Hey Doc!: Stubborn Infections


What can cause one to be having infection all the time?


Poor personal hygiene, poor toilet facilities are two common culprits.

However, some other practices like using some vaginal wash chemicals can predispose you to infections.

Paradoxically, indiscriminate use of antibiotics can alter the combination of microorganisms in your genito-urinary system (reproductive system, urinary system) and make you prone to unusual organisms causing infections that do not respond to regular antibiotics.


Hey Doc!: Contraception and Weight Gain


My question is on weight management/birth control. Since I fixed the implant birth control I have added so much weight over the last 3 years. I’ve tried keto exercise, drugs, herbal teas but still I am not loosing as much as I am gaining. The implant has also made so many changes in my body. Periods are highly irregular and comes with a lot of nauseating symptoms. Do you advice me to change this birth control method and which can be recommended?


Hormonal contraceptives, in whatever form affect the entire body in various ways that are consistent with their profile of activity.

Weight gain is one of them. However, you need to verify that it is the hormones in this implant that is causing weight gain because as far as I know, the particular chemicals in the implants are not associated with weight gain but rather menstrual irregularities.

Be sure you’re not dealing with familial weight tendencies. Also, I would be interested in you checking how consistent you have been with your various attempts at shedding weight and how long you have been making the effort.

Most folks take the weight loss measures of some advertised protocols for two months and complain they are not as slim as they were told they would be in two weeks. You have to realise that all those two weeks stories you see online are adverts meant to draw your attention.

I am yet to meet anyone who went from clearly overweight to just slightly overweight by taking slimming tea nor a “keto” diet. Most of these things work for those who have not been too much overweight and whose weight gain was due solely to poor food habits. Once they remove some stuff from their eating lifestyle, the weight goes off. But if the weight is due to genetic tendencies or other conditions, you have to get help and stick to a weight loss program that works for a long time.

In your case, you may need to remove the implant and try another form of contraception if you want to be sure.

Hey Doc!: Vaginal Swelling


Please sir,what is the cause of swollen vagina during menstruation,ovulation and after sex? Thanks



Let me attempt, first, to correct the question so we can give correct answers.

The vagina is not that opening in between a woman’s legs guarded on both sides by some folds of skin. Those are the Labia. There is a a pair of regular skin folds, one on each side called the Labia Majora. Just under the cover of the majora are the Labia Minora. These are made of a softer type of tissue. The “tube” after the minora is what is called the Vagina by doctors. The vagina itself does not swell although it gets more lubrication from increased fluids during intercourse and child birth.
So, I suspect you are referring to the Labia Majora and Minora which together form the Vulva or Vaginal orifice.

Yes, they do swell up under various circumstances as a normal body response. But all of it is based on fluid accumulation inside the labia. This facilitates intercourse, without it, sex is painful. During ovulation and for some, during menstruation as well, fluid builds up in the body and leads to certain parts feeling fuller or looking swollen such as the breasts, the nipples (making them a little painful) and the labial folds. Once the event is past, fluid regresses and everything assumes the usual size and shape.

This process is very normal.

Hey Doc!: Cysts, Fibroids and Conception

Q: What is the difference between ovarian cysts and fibroids?

A: Difference between Ovarian Cysts and Fibroids.

The cysts occur in the ovaries. They are small bags of fluids created usually by normal processes in the ovary and they often are harmless. Fibroids, on the other hand are solid masses that grow within or on the uterus.

Depending on their location, fibroids can cause pain, heavy menstrual flow, difficulties associated with sustaining a pregnancy, difficult deliveries or might impact on nearby structures in the abdomen if it is “hanging” outside the uterus.

If you feel a firm bulge in your tummy that is not due to pregnancy, please see your doctor. Let him at least examine you to rule out fibroids.

Q: Can one conceive, like be pregnant in spite of ovarian cysts in the womb?

A: It’s called ovarian cyst because it occurs in the ovaries. It cannot be in the womb. Ovarian cysts do not grow in the womb.

The common ovarian cysts are harmless, most of them resolve on their own and only require monitoring but there are no advantages to having a cyst. In some cases, there is significant pain and some grow large enough to require simple drainage.

Cysts do not prevent conception in any way. They are on in ovaries, conception takes place in the part of the uterus called the fallopian tubes and the fetus grows on the inside of the uterus.

The only form of cysts that prevent pregnancy that quickly comes to mind is not the common type that I have just described and is a definite clinical entity associated with multiple cysts in the ovary.

A combination of complaints like excessive weight and poor blood sugar control in this case in addition to difficulty in conception would make a gynaecologist suspect Polycystic Ovary Disease and he would request a scan and other tests to confirm. Remember, infertility is not directly caused by excess weight, excess sugar, or many of the things commonly circulated in gists we tend to love listening to.

If you suspect something is going on in your body that you don’t like, you can see your doctor or gynaecologist. You can also take charge of it by the faith you have in Christ Jesus.

Hey doc!: Fibroids

Q: What causes fibroid in women? Is it true every woman is liable to having it at a point in life?

A: Fibroids.

The actual cause is not known but it definitely has a genetic tendency amongst female relatives like mother, sisters, etc. Since this genetic tendency is not in every family, not every woman will fibroids.

Quite often, they are first noticed during pregnancy because they tend to grow in size under the influence of the high levels of hormones that help grow the fetus. This does not however mean that they feed off the baby or any other stuff like that.

Once the baby is delivered and the hormone levels return to normal, the fibroids also tend to shrink to smaller sizes and some even “disappear”.

They are also often discovered in the process of investigating infertility. A simple ultrasound scan would pick them up. But even when found, they are not always the cause of infertility. A good doctor would be able to identify if the fibroids found are implicated in the case of infertility.

You might have heard that things like high sugar intake, infections, abortions, premarital sex or too much sex, having too many children or having no children or being overweight as causes of fibroids; these are not true.

In the process of investigating some of these conditions, a doctor might stumble across fibroids but this in no way suggests them as causes.

Hey Doc!: Pregnancy without Menstruating

Q: Dr, after childbirth, pls how is it possible that a woman can conceive again even without menstral flow? Does it mean one can ovulate even without a cycle?

A: 😊
As a matter of fact, it happens aaaa loooooooot.

What you’re referring to as cycle is menstrual flow and perhaps the reason for your surprise that this can happen. 

The menstrual flow is only one component of the menstrual cycle. Ovulation is another.

What you have at the menstrual flow is as a product of the levels of endometrium building hormones. After delivery, it takes a while for those hormones to get back to the usual mix that gives the usual pattern of events in your cycle. For some women, it never goes back to what it used to be. Some menstruate for more days, some fewer, some have a longer cycle and others are shortened.

Now, all this up and down with the menstrual flow, plus active full time breast feeding, might suppress ovulation but for some, it doesn’t. If sex is engaged during this period of unpredictability without barrier methods, in particular, it’s possible to visit the delivery suite in less than a year after the last visit. 

No harm, it’s just more love in your home.

Performance Enhancement

​Q: Sir, is it wrong for a Christian man to take sex performance enhancing drugs?


Using glasses enhances sight performance in the face of obvious limitations and anomalies. Same thing to me as sex performance enhancing medications.

If there is a medical condition causing erectile dysfunction, and sexual satisfaction is becoming a problem especially for your wife, then, under guidance of your Doctor, I believe it’s okay. 

Bear in mind that drugs have side effects. This is why I said you should see your doctor first.