Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Dilatation And Curettage (D C) Procedure
Proton Therapy Treatment
Preimplantation Genetic Diagnosis (Pgd)
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Ovarian Ablation Procedure
Treatment Of Female Sexual Problems
Egg Donation Procedure
Treatment Of Menstrual Problems
Treatment Of Menopause Related Issues
Treatment of Polycystic Ovary Syndrome In Adolesce
Pre And Post Delivery Care
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One of the silent diseases in the female population, endometriosis can be symptomless for years and sometimes even decades, but can sometimes manifest itself quickly. The uterus is lined on the inner side by a tissue known as endometrium. When this tissue is found in other parts (fallopian tubes, abdomen, near the ovaries, etc., it is known as endometriosis.
Causes: The exact cause for endometriosis is not clear. There is a possibility that during the regular period, there could be spilling of the tissue back into the fallopian tube, from where it reaches the ovaries or other organs and gets implanted.
There are certain predisposing factors for a woman to develop this condition, including genetic correlation and non-menopausal women. The female hormone estrogen is essential for the development of endometriosis. There are also immunological reasons attributed to the development. It can range from minimal to mild to moderate to severe.
Symptoms: From being completely benign to causing severe pain, endometriosis can present itself in varying ways. The implanted tissue can be minimal like a small lump to large clumps. The symptoms are not dependent on the size of the implanted tissue, however,
- Painful menstruation: One of the most common causes of non-menstrual cramps, the pain is different from usual menstrual pain, starts a few days before the period and can last up to after the period.
- Pelvic pain: One of the most common causes of pelvic pain, this can happen wherever the implanted tissue is. In severe cases, this tissue can also bind different organs, forming what are called adhesions. The bladder or the bowels may adhere to the uterus. These are more painful than individual lumps of tissue outside the uterus.
- Intermenstrual bleeding: There could be spotting to severe bleeding between the regular cycles.
- Painful sex: There is a deep pain within the pelvis and it can lead to losing interest in sex.
- Infertility: The most severe symptom and complication is not being able to become pregnant.
Diagnosis: A detailed patient history, discussion on symptoms followed by ultrasound and laparoscopy can help in diagnosing endometriosis.
Treatment: If there is no symptom and fertility is not an issue, then it is possible that no treatment is required. However, depending on symptoms and complications, the following are done.
- If pain is the only main problem, painkillers are administered
- Surgical treatment may be required if there is severe bleeding and adhesions complicating the situation.
This will also relieve other symptoms:
- Hormone therapy is also an option for treating endometriosis.
- If you are having pelvic pain and irregular bleeding, bring it up with your doctor. Even if it is not endometriosis, a thorough check up will put your mind at rest. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Doctor I had sex on 11 march in morning and after 5-6 hrs I had unwanted 72 tablets. Doctor I had athletic meet so I rab on 15-16th march. Now I am sensing red discharge today. Doctor also my last period ended on 7th march. Do I need to take pregnancy test?
Pregnancy is that situation in a woman’s life when she is expecting her newborn, and her body is preparing itself to support the baby in the womb. Gaining weight is a common problem and that may lead to complications during pregnancy.
Thus, when you are pregnant, it is necessary that you keep a check on your weight and see that obesity does not affect you or your baby’s health.
To control weight during pregnancy it is necessary that you
Keep check on diet and,
Keep a check on diet:
During pregnancy, you will get lots of suggestions from everybody about what to eat and what not to. Even you too will feel like eating this and that. What you should follow is what your doctor suggests. You need to be very careful about the food that you eat. There should be proper diet. The following tips will be useful.
Do not eat junk food as they contain oil and sugar that increase your weight. Thus, avoid junk food.
Do not keep your stomach empty, keep eating after some time and eat in small portions. Instead of having three main meals it is better to have five to six meals in small portions. These light meals will help you get the required amount of nutrients and energy but will not be heavy on the sugar level.
Go for a healthy breakfast. There is a common belief that skipping meals will help you reduce weight, but the fact is that you do not lose weight, instead when you skip meals you feel hungry and in the meal that you take later, you tend to eat more. Thus, choose and eat a healthy breakfast that is good for your baby. It will also help you cope with morning sickness.
Drink enough water. It is necessary that you keep your body hydrated during pregnancy. Lack of water is not good for the baby. Moreover, if you drink enough water, you will feel refreshed and even kill extra appetite.
There is a misconception that during pregnancy, you should not exercise. You need full rest. The truth is that exercising will increase the blood flow within your body that is good for the baby. Yes, for morning sickness you may not be able to do exercises but try to do some under proper supervision.
Still, if you find that you are gaining excess weight, then consult your physician.
The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.
