Doctor in Paras Nursing Home
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Routine diagnosis and tests are important to perform if you are diagnosed unexplained infertility. These diagnostic tests include assessment for Ovarian Reserve and other hormonal factors are involved which has to be assessed in order to treat infertility.
There are different tests for men and women, which helps the Fertility specialists to diagnose about the causes or reasons for the infertility. Some of them are briefly explained here:
Valuation of Male Infertility
In the infertile couple, the assessment of male factors like previous medical history, age, lifestyle of male and semen analysis has to be done. The evaluation of medical history includes prior paternity, surgical history, use of any medicines and sexual dysfunction. Physical assessment includes: abnormalities in testes i.e., Varicocele and absence of vas deferens could be detected.
Assessment of Female Infertile
Evaluation of female infertility included the assessment of ovulation or ovarian defects. A patient with menstrual abnormalities should be investigated for underlying causes such as polycystic ovarian syndrome, thyroid disease, and hypothalamic causes secondary to weight changes. Another test for the infertility in couples included the assessment of Ovarian reserve. the testing includes the Day 2 or day 3 serum AMH (Anti-Mullerian Hormone) or Serum FSH (Follicle stimulating hormone).
Kegel exercises can improve your sex life and help with pelvic floor problems, including urinary and fecal incontinence. The key is to get in the habit of doing them every day so you start to see results.
Find your pelvic muscles by stopping the flow of your urine mid-stream. Before you do your Kegel exercises, it's important to find your pelvic muscles. These are the muscles that form the floor of your pelvic floor. The most common way to find them is to try to stop the flow of your urine midstream. This tightening is the basic move of a Kegel. Let those muscles go and resume the flow of urine and you'll have a better sense of where those Kegels are. Just remember to see a doctor before you begin your Kegel exercises if you have any medical problems that may prevent you from doing Kegels safely.
- However, don't stop urinating midstream as your regular Kegel exercise routine. Doing Kegels while urinating more than twice a month can actually have the opposite effect, weakening the muscle. It may also cause damage to your bladder and kidneys.
If you still have trouble finding your Kegels, place your finger in your vagina and squeeze your muscles. You should feel the muscles tightening and your pelvic floor move up. Relax and you'll feel the pelvic floor move back again. Make sure your finger is clean before you insert it into your vagina.
Use a hand mirror to find your Kegels. If you're still having trouble locating or isolating your Kegels, place a hand mirror below your perineum, which is the skin-covered area between your vagina and your anus. Practice squeezing and relaxing what you think are your Kegel muscles. If you do this correctly, you should see your perineum contracting with each squeeze. If you're a sexually active woman, you can also ask your partner if he can feel you "hugging" his penis and letting go during sex.
Make sure you have an empty bladder before you begin your Kegels. This is important. You don't want to do your Kegels with a full or a partially full bladder, or you may experience pain while you do your Kegels, as well as some leakage. Before you start your exercise routine, do a bladder check so you can perform those exercises as efficiently as possible.
Concentrate on only tightening your pelvic floor muscles. Your Kegel exercises should focus on these muscles only, so you should avoid flexing other muscles, such as your buttocks, thighs, or your abdomen, for best results. To help your concentration and the efficiency of your movements, make sure you breathe in and out as you perform each set of Kegels, instead of holding your breath. This will help you relax and get the most out of your pelvic floor exercises.
- One way to keep your muscles relaxed is to place one hand on your belly to make sure that your belly is relaxed.
- If your back or belly ache a bit after you complete a set of Kegel exercises, then it's an indication that you're not doing them correctly.
Get into a comfortable position. You can do these exercises either sitting in a chair or lying on the floor. Make sure your buttock and tummy muscles are relaxed. If you are lying down, then you should be flat on your back with your arms at your sides and your knees up and together. Keep your head down, too, to avoid straining your neck.
I’m 17. I’ve been experiencing light pink vaginal discharge with a strong odor. Two weeks ago, the discharge was white and chunky like cottage cheese. What is it and what treatment should I take for it?
ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.
- Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
- Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
- Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
- Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
- Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.
Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment.
Why and when is it done?
A renal or kidney biopsy is done in the following situations:
- When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
- When kidney failure is suggested by blood tests but cause is not clear
- To find the cause of bleeding in the urine (haematuria)
- To identify and/or confirm diagnosis after a CT scan or ultrasound
- To check how well a transplanted kidney has been received
Know about the procedure
A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.
In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis.
Recovering from a biopsy
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days.
Vaginal Vault Prolapse is the condition where the upper portion of vagina may lose its normal shape and drop or sag down into the vaginal canal or maybe even outside the vagina. This may occur after a hysterectomy or even simultaneously with uterine prolapse.
