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Maiya Multi Speciality Hospital

Gynaecologist Clinic

#34,10th Main Road, Jayanagar,1st Block. Landmark: Near Ashoka Piller Bangalore
1 Doctor
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Maiya Multi Speciality Hospital Gynaecologist Clinic #34,10th Main Road, Jayanagar,1st Block. Landmark: Near Ashoka Piller Bangalore
1 Doctor
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About

Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Maiya Multi Speciality Hospital
Maiya Multi Speciality Hospital is known for housing experienced Gynaecologists. Dr. S Nayar, a well-reputed Gynaecologist, practices in Bangalore. Visit this medical health centre for Gynaecologists recommended by 91 patients.

Timings

MON-SAT
05:30 PM - 07:00 PM

Location

#34,10th Main Road, Jayanagar,1st Block. Landmark: Near Ashoka Piller
Jayanagar Bangalore, Karnataka
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Management of Endometriosis

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Management of Endometriosis

When cells of tissues that are usually found lining the inside cavity of the uterus, start growing outside the organ, for eg over the ovaries/ fallopian tubes/ urinary bladder etc. it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, heavy bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

  1. Age
  2. Severity of symptoms
  3. Severity of the disease
  4. Future plans for children

Depending on these the doctor might opt for any of the following treatments

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
    • Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
    • Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
    • Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
    • Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
  3. Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
  4. Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
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Taking Medicines during Pregnancy: Safe and Unsafe Medications

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Taking Medicines during Pregnancy: Safe and Unsafe Medications

Normal pregnancy lasts for 38 to 42 weeks. However, there may be times during these weeks that you may have some physical issues such as vomiting, backache, and loose stools etc which require treatment with medicines.

Therefore, monitoring and managing these physical conditions becomes necessary to ensure a normal delivery. Management consists of both medicines and rehabilitation. Medicines are considered to be the first line of treatment; however, the health care provider needs to take care while prescribing medicines during pregnancy taking into consideration the harmful effects they can have on both – the mother and the foetus.  Medicines pass on via the placenta from the mother to the foetus. Hence, before prescribing any medicine the provider should check the possibilities of the medicine causing any congenital defect. You should avoid medicines from the time of conception till the first 10 weeks, as this is the time when the foetus is most prone to the get permanent congenital deformities. Medicines given in the later stages (after 10 weeks) may cause systemic damage. For example NSAIDs (Non Steroidal Anti-Inflammatory Drugs) may lead to problems during labour or organ defects in the foetus.

Therefore, medicines should always be avoided during pregnancy. Still there are certain medicines, which can be taken but after consulting your physician. Let’s discuss the medicines that are safe during pregnancy.

The following is a list of medicines and their effects during pregnancy:

1. Analgesic Medicines

Paracetamol Safe
NSAIDs, such as aspirin May cause heart abnormalities in the third trimester

2. Opiates 

Codeine Effective in low doses
Hydrocodone Effective in low doses
Hydromorphone Effective in low doses

3. Anaesthetics 

Etomidate Unknown always ask your provider
Ketamine Avoid during the last trimester
Lorazepam Avoid for severe conditions, safe for short periods

4. Thrombolytics - The possible advantages of this class may balance the risk during pregnancy. Common medicines used are: Alteplase, Reteplase, Streptokinase, Urokinase.

5. Antidotes

Hydroxycobalamin antidote: cyanide Safe
Methylene blue antidote: methemoglobinemia Has a potential risk to the mother and foetus

6. Penicillins

First generation: penicillin G, benzathine penicillin, Bicillin, penicillin VK Safe
Second generation: oxacillin, dicloxacillin, nafcillin Safe

7. Cardiac agents

Adenosine Safe
Digoxin Not advised in third trimester
Lidocaine Safe

8. Diabetes: Insulin is safe to use during diabetes.

9. Antacids

Famotidine Low risk
Ranitidine Safe

10. Corticosteroids: Advised for short term use

Cetirizine Almost safe
Chlorpheniramine Safe

Always talk to your physician in case of any complication and before taking any medicine given above.

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Safe and Unsafe Medications to Take While Pregnant

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Safe and Unsafe Medications to Take While Pregnant

Which medicines are safe to use during Pregnancy?

Normal pregnancy lasts for 38 to 42 weeks. However, there may be times during these weeks that you may have some physical issues such as vomiting, backache, and loose stools etc which require treatment with medicines.

