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
Submit a review for Manipal Health Enterprises Pvt. Ltd.Your feedback matters!
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;
- 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.
- After their donation, the eggs are fertilised using the In Vitro Fertilization technique.
- Since the donor is under 35, not more than three embryos are transferred from her to your womb.
- 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;
- Unless the sperm belongs to another man, your partner will be required to give a sample of his sperm to check sperm quality.
- The partner must give another sample on the day the eggs are collected.
- 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?
- 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.
- 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.
- 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.
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:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovaries
- Endometrial hyperplasia
- 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.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- 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
- 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.
- 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
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- 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.
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.
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.
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.
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.
I had oral sex 3 weeks ago without protection .I don't know about her that she was infected by hiv or not but I am very worried about myself. And please tell about symptoms.
I am 42 old I married 7 year till date I have not conceive all test are normal my wife age 38 also I done ivf last year but we fail now what I can do.
In this article I will discuss five different easy formulas or steps for an individual to attain or maintain a healthy lifestyle, which will avoid even deadly diseases.
1). Regular Exercise- mild to moderate intensity
2). Healthy diet preferably Organic, unprocesed food must be a NO . . . If required Dietary Supplements can be taken after consulting with your Nutritionally informed Healthcare Provider.
3). Proper rest and adequate sound sleep.
4). Occasional Manual Medicine checkup.
Is Green Tea Killing Your Libido !!
Worldwide, green tea is actually a more commonly consumed beverage than coffee. One of the reasons for this is the possible health benefits of green tea, which contains antioxidants that can be helpful for their anti-inflammatory properties which may extend to inhibiting tumor cell growth. It appears that this effect may be related to testosterone levels, but consult with your doctor before using green tea for medical purposes.
The testosterone side effects of green tea may actually be indirectly linked to another hormone. High consumption of green tea can increase bloodstream levels of sex hormone binding globulin, or SHBG. SHBG is instrumental in the process of converting testosterone into dihydrotestosterone, or DHT.
The direct lowering of testosterone levels may be a side effect of green tea. According to a research, high levels of green tea inhibit the amount of testosterone hormone in rodents. Researchers were also able to discover that the effects could be reversed if the green tea concentration was lowered.
Green tea has been touted as a weight-loss aid. In a study, after rats were injected with epigallocatechin gallate, a derivative of green tea leaves, they consumed less food and lost over a fifth of their body weight, apart from this it was also noted that the levels of testosterone in the rats had also been lowered, though it was not determined if that was a contributor to the weight loss.
A certain psychiatric condition, which causes a person to be functionally impaired in social and occupational settings is known as Impulse Control Disorder. Most of you are granted with the ability to think before you act but it isn't the case for people suffering with such a condition. People diagnosed with this condition are not able to withstand the urge to do something detrimental to themselves or other people.
This condition is similar to other disorders such as kleptomania, compulsive gambling and pyromania to name a few. Although people suffering from this disorder do not plan their acts, the acts they do perform generally fulfill their conscious wishes. Other disorders of such similar nature like Kleptomania and ADHD (Attention-deficit/hyperactivity disorder), which are associated with difficulty in controlling impulses but that is not their chief feature. Patients of impulse control disorder find it highly distressful and are hence often seen to lose control of their actions and consequently their lives.
What causes this disorder?
Some medical practitioners are of the opinion that this disorder is a subgroup of other conditions, such as stress, anxiety, OCD (Obsessive Compulsive Disorder) and etc. Scientists and researchers are not particularly sure what causes this condition but have determined that it can be caused due to a combination of physiological, emotional and psychological factors pertaining to cultural and societal aspects. Also, certain brain structures linked to emotions and memory functions in and around the frontal lobe are linked to planning functions and impulses.
Some studies show that certain hormones such as testosterone which are associated with aggression and violence may also play a role in forming such disorder. Aggressive and violent behaviors are apparent in people suffering from this disorder. Certain studies have shown a connection between certain forms of seizure disorders and aggressive impulsive behaviors.
People with such disorders are also more likely to contract addiction and mood disorders. Antidepressants are usually prescribed in treating such disorders. If you wish to discuss about any specific problem, you can consult a psychiatrist.
Blood pressure is basically what happens when the blood exerts force against the walls of the blood vessels. This force matches the cardiac output and also, the resistance experienced from the walls of the blood vessels a process that produces blood pressure. Hypertension is a condition that occurs when this pressure rises above the normal which is anything over 140 over 90 mHg. The symptoms of this condition will include hot flashes, dizzy spells, fatigue, accelerated heartbeat and other debilitating conditions. Sex is also an area that gets affected by hypertension.
