Doctor in Eswar Women & Day Care Hospital
Management of Abortion
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
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Hi, Mane meri wife ke sath bina protection sex kia tha uska period time 16 july tha par abi tak period nahi aa check kiya to negative aya? kya karn ho sakta hai?Please suggest.
Hello, about 4 weeks back during sex the condom was broken and I am very scared right now.Please suggest.
Her vagina is itchy and there's white odourless discharge too. Her left labia is swollen and hanging down and she is experiencing mild pain and a mild burning sensation whenever she pees. Whats happening to her? And how do we cure it? Ps she had unprotected sex 2 months before.
More than half of the women who menstruate, tend to go through pain from period cramps for a day or two every month. During the menstrual cycle, the uterus contracts to remove its coating or lining. Hormone like substances, called prostaglandins, which are the cause for pain and aggravation, trigger the uterine muscle contractions. More elevated levels of prostaglandins are linked with more severe menstrual cramps.
While menstrual cramps, additionally called dysmenorrhea, are normally not an indication of a highly serious health condition, they can act as barriers in your daily lifestyle. To help with the pain, here are five things that may offer some relief. In case your period cramps appear to be extreme or you do not get help even after attempting some of these choices, check with your specialist for the required medication or treatment. Five ways to prevent severe menstrual cramps are:
- Exercise: A regular walk or any sort of physical movement can relieve you from the abdomen and thigh pain. This discharges endorphins to balance the prostaglandins and diminish your cramps. Exercising a little three to four times each week is useful for the general strength of your body.
- Apply a heating pad: Warmth unwinds the contracting muscles in your uterus, which is the reason for your pain. There are a number of over-the-counter warming pads and cushions, or electric, reusable heating bags.
- Drink chamomile tea: Certain teas may calm menstrual cramps. Teas have been used traditionally and can offer relief from pain. Chamomile tea is one of the most effective teas among many others. It tends to increase the hippurate element in your body, which is a natural anti-inflammatory agent. Mitigating agents diminish the prostaglandin formation in the body, accordingly assisting in pain relief from menstrual cramps.
- Improve your diet: Vitamin D is vital in decreasing menstrual cramps. Decreasing your fat intake and eating more vegetables as a part of your diet may ease the pain. Low-fat food and less carbs help your health by and large, even as they can have an obvious impact on menstrual issues. Swap less solid fats like the saturated fats found in junk food, for more healthy ones like unsaturated fats found in olive oil. Getting more dietary magnesium appears to relieve the pain as well. Magnesium directs better nerve and muscle functioning, among other crucial functions.
- Massage with essential oils: Using certain sweet-smelling oils and massaging them can likewise soothe menstrual pain. Dilute lavender, clary sage, or marjoram to a three percent concentration in an unscented cream. The duration of pain can be lessened from two and a half to one day after self-massaging with these essential oils.
Ultra sound is commonly known as sonography. It is a process of reproducing ultrasound images of soft tissues of a particular body part and other organs on the computer screen with the help of the echoes of the sound waves produced by the transducer, a high-frequency generating instrument.
Ultra sound is commonly used during the different stages of pregnancy to denote the foetal health, date of delivery, birth defects etc. However, in recent times, the ultra sound has also been associated with the diagnosis of other body parts such as the eyes, heart, gall bladder, liver, ovary, uterus, kidney, uterus, testicles, and ovaries. Ultra sound has also been useful in conducting biopsies for suspecting cancer patients, although not all of the cancers are detected by this imaging process. 3D & 4D ultrasound imaging are useful for looking at a particular body portion with much more precision and in slow motion respectively.
The advantages of ultra sound are:
1. The process of ultrasound imaging is a painless and a fast one. It does not require any insertion of needles or similar objects to denote the problems of the concerned body part.
2. The process is more convenient as compared to other similar imaging processes like MRI, mammogram and x-rays as they can capture images of the soft tissues, blood flow & cysts more clearly than the other processes.
3. The process is free of any harmful effects as there are no chances of exposure to radiation as compared to similar processes such as CT scans or X-rays.
Vaginal bleeding is something that most women experience between their periods when they are not due for a menstrual cycle. It is considered as an abnormal occurrence when you bleed before you are expecting your menstrual period, or after you are done with your monthly cycle. It is usually characterised by bouts of spotting where a thick brown reddish discharge may be experienced. Also, this kind of bleeding is considered abnormal if it occurs during pregnancy or menopause.
Here are a few causes of abnormal vaginal bleeding:
- Hormones: An imbalance in the hormones like the estrogen and progesterone can lead to abnormal vaginal bleeding. These are the hormones that help in regulation of the monthly menstrual cycles. An imbalance can occur due to side effects caused by birth control pills that may not suit the individual, a contraceptive patch, or even contraceptive implants and injections. Further, an intrauterine device may also be the cause for this kind of bleeding. The hormonal balance can also get affected due to internal ailments like a dysfunctional thyroid gland and ovaries.