Therefore, monitoring and managing these physical conditions becomes necessary to ensure a normal delivery.Management consists of both medicines and rehabilitation.Medicines are considered to be the first line of treatment; however, the health care provider needs to take care while prescribing medicines during pregnancy taking into consideration the harmful effects they can have on both – the mother and the foetus.  Medicines pass on via the placenta from the mother to the foetus. Hence, before prescribing any medicine the provider should check the possibilities of the medicine causing any congenital defect. You should avoid medicines from the time of conception till the first 10 weeks, as this is the time when the foetus is most prone to the get permanent congenital deformities. Medicines given in the later stages (after 10 weeks) may cause systemic damage. For example NSAIDs (Non Steroidal Anti-Inflammatory Drugs) may lead to problems during labour or organ defects in the foetus.

Therefore, medicines should always be avoided during pregnancy. Still there are certain medicines, which can be taken but after consulting your physician. Let’s discuss the medicines that are safe during pregnancy.

The following is a list of medicines and their effects during pregnancy:

1. Analgesic Medicines

Paracetamol Safe
NSAIDs, such as aspirin May cause heart abnormalities in the third trimester

2. Opiates

Codeine Effective in low doses
Hydrocodone Effective in low doses
Hydromorphone Effective in low doses

3. Anaesthetics

Etomidate Unknown always ask your provider
Ketamine Avoid during the last trimester
Lorazepam Avoid for severe conditions, safe for short periods

4. Thrombolytics - The possible advantages of this class may balance the risk during pregnancy. Common medicines used are: Alteplase, Reteplase, Streptokinase, Urokinase.

5. Antidotes

Hydroxycobalamin antidote: cyanide Safe
Methylene blue antidote: methemoglobinemia Has a potential risk to the mother and foetus

6. Penicillins

First generation: penicillin G, benzathine penicillin, Bicillin, penicillin VK Safe
Second generation: oxacillin, dicloxacillin, nafcillin Safe

7. Cardiac agents

Adenosine Safe
Digoxin Not advised in third trimester
Lidocaine Safe

8. Diabetes: Insulin is safe to use during diabetes.

9. Antacids

Famotidine Low risk
Ranitidine Safe

10. Corticosteroids: Advised for short term use

Cetirizine Almost safe
Chlorpheniramine Safe

Always talk to your physician in case of any complication and before taking any medicine given above.

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What Causes Chronic Nightmares? How It Can be Treated?

MD - Psychiatry, MBBS
Psychiatrist, Delhi
What Causes Chronic Nightmares? How It Can be Treated?

Chronic nightmares are caused by a lot of internal as well as external factors. It can cause sleep disorders and can affect your overall health. Some of the key reasons that contribute to chronic nightmares are mentioned below:

  1. Stress and anxiety: Anxiety can come in many forms. It can happen due to simplest of reasons such as moving to a new place to joining a new job, suffering from trauma to losing a close one in the family, etc. Stress as a result of these can lead to bad dreams and chronic nightmares.
  2. Media: Suspense shows or scary movies are also known to cause nightmares. Recalling visual imagery from a recently watched horror movie during sleep can appear in the dream without any intervention. The brain can create a sequence and produce imagery based on one’s recent thinking process.
  3. Depression: A Finnish Study showed that more than 28 percent who suffers from depression get nightmares at night. A negative mindset coupled with poor self-confidence can lead to chronic nightmares resulting in sleep disturbances.
  4. Traumatic experience: Any recent experience of surviving a natural disaster, violence in the relationship, major vehicle accident, are frequently linked with nightmares. More than 50 percent of the people with PTSD suffer from nightmares reveals the National Center for PTSD, USA.
  5. Drugs and Medications: People coming out from recent medication such as barbiturates, narcotics and antidepressants often suffer from hyperactive neurotransmitter leading to nightmares. Withdrawal from alcohol and recreational drugs are also known to be responsible for chronic nightmares.
  6. Snacking Before Bedtime: Often eating before sleeping triggers the metabolism and signals are sent to the brain to be more active than usual. Junk foods and spicy meals should be especially avoided to refrain from chronic nightmares.
  7. Inability to Relax: Inability to relax gradually builds up a basic level of underlying arousal process which later contributes more in further reaction towards stress.
  8. Conflicting Material: Any conflicting material which we are not aware of might lay embedded in our subconscious mind, which might contribute to repeated nightmares. 

