Dear doctor,

When I had my last baby in 2010, I had both of my tubes tied. Am now in a new relationship and would wish to have a baby. Is the procedure reversible? 

The tying of fallopian tubes is commonly referred to as Bilateral Tubal Ligation (BTL). It is a permanent method of contraception, and should always be taken as such. Once the procedure has been done correctly, the chance of spontaneous conception is almost nil. A problem arises when a change of mind occurs and future childbearing becomes desirable. 

Procrastination is a long word, and possibly a more stylish way of saying later. It’s just postponing the inevitable, in disregard to an obvious need for being more proactive. Psychologists estimate that one in five adults have a problem with procrastination. The reasons for procrastination are varied. Alternate chores may be more pleasurable, or what you really need to act on may appear boring and time consuming.

Dear doctor,

 

I am in the 24th week of my 2nd pregnancy. I have just had a scan that suggests my fetus has major developmental abnormalities. Why has this happened and what should I do? Please advice. 

 

The diagnosis of any abnormalities in an unborn baby is very distressing. Luckily this occurs in only a small proportion of all pregnancies. Some abnormalities will just be minor, and tend to be compatible with life. Major abnormalities may be incompatible with life. Still, other abnormalities may be amenable to surgical correction, either prior to birth or after the baby has been born. 

 

Dear doctor,

 

I am in the 24th week of my 2nd pregnancy. I have just had a scan that suggests my fetus has major developmental abnormalities. Why has this happened and what should I do? Please advice. 

 

The diagnosis of any abnormalities in an unborn baby is very distressing. Luckily this occurs in only a small proportion of all pregnancies. Some abnormalities will just be minor, and tend to be compatible with life. Major abnormalities may be incompatible with life. Still, other abnormalities may be amenable to surgical correction, either prior to birth or after the baby has been born. 

 

Douching is cleaning of the inside of the vagina with water or other cleansing fluids. It is a fairly common practice, with some studies estimating that about one in every four women regularly douche. Douches are sold as prepackaged mixtures of water and vinegar, baking soda or iodine. The mixture is squirted upwards into the vagina, then washes itself outwards. Douching is not necessary, and is unhealthy. Just washing the outside of the vagina is good enough, and is all that you require.

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