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Management of Abortion
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Treatment Of Female Sexual Problems
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Minimal invasive spine surgery possesses numerous benefits over the traditional spine surgery that includes :
- small surgery scar
- less blood loss during the surgery
- quick recovery
- quicker return to work and normal activities
- less postoperative pain
- shorter hospital stay
These are the xray of a patient with l4l5 grade 1 listhesis operated by minimal invasive tlif.
From riding bikes to wearing tighty whities and, ironically, using sex toys, there are lots of rumors and myths surrounding male infertility. So you might find the reality a bit shocking (we did!).PS: When you're done reading, show this article to your guy - male infertility is just as likely to be the reason a couple is having trouble conceiving, even though female infertility gets the most lip service.
Bikes aren't bad for below
You've probably heard the rumors that bikes can do damage to his nether regions, but there's actually not much truth to this one. One small study from Austria found that male mountain bikers may experience more infertility from scrotal damage caused by jolting over rough terrain - but the study only looked at men who logged at least 3,000 miles a year (that's an average of two-plus hours a day, six days a week), which is pretty extreme. Plus, the study concluded that the bike's narrow, racing-type seats were to blame and that using newer, wider seats with cutout holes was a safe solution. The study's limited findings have been widely criticized in the medical community, and according to Karen Boyle, MD, FACS, director of Reproductive Medicine and Surgery, Sexuality and Aesthetics at Chesapeake Urology Associates and clinical instructor of urology at George Washington University School of Medicine, there is no strong data to support the idea that cycling is bad for fertility. So even if your partner is the Lance Armstrong of mountain biking, you don't need to ban bikes. In fact, cycling is a great form of exercise, and staying healthy and fit is key for fertility.
Saunas and hot tubs are trouble
While many men like to follow their workout with a relaxing hot tub or sauna session, if you're trying for a baby, ask your man to skip both, says Boyle. Exposure to the high temperatures in saunas and hot tubs can heat things up down there, and if the temperature of the testicles gets too high, it can kill sperm and interfere with sperm production, potentially resulting in low sperm count and motility (read: There won't be so many of those swimmers, and they won't move so well). The damage isn't permanent, though, so tell your guy he can go back to his regular routine as soon as you see a positive on that pregnancy test.
Boxers are best
The answer to the boxers vs. briefs debate? Well, if you're trying to conceive, it actually doesn't matter. 'Men should wear whatever they feel most comfortable in,' insists Boyle, who says there's no conclusive evidence to support the idea that tight underwear or pants could do damage by squishing a guy's man parts or increasing scrotal temperature.
Laptops can burn more than just your lap
Considering laptops can get hot enough to burn their legs, guys might want to keep them away from the crown jewels too. There's evidence that just like in hot tubs and saunas, the heat from a laptop can raise the scrotal temperature, which, again, may interfere with sperm production. While not all experts agree that laptops can cause infertility, Boyle says that if you're trying to conceive, you may want to keep the laptop on a table or desk just to be safe.
Cell phones can cause interference
Lately, cell phones have gotten a bad rap, as some experts have linked them to a range of problems, including brain tumors, cancer, and infertility. So what's the deal? Well, we still don't fully know what the electromagnetic radiation in the form of radio waves that cell phones emit is doing to our bodies. But some studies have shown that it can lead to higher levels of free radicals in sperm samples, possibly decreasing the quality of those swimmers. 'While better studies are still needed,' says Boyle, 'the current data on infertility [and cell phones] is concerning enough to me that I suggest men keep cell phones out of their pockets and off their belts.' Hmm...maybe it's time men start embracing the man purse.
Age is a factor
While women are constantly being warned about the difficulty of conceiving as they get older, it turns out that even though men can (and regularly do) father children well after crossing the senior citizen mark, male fertility does decline with age. According to Joseph A. Hill, MD, president and CEO of The Fertility Centers of New England, sperm production decreases in men after age 40 and, certainly, after the big 5-0. Still, unlike women, who undergo menopause, men can conceivably conceive well after that (ahem, Rod Stewart).
Stress plays a major role in fertility
While you might not be surprised that your lifestyle plays a role in fertility, you might not realize how large a role stress plays in both male and female fertility problems. For guys, stress can lead to impotence, erectile dysfunction and even shut down the hypothalamic-pituitary-testicular axis (a fancy term for the group of glands that play a critical role in developing and regulating your reproductive system) - all of which can interfere with fertility. While it's next to impossible to avoid stress completely, it's important for both of you to work on managing your stress, especially if you're finding the whole getting pregnant thing...well, pretty damn stressful. So regularly do stress-reducing activities together, like going for walks, exercising, meditating or just sharing some laughs.
Expanding waistlines won't help you expand your family
Both of you should watch your weight if starting a family is part of the plan. So if you're trying to get in better shape to prep your body for baby, get your partner on board too. Adopting a healthy lifestyle will certainly boost your chances of conceiving. Plus, obesity in men is associated with decreased sperm count and quality, and excessive weight may also be associated with misshapen sperm, which can interfere with the sperm's ability to reach and penetrate the egg.
It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.
The following are considered to be abnormal or dysfunctional uterine bleeding:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovaries
- Endometrial hyperplasia
- Cancer of the reproductive tract
How to Diagnose it?
Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
- Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding
How Best to Treat It?
This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.
- Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.
Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways.