So basic idea is to learn some relaxation technique and practice those. If the condition persists then it will call for a detailed assessment and may be some medication besides Psychological measures.

How to get rid of nightmares?

  1. Treat the underlying symptoms: It is important to identify the cause of the nightmares. Often stress, PTSD, anxiety and depression can cause nightmares. Once the cause is identified, medical help or self-help techniques can be employed to overcome it.
  2. Exercise: Exercise tires the body and relaxes the brain. From dancing to rock climbing, running to rowing, hitting a gym to brisk walking, one form of exercise should be daily practised to make sure you get sound sleep during the night.
  3. Talk to your doctor: If you are undergoing any medication that involves withdrawal, anxiety, narcotics, you should immediately consult a doctor about the effects of medicine. A doctor can either reduce the dosage of medicine or change the medicine altogether to address the problem
  4. Stress Reduction: Stress can be reduced by practising yoga and meditation. You can also take a hot shower before going to sleep to calm yourself down. A relaxed mind goes a long way in ensuring sound sleep during the night.
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Dislocation - What Can be the Reasons Behind it?

MBBS, MS Ortho, DNB (Orthopedics), Dip SICOT (Belgium), FISOC (USA), MNAMS (Ortho), FASM (Singapore)
Orthopedist, Chennai
Dislocation - What Can be the Reasons Behind it?

Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury. 

What can cause a dislocation?
The causes of dislocation are as follows:

  1. A body joint can get dislocated if you have suffered a fall.
  2. If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.
  3. Automobile accidents can also cause dislocation of joints.
  4. Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.


Understanding the signs and symptoms
In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be: 

  1. You might experience severe pain while moving the dislocated joint.
  2. There will be a lack of sensation near the dislocated portion.
  3. There might be a stinging sensation in the dislocated area.
  4. In certain areas you may not be able to move the joint at all

If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints. If you wish to discuss about any specific problem, you can consult an orthopedist.

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PCOD

BHMS
Homeopath, Lucknow
PCOD

Pcod means polycystic ovarian disease, in which multiple small cystic present in ovaries. 

Cause:-
1- hormone imbalance 
2- obesity
3- family history 
4- diabetes 
5- irregular menses 

Symptoms:-
1- acne on face
2- weight gain 
3- extra hair on face and body 
4- irregular period 
5- infertility 
6- depression 

 Treatment:-
1- losing weight 
2- quite smoking 
3- eat healthy food
4- exercise

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How To Boost Memory!!!

BHMS, DEMS
Homeopath, Pune
How To Boost Memory!!!

Hello there,
Memory problems are a quite common complaint, it is a fact that memory power diminishes with age, but when it incarcerates children and youngsters, it becomes something to seriously watch over. Mother nature has provided us with a number of power-packed natural foods. Various other factors can affect your memory like sleep deprivation, nutritional deficiencies (particularly b vitamins), drinking alcohol and smoking habits and use of certain medications. 
Here is one of ancient plus medicinal remedy which will help you to boost and sharpen your memory, try this and see the amazing results you get. Everyone wanted to be genius, scholar. Every parents wants their children to be a genius, so here is one simple, easy, nutritious and memory boosting remedy, to increase yours, your children's memory skills, and cognitive function. Drink this milk daily and see the results within few days. 

* Almond - saffron milk - soak 10 almonds in water overnight.
In the next morning, peel the skin and grind the almonds. Take a cup of warm milk and add saffron into it. Boil this almonds paste with mixture of milk and saffron. Stir it well and drink once a day. 
 

Almond - saffron milk is an excellent remedy to improve memory, sharpen memory and boost brainpower. They are rich in antioxidants and omega-3 fatty acids that boost memory.

* Due to their rich antioxidant content, almonds are good for your eyes, too.

Stay healthy.
For better results consult me on lybrate privately. Take care.

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Calcium tablets - Are They Good or Bad?

MBBS
General Physician, Bangalore
Calcium tablets - Are They Good or Bad?

For many people, popping a calcium tablet is something which has benefits, but at the same time does no harm. After all, who does not want to have strong bones and healthy teeth? The unfortunate part is that things are not so simple and a lot of research has debunked this.

Take, for example, the findings that when an old woman has calcium, the fracture rates are not all that different as compared to one who has not had calcium supplements. In addition to this, it was also found as part of a study that there is no positive impact on the mineral density of the hip.