- Pregnancy and Delivery: Some amount of spotting is considered normal in the first trimester of one's pregnancy. Yet, severe bleeding and persistent spotting must be reported to the gynaecologist immediately. Women also bleed for a while after the delivery of the baby, in the post-partum period. This may also happen when an abortion takes place as the uterus may not have come back to its original size and due to remaining foetal tissues within. Complications during the pregnancy like an ectopic pregnancy or a miscarriage can also lead to such kind of bleeding. An ectopic pregnancy is one where the egg gets implanted in the fallopian tube instead of entering and implanting itself in the uterus.
- Fibroids: Uterine fibroids are usually considered as non-malignant and non-cancerous growths within the uterus. These are common in many women who have gone through child birth. These fibroids can also cause some amount of bleeding and spotting.
- Infections: When there is an infection in the reproductive organs like the ovaries and uterus of the patient, there may be some amount of bleeding. An infection in this area can also cause inflammation, which is one of the primary causes of abnormal bleeding. This can also occur due to a sexually transmitted disease or STD, as well as painful intercourse and sexual abuse which can lead to scarring as well.
- Cancer: One of the least common causes includes cervical, ovarian and other forms of cancer.
Stress and diabetes can also cause abnormal vaginal bleeding in rare cases. It is best to see a doctor as soon as such bleeding takes place.
Shankhpushpi is a perennial herb. It is considered to be one of the most wonderful gifts of nature to mankind. It is a type of morning glory that belongs to the Convolvulaceae plant family. Its scientific name is Convolvulus Pluricaulis. The flowers are blue, pink or white in color, and are about 2mm – 5mm in size. They grows in rocky and sandy areas under xerophytic conditions and is mostly found in Bihar and Punjab in India. It is also seen in the deserts of the Sahara.
Importance: Shankhpushpi is a very important herb of Ayurveda due to its therapeutic benefits. It mainly takes care of the nerves by supporting a healthy brain and mind. It enhances brain power, improves memory and concentration and the ability to recall. When combined with other herbs, the formulations created can be used as treatments for schizophrenia, depression, epilepsy and aggressive behavior disorders.
Parts Used: Shankhpushpi is used as a paste in formulations, powder and tonic. The parts that are used for these are the leaves, flowers, stem, roots, seeds and ashes.
The Shankhpushpi plant has lots of health benefits as the whole plant is used for medicinal purposes
- Shankhpushpi syrup is very good for the brain development of children. It is effective if children take it regularly for three months. It improves their memory, learning, grasping power and intelligence. It should be given to them along with Bramhi, Sharkara, Nimbu Satva and water.
- It rejuvenates the nervous functions by promoting memory and concentration.
- It helps to relieve stress and calms the mind.
- It supports the blood flow to the brain.
- It treats fatigue, nervous debility and low energy level.
- A tonic made from Shankhpushpi works as a psychostimulant and tranquilizer.
- Drugs and tonics are used in hypotensive syndromes.
- It improves the balance and vitiation in kapha-vata-pitta doshas.
- It works as antioxidant and antacid.
- The herbal extract possesses spermatogenic properties, so it is used in cases of sperm debility.
- It treats ailments of the urinary system.
It is important to keep in mind that to get the best results, one has to use the best quality herbs in the right quantity. Shankhpushpi is a wonderful remedy for a number of problems.
Most women stay confused with the time of their ovulation. Couples who are sexually healthy and are in their 20s and 30s and are not using any birth control measures have 20% chances of getting pregnant. It is interesting to know that you have a high chance of getting pregnant at the time of ovulation. It is a small window period that comes each month. It is the time when your ovary produces ovum or egg and the egg is open for fertilisation. Even if you are having sex two or three days before ovulation, there is a high possibility of fertilisation. After ovulation is over, the window period gets shut for the next cycle. It is the safe period. Though doctors say that it cannot be considered 100% safe to have unprotected sex during this period, the chances of getting pregnant are considerably lower.
When does ovulation actually start?
It should be remembered that ovulation takes place at the middle of your menstrual cycle. It usually occurs halfway through the cycle. Commonly, the average time period of a cycle is 28 days. But, in some cases, women may have cycles as long as 23 to 35 days.
How will you know that you are ovulating?
- Check your calendar: It is a healthy habit to keep a menstrual calendar. You must maintain the dates for a few months. This will give you an idea as to when you actually ovulate.It is difficult to know the actual time of ovulation if you are having irregular periods.
- Carefully listen to your body: It is a common thing that your body spontaneously sends a memo to you before ovulation starts. You get cramps or feel pain in the lower abdomen before ovulation starts. This pain is called mittelschmerz. It is a reminder of the coming periods.
- Chart your body temperature: Well, you will need to keep a record of your basal body temperature. You can measure it after three to five hours of sleep. Your basal body temperature changes throughout the monthly ovulation cycle. Progesterone hormone is responsible for the increase in body temperature. In the first half of the month, the progesterone levels are low and hence the temperature remains low as compared to the second half of ovulation.
