instruction: hello doctor I am 32 years old we are planning to extend our family whenever I will be perfect in health so that there should not be any health issues to the baby and the mother I would like to elaborate on my health condition so that you can advise us on how to improve my health condition please note that the below tests have conducted before three months and after that I have gone through some medication for one and a half months iron vitamin and hemoglobin my hemoglobin remains low every time I go for annual health check up for the past seven years currently it is 10 iron 18 tic 492 transferring saturation 6 vitamin 19 91 yeast infection in vagina I have been suffering from recurrence of yeast infection in the vagina for the past one year it comes again and again and I am taking fluke every week one tablet after taking fluke I feel no itching and no yeast infection but within a week or so it happens again boobs itching and enlargement of area around nipples for the past four to five years I have been observed that area around my nipples has enlarged and that area is really very dry and itchy although there are no lumps in the breast and armpit I visited a gynecologist but they told that it is a dermatology issue hence I also visited a dermatologist and the doctor suggests that it is just because my skin is extremely dry and it can be cured after applying good moisturizer in the long run but I have not seen any improvement till date I really want to be healthy and want to get rid of the above issues before conceiving the baby
output: hi first thing I would like to tell you that you are a healthy individual even though you were anemic before now you have made good progress in your hemoglobin now coming to your recurrent fungal infection in the vagina it seems that you have adequately taken antifungal and antibiotics I would recommend you to get done your blood sugar level thyearoid profile test now coming to soreness and itching at nipples yes it happens due to dry skin and micronutrients and minerals deficiency I would like to suggest you to apply the moisturizer and take nutrients supplement nutritional deficiency blood sugar levels thyearoid profile test multicomponent deficiency tablet azithromycin 500 my once a day for three days candid ve pessery every night intro vaginal for six days tablet omeprazole 20 my twice a day for three days avoid sexual intercourse until recovery from infection follow up with the above said investigation after days