As a matter of fact, calcium tablets and supplements can pose a significant risk, as well. While it is true that calcium does help in the effort of getting heart disease, an amount which is greater than the dietary limit does not. Actually, the excess calcium may increase the risk. This is true when it comes to calcium from supplements and not calcium which is absorbed by the way of food. So, what sort of additional risk is there? A study found that people who receive calcium from a tablet or another similar source have about a 140% greater chance of a heart attack!

How much is too much?

A thousand milligrammes of calcium in excess of the requirement on a daily basis is said to increase the risk of death from CVD or cardiovascular disease by about a fifth. Not a trivial amount, by any measure.

But why does this happen?

The key to answering this question comes from how the calcium is absorbed by the body. When calcium from food is eaten, the rate of it being released is a lot slower as compared to calcium from tablets. Also, when there is excess calcium, it is not absorbed and kept in reserve by the body but is excreted in the form of urine. So, this calcium going through the kidneys can cause some trouble there, as well!

Yes or No?

So, what is to be done in order to make sure one is having a sufficient amount of calcium? Well, there are a lot of sources and consuming things such as dairy products and fish, along with dark leafy vegetables are some great ways to get natural calcium. Only if a person has very low calcium levels should calcium tablets be consumed? It is well worth remembering that too much of a good thing is a bad thing! If you wish to discuss about any specific problem, you can consult a doctor.

3 people found this helpful

Health Consequences of Smoking 3 Cigarettes A Day

Diploma in Tuberculosis and Chest Diseases (DTCD), Board Certified in Pulmonary Medicine, FCCP - Pulmonary Medicine
Pulmonologist, Nagpur
Health Consequences of Smoking 3 Cigarettes A Day

Smoking can cause irreparable damage to your mind and body. Chemicals in the tobacco travel to all parts of the body, leaving no area unaffected. According to available data, smoking causes 30% of all cancer deaths and about 80% deaths from emphysema and bronchitis. In addition to adversely affecting yourself, smoking also has a severe impact on your near and dear ones. According to WHO, about 600,000 people die every year from passive smoking. Out of the deaths that occur due to this, 1/3rd is that of children.

The Indian situation
While 85% of tobacco users worldwide consume it in the form of cigarettes, in India only 13% use it in that form. Additionally, 54% use it in the form of beedis. A study conducted on Indian smokers has revealed that an average of 8.2 cigarettes is smoked by an individual daily.

The study also revealed that the number of cigarettes smoked every year had grown to over 6 trillion. While 1 out of 10 adults dies from tobacco use worldwide, 5% of deaths in women and 20% of deaths in men in India are caused by cigarette and beedi smoking.

What happens when you smoke?
Cigarette smoke is made up of 4000 chemicals that are present either as tiny particles or gases and about 50 are known to lead to cancer, the toxin nicotine being one of them. In addition to nicotine, the chemicals that make up cigarette smoke also include tar and carbon monoxide. Prolonged exposure to these toxins can hamper your body's ability to filter air and clean the lungs. The smoke not only irritates the lungs but also causes excess production of mucus.

It also causes a paralysis of the tiny hair-like structures like cilia that line the airways and are responsible for removing dust and dirt from the organ. Paralysis of these hair-like structures also causes a buildup of mucus and toxic substances, leading to lung congestion. The extra mucus that is produced causes smokers to suffer from the very ubiquitous smoker's cough and chronic bronchitis.

It's also one of the many triggers of asthma, which brings about the narrowing and inflammation of the airways. Long-term exposure to tobacco smoke causes the destruction of the structure of the lung, walls of the airways as well as lung tissue. The result is a condition known as emphysema. Additionally, smoking also leads to cancer of the lung and over 80% lung cancer cases occur due to this habit. If you wish to discuss about any specific problem, you can consult a pulmonologist.

2 people found this helpful

I am 5th month pregnant. I am gaining weight fast, at the time of conceive my weight is 72 kg now 79. 6 kg.nd daily I do walking. please suggest me the food nd proper exercises.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 5th month pregnant. I am gaining weight fast, at the time of conceive my weight is 72 kg now 79. 6 kg.nd daily I...
Hello, in pregnancy 11 kg weight gain in 9 months is normal because of fetus & amniotic fluid. U can reduce weight after delivery. Now gaining wt. Is good sign.
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Donor Egg IVF - How Does It Works?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Donor Egg IVF - How Does It Works?

