Book Clinic Appointment with Dr. Hardik Shah
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Treatment of No Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Birth Control Treatment
Treatment of Painful Sexual Intercourse
Treatment of Pregnancy Symptoms
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Cervicitis
Submit a review for Dr. Hardik ShahYour feedback matters!
Patient Review Highlights
Dr. Hardik Shah provides answers that are very helpful. My AMH was 0.37 and FSH was 16.5 before two months but last month my FSH was 1.3 so doctor suggested to have M-torr 800 tablet for stabling the FSH along with accupuncture
I found the answers provided by the Dr. Hardik Shah to be very helpful. Thank you Doctor ji
Dilation and curettage procedure which is commonly referred to as D&C is a minor surgical procedure where the cervix is dilated while a special instrument is used for scraping out the lining of the uterus. It is important to know what you can expect before, after and during the process so that you can stay ahead of unnecessary worries and help the process to be smooth and fruitful.
When do doctors recommend dilation and curettage process?
You may be required to undergo the dilation and curettage procedure for one of many reasons. It can be used for removal of tissues in the uterus during or after an abortion or miscarriage or to remove little pieces of placenta after delivery. This process aids in preventing infection as well as heavy bleeding. On the other hand, it can help in diagnosing and treating abnormal uterine bleeding including polyps, fibroids, hormonal imbalances and even uterine cancer. A sample of the tissues in the uterus is tested under a microscope to check if there is any abnormal cell present.
What can you expect during the dilation and curettage process?
The D&C procedure is a minor one and takes about 15 minutes even though you will have to spend about 4 to 5 hours in the healthcare facility. Before the procedure, your doctor would check complete history, and at this point, you should tell your doctor if you suspect that you are pregnant, you are sensitive to latex or any medicines or if you have a history of bleeding disorders. You will then be given anesthesia so that you don’t feel any pain or discomfort during the procedure. Before this procedure, you will have to empty your bladder.
The D&C procedure comprises two main steps, dilation, and curettage.
Dilation involves opening of the lower part of the uterus or the cervix for allowing insertion of a slender rod. This is done to soften the cervix so that it opens and allows curettage to be performed. Curettage involves scraping of the lining and removal of the uterine contents with the help of a spoon-like instrument known as a curette. This may cause some amount of cramping, and a tissue sample would be taken out for examination in the laboratory.
After the completion of the procedure, you may experience slight bleeding and cramping. In some rare cases, adhesions or scar tissues may start forming inside the uterus, and this condition is termed as Asherman’s syndrome which can cause changes in the menstrual cycle along with infertility. This problem, if arises, can be solved with the help of surgery and therefore, you should report any abnormality in your menstrual cycle to your doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!
Infertility is a medical condition in which the patient fails to conceive after one year of having unprotected sex. It is advisable that women who are above 35 years of age and often experience irregular menstrual cycles should consult a doctor on being unable to conceive within six months.
Is infertility a common issue?
Infertility has become a common problem for the new age women. Sedentary lifestyle and stress are believed to hamper the fertility of women nowadays. According to a report, about 6 percent women in US in the age group 15-44 years are infertile.
Infertility: It’s not just a woman’s problem
Infertility is not an issue with only women. Both, men and women can be infertile or are responsible for the condition. The process of reproduction requires mutual co-operation from both sexes. Therefore, they can together contribute towards infertility as well. It is wrong to blame the woman only. According to the 2002 National Survey of Family Growth data, it has been found that about 7.5 % men in the age group of 18-45 years (who have has sexual exposure) visited infertility clinics at least once in their lifetime. Of these men, about 18% were affected with male-related infertility issues.
Infertility in men: Men can suffer from infertility due to various factors. The infertility can be detected by analysis of the semen. A doctor can evaluate the concentration of the semen or determine the sperm count, the mobility of the sperm and its shape or morphology. These are important for fertility. Semen analysis can be hampered due to the following conditions:
1. Varioceles - The veins on the man’s testicles are unnaturally large and leads to overheating of the sperms
2. Diseases like diabetes, cystic fibrosis, trauma and infection.
3. Unhealthy lifestyle
4. Environmental toxins
Infertility in women: Women must have proper functioning of the reproductive organs to become fertile. The fallopian tubes, ovaries and uterus must be physically and physiologically fit for getting pregnant. A woman may get infertile due to following reasons:
1. Irregular periods that suggests the woman is not ovulating properly.
2. Polycystic ovary syndrome (PCOS)
3. Functional hypothalamic amenorrhea (FHA) or excessive physical or emotional stress causing missed periods
4. Diminished ovarian reserve (DOR) or inability of the ovary to produce sufficient eggs
5. Premature ovarian insufficiency: The ovary stops functioning properly before 40 years of age
6. Blocked, swollen or open fallopian tubes
Menopause is a condition that marks the end of the menstrual cycle. It is a normal phenomenon that women experience with age. Menopause affects the bone health adversely. Bone health is directly tied to oestrogen, the hormone responsible for reproductive cycles, pain sensitivity. As a woman moves out of her fertile years there is an internal change in the reproductive system and the consequences can be seen and felt all over the body, including the bones.
The years just preceding menopause, with their hormonal fluctuations can set the stage for later health issues like bone weakening. As the oestrogen level drops, the bone density starts to decline which continues for a long period of time. The bone loss can become significant during perimenopause (the decades making up to menopause) and will speed up in the first few years of menopause.
The oestrogen level directly affects the process known as bone remodelling; the constant breakdown and the remodelling of the bone in the skeleton. With less oestrogen in the body cells called osteoclasts are able to absorb bone at a faster rate than osteoblasts (bone-building cells) are able to regenerate new bone. Thus the bone remodelling equation is no longer equal and the bone density continues to decline.
The osteoporosis risk after menopause is a serious one, yet so many women refuse to pay it much attention. Perhaps it’s because the bone damage isn’t visible, or that bone loss continues so gradually for so many years. While the bone loss cannot be completely halted, there is plenty that can be done to slow it down. Here are some ways to take care of your bone health before or after menopause.
- Stay active: Adopting an active lifestyle after menopause helps in protecting the bones. It's recommended that adults between 19 to 64 years of age should do moderate to intense activity. This could include activities such as cycling or brisk walking. Sitting for long hours should be avoided. Weight-bearing exercises and resistance exercises are particularly important for improving bone strength and helping to prevent osteoporosis.
- A balanced healthy diet: A healthy, balanced diet that includes calcium and vitamin D will help maintain healthy bones after the menopause. Good sources of calcium include green, leafy vegetables (but not spinach), nuts, seeds, dried fruit, tinned fish with the bones in, and dairy products like milk, yoghurt and cheese. Good food sources of vitamin D include oily fish, eggs, and fat spreads or breakfast cereals
- Hormone replacement therapy: HRT can be an effective treatment for common menopausal symptoms like night sweats, sleep disturbance and achy joints. It works by replacing oestrogen, which naturally begins to lower post menopause. HRT can also help to maintain bone density and reduce the risk of osteoporosis.
In case you have a concern or query you can always consult an expert & get answers to your questions!