Health
All you need to know about Klovinal (vaginal pessary)
For the purpose of knowing the content, Klovinal pessaries is a combination of clotrimazole, metronidazole (flagyl) and lactobacillus spores used for the treatment of vaginal infections-both fungal and bacteria such as vulvovaginal candidiasis (yeast infection), pelvic inflammatory disease(PID), bacterial vaginosis and trichomoniasis. Klovinal is a pessary that treats the causes of vaginitis and restore the vaginal acidic balance (vaginal ecosystem) or normal flora. It is very useful against recurrent vaginal infections.

When the vagina is associated with itching, redness, and discharge either profuse, coloured, or malodourous- it is a sign of infection.
The metronidazole (flagyl) is an antibiotic effective against bacteria and protozoa. It is bactericidal.It is effective against anaerobic organisms and diseases caused by protozoa such as trichomoniasis. It works by killing the bacteria or protozoan and preventinh their growth.
The clotrimazole is a broad spectrum antifungal effective against diseases caused by fungi such as candidiasis or yeast infection. It works by killing the fungal and preventing its growth.
Other common drugs used to treat vaginal infections like candidiasis, vaginosis and trichomoniasis are mycoten, sabreten, canesten and candid V6. They are not broad spectrum as they contain only clotrimazole meaning these drugs only treat infections caused by fungi. Clotrimazole is not active against infections caused by bacteria or protozoan.
The cost/price of klovinal in Nigeria is around #4,500 naira per packet. Each packet contains 6 tablets. #KLOVINAL price in Ghana is 35 cedis.
How to use Klovinal pessary without stress.
One (1) #Klovinal pessary should be inserted into the vaginal as deeply as possible once daily with your fingers or an applicator. It should be used for six (6) days preferably on retiring to bed at night.
Do not use tampons, douches, vaginal wash, feminine wash, yoni pearls, baking soda, apple cedar vinegar, spermicides or other vaginal products while using this medication.
Continue to use this medication everyday for the full time prescribed, even if symptoms disappears after a few days, or if your menstrual period starts.
Stopping #klovinal too soon may allow the infection to return and this time worse and harder to treat. Please complete the dose and duration of taking it.
If you are pregnant, please see your doctor before using klovinal. Klovinal is not safe in pregnancy because it can cause congenital birth defects.
Can a virgin use klovinal pessary?
Of course yes. Not all vaginal infections are sexually transmitted and virgins are not exempted from having vaginal yeast infections and bacterial vaginosis. Virgins with any of these diseases can comfortably insert #klovinal. Nothing to worry about, carefully inserting #klovinal will not lead to breakage of your hymen. Just take extra care when using the inserter or applicator.
How long does it take for Klovinal to dissolve?
A properly inserted #klovinal vaginal pessary dissolves within 10 – 15 minutes after insertion.
KLOVINAL Pessaries side effects?
Ladies who use klovinal pessary have complained of burns, burning sensation, stinging sensation in the vagina, slight pains, lower abdominal cramps, stains from leakage after dissolving, nausea and vomiting etc ….There may be some side effects that have not been reported yet. There are reports that klovinal is painful….this may be true from anecdotal side effects observed….many women that have used it before have almost always reported pain in the lower abdomen after taking it.
Some frequently asked questions about klovinal
Klovinal Pessaries for uti?
#Klovinal is not used for the treatment of of urinary tract infection please…
Does Klovinal hurt during insert?
The answer is NO, you may feel a little discomfort but it does not hurt.
Does Klovinal delay period?
The answer is no.
How to know if Klovinal is working?
It is easy, you symptoms like itching, discharge, smell, and abdominal discomfort gradually begin to resolve and you feel better.
Can I use Klovinal in the morning?
Yes, you can use #klovinal anytime or the day including morning….but you will have to put a little pad or wear a cotton liner underwear to avoid discharge that may arise from the dissolution of the drug so as not to embarrass you in public.
Can Klovinal prevent pregnancy?
#Klovinal pessary is not a contraceptive so it cannot prevent pregnancy…
Can Klovinal be used in pregnancy?
Please don’t use #Klovinal during pregnancy…both clotrimazole and metronidazole has some teratogenic properties and therefore could cause birth defects especially if taken in the first trimester
Can I use Klovinal during ovulation?
The answer is yes, nothing stops you from using Klovinal during ovulation and even while menstruating ….
Can Klovinal cause bleeding?
#Klovinal is not a hormonal contraceptive or a contraceptive at all. So it cannot cause bleeding.
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Health
NSRS 87th Conference: The future of Nigeria’s surgical workforce
NSRS CONCLUDES 87TH SCIENTIFIC CONFERENCE IN BENIN, SETS STRATEGIC AGENDA FOR NIGERIA’S SURGICAL WORKFORCE
Benin City, Nigeria — July 2026: The Nigerian Surgical Research Society (NSRS) has successfully concluded its 87th Annual General Meeting and Scientific Conference in Benin City, Edo State, bringing together leading surgeons, researchers, educators, policymakers, and trainees from across the country and beyond.
The conference, hosted at the University of Benin Teaching Hospital (UBTH), focused on one of the most pressing issues in Nigeria’s healthcare sector: the future of the nation’s surgical workforce.
This year’s theme, “Surgical Workforce 2030: Training, Retaining and Task-Sharing in the Nigerian Context,”guided two days of intensive deliberations, scientific presentations, and policy-driven discussions. According to the Chairman of the Local Organizing Committee, Professor Stanley Ukadike Okugbo, the theme “strikes at the very heart of the structural headwinds confronting healthcare delivery in Nigeria today,” highlighting the challenges of brain drain, uneven workforce distribution, and evolving surgical needs.