Donor egg IVF is used by more than 70 percent of infertile women above 45 years to conceive. More than 8,000 babies are born in the US to women of all age groups by this method of Assistive Reproductive Technologies (ART). This kind of fertility treatment will become even more popular, in the days to come, because of advances in the egg-freezing technology.

What are donor eggs
Donor eggs are eggs given by a healthy, fertile woman to an infertile woman for in-vitro fertilisation or IVF.

How does the Donor Egg IVF program work?
Before you start this course of treatment, you must consult your doctor regarding its feasibility and effect on your health. Typically, the process has the following steps;

  1. After a donor has been identified, the infertile woman (referred to as ‘you’) and the donor are given medication so that the menstrual cycles of both are synchronised. You are also given medication so that your endometrium lining is ready for womb transfer.
  2. After their donation, the eggs are fertilised using the In Vitro Fertilization technique.
  3. Since the donor is under 35, not more than three embryos are transferred from her to your womb.
  4. Embryos are formed after fertilising donor egg with partner sperm.

In some cases, the embryos may be transferred after they have been fertilised. This line of treatment is undertaken to reduce the stress of this treatment on you.

In cases of men, the following procedures are followed;

  1. Unless the sperm belongs to another man, your partner will be required to give a sample of his sperm to check sperm quality.
  2. The partner must give another sample on the day the eggs are collected.
  3. In the next stage, the eggs and sperm are mixed together and in vitro fertilised.

Chances of success in Donor Egg IVF program

The chances of you conceiving through this program are 60-70%. This strike rate is significantly higher than a conventional IVF line of treatment.

How to start with Donor Egg IVF program?

  1. Finding an egg donor is not that difficult these days. You can find a donor through a fertility clinic, an egg bank, an egg donation agency, a family member or a close family friend. Donors coming from a frozen egg bank are usually screened for health and other reasons. Most donors are in the age group of 21-35 years.
  2. Make it legal i.e while getting donors is easy, the tricky part is to comply with the various legal issues. Consult your spouse, doctor and your attorney before taking this step.
  3. Get counselling i.e. you need expert counselling before you conceive because, let us face it, your baby is not your biological offspring. You and your spouse need to be adequately psychologically prepared for this important development in the family.
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Preconception Care - Things You Must Take Care of!

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
Preconception Care - Things You Must Take Care of!

When a woman is expecting her child, she has a lot of responsibilities on her shoulders for the health and well-being of herself and her child. An expectant mother is recommended to follow certain rules and give up certain habits, so that during the pregnancy period she and the unborn child in her womb get all the nutrients for the healthy growth of the baby. There are certain preconception cares that the expecting mother must abide by.

Some of these are explained below:

  • Giving up of bad habits: Smoking and drinking are not uncommon habits in today’s world. But when you are pregnant, it is advised that you give up these habits for some time at least. Smoking or inhalation of smoke makes it difficult for the child to breathe inside. Furthermore, if you are into substance abuse, then it is expected that you would give it up as well when you are pregnant.
  • Health Supplements: Folic acid is a must during pregnancy. This is why medical practitioners often recommend you to take folic acid pills once a day to keep your immune system strong. It also provides you enough supplements for production of red blood cells and provides for the much needed iron in your body.
  • Counselling: Many times people think that counselling is needed by those who are mentally unstable or in need of immediate help. But that is not the case. Counselling is important for every expectant woman. This is primarily to calm you down as you undergo several hormonal changes. Further, if you are pregnant for the first time then it is to guide you about the complications and side effects of pregnancy.
  • Proper Immunization: There are a few vaccinations that you need to take when you are expecting. These would help in the proper development of the child, keep you away from severe diseases as well as boost your immune system. Thus, proper and timely vaccinations are a must during your pregnancy period.

Thus, these are some of the tips and rules that a pregnant woman must follow in order to make sure that she and her baby are healthy. These are often advised by the medical practitioner themselves, but on their own as well, woman take care of these points. These are just outlined to make the woman more cautious before the birth of her child. They are good for both the mother and the baby.

1 person found this helpful

Abnormal Uterine Bleeding - How Best to Diagnose It?

Fellowship and Diploma in Laparoscopic Surgery, FOGSI Advanced Infertility Training, Royal College of Obstetricians and Gynaecologists (MRCOG), MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Abnormal Uterine Bleeding - How Best to Diagnose It?

It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.