One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-
Disruption in the complex hormonal balance.
Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.
Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.
Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.
A rare case of premature menopause.
Problems of the follicle.
Poor functioning of fallopian tubes
Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-
Infection caused by bacteria or viruses
Abdominal diseases like colitis and appendicitis
Previous pelvic or abdominal surgeries.
A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.
Rare congenital defects in which women may be born with tube anomalies.
This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.
Other additional factors may include:
Behavioural factors like personal habits, lifestyle and health factors.
Exercise and diet- extremely overweight or underweight women may have problems in conceiving.
Cigarette smoking reduces the chances of conceiving by one-third.
Alcohol increases the chances of birth defects.
Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.
I had undergone laparoscopic surgery on 8-3-17 and doctor had removed my left Fallopian tube as it is filled with water and send it for medical tests. The doctor told me that my right Fallopian tube is perfectly alright and I can get normal pregnancy with one Fallopian tube. Is the chances of conceiving decreases with one Fallopian tube.
My age 37 year old have low amh 1.02 Dr. Says donor egg go with ivf. But I want own eggs is it possible success with low eggs. If I get donor eggs baby looks like as me or donor mother sms match. I tried natural for 10 years but not conceived can I go with ivf with my own eggs.
Doctor, I am on progesterone tablets frm cd 19 10 mg twice a day. I ovulated between cd 20 amd 23 did a scan and there was POD fluid present. I was due on march 2nd but on 1st I was spotting brownish red few drops just once in a day if I run around too much or press on my abdomen. I have PCOS. Also I have watery cm today. Could this be implantation bleeding or impending periods? Could still be pregnant? Should I continue the duphaston tablets? And wait til 14-16 dpo.
Vulvovaginal candidiasis refers to the infection of the vagina, accompanied by itching in the vulva. It is caused by a particular strand of yeast known as candida albicans. There are several reasons which contribute to the onset of vulvovaginal candidiasis, some of them are:
- Pregnancy: Pregnancy is a time when the body of a woman undergoes a plethora of changes. With the upsurge of certain hormones, this is also the most potent time when they tend to suffer from vulvovaginal candidiasis.
- Higher dose of estrogen: Estrogen is responsible for maturing the vagina as well as provides glycogen which facilitates the growth of candida albicans. Subsequently, older and younger women, who are less prone to estrogen disorder, suffer the least from vulvovaginal candidiasis.
- Uncontrolled diabetes: Those women who suffer from uncontrolled diabetes for a long period of time are more susceptible to vulvovaginal candidiasis. Although the accurate reason is yet to be known, according to research, the presence of excessive glucose in the blood triggers the production of yeast in the vulva and the vagina.
- Weak immune system: A strong immune system is a boon which only few people enjoy. Consequently, the very reverse, a weak immune system is extremely fatal, one that invites several complications; vulvovaginal candidiasis being one of them.
- Stress: Excessive stress and exhaustion may also be considered as a probable reason that causes imbalance in your system.
- Hormone replacement therapy: Estrogen is commonly held as a possible culprit that causes vulvovaginal candidiasis. Therefore in those hormonal replacement therapies, where estrogen is artificially administered into the body significantly increases the risk of an impending vulvovaginal candidiasis.
In spite of its frequent occurrences, it is possible to treat this infection. Some of the ways by which it can be done are:
- Anti-fungal cream: Those creams which negate the growth of fungus are, for obvious reasons considered as the most preferred choice to combat vulvovaginal candidiasis. There are plenty of anti-fungal creams available in the market, which can be misleading, therefore you must choose wisely.
- Diflucan: This medication works wonders in treating vulvovaginal candidiasis. This must be orally administered under the doctor's supervision to enjoy the results. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Are you experiencing high blood pressure or hypertension during pregnancy? Hypertension is a condition in which your blood pressure levels shoot up to a level, which may cause damage to the body. In case of pregnant women, hypertension may inflict damage on both the mother and the growing baby. You require a special care for dealing with hypertension during pregnancy, irrespective of the fact whether it develops before or after conception. Here are some important facts you ought to know about hypertension and pregnancy.
There are different types of high blood pressure issues caused during pregnancy.
- Gestational hypertension:Women Women with this form of hypertension have high blood pressure, which develops around 20 weeks of pregnancy. There is no sign of organ damage or the presence of protein in urine. Many women with gestational hypertension develop preeclampsia eventually.
- Chronic hypertension:Chronic Chronic hypertension is the high blood pressure condition which is present before pregnancyor or it may occur before 20 weeks of pregnancy. It is hard to determine high blood pressure as it does not have prominent symptoms.