In his presidential address, Prof. Afeyodion Akhator, President of NSRS, emphasized the urgency of strengthening surgical training programs, improving retention strategies, and adopting safe, evidence-based task-sharing models. He noted that the outcomes of the conference “will influence the direction of surgical education, workforce planning, healthcare policy, and patient care for years to come.”
A major highlight of the event was the keynote lecture delivered by Professor Peter Ndidi Ebeigbe, immediate past President of the National Postgraduate Medical College of Nigeria and Consultant to the World Health
Organization. His address provided a comprehensive roadmap for building a resilient and future-ready surgical workforce, drawing on global best practices and Nigeria’s unique healthcare realities.
The conference featured multiple scientific sessions, exhibitions, debates, and a pre-conference workshop. Delegates presented high-quality abstracts spanning trauma care, oncology, gastrointestinal surgery, surgical
education, and innovations in clinical practice. Participants were also encouraged to experience the cultural richness of Benin City, described in the brochure as “one of Africa’s most historic urban centres and the cradle of the ancient Benin Kingdom.”
The 87th AGM also marked a significant leadership transition for the Society. Members elected a new executive committee to steer NSRS into its next phase of growth, including preparations for the Society’s landmark 50th anniversary in December.

New Executive Committee of the Nigerian Surgical Research Society (NSRS)
• Dr. George C. Obonna — President
• Dr. Clement Odion — Secretary
• Dr. Lucky Ehiagwina — Assistant Secretary
• Dr. Raymond Eghonghon — Treasurer
• Dr. Omorodion Irowa — Auditor
• Prof. Emmanuel Akpo — Editor
• Dr. Francis Campbell — Assistant Editor
• Prof. Aifeyodion Akhator — Ex Officio I
• Prof. Stanley Okugbo — Ex Officio II
Health
Why you feel dizzy when you stand up
Why you feel dizzy when you stand up?
A young, healthy patient asked me: “Doc, sometimes when I stand up from the bed too fast, my vision goes completely black for two seconds and I get dizzy. Am I having a mini-stroke?”
No, it is actually proof that your nervous system is working perfectly.
The exact neurovascular cascade behind why your vision blacks out when you stand up too fast and why you don’t actually pass out. 👇
• The Gravity Drop: When you are lying down, your heart pumps blood easily on a flat plane. The moment you stand up abruptly, gravity instantly pulls about 500 to 800 mL of your blood straight down into your legs.