The following are considered to be abnormal or dysfunctional uterine bleeding:

  1. A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
  2. No period for 3–6 months (amenorrhea) is abnormal
  3. Spotting or bleeding between periods
  4. Spotting or bleeding after intercourse
  5. Bleeding that is heavier or lasts longer than usual
  6. Spotting or bleeding after menopause

What can cause such a situation?

Some of the common causes leading to abnormal bleeding are as follows:

  1. Miscarriage
  2. Ectopic pregnancy
  3. Pregnancy
  4. Cervical or uterine infections
  5. Fibroids
  6. Hormonal imbalances
  7. Problems with blood clotting
  8. Polyps
  9. Polycystic ovaries
  10. Endometrial hyperplasia
  11. Cancer of the reproductive tract

How to Diagnose it?

Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.

  1. Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
  2. Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
  3. Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding

How Best to Treat It?

This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.

  1. Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
  2. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
  3. Antibiotics may be useful if there is infection of the pelvic organs.
  4. Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
  5. Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
  6. Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.

Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways.

2 people found this helpful

Hi I am in pcos I was trying to get pregnant for last 12 yrs. My Dr. give me ccq tablet from d2 to d6 now what I do for pregnant.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Hi I am in pcos I was trying to get pregnant for last 12 yrs. My Dr. give me ccq tablet from d2 to d6 now what I do f...
Usually Infertility treatments do not stop at just giving tablets, if patient does not conceive in a reasonable amount of time say 3-6 months then, tests are done to ascertain normalcy of ovulation, fallopian tubes and sperm count. In fact even if all of these tests are normal, the treatments are kept continuous, with occasional breaks every 3-6 months. So, seek a good infertility specialist and get their expert opinion and adhere to the treatments done. You WILL conceive with due efforts in the right direction.
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My gf had unwanted 72 pills after 31 hours of sex .Is there any chance of pregnancy?

MBBS, D.P.H
General Physician, Gurgaon
My gf had unwanted 72 pills after 31 hours of sex .Is there any chance of pregnancy?
No chance but repeated use of it may result period irregularity chances sexually transmitted diseases and hiv transmission is fair if any one partner is hiv infected for instant sexual pleasure do not ruin your life, have serious implications.
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Married 1 year ago. Irregular periods consulted doc gave me tablets for 5 days ate after that I got my periods, took reports while on period FSH 4.62 mlu/ml AMH 3.02 ng/ml is there any prob in becoming pregnant? I haven't conceived till now and used no protection. Uterus thickness is also nomal. What should I do. Which medicines should I take.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
Married 1 year ago. Irregular periods consulted doc gave me tablets for 5 days ate after that I got my periods, took ...
What about your husband semen report. It is nornal. Than try on 12-16 days of mensturation. The first day of mens as day one. You take borax 200 in gloubles, 4-6 pillsonce daily for 30 days.
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I have frequent urination and back pain when my urine is filled a little it cause pain in lower pelvic but no infection in culture test and cause itching inside the vagina and clitoris I have infection before one year and it is totally cured.

BHMS
Homeopath, Raebareli
I have frequent urination and back pain when my urine is filled a little it cause pain in lower pelvic but no infecti...
Please do a x-ray for KUB to rule out any renal stone. If you have recently done urine test and its negative for any infection then you should not repeat it again now OR else you should do it both routine and culture. Take Can nothris 30 - thrice daily 4 pills for next 7 days Continue treatment.
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Hi I am pregnant with 2nd baby by 10 weeks, 1st was through c sec in dec 2014 due to non progress of labour. I am considering abortion as I am not prepared for the pregnancy physically and mentally. Please suggest if the abortion can happen with pills (if yes until how many weeks it is possible) or else I will have to go with suction method. Is an abortion safe and are there any side effects of it. Thanks.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
1) Whether one is ready physically and mentally is to be decided before pregnancy as many family planning methods are available 2) Everything in life has side effects same way abortion 3) can not be done by tablets now and if you delay even suction may not remain as option 4) if interested in pregnancy anytime in future better to continue this.
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Is there any sideffect to sucking vagina as my girlfriend force me to do every time when we do sex.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Vaginal licking is called as Cunnilingus. It's essentially clitoral stimulation and saliva together. The best "bang for the buck" as far as speediness and effectiveness. A woman is likely to have one orgasm during cunnilingus, and another during genital intercourse. If your partner does not have STD, and the act performed under hygienic conditions it is safe to do that every time you do sex.
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