The treatment of Vaginal Vault Prolapse varies with the severity and extremity of your symptoms. Your healthcare provider may suggest medications and physical therapy to treat your condition, if you feel that the prolapse is not bothersome. However, you might have to undergo surgery later if your symptoms worsen and the prolapse affects your quality of life and hinders functional ability. You must keep in mind that usually more than one area is affected by weakness in your pelvic floor.
The symptoms of Vaginal Vault Prolapse include, backache, pelvic heaviness, bulging mass into or sometimes outside your vagina that hinders normal activities such as walking and sitting, vaginal bleeding and releasing urine involuntarily.
- Medication: Most of the women with this condition usually go through menopause around the same time. Since the estrogen levels are severely lowered during menopause, it causes vaginal dryness. Discussing about estrogen therapy with your healthcare provider is a must if you wish to remedy your vaginal dryness. Not every woman should take estrogen so it is imperative to talk to a medical expert first. Usually women are treated with estrogens before they go into surgery.
- Physical therapy: Most healthcare experts recommend pelvic floor exercises as physical therapy using biofeedback so as to strengthen the specific muscles of your pelvic floor. Biofeedback is the usage of monitoring devices that contain sensors and are placed either in your rectum, vagina or on your skin. Biofeedback is very important because it tells you the strength of each muscle you are squeezing i.e. contractions, and if you are squeezing the right muscles in order to perform the exercise correctly. Long term usage of biofeedback in physical therapy leads to strengthening of your muscles and a reduction in your symptoms.
- Surgery: Corrective surgery may be performed on you by the surgeon either through the abdomen or vagina. If the surgeon is performing the corrective surgery through the vagina, he will use the ligaments, which support the uterus to solve the problem.
Hearing a doctor diagnose you with 'ovarian cysts' can make your mind think of the worst case scenarios, but this is actually quite a common diagnosis. Almost all women are diagnosed with ovarian cysts at some point of their life. The difference lies in the type and size of cyst diagnosed. Hence, before you panic, read up and get informed. However, not everything you read online is trustworthy. Like every other health condition, ovarian cysts are surrounded by a number of myths.
- Myth - It requires a surgery: Contradictory to what you may initially think, not all ovarian cysts are harmful. In most cases, these cysts are small, non cancerous and will be resolved on their own. Surgery is needed only in cases where the cyst is abnormally large or where the cyst is diagnosed as a dermoid cyst or as endometriomas. Hence, if you have been diagnosed with an ovarian cyst find out how big the cyst is and what type of a cyst it is.
- Myth - It causes infertility: Being diagnosed with a cyst in your ovaries will not make you infertile or restrict your ability to bear a child. However, it can lead to complications that may cause infertility. If these cysts become infected it could lead to scarring of the fallopian tubes. This is one of the most common causes of infertility. Another situation in which an ovarian cyst may lead to infertility is if it is associated with endometriosis.
- Myth - They are cancerous: With ovarian cysts, every case is unique. However, in most cases, the cysts to not develop into cancerous cells and neither are they cancerous to begin with. A pelvic ultrasound can help your doctor diagnose the type of cyst present in your body. If the doctor deems it cancerous, he or she will usually advise surgery to remove it immediately.
- Myth - It only affect women after menopause: A cyst can develop in the ovaries at any stage of a woman's life. A number of women could even develop cysts that they are not aware of. In some cases, women can even develop these cysts post a hysterectomy that does not involve the removal of the ovaries.
- Myth - It cannot be controlled: If you suffer from recurrent ovarian cysts, taking birth control pills can help the situation. This can suppress the development of cysts in future. Losing weight if you are overweight or quitting smoking can also lower the risks of developing ovarian cysts.
There are diseases which affect us in spite of us trying to keep them away as far as possible and then there are lifestyle diseases, for which we are largely to blame. It can be said that lifestyle diseases are those, which occur on account of the decisions we make and the actions we commit. Having said that, would it not be interesting to know more about lifestyle diseases?
There are various kinds of lifestyle diseases, which affect various parts of the body. For instance, if a person drinks a significant amount of alcohol, more than what he or she should, then he may soon be affected by a lifestyle disease in the form of liver cirrhosis. Apart from just the alcohol, this condition can also be caused on account of chronic hepatitis.
- Stroke: A lot of people are of the opinion that a stroke is something, which only strikes old people. However, this is not correct. In fact, there is quite a bit of trouble can be caused if this opinion is held and people allow themselves to not care enough about their health using this as justification. Statistically, up to 15% of the cases of stroke in a country such as India occur to people who have not even reached the age of 40. Surprising and scary at the same time, isn’t it?
