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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
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I'm 30 years old male. How to increase sex drive. I'm loosing interest in sex. I regularly take cold shower.
Hii. I am 27. Earlier I had normal period, coming for 4-5 days. Bt flow is good on 1st day only other days its very less is it normal? I am gonna get married in January what should I do? Also I do exercise daily.
Hi I am 25 years old and I got married 10 months back. I was 5 months pregnant. Suddenly 1 week back I got severe pain near pelvic region early morning and when we reached hospital they said the baby moved till vagina and there is no chance of baby survival. I delivered male dead baby that day but his weight was 370gms and his formation was not good as his intestine developed outside his stomach. I got ultrasound scan at my mid 4th month but they said everything was good. I too didn't felt any abnormality. I used all medicines prescribed by my doctor without fail. It was a sudden abortion without any reason. The doctor said the cervix opened and baby reached till vagina. I want to why abortion happened and why my baby development was not not good?
What is the best time for sex and try to go for a child. What is the best way of making wife pregnant and best time to go for it? I have been trying for two three weeks.
I am newly married man. But when last night when I had sex with my wife she has deep pain in vagina during sex and I was not able to enter my penis in her vagina so we didn't do anything. It was hard for me but affecting our sex life. Please doctor suggest some medicines to make space in her vagina.
My wife had her period on due date. But lasted only for some hours. It is for the first time. Is it normal?
HI My wife suffering from Breathing problem,its not constant some times she faces this problem,what to do?
Condom broke during sex but there was no cum, took an ipill approx 40 hours after Intercourse Started a birth control pill approx 3 days after taking the ipill and had unprotected Intercourse exactly a week after the last intercourse again involved to cum inside the vagina Still 17 days to go for periods but there is vaginal bleeding Bleeding feels like the end of periods phase. Could this be implantation bleeding. Could I be pregnant?
With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.
Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.
Types of contraceptives:
* percentages mentioned within brackets are failure rates
It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.
Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts
Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.
It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Increased blood loss and duration of menses, increased dysmenorrhea
Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.
Indicated for: multiparous women greater than 35 years who smoke.
Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.
It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.
Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.
This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.
Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.
Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).
A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.
Hi i had got my last period on 2nd week of jan and after that i dindt get my periods i m getting cramps backache body pain and symptoms of pregnancy didnt do a pregnancy test as if now i also have hypo thyroid is it likely this symptoms are seen in thyroid due to which i missed my period or should i wait till 1st week of march for my periods i m nt on medicines for thyroid , what should i do please help me.
Hello doctor, I'm 39 years old married lady, I have lots of problem due to hormonal problem, pcod ovaries, hypothyroidism, ANA & DNA, R Factor positive. After 2 miscarriage I am not getting pregnant. please help me. My hypothyroidism is under control. But ana positive & pcod syndrome is not controlled. Suggest what can I do? I am taking thyronoms 75mg, mcbm 69, calcirol & ecospirin 75.
I had I pill 10 days ago. It was I think during my ovulation time. Till now I haven't got any withdrawal bleeding also I haven't experienced any side effects. Does that mean I am pregnant. Please help.
I got last periods on November 11th Till now didn't get any periods. I had pregnancy test 2 days back. And in the HCG test I observed one Dark line (C section), one very light color line (T section-result line). Is that mean am pregnant? From yesterday am observing light brown bleeding. Am confused? What to do now? Am feeling very tired even after eating. Have some light cramps in lower abdomen. Please suggest me what to do?
I hv a pcod problem. Im 25 yrs old. I got my periods after 4 months. Iv been seeing a pattern. I get it fr three consecutive months n then a gap of four months. Y so. Its difficult for me to get treated. Should I be operated. As I hav been told post that I shall get my cycles regularly.
The inability to conceive for a prolonged duration after trying to do so is usually termed as infertility. This is usually diagnosed when a couple is unable to conceive even after trying regularly, without any kind of contraceptives. There may be many causes and factors for this and it may occur in either or both partners. So, you all need to know the causes and treatment of infertility.
- Age: Age is a major factor that can lead to infertility for either partner. Usually, the trend now is to delay having a baby until a woman is in her thirties or even forties, in some cases. This has an adverse effect, particularly on the age of the maternal egg which may or may not be effective as far as fertilisation goes. With the advancement of age, one loses the guarantee of genetic normalcy of the egg as well.
- Disorders in ovulation in females: Ovulation is an essential function that helps in releasing the egg that needs to be fertilised when it comes together with the sperm at the time of ovulation. This usually occurs at a certain time every month. But disorders like PCOS or Polycystic Ovary Syndrome can lead to an inability on the part of the ovaries to release these eggs. The treatment for this includes medication that will help in maintaining more regular cycles for the release of eggs.
- Male factor causing Infertility: In many cases, it has been seen that anomalies in the semen analysis reveal problems of infertility with males as of low sperm count, low motility of sperm, low quantity of alive and active sperm when it comes to natural conception. In such cases, a sexologist can prescribe you medicines that will increase the semen production for better quantity and quality of the sperm. The doctor can also ask the patient to go through a number of lifestyle changes too includes abstinence from smoking and excessive drinking, as well as the cultivation of a less stressful environment. Hormonal treatment or even surgery may also required to help in some severe cases.
- Endometrial Polyps: In such cases, the female partner may develop finger like growths that can protrude in the form of tissue and come out of the uterine layer or the uterus. The removal of these polyps with the help of surgical procedures usually helps in such cases.
In many cases where mediation fails, the patients may have to go through IVF (In Vitro Fertilisation) or other such procedures to conceive a child with artificial methods. One must explore all options and find out the best one in terms of the infertility causes that the couple may be facing. You will also need to ensure that you have a well trained and experienced sexologist doctor who can help you with the process and guide you completely about the cause of problem and prescribe you best treatment to manage infertility at the right point of time.