Let us find out the causes and treatment for the same.
Hypertension and male sexuality: A chronic patient of hypertension will go through a depletion of the lining that flanks the blood vessels, which in turn, limits the flow of blood. This also means that there is less blood flowing towards the penis and surrounding areas that get activated during sexual intercourse. This makes it difficult for many hypertensive men to achieve and retain an erection for long enough to enjoy sexual activity. This problem is most commonly known as erectile dysfunction. Also, these blood pressure problems can have an effect on ejaculation which leads to lack of sexual satisfaction. Many drugs prescribed for such patients may also lead to this problem as a side effect, which causes further fear and anxiety for the patient.
Hypertension and female sexuality: While the effect of high blood pressure on a woman’s sexuality is not as conclusive as its effect on male sexuality, it is a medically proven fact that decreased blood flow due to high blood pressure will also lead to a reduction in the blood flow to the vaginal area. This can lead to many problems including vaginal dryness and pain during intercourse, lack of arousal, difficulty in achieving an orgasm and relationship as well as anxiety issues.
Treatment: For women, better lubrication for better arousal is one of the key factors. For men, the use of safe medication as far as hypertension is concerned, is crucial. Medicines like sildenafil and tadafil as well as vardenafil are not known to interfere with the blood pressure medication. Yet, it is important to contact the doctor before having any medication.
Therapy: Better responses can be garnered by building intimacy, an area that a sex therapist or sexologist can help you with. With the help of proper therapy, the patient can learn to relax and enjoy the act with lots of foreplay and experiences that will help in building closeness like taking a warm bath together and other such activities. Promoting overall health can also help in improving your sex life if you are a patient of hypertension.
Hi doctor, recently I went to a gynaecologist where after some blood test, she told me I have pcod. She gave me medicine for one month. Rest I didn't get any tips to reduce pcod. Can you please guide me a diet plan for it.
I have a 6 month baby girl .Yet to start menstrual cycle ,We had sex without protection. And we don't want baby for 3 year. Give me advice. Can I give unwanted 72?
Ya but I don't know that I am pregnant when I know that I am pregnant .in this what can I do I am unmarried how I can deliver the baby sorry I can't do that please doctor help me to abort please either other chance is my death that's it please help me.
Aromatherapy involves the usage of essential plant oils in order to improve one's well-being and relieve stress. These oils are sometimes put in a diffuser and allowed to permeate the surrounding air. Stress management can be done using aromatherapy.
How Does Aromatherapy Work? Aromatherapy works by several methods such as aerial diffusion, topical application and inhalation. It can also be used rectally, vaginally or orally in case of infections and congestions. Use of natural essential oils is recommended as synthetic oils are not as effective as natural ones and the synthetic chemicals are harmful to the skin.
Holistic Aromatherapy: Having a massage where essential oils are used is known as holistic aromatherapy. The smell of the essential oil along with the oil getting absorbed by the skin or a tissue massage helps in relieving the worst muscle and joint pains or tension. Holistic aromatherapy is one of the most common ways of aromatherapy.
Along with stress relief, aromatherapy also helps in boosting the body's immunity. The immune system of the body is strengthened by stimulation of chemicals in the brain, which fight infections.
Indirect or Direct Inhalation: Indirect and direct inhalation are primary methods for application of essential oils. By inhaling the oils from a safe distance, our brain tends to slow down and ends up in a level of deep relaxation.
Stress causes a lot of serious health problems in our body and the inhalation modes of aromatherapy are excellent procedures to relax emotional turmoils that lead to extreme stress.
Aesthetic Aromatherapy: This method of aromatherapy involves the use of essential oils in diffusers, burners or in a bath. This popular method is availed by people of different ages. Bathing salts, bath beads and shower gels are made using essential oils, and they soothe the skin. The skin gets pampered and stress is relieved. Scented candles also contain essential oils and provide refreshment and relaxation.
Essential Oils: Essential oils are the main instruments of aromatherapy. These oils are extracted from plants using the methods of steam distillation, cold press and absolute.
The most popular essential oils which are used in aromatherapy for relieving stress are geranium, lavender, peppermint, chamomile, jasmine or lemon grass. Before using these oils, read the labels on the pack carefully to know about the natural ingredients, and they should always be diluted before using in jojoba, olive or coconut oil. The oils can also be applied to handkerchiefs, pillows and other objects.
