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I am 57 yr old women post coital bleeding and light discharge. History endometriosis,IBS,IC of bladder polyp in uterus in mid 40's. Menopause 4 yrs ago since then painful intercourse. I had spotting after intercourse. I went to gynocologist she gave me vaginal ultrasound, Pap smear and uterine biopsy. Ultrasound showed 1.5 uterine lining and ovaries very small. One week after uterine biopsy I had a cramp in lower belly and spotting just once. It's now 2 weeks and still having very small amount of discharge. Because of my on going intermitten symptoms of IBS and IC I'm always worried about ovarian cancer. My question does clear ultrasound rule out ovarian cancer. How accurate is ultrasound. Should I insist on Ca125 blood test. My gynocologist feels this is just vaginal atrophy.

Thank You So Much

Michele C.

Category: Pediatrician

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Category: ICU/ Critical Care Specialist
 20 Doctors Online

Dear Mr. Srinivasa Reddy,
Thank you for your query at
Being short on mother's milk is a common misconception among most mothers. They are anxious that their milk output may not match the baby's requirements, which is more often than not wrong.
Before I can advise any further, you need to provide me the basic details regarding the mother and the baby.
Age of the baby, Cause of decreased milk output (if you have already discussed it with the obstetrician, mode of delivery, any maternal health issues, mode of feeding till date, etc
Dr. Saptharishi L G
Dr. Saptharishi L G

Patient replied :

Baby age is 20 days, normal delivery and breast feediing.

Dear Mr. Srinivasa Reddy,
I strongly believe that no baby should be deprived of breast milk as any alternative is WAY INFERIOR to breast milk. Problems with breastfeeding are common in all primigravidae (first time mothers). These are usually due to incorrect technique of holding the baby or inappropriate attachment/latching at the breast. Sometimes (very rarely), there are minor problems with the mother's breast. The nipples may be inverted or anatomically inappropriate for the baby to latch on to. Even in this situation, with the help of a breastfeeding counsellor/ pediatrician/ obstetrician, the problem can be overcome and breastfeeding can be continued.
If you stop breastfeeding now and switch to animal milk or formula feeds, the following things are likely to happen:
1. Mother's milk would gradually dry up and after a couple of weeks, even if the mother wants to feed, she would not be able to. On the opposite end, some mothers have severe breast engorgement due to accumulation of milk in the breasts leading on to breast abscess/ mastitis, etc
2. The baby would be deprived of all immunological and non-nutritive benefits
3. Will affect the long-term bonding between mother and baby
4. Likely to increase the risk of infections to your baby, especially if you use a feeding bottle. Seven times increased chance of pneumonia and diarrhea in such babies.
5. Numerous other benefits would be lost (I do not want to burden you with any additional information)
So my advice is this:
1. Visit the nearest obstetrician/pediatrician and seek help for the problem. Get your wife physically examined for any correctable factors. Plan a session where the healthcare workers can correct the technique of holding as well as latching
2. If after all medical attention, you are unable to establish normal lactation, then drugs can be used to improve mother's milk output
3. If everything fails, then you may use formula feeds
MOST IMPORTANT - Emotionally support the mother, reassure her that her milk output would improve with time and make her feel comfortable.

Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
Dr. Saptharishi L G and 4 other Medical Specialists are ready to help you

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