chatwithketch

Q: Good morning Doctor, I would like to find out how do you keep the vagina clean from sperm after intercourse? I got married a virgin so it’s been embarrassing for me to ask anyone this question. The sperm does not come out all at once after intercourse, and becomes smelly as days go by as it comes out in bits. Please help.

A: Congratulations on your wedding and marriage…and don’t be embarrassed to ask. I’m here to answer your supposedly embarrassing questions! 😀 Welcome to a new world.

The sperm, after sexual intercourse travels a loooooong way…trust me, you would not want to wash all the way there. When a man ejaculates, the initial force of that pushes some of the semen a significant way into the vagina. The rest of it flows back. Some sperm cells are retained at the back of the vagina, some make it all…

Q: Doctor hi, am three month pregnant, I had ultra sound where the doctor to noted uterine fibroid measured 2.56*1.7cm. Will it affect my baby, am i going to take medication during pregnancy?

A: Fibroids can co-exist with pregnancy in which case pregnancy may be normal or associated with breech pregnancy, pre-term delivery (delivery of pre-mature babies) etc. However, once a woman registers in a good antenatal center under a good obstetrician, these issues will be anticipated and addressed promptly. Please be sure that you are seeing an obstetrician who will help you during this pregnancy. Many patients with fibroids in pregnancy have normal pregnancies and deliveries.

Some women find out for the first time that they have fibroids when they get pregnant. Most of them cause no problems during pregnancy. However, some of them may act up.

Fibroids during pregnancy are managed conservatively…that is they are not managed aggressively…

Q: Can abortion prevent me from conceiving?

A: Difficulty with conceiving in a woman could be due to problems with ovulation, problems with the uterus and cervix, blockage or damage of the fallopian tube, thyroid problems, cancer, previous instrumentation resulting to damage to the lining of the womb etc.
Previous instrumentation (like Dilatation and Curettage, D and C, where the procedure was too ‘vigorously’ done or even in situations where the placenta attached too deeply into the womb making it difficult to remove retained tissue) can result in a condition called Asherman’s syndrome which manifests as reduction in menstrual flow. Severe forms of pelvic inflammatory disease (PID) can also cause Asherman’s Syndrome. For more on PID, please click on this link: https://chatwithdrketch.com/2014/09/22/daily-health-tips-what-is-pid/

In Asherman’s Syndrome, adhesions/scar tissue form inside the womb or moth of the womb, cervix. This leads to stocking together of the front and back walls of the…

Q: Hello. I’m a nursing mother. I have no appetite. What can I take to boost my appetite? Is appetite pills good for me to take them?
A: As a nursing mum, you need to keep your strength up and so dealing with loss of appetite is a no-no!
The first thing really, would be to find the cause of the loss of appetite. Some people experience this as a symptom of an underlying disease which can range from thyroid problems, infections to cancers. So, excluding all these is important

Then what to do?

• Eat smaller and more frequent meals/snacks. Some people naturally, ‘freak out’ when they see a huge bowl of food…how much more someone trying to get back into the grove of food

• Limit your fluid intake when you eat and much as it breaks my heart to say so, do not fill up on too…

Q: Hi Doc, please I want to know if it’s possible for a man masturbating to produce offspring.
More so, I want to know, if after a year of masturbating one can stop it? Can the man still have the chance of producing fertility or offspring? I hope to hear from you soon, Dr Ketch. Thanks

A: Thanks for writing in. There are different bodies of research that say different things about the ability of one who masturbates frequently to have babies. Some research suggests abstaining from ejaculation for at least, 2 or 3 days before sexual intercourse promotes a man’s chances of having the optimal sperm quality. Another body of research, however, points to the fact that provided a man has good sperm quality, it does not matter how often he ejaculates…the sperm concentration and motility will still be optimal.

Can you stop masturbating? Of course, you can. Excessive…

Q: Hello Dr. Ketch. Please what do you recommend for someone with spider veins?

A: Spider veins are a form of varicose veins. They are smaller and found closer to the skin. Most of you must have heard of varicose veins and have an idea how they look. But why do they form and where are they likely to strike? 😀

Varicose veins are enlarged veins and can occur anywhere in the body. However, they are more frequently found in the lower limbs as standing and walking increase the pressure in the veins of the lower body. This pressure may cause the valves that keep the blood flowing towards the heart, to weaken such that blood flows backwards and pools in the lower limbs. They usually appear bluish or purple and are more of an image/cosmetic problem for a lot of people. But in others, this condition presents with symptoms…

Q: G/a Dr. Please, I want know the reason why a nine month old baby refused to eat except breastfeeding. We’ve tried all what we could but are greatly surprised he didn’t eat. We have tried pap, he didn’t take it. We also tried custard, he refused to take it as well. Please Dr, what can I do? Thanks and God bless you.

A: I reproduce a post I had made to a similar question.

Just like adults, a good number of babies are resistant to change. They are comfortable eating what they had been eating? Life was good…why do you want to change it???? 😀 Okay, that’s some babies. Others are more than happy to move on to the next stage!

When to start? At 6 months. From birth to 6 months, please focus on exclusive breastfeeding with not even a drop of water. From six months, baby is ready…

Q: Dear Doctor, I have been a dirt clay addict for almost four years of my teen, could this mean I am likely to suffer from being infertile? Please help I want to stop.

A: Eating clay and other non-food items is referred to as pica consumption. Ingestion of clay is known as geophagia. Sometimes, this is associated with deficiencies of certain minerals or vitamins in the body, but some other times, you just can’t find anything that you can attribute the craving for. People eat clay for different reasons. Some claim to like the taste and the texture. More commonly, some pregnant women claim that it helps them to prevent the nausea and vomiting of early pregnancy.

Indeed, some new ‘regimens’ claim that clay has a detoxifying effect on the body when ingested. Well, I haven’t seen any evidence for this claim. There is however, evidence that some…