one of the commonest causes of vaginal itching with thick creamy white vaginal discharge. It occurs when the normal balance in the vagina is distorted allowing yeast to overgrow the area.
Conditions that can lead to this thrush include:
• Pregnancy
• Diabetes Mellitus
• Changes in menstrual cycle as described in the two cases above
• Oral Contraceptive use
• Antibiotic use
• Not changing out of wet clothes immediately eg swim suits
• Not wiping from the front to the back after using the toilet
• Using douches, perfumed sprays and perfumed soap in the genital area
• Wearing tight clothes and tight undergarments

So, even if treatment has been received and one complied 100% with it, not addressing the issues mentioned above may lead to recurrence.

If the lifestyle issues have been addressed and yet the episodes still recur, please see your doctor to rule out a medical cause like Diabetes Mellitus….or perhaps pregnancy for the first case 🙂

For more on this, please click on the links below:

Daily Health Tips: Why Do I Have Recurrent Candidiasis?

Daily Health Tips: Is It Safe To Treat Candidiasis In Pregnancy?

Daily Health Tips: Toilet Infection…seriously???


Remember to visit our blog http://www.chatwithdrketch.com and search for any health issue you wish to have addressed. You will find all the posts I have made on that subject. If you require more clarification, please post on our facebook, twitter or blog pages.

Welcome to the month of November y’all and have a great week 😀

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Saturday Challenge: Stand A Chance To Win N2000 Airtime

To round off our third season focused on calcium, healthy bones and teeth, please answer the question below:

Mention 5 tips for proper breastfeeding as discussed on our show.

Terms and Conditions
The first person to answer correctly, will win our prize.

Terms and conditions:

Participants must be followers of this blog. If you’re not a follower, follow our blog to qualify.

The first correct answer is the winner of the prize.

Only one answer per participant will be accepted.

Answers are based on the episodes of our 5 minute show which aired on AIT and Silverbird TV from August to October, 2014

If a participant provides more than one answer, the first answer will be used.

Edited answers will be disqualified.

This challenge lapses by 11.59 pm on Monday, the 3rd of November, 2014

So, what are you waiting for?! Best of luck, guys!

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