- You can go for saliva test: Your saliva contains the estrogen hormone. Its level changes throughout the cycle. You can also use an ovulation detector kit to know the dates.
- One can also track the timing when there is increase in vaginal discharge which starts just before the ovulation and is there for 24 to 48 hours. We can easily notice this as it is intermenstrual.
Cervical cancer can throw life completely off balance. It is one of the most common types of cancer affecting women worldwide. Lack of an early diagnosis makes this life threatening condition almost untreatable. A Pap smear also referred to as a Pap Test comes as a ray of hope for many women.
A Pap smear is a screening test that plays a pivotal role in the diagnosis and detection of cervical cancer in women. A Pap smear may further be used to point out any abnormalities in the cervical cells which may have a potential to turn malignant in the future. Doctors recommend all women (between 21-65 years of age) to undergo a pap smear to be on the safer side. While most women are advised to repeat the pap smear between every 3-5 years, women with the following conditions or ailments should be extra careful.
- Women who are HIV positive or those with a weak immune system.
- Those who have undergone an organ transplant.
- Any woman whose pap smear indicates the presence of precancerous cells.
- Women who had chemotherapy sessions.
The above mentioned conditions do not necessarily imply a 100% probability of cervical cancer. Consult your doctor and follow the necessary advice and precautions.
The procedure involved in a Pap smear
The Pap test is not a very tedious process and is often carried out in the doctor's clinic itself. The person to undergo the test is made to lie down on her back (the knees should be in a bent position). The physician then carefully inserts a speculum into the vagina. The main idea is to widen the vaginal walls so that the doctor can have a clear view of the cervix. Next, using a spatula, the doctor will collect samples of your cervical cells and send it for examination.
The significance of the Pap smear result
- A negative test indicates a healthy cervix with no precancerous cells.
- A positive result can, however, have many implications, such as there can be a condition known as dysplasia (minute alterations in the cervical cells). There may be some inflammation. However, the condition may be nothing to lose your sleep over. In many women, the condition heals by itself. A thorough investigation, (colonoscopy followed by a biopsy) may be needed if the problem persists for long.
Further, there can be
- Squamous intraepithelial lesion: This, unfortunately, indicates the presence of precancerous cells.
- Squamous cell cancer: As the name suggests, this more than often, confirms the presence of malignant or cancer cells.
- Atypical squamous cells of undetermined significance: Here the squamous cells appear very flat and thin, growing on the cervical surface. The condition may not necessarily indicate something serious. The person concerned may require further tests for a better interpretation of the condition.
A Pap smear is for your good. Go for a Pap smear and also encourage women in your circle to indulge in this healthy practice.
An in vitro fertilisation procedure carried out to counter the problem of male infertility is Intracytoplasmic sperm injection. Male infertility factors include poor quality of sperm, low sperm counts, poor sperm movement or the disability to penetrate an egg. Azoospermia is one such rare condition wherein there is no sperm in the semen. Through this injection, a single sperm can be injected into the egg directly. The fertilised egg is placed into the woman’s uterus or the fallopian tubes. The first successful birth using this procedure was on January 1992 after the conception took place in April 1991.
Sperm can be collected from the male through masturbation. If this procedure somehow fails then sperm can be removed through a surgery. Using a small incision, sperm can be withdrawn from the testicle and is used in the procedure. If the ejaculation of sperm is prevented due to a blockage or if the problem arises in the development of the sperm, surgery method is used.
Injecting the sperm
This is performed through the following steps. A specialised pipette or a glass tube is used to hold the egg, a single sperm is picked with the help of a sharp and delicate needle, the needle is then inserted carefully into the cytoplasm of the egg through the egg shell, then the sperm gets injected into the cytoplasm and the eggs are checked to see whether they have been adequately fertilized.
After this process is done, eggs which are fertilised successfully are selected and placed into the uterus with the help of a catheter. The number of embryos an individual needs to transfer is determined depending on the age of the person and other health issues. For this purpose, a thorough full body check-up is carried out and the medical history is checked during the preliminary consultations.
Expectations from the treatment
The treatment of fertilisation using an Intracytoplasmic sperm injection can be demanding, both physically and mentally for the woman (mother). An individual has to go through regular shots and monitoring including blood tests. There are moments when the shots can be painful for the woman undergoing the procedure.
The reason behind the procedure
When a male is having severe infertility issues, the method of ICSI is helpful. There are times when very little sperm or no sperm ejaculation, the eggs can be fertilised through this procedure. Testing of an embryo for genetic problems is also accomplished through this procedure. When in vitro fertilisation or IVF does not work even after trying repeatedly, then couples can undergo the treatment using ICSI.
When ICSI is used along with better quality eggs, it is seen to be successful on many occasions. Especially for men who have sperm ejaculation issues.