- Preeclampsia: This is a pregnancy complication featured by high blood pressure along with signs of damage to other organs of the body. This happens from chronic high blood pressure and gestational hypertension. It usually sets in within 20 weeks of pregnancy. If untreated, preeclampsia can lead to several serious complications to the mother and the baby.
- Chronic hypertension with superimposed preeclampsia:This This condition is likely in women with chronic blood pressure being present from before pregnancy. During pregnancy, women with this condition develop worsened high blood pressure and protein content in the urine. Other health complications are also indicated.
Risks of high blood pressure during pregnancy
High pressure during pregnancy is associated with several risks. They are as follows:
- Decreased flow of blood to the placenta:When When the placenta does not receive sufficient blood, your baby will be deprived of enough oxygen and nutrients. This might cause slow growth, premature birth or low birth weight in your baby. Prematurity also causes breathing trouble in the baby.
- Placental abruption:Preeclampsia Preeclampsia increases the risk of placental abruption, where the placenta gets separated from the inner uterine wall before delivery. Severe cases of placental abruption lead to placenta damageand and heavy bleeding.
- Premature delivery:In In some cases, early delivery of the baby has to be carried out for preventing some life threatening conditions.
For reducing the risk of complications caused by hypertension during pregnancy, it is important for you to consult a doctor regularly throughout pregnancy. You should take blood pressure medicines prescribed by a doctor in the most suitable dosage. You should also stay active, follow a healthy low sodium diet and stay away from smoking, alcohol and substance abuse
What is erythroblastosis fetalis?
Erythroblastosis fetalis is also known as haemolytic anaemia in the newborn. This occurs due to blood incompatibility in the mother and foetus. Due to this incompatibility, the antibodies present in the mother’s blood, will pass through the placental barrier and attack the blood cells of the foetus. This will lead to the destruction of the red blood cells of the foetus and it is likely to cause anaemia in the foetus. This condition varies from mild to very serious. In its moderate or severe stage, the erythroblasts or immature red blood cells are formed in the blood of the foetus and this disease is called erythroblastosis fetalis.
Why does it happen?
The two main causes of erythroblastosis fetalis are Rh incompatibility and ABO incompatibility.
- Rh Incompatibility: When the mother is Rh –ve and the father is Rh +ve, there is a good chance for the baby to be Rh +ve. The antigens present in the blood of the Rh +ve baby will behave like a foreign agent and the mother will produce antibodies against it. If it is the first pregnancy, then the child may not be at risk, however, if the second child ends up being of +ve blood group again, then the antibodies present in the mother’s blood will attack the baby and may result in a spontaneous abortion.
- ABO Incompatibility: This usually occurs when the mother’s blood group A, B, O does not match the baby’s. This causes fewer complications in comparison to Rh incompatibility, but it may be severe if the child has a very rare blood group.
How to avoid it?
It is a highly preventive condition. Firstly, you have not tested your blood group; it is advised to get it tested along with the blood group of the father. If you already know your blood group, then you must mention it to your doctor. If the father has negative blood group, then there will be no problem. However if the father is Rh positive, then it is advised to get routine tests done by the doctor.
The other preventive measure to take is a treatment called RhoGAM or the Rh immunoglobulin. It reduces the reaction of the mother to the baby’s blood cells. This shot is administered around the 28th week of the pregnancy. It is also administered 72 hours after the birth of the baby with the positive blood group. If you wish to discuss about any specific problem, you can consult a pediatrician.
Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.
Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.
The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.
Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.
The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.
Ways to Increase Fertility
If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-
- The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
- Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
- Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.
Talk to a Doctor
If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.
If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.
The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.
Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.
The decision to try again is not an easy one. However, fertility won't typically be an issue.
Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with pregnancy if you happen to have diabetes.
Complications: Pregnancy with diabetes can cause severe complications if the blood sugar levels are not controlled properly before pregnancy. This can cause the diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby’s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.
Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman’s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.
Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.
Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.
Sir mene meri girl friend ko 25 tarik ko without condom intercourse krne ke baad I-pill di thi. 26 ko fir se without condom intercourse hua tha toh kya vapas I-pill tablet lena chahiye kya. 26 ko sir menstrual cycle ka 7th day tha. Sir I am in very tension. Usko vapas I-pill deni chahiye ya nhi?
Everyone knows that a pregnant woman must eat a proper, well-balanced diet to allow normal growth of the foetus. But in many places, including India, nutrition of a pregnant woman is formidably influenced by food fads, religious and cultural beliefs, customs without any certainty about the myths and their real effects. This itself may pose a challenge to the available food choices during pregnancy where every trimester is different but interestingly significant. This span of nine months is really the most challenging period of a woman’s life.
Myth #1: Drinking coconut water regularly will cause the baby to have a good amount of hair and the mother to suffer from acidity.