Last periods 14 nov ko aaye the and 29 nov ko we hv foreplay not sex and abi tk periods ni aaye h 45 days ho gye h and pregnant b ni h mere wife What does this mean plzz tell.
I have older women fetish, whenever I see any woman in her mid 30's or early 40's, I get turned on. I also want to lose virginity to an older woman, but I am not finding any. Please help me to get rid of this fetish.
My wife is 39 weeks pregnant now. She is having so much body itching and heavy body pain. Even she can't control and she can't sleep even a minute. What is the reason behind this symptoms? What is the solution to recover from this? Our whole family worrying about her current status.
Hello Dr. I am biku. Iam suffering by acidity gas problem in one year. Some time I feel bore of this problem. If I take some antacid then its feel better fot some day. Its happen cause of my irregularity. Now what should I do doctor.
Doctor, mere sath ek bhut badi prblm ho gyi h.mene 22 jan ko sex kiya tha or uske bad next day mene unwanted le li thi or fir mjhe uske bad 28 jan ko periods hue the or uske bad fir agle month mjhe periods hue the 3 march ko lekin mam uske bad mjhe periods nii hue mjhe smjh nii a rha h mai kya kru please tell me. ANd mene check bi kiya tha result negative tha. Mam mjhe ajtk kbi aisa nii hua lekin iss bar ho rha h 3 month ho gye mjhe abhi tk periods nhii hue h please tell me khin m pragnent to nii hu or agr nhii hu to periods kb tk aa jayenge mjhe. please mam tell me.
I am 52 years old and I have got surgery regarding removing our uterus at 35 old. Some times I have been discharging like 1 or 2 drops blood lightly when I feel stressed or taking spicy food but I don't have any pain or burning. My weight is 50 and I have high BP. Now I want to know any risk due to this.
Alcohol Withdrawal Syndrome is the name given to the symptoms seen in you if you consume heavy doses of alcohol frequently and then suddenly quit or reduce your alcohol intake considerably. These symptoms may surface anytime between six hours to a few days after you last drank.
Common symptoms of alcohol withdrawal syndrome:
- Immense sweating
- High blood pressure
All these symptoms may worsen over a few days and may even last till a few weeks.
What is the root cause?
Alcohol arouses your nervous system. In case you are a heavy drinker, your body gradually gets dependent on alcohol, and cannot adapt too easily to the lack of alcohol after you have abruptly quit. This is the root cause of Alcohol Withdrawal Syndrome (AWS).
Who is at risk?
You are at the maximum risk of AWS if you are an alcohol addict, or you cannot gradually cut down on its intake.
How do doctors diagnose AWS?
Usually, doctors will search for a few symptoms in you, like irregular heart rate, dehydration, fever, and tremors or minor fits. A toxicology screen also helps your doctor finding out the levels of alcohol in your body.
How is AWS treated?
Treatment depends on the severity of the symptoms. Usually are:
1. Home Care - Mild symptoms of AWS can be treated at your home. You need to go for your regular routine checkups and tests. You may also have to go to rehabilitation programs for recovering alcoholics.
2. Hospitalization - If your symptoms are more severe, you may have to be treated in a hospital, where you will be monitored and kept on a fluid diet to help prevent dehydration.
3. Medications - You can also be treated with sedatives.
Do you recover fully?
Usually, chances are that you will fully recover from AWS. If you quit drinking, take your medicines on time, and lead a healthy life thereafter. However, sleep disturbances and fatigue may persist. But, if you have severe symptoms of AWS, you should seek medical care as soon as possible to prevent any further fatal complications. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
When the delivery of a baby has to happen through a surgical process rather than normal child birth, the procedure is known as a Caesarean Section or a C-section. There are many reasons why one many need to go through this surgical procedure including complications during pregnancy and childbirth. One can also plan for a C-section beforehand by talking it through with a doctor who will recommend the same in case there are any complications and risks at play during the pregnancy. Read on to know more about the procedure.
Reasons: There are many reasons why a doctor may want to go in for a C-section. If the labour is not progressing properly, then a C-section may be required in order to extract the baby. This procedure may also be used in case the baby is not getting proper amount of oxygen which can put it in distress and lead to changes in the heartbeat. Also, if the baby is in an abnormal position like a breech position, then a C-section may be required. This procedure is also used when a woman is carrying twins or triplets. Other health concerns like high blood pressure and genital herpes or even HIV can lead to this procedure. Any mechanical obstruction like fibroids in the birth canal can also cause the doctor to resort to a C-section, while a patient who has delivered via C-section earlier may also be asked to do the same again.
Risks and complications: One has to remember that a C-section takes longer to recover from than normal childbirth and delivery would. Also, it does pose a few risks and complications that may arise during and after the procedure.
- Breathing issues: The babies who are born via C-section are more susceptible to a condition known transient tachypnea which is a breathing problem characterised by an abnormally fast rate of breathing in and out. Also, other respiratory distress syndromes may take over subsequently.
- Surgical injuries: The doctor may accidentally nick the baby’s skin during the surgical process which involves the use of sharp instruments for making the incision.
- Inflammation risk: The uterus may undergo inflammation which may also lead to endometriosis as well as infections of the membrane which can cause fever and foul smelling vaginal discharge. The wound may also get infected.
- Bleeding: While some amount of bleeding is normal, this procedure can also lead to excessive bleeding in which case immediate medical intervention may be required. Also, the patient may suffer from blood clots inside the veins of the pelvic organs. These clots may also travel to the lungs and cause further complications.