Questions and answers

I have a question for a dermatologist. Is it possible to have online consultation if I have psoriasis? I was prescribed ointments and pills but they do not help me. Can you please tell me what to do?
Answer: 22.12.2020

Online consultation is possible for any disease. But in the case of unsuccessful treatment of psoriasis, a personal consultation with the additional examination is still desirable.

Vitsinskaia Olena Ihorevna
Dermatologist-trichologist. Higher category. Work experience 28 years.
Do I need a doctor's consultation if I bruised the glans penis during intercourse? Nothing hurts now, but a cyanotic spot has appeared. Is there a reason for concern? Perhaps I can get an online urologist consultation? I live in the suburbs of the city.
Answer: 22.12.2020

Of course, a doctor's consultation is necessary for injuries or bruises of the genital organ. If it is not possible to visit us, then you can have an online consultation. Perhaps, based on the examination results, it will be necessary to prescribe medicines for external use.

Reprintsev Vladislav Leonidovich
Urologist. The first category. Experience more than 20 years.
Recently, I began to feel pain when urinating. I suspect that I have some kind of illness. I would like to get an online consultation with a doctor or is it better to come for a check-up to a urologist?
Answer: 22.12.2020

Pain during urination can be associated with infection, pathological changes in the anatomy of the urinary tract. To make a diagnosis, it is required to make an appointment with a urologist to collect anamnesis, conduct an examination and prescribe some tests.

Reprintsev Vladislav Leonidovich
Urologist. The first category. Experience more than 20 years.
A small dark spot appeared on the penis. I have already consulted a urologist in Kropyvnytskyi, but unfortunately, the treatment did not help. Perhaps this is just an age spot and nothing needs to be treated? Or could it be an infection? What is the best way to deal with this situation?
Answer: 22.12.2020

If age spots appear on the genital organ, then there can be many variants of diseases, ranging from a simple age spot to Bowen’s disease. Age spots are different, usually not very saturated in color, of different sizes, structures, with indistinct boundaries, they may rise above the surface of the skin, or hair can grow from it. To make a diagnosis, you definitely need to make an appointment with a urologist to examine this spot.

Reprintsev Vladislav Leonidovich
Urologist. The first category. Experience more than 20 years.
I have a small bean-sized knot on the right of my anus. I was advised to apply suppository with sea buckthorn. I took 9 of them. And today I noticed that this knot has increased and became a little larger in size and harder. Can you eliminate it without surgery?
Answer: 03.12.2020

Hello! Based on the complaints described by you, it is more likely to be a hemorrhoidal thrombosis. To make a decision on treatment tactics, a mandatory examination by a proctologist is required.

Hello. I had unprotected intercourse, after which emergency contraception was taken within 10 hours. After 2 weeks, at the expected time, menstruation became irregular, with a delay of 5-10 days due to polycystic ovary syndrome), I made a pregnancy test and it was positive. As far as I understand, the fertilized ovum, but it should not establish and with the first menstruation it should come out or do I need to do an extra abortion?
Answer: 03.12.2020

In some cases, pregnancy tests can be misinterpreted or done in violation of instructions or can be false positive (expiration date, ovarian cyst). Emergency contraception may also not work due to individual characteristics and if the pregnancy occurred before this episode. It is necessary to establish the fact of pregnancy - to take a blood test for HCG and confirm its location and duration by ultrasound scan. In case of a pregnancy, further tactics depend on the woman’s desire.

Hello. I had a medication-induced abortion on June 21, the discharge ended on June 30, ultrasound did not show any problems. I did physical exercises and on July 7 I had blood discharge which lasted till July 1. On August 1 my normal period started; they ended as usual after 6 days. Today is August 31, but no period came (usually my cycle is 28-29 days). I have a nagging lower abdominal pain, rarely I have creamy white discharge and mild nausea after eating, not in the morning. The tests are negative. Tell me, please, what can it be? I can’t see a doctor until September 5. Thanks in advance for your reply.
Answer: 03.12.2020

Not enough information. Presumably, it could be the following:

  1. The latent infection which was manifested as a menstrual disorder, discharge and a nagging lower abdominal pain.
  2. New pregnancy (tests can be false negative, especially in cases of tubal (ectopic) pregnancy.
  3. Ovulation did not occur adequately and follicle hung, in connection with this process there may be a delay in menstruation.

In any case, initially, a transvaginal ultrasound is recommended; also, in order to exclude pregnancy, take a blood test for HCG. After that, it is necessary to consult a gynecologist for the examination.

Hello! Could you please help me: somewhere 6-7 months into the pregnancy, very large quantities of hair began to fall out (hair was thick and long), within 7-8 years I tried almost everything (shampoos, masks, vitamins, visits to a dermatologist), but nothing helped me ... Hair continues to fall out to this day ((.. What shall I do in this case?
Answer: 03.12.2020

Hello! Typically, hair loss begins after childbirth and is a normal reaction of the body to changes in a woman’s hormonal levels. Skin and hair are a mirror of the body state and are among the first to react to endocrine profile disorders, diseases of internal organs or a deficiency of vitamins and minerals. Without examination and identification of the cause of hair loss, any methods of treatment and stimulation of hair growth may have a temporary effect or even be ineffective. I sincerely wish you to find “your” trichologist who will help you identify the cause of hair loss and solve the problem!

Ivchenko Irina Igorevna
Doctor-dermatologist, trichologist. Work experience 3 years.
Hello! Some pimples appeared on the body in a bunch, they itch a little, something like water appears after scratching them, then it dries up, becomes rough. I have it on the arm at the elbow, on the leg under the knee, at the wrist on the arm. What can it be, how to treat it?
Answer: 03.12.2020

Hello! This picture is characteristic of several dermatological diseases; dermoscopy and more information will be needed to establish an accurate diagnosis.

Hello! Five years ago, I found a light pink spot 5 cm in diameter on my side. I thought I had rubbed it or scratched off somewhere. It didn't bother me. Two months ago I noticed that it had tripled and darkened a little. I also found 3 small spots on the opposite arm and one small similar spot on the other side. The skin feels a little calloused at a touch and is less sensitive to touch than on normal skin areas. What is it? I suspect that it may be lichen or something else and how to cure it?
Answer: 03.12.2020

Hello! The rashes described by you can be of a fungal or bacterial nature, or simply inflammatory and not infectious (like Gibert’s disease). Unfortunately, it is impossible to make a diagnosis in absentia, and the treatment will depend on the diagnosis. To do this, the dermatologist will need to examine the skin and do additional tests (scraping of smooth skin for parasitic fungi, culture, etc.)

Hello! I have a problem: the skin on the hands in the biceps area itches, there is no rash or redness, it only turns red after scratching. What could it be?
Answer: 03.12.2020

Hello! Itching can be a symptom of various skin diseases (mainly of an allergic or infectious nature) or an independent disease, the so-called idiopathic itching, which requires a thorough examination and search for internal causes to identify the causes. An antihistamine can be taken to relieve itching (symptomatic treatment).

Somsikova Natalia Sergeevna
Dermatologist, trichologist. First category. Work experience 23 years.
Which doctor should I consult if I have different labia sizes? Do I need intimate plastic surgery? Is this some kind of pathology? I do not experience any discomfort during intercourse or walking, but I am very worried that with age it will look even worse. Could you advise what to do?
Answer: 03.12.2020

Intimate plastic surgery is conducted by a gynecologist. This procedure called labioplasty is performed under local anesthesia without the need for hospitalization. The procedure lasts from 30 to 60 minutes.

Yarkovaya Olga Valentinovna
Obstetrician-gynecologist. The second category. Work experience 9 years.

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