- Kidney problems: When people think of lifestyle diseases, they most likely think of problems, which are related to the heart. While it can be said that a heart attack on account of bad lifestyle choices has the highest visibility, even parts of the body, which are rarely thought of like the kidneys, can kick up trouble in the form of nephritis. So, what exactly happens when a person has nephritis? Simply put, the kidneys swell up and this causes a lot of pain, which could have been avoided with a reasonable amount of foresight and effort. When this occurs, kidneys create trouble when they need to perform their primary function of purifying blood and complications related to the kidneys can really have a magnified impact on other parts of the body.
- Heart disease: Finally, addressing the elephant in the room, when it comes to lifestyle diseases - heart disease. Around 31% of people who die every year worldwide fall prey to it and the main culprits behind heart failures include smoking, diabetes, and very high cholesterol levels.
Your genetic background influences where your body fat is stored. In case your mother or father has fat stored in the abdomen, hips, waist or in the thigh, it is likely for you to develop deposits of fat in the same regions.
Circumstances of genetic fat
1. You may have a proper or a balanced BMI (body mass index) but still tend to develop bulges in areas, which are likely to make you look disproportional.
2. You may become obese by development of excess fat accumulation in the lower abdomen region, referred to as pannus. Extra fat may accumulate in your lower back and hips as well, which cannot be lost in spite of taking weight losing measures.
Liposuction to get rid of extra fat
Liposuction is a cosmetic surgery that allows you to remove genetic fat or any extra fat from the body, in order to change the body's shape. Liposuction does not remove cellulites and tightening of loose skin cannot be done.
Liposuction removes excess fat from the body by suction. Small, narrow tubes with blunt tips known as the cannulae are inserted through incisions in the skin surface. The tubes are moved under the skin to target the suction of fat deposits.
There are several types of liposuction techniques.
1. Tumescent liposuction: In this form of liposuction, a wetting solution such as lidocaine with a local anesthetic is injected into the patient before surgery. This causes the shrinking or constriction of blood vessels due to which it allows liposuction to be performed while the patient is under local anaesthesia. Blood loss and post surgical pains are reduced.
2. Suction assisted liposuction:This mode of liposuction also known as SAL is the most primary form of liposuction. It involves drawing out of fat using a vacuum.
3. Power assisted liposuction: This liposuction technique called PAL in short involves the process of SAL with an extra tool for increasing the motion of the cannula. The process is faster.
4. Ultrasound assisted liposuction: This process (UAL) involves the transmission of energy via a specialized hand piece for loosening and melting of fat. A greater volume of fat can be removed via UAL. VASER is a variation of the UAL method where an ultrasonic cannula with grooves helps in energy disruption to improve removal of fat.
5. Laser assisted liposuction: LAL is a newly developed liposuction technology where a laser works like an ultrasound for disruption and removal of fat cells. This mode is more efficient and involves less trauma.
Liposuction is an effective way to remove unwanted, genetic fat from your body, which may be harming your body image. However, liposuction is associated with severe side effects.
If you are suffering from trichomonas vaginalis, it is important for you to know about protecting yourself against this condition. Trichomoniasis is a sexually transmitted disease (STD) that is caused by an organism known as trichomonas vaginalis. This disease is more common in women than in men. Men too can get infected and pass on the infection to their sexual partners.
Signs & Symptoms-
Up to half of infected men and women will not have any signs or symptoms at all. Signs and symptoms usually show up within a month of coming into contact with trichomonas. You might notice:
- Soreness, inflammation and itching in and around the vagina. This can cause discomfort when having sex.
- A change in vaginal discharge – there may be a small amount or a lot, and it may be thick or thin, or frothy and yellow. You may also notice a strong smell that may be unpleasant.
- Pain when passing urine.
- A discharge from the penis, which may be thin and whitish.
- Pain, or a burning sensation, when passing urine.
- Inflammation of the foreskin (this is uncommon).
A physical examination and certain laboratory tests are carried out for the diagnosis of trichomonas’s. Tests are carried out on a sample of the vaginal fluid to find out disease-causing parasites. It is harder to detect the parasite in men, than in women.
Commonly, a certain oral antibiotic is prescribed for treating trichomonas’s. It is the only medicine used for this purpose, but should be avoided by pregnant women. If you are infected, your partner should also be treated at the same time for the prevention of reinfection and further spreading. If you are undergoing treatment for trichomonas’s, it is advised that you avoid having sex until the treatment gets over and all symptoms get eliminated. You should take your medicine even if you improve and after the symptoms are gone. A retest should be carried out after three months to know about the infection’s status.
You can prevent or protect yourself from trichomonas’s vaginalis by taking the following steps:
- Have protected sex by using condoms every time.
- Sexual abstinence or limiting your sexual contact to one partner is recommended.
- Avoid sexual contact if you think you are affected.
You should consult a doctor on experiencing any genital symptoms such as burning urination, discharge, and the development of sores or rashes. Also, you must stop having sex with anyone after experiencing these symptoms.