Aromatherapy uses essential oils to give you great relief from stress. The benefits of aromatherapy are great, and the method is very simple and easy to follow.
If you are experiencing difficulty in breathing or rapid breathing, shortness of breath and low blood pressure, you might have been affected with acute respiratory distress syndrome or ARDS. This is a fatal lung condition in which the supply of oxygen to the lungs and into the blood gets prevented. The symptoms of this syndrome develop within two days of the illness. Here are 10 important facts about ARDS you should know about:
Because of the low level of oxygen in the blood, the organs of the body may not function properly. The kidneys and brain require constant oxygen-rich blood supply and there are chances of organ failure due to ARDS.
Commonly, people who get ARDS are already in hospital for some other health problem. People who are not hospitalised may get ARDS because of conditions such as pneumonia.
In ARDS, the tiny blood vessels of the lungs leak more fluid than usual into the air sacs of the lungs. This happens because of infections, injuries or some other condition. The lungs cannot get filled up with air and sufficient oxygen is prevented from getting pumped into the bloodstream.
Several factors also lead to ARDS. These include sepsis, severe bleeding due to any injury on the head or chest, breathing in harmful smoke, or inhaling vomited content of the stomach from the mouth.
People who are prone to ARDS have some condition that may injure their lungs directly or indirectly.
The initial symptoms of ARDS include a feeling of not getting sufficient air in the lungs, low oxygen levels in the blood and rapid breathing. The diagnosis of ARDS depends on your medical history and the results from several tests and physical examinations.
The treatment of ARDS is undertaken by oxygen therapy, medicines and fluids. A patient with ARDS is likely to develop some other health condition while in the hospital, such as lung scarring, blood clots, infections and pneumothorax.
Many people recover from ARDS completely while others keep on facing certain health problems, such as shortness of breath, muscle weakness, depression and fatigue. Problems related to memory and clear thinking are also indicated.
By improving your quality of life, you can recover from ARDS. You need the support and encouragement of your family and friends. You must avoid smoking and keep away from any kind of lung irritant.
- The treatment for ARDS has showed progress in the recent years. Hence, more people are recovering from this condition. New treatment procedures are being researched on.
In order to, safeguard oneself from the STDs one should always ensure to use protection during intercourse and one such form of protection is female condoms. Female condoms are pouches that are made of latex and polyurethane. These are used by women during sex in order to prevent pregnancy and to reduce the chances of infection through sexually transmitted diseases. Each end of these pouches are made of rings that are flexible. One end is inserted deep inside the vagina before sex is initiated. This end is held in position by utilizing the rings available at the closed end while the rings which are at the open end remain outside the vagina during sex.
A question of comfort
Even though it can be safely used by all women, some have complained that they find female condoms to be an inappropriate form of contraception as they don’t feel comfortable with their genital areas being touched. Thus, it is very important that the appropriate form of contraception be considered for you and your partner. If you feel you cannot use this condom correctly other options of contraception should be considered.
Advantages of a female condom
1. Condoms can prove to be a reliable pregnancy averting method if they are properly and consistently used.
2. Since the exchange of bodily fluids like semen and vaginal fluid is prevented, female condoms aid in offering protection against many sexually transmitted diseases like HIV, herpes and others.
3. Female condoms are only needed during the time of sex and any form of advance preparation is not required. This makes their usage suitable for unplanned sex.
4. Doctoral prescriptions are not needed to procure female condoms.
5. The condoms are usually small in size, easily disposable as well as easy to carry.
6. Using condoms does not have any medical side effects although it is advisable to check the materials used in it to avoid any allergic reactions.
7. Insertion of female condoms can be done up to a duration of eight hours before sex.
Some common problems
Although using female condoms has its advantages, it is common that some women may find that putting on a condom leads to interruption in sex. In order to avoid this, foreplay that includes a part where the condom is worn or inserted early can easily help. Other disadvantages include –
1. Even though condoms are generally very strong, they are prone to splitting or tearing in case of improper use.
2. Availability of female condoms is much lesser in comparison to the male counterparts
3. Female condoms are usually more expensive than male condoms (approximately 5 times more than male condoms).
However, female condoms can give back control to the woman in case the male partner doesn’t have protection or doesn’t want protection. It is something that enables the woman to be in control and safe from diseases or unwanted pregnancies.
Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.
Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.
Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.
How Diabetes Causes Cardiovascular Problems?
- Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
- Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis, Arteriosclerosis. Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.
- Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin. There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.
- Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.
- Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.
Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease. If you wish to discuss about any specific problem, you can consult a doctor.