• The Transient Drain: This sudden pooling means less blood returns to your heart, which temporarily means less blood is pumped up to your head. For a split second, your brain experiences a drop in pressure.
• The Visual Blackout: The retina (the back of your eye) is incredibly sensitive to oxygen and pressure changes. When the blood pressure dips, the retina temporarily shuts down to conserve energy which is exactly why your vision goes black or static.
• The Baroreceptor Rescue: Luckily, you have pressure sensors (baroreceptors) in your neck. Within milliseconds, they detect the blood pressure drop and fire a panic signal to your brainstem.
• The Sympathetic Snap: Your autonomic nervous system instantly kicks in. It violently constricts the blood vessels in your legs and spikes your heart rate, physically squeezing the blood right back up to your brain. Vision restored.
Summary:
First time this happened to me I genuinely thought I was dying.
Turns out my body was just buffering.
Knowing the science changes everything
Here’s what’s actually happening:
When you stand up quickly, gravity pulls blood downward. Your body briefly has less blood reaching the brain. Your nervous system — specifically the baroreceptors –detects this drop and rapidly triggers your heart to beat faster and your blood vessels to constrict, restoring blood flow within seconds.
The momentary blackout and dizziness is just that brief gap before the correction kicks in.
👉Hi, I am Dr. Priyam. I break down complex medical science and advocate for Evidence-Based Medicine. FOLLOW ME for more clinical facts.
Health
Two A+ Parents, One O- Baby? The Blood Type âScandalâ Thatâs Actually Just Science
can a+ and a+ give birth to o+ or O negative?
Itâs a panic that lands in clinics and WhatsApp groups far too often: âBoth of us are A positive⦠how is our child O negative? Did the lab mess up? Or is something else going on?â
The short, reassuring answer is no lab error, no mystery, and no betrayal. This outcome is completely possible under normal genetics. Hereâs why the âmathâ actually maths perfectly once we look at what blood-type tests really reveal.
Your blood type is decided by two separate systems that most people only see the final phenotype of, not the hidden genes.
ABO system ð©¸ð©¸ð©¸ð©¸ð©¸ð©¸ð©¸ð©¸ð©¸

Type A means you carry at least one A allele. You could be AA or AO. The O allele is recessive and invisible in your test result. If both you and your partner are AO (very common), each of you has a 50 % chance of passing the O allele. When both pass O, the child is blood group O. Roughly 45â50 % of people with type A are actually AO carriers, so this pairing happens every day.
Rh (positive/negative) system ð©¸ð©¸ð©¸
âPositiveâ means you have the dominant D antigen. You can still be heterozygous Dd and carry the recessive d allele. If both parents are Dd, there is a 25 % chance the child inherits d from both and is Rh negative. About 15 % of people are Rh negative, which means a large portion of âpositiveâ people quietly carry the d gene.
When both parents are A positive but heterozygous for both traits (AO and Dd), an O-negative child is not only possible â it is mathematically expected in a predictable percentage of pregnancies. The child simply received the two recessive alleles that were hiding in plain sight in both parents.
Blood-group reports show only what antigens are expressed on red cells. They do not sequence your DNA or tell you whether you are homozygous or heterozygous. That hidden information is what allows âimpossibleâ combinations to appear regularly in perfectly ordinary families.
This is basic Mendelian inheritance, not infidelity or laboratory failure. The same recessive-gene logic explains blue-eyed children born to brown-eyed parents or curly-haired kids from straight-haired couples. It is science doing exactly what it is supposed to do.
If the result still feels unsettling, a simple conversation with your doctor or a genetics counsellor can walk you through your specific probabilities. In the overwhelming majority of cases, however, the only thing that needs updating is the outdated assumption that blood types behave like simple labels instead of the elegant, recessive-carrying system they actually are.
Your O-negative child is not evidence of a mistake. They are proof that genetics loves surprises â and that love (and science) are doing just fine.ââââââââââââââââââââââââââââââââââââââââââââââââââ
Dr Parveen Yograj
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