Aired (March 9, 2024): Maaari pa nga bang mabuntis ang isang babae kung mayroon itong myoma sa kanyang matres? Alamin ang kasagutan at payo ni Dr. Raul “Q” Quillamor sa video na ito.
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00:00 Good morning to you, Doc Q!
00:02 Good morning, Konni and good morning to all of our viewers.
00:06 Good morning to all of our viewers in Antique.
00:09 Question number one, Doc Q, are you ready?
00:11 Here it is.
00:12 Is there a medicine that he should take when he is already 43 years old and sometimes he has it and sometimes he doesn't have a menstruation?
00:19 This is from Erlinda Perihan.
00:22 At your age, Erlind, you are 43, you are already at the perimenopausal period,
00:27 although this is still early for your age.
00:30 We call it early menopause,
00:32 when a woman's period becomes irregular, 45 years and below, but not below 40,
00:40 we call that early menopause.
00:42 So you can have an irregular menstruation or sometimes when you bleed,
00:46 the volume of your bleeding is not the same, sometimes it is strong and sometimes it is weak.
00:50 And that is part of the perimenopausal period that you might be in today.
00:55 Back to Dr. Q, here is the question from Inday L.
00:59 They have been married for 16 years but they don't have a child yet.
01:03 In 2021, she will have a checkup and she found out that she has myoma.
01:07 Is there still a chance for them to have a child, Doc?
01:10 Inday is just unlucky, she didn't give her age.
01:13 I want to know, Inday, how old are you now?
01:16 Because you have been married for 16 years,
01:19 I think you are in your late 30s or early 40s, in that advanced age if you get pregnant.
01:26 And I also want to know, if the ultrasound you had in 2021,
01:30 how big is your myoma?
01:32 So we can compare when you had your ultrasound,
01:35 we can say if it got bigger or the size of your myoma is stable, it didn't get bigger.
01:40 As for the myoma, it also depends on the location of your uterus.
01:45 If it is outside the uterus, it won't affect your pregnancy unless it is really big.
01:50 But if the myoma is in the muscle of the uterus that protrudes or protrudes inside the uterus,
01:58 what we call there is submucous myoma, especially if it is above the uterus,
02:04 the upper part of the cavity, it affects the pregnancy
02:11 because there might not be a good surface where the fertilized egg can be implanted.
02:18 So we need to repeat your ultrasound, Inday,
02:23 to know if it is manageable through medical means so that you have a chance to get pregnant.
02:31 Even if you have an operation, if your myoma is outside the uterus, you can still get pregnant.
02:37 From Earl Basong, what are the symptoms of a woman who has PCOS or Polycystic Ovarian Syndrome?
02:46 PCOS or Polycystic Ovarian Syndrome is a condition where the androgenic hormones in a woman's body are high
02:56 and where they have symptoms that you can see in men like thin and chubby body,
03:05 or in the legs or in their arms.
03:10 It can also be irregular menstruation or they don't ovulate.
03:15 Sometimes, in obese women with PCOS, their back of the neck turns black.
03:24 These are the signs that if we can see such signs or symptoms in a woman,
03:29 she has PCOS or Polycystic Ovarian Syndrome and she needs to be examined.
03:35 We look at the ultrasound and we look at the follicles inside her ovaries
03:41 so that we can say if she really has PCOS or Polycystic Ovarian Syndrome.
03:46 And for our last question, Dr. Q, she has cystoseal prolapse and needs surgery.
03:53 Her question is, can she tie herself after her surgery and can she still have a baby?
04:01 Cystoseal prolapse is a condition where a woman's part of the ovary falls into the vaginal canal.
04:10 And this is usually associated with what we call rectoseal,
04:14 where the support of the rectum or the anus expands and it also bulges into the vaginal canal of a woman.
04:26 Or sometimes, it is also associated with what we call bua or prolapse,
04:30 where a woman's mattress falls into the vaginal canal.
04:35 If a cystoseal needs surgery, it can also be done if a woman is really symptomatic
04:41 and she urinates frequently, has a frequency of urination,
04:46 or sometimes she finds it difficult to urinate,
04:48 or sometimes she urinates and thinks that her urine is not reduced yet,
04:52 she will return to the toilet to urinate again.
04:55 And they are prone to develop urinary tract infection.
04:58 So, if this is a severe form of cystoseal and she needs surgery,
05:03 after the operation, it is not prohibited to tie herself.
05:07 However, if she needs to repair her cystoseal,
05:13 she should not have a cystoseal because she might return to the toilet again.
05:17 Because if she gives birth normally, her vagina's walls will be stretched and her rectum will fall.
05:26 So, she will develop cystoseal and rectoseal again.
05:29 So, if she needs to have a cystoseal, for example, if she has three children and she wants to have one more,
05:34 she can have a cystoseal, but it is better if she has three children through a cesarean section.
05:39 Otherwise, she will wait for a cystoseal again,
05:43 and if she really does not want to have a cystoseal,
05:45 she will have to undergo an operation with tubal ligation probably,
05:50 or a self-injection where we remove the entire fallopian tube of a woman so that she will not have a cystoseal.
05:55 So, this is a permanent sterilization.
05:57 Thank you, Dr. Q, for answering our questions.
06:02 Just send your questions to our Facebook page,
06:05 and maybe, who knows, you will have a question next week that our Doctor of the City will answer.
06:10 Thank you.
06:11 [Music]
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