Reality: A baby normally lays his or her head-down in the third trimester, and the acidity that you may suffer from is caused due to your growing belly. As a woman advances through her pregnancy, the uterus stretches itself and pushes the intestine upwards causing the process of digestion to slow down and is responsible for all the acidity and digestive issues that may even result in constipation.
Myth #2: Cut down the cheese content.
Reality: Cheese, as most people know, is a great source of Zinc, Calcium, Vitamin B12, Protein, Phosphorus and Vitamin A. Some varieties such as Swiss or cheddar are harmless because they pass through rigorous processing and pasteurisation. It is the soft and unprocessed kind of cheese like goat cheese, Feta or Brie, which may cause cheese-borne diseases. So it’s a good idea to eliminate the hard cheese instead of cutting down the cheese in totality.
Myth #3: Consumption of clarified butter while bearing the child eases delivery and helps in quick healing of the uterus during the post-partum period.
Reality: This is one of the most ludicrous food misconceptions related to pregnancy. Ghee or clarified butter neither helps in quick healing of the uterus nor eases childbirth. However, it is a saturated fat and definitely helps in the absorption of EFAs; so it is recommended to consume clarified butter in moderation during pregnancy.
Myth #4: Eating something white in colour early morning will help you give birth to a fair-skinned baby.
Reality: There is no reason to believe this absurd myth. Imagine if it was true, then all the milk and breads and egg whites would have turned everyone white by now. This is nothing more than an inane crap and the colour of the food a would-be mother consumes has nothing to do with the complexion of her baby. It is a matter of pure genetics.
There are countless myths and strange beliefs that you may have come across during pregnancy. So it is always suggested to speak with a gynaecologist to know more about foods and their effects.
My gf is 20 years old so is it legal for her to get abortion in India if she is pregnant? Still we not yet visited doctor. But in the case if it's so then is it legal to get abortion? Waiting for the reply. Please help me out.
Menopause is characterized as the absence of menstrual periods for 12 months. It is the time in a woman’s life when the ovaries stop functioning. The periods then stop forever. The normal period of menopause is 51 years of age, however, menopause may happen as ahead of schedule i.e. as early as 30s or as late as the 60s. There is no solid lab test to determine when a lady will encounter menopause. Here are a few ways in which menopause affects a woman’s body:
Skin: Consequences of menopause include dryness, loss of flexibility, thinning of the skin and expanded wrinkling. These symptoms result in poor recovery from injuries, hair loss and pigmentary changes. Unwanted hair growth and acne may likewise happen. Wrinkling is caused by excessive smoking and sun exposure. One should stay away from smoking and sun exposure.
Hair: Hormonal changes incorporate hirsutism (undesirable facial hair) or alopecia. Most ordinarily noted is the loss of scalp hair. Lower leg, pubic and axillary hair loss may also take place. Hirsutism is commonly noted on the face. Oral Hormone Replacement Therapy (HRT) may control facial hair in a few ladies. Medicines for expanded facial hair incorporate suing depilatory creams, delicate techniques for hair removal, laser treatment andante-testosterone medicines. Scalp alopecia might be treated with minoxidil.
Teeth: Menopause has been a cause for various dental/oral issues, including dry mouth and desquamative gingivitis. IHRT might be of advantage as a consequence of the part it plays in influencing oral bone and preventing the loss of teeth. The impacts of HRT seem to incorporate a reduction in bleeding and enhancing the flow of saliva.
Vulva and vagina: The genital tract is exceptionally dependent on estrogen and body changes during the menopausal time and post-menopause may incorporate vaginal and vulvar dryness. Vulval dryness may worsen other vulval skin conditions (e.g. dermatitis) bringing about aggravation. Staying away from cleansers and body washes on the vulva can dial down the aggravation and dryness. Contrasting options to cleanser incorporate sorbolene with glycerine or low-aggravation purifying balms and lotions.
Bladder: Urinary frequency and cystitis are very common around the time of menopause. Local estrogen creams may enhance incontinence in the short term, however, don't seem to do as such after treatment is stopped. Treatment for incontinence includes physiotherapy and even surgery.
Joints and muscles: Joint and muscle pain are regular symptoms during menopause. Exercise is vital to get rid of these side effects. Joint and muscle pain may improve with the utilization of HRT.
Weight changes: Between ages 45 and 55, ladies will gain a large portion of a kilo a year. This weight gain cannot be blamed on menopause entirely. The changes in hormonal status are connected with expanded body and stomach fat. This weight addition is connected with increased cardiovascular and metabolic hazard and changes in quality of life and sexual functioning.
Lifestyle measures: Your diet and eating routine need to be established to keep up a solid body weight and to have a healthy lifestyle.