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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
Urinary Incontinence (Ui) Treatment
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Sir is there need to wear condom while having sex with my wife for the first time as she me bleed while having sex for the first time are there chance of getting infected? We are also planning to have child.
Hello friends, I'm Dr. Mukti Sethi. I'm a Consultant Gyenic specializing in life expectancy and infertility. I've done my graduation from GSV Medical COllege Kanpur, and my post graduation from Aligarh Muslim University. Today, on this session I'm going to talk on the subject which is a great cause of stress and anxiety among patients who are expecting pregnancy or area pregnant, that is early pregnancy loss. So early pregnancy loss, what exactly do we mean by early pregnancy loss. Early pregnancy loss is a loss of pregnancy during the first thirteen weeks of pregnancy, that is, the first trimester of pregnancy. It is commonly mentioned as miscarriage or spontaneous abortion.
So how many pregnancies lands into a pregnancy loss or what is the incidence of pregnancy loss? Around one in every five pregnancy, which is, unfortunately, a very high incidence rate, lands in a non-developmental form or loss of a pregnancy or a miscarriage. So what are the causes of this pregnancy loss? The most common cause, around 60% of the pregnancy loss, is due to are due to random chromosomal defects are seen during the process of fertilization. What is the process of fertilization? Fertilization is when the female's ova or egg combines with the sperm to form a fetus or a zygote. During the process, the mismatch of the chromosomes results in an abnormal chromosomal formula of the fetus. So these pregnancies won't be able to grow further and nature has its own process to curtail these pregnancies or abnormal pregnancies from growing. So these pregnancies are going to land in an abortion or miscarriage or missed abortion or blighted abortion that we generally see. So a big number, that is 60% is because of these chromosomal defects which we do not have any control over.
So coming over other causes, it might be a defect in the reproductive system of the female like a defect in uterus, fibroid or septa. Then coming over to infections, yes there are a set of infections that can be a cause of these pregnancy losses or abortion, like torch infections or tuberculosis. Then coming onto the hormonal causes, we have seen so many patients coming who have a thyroid problem or are diabetic. Again coming onto patients who are suffering from PCOD. So they have high chances of having an abnormal pregnancy or unhealthy pregnancy which might result in abortion. Then there are certain medical conditions or toxins, environmental conditions which might land a patient into a pregnancy loss. Now, what can an individual or a girl who is planning to get pregnant do to reduce the risk of having an abortion? First of all, you need to maintain a healthy lifestyle and then prelating, that is before getting pregnant always see a gynecologist or a consultant. There is a set of investigations that you people should go through- your blood group, your CBC, your diabolic sugars. You should go through these tests before planning a pregnancy. Next is a healthy lifestyle, certain vitamins like folic acid are extremely important. Taking them for 3-4 months before getting pregnant might reduce the risk of getting abnormal pregnancies like deformities seen in the fetus is considerably reduced. Then yes, coming over to the lifestyle that we see today, females planning to get pregnant should stop smoking, alcohol intake should be reduced or stopped if possible.
Then there are some general questions patients do ask me that should we stop coffee. Yes, you can take coffee but try to restrict it to two cups a day. Then any food or anything which can cause abortion is more of a myth. Generally, all foods like vegetables, fruits which god has created for us is quite healthy and generally do not result in any injury to the fetus. But still certain foods like Chinese or Ajinomoto, we do ask the patient to reduce the intake for the first trimester of pregnancy. Then there can be certain girls or females that are working in an environment which can be hazardous for the growing fetus like many of our staff that are woking with X-rays or chemical setups or factories which are there, also around fumes. So you need to be a little cautious about the environment where you are working so that there is no harm in the early fetus. So yes you can take certain steps to have a healthy pregnancy.
Now how can your doctor or your gynecologist help to reduce the risks? Very thorough check up with the doctor so that she would be able to diagnose any hormonal problems or any defects in the uterus, something which she can do about and that way she will surely be able to help you out. But again coming back to the point, the majority of pregnancy loss is due to chromosomal abnormality during the process of fertilization which are not in control of the doctor or the patient. So you need to be somewhat relaxed, nature has its way , and if there is something or some abnormality in the foetus then nature will not allow it to grow. But yes there are other causes in which you can or your doctor can help you out so that you have a healthy pregnancy. Now, how to know that you might be heading towards a pregnancy loss or towards an abortion. The main symptoms that the patient will complain about are spotting or bleeding or cramps. Patients come to us with a history of missing periods and there is an episode of bleeding. Now here I would like to say that all patients who have bleeding during the first trimester of pregnancy are not going to land in an abortion. But yes you need to be extra cautious, you need to see your doctor, your doctor would like to help with certain hormones or support with the hormones or pregnancy with the vitamins which might avert the abortion.
So the first symptom is pain and bleeding. Now all patients of bleeding will not land in an abortion but yes when you are having it you need to undergo certain investigations so that there is a diagnosis to know the problem. So how would your doctor diagnose that yes it is a case of abortion or missed abortion or a blighted one? A physical examination by the doctor, the general upper vaginal examination will guide the doctor towards the cause of bleeding. Doctor will ask or recommend a certain set of investigations like ultrasound and even beta HCG that is a blood test which will help to diagnose, and sometimes you know these tests need to be repeated, and at that moment of time patients tend to get very anxious that why the doctor is not able to answer my questions that it is a healthy pregnancy or not. Because sometimes the pregnancy needs to be of a certain duration to assess that yes it is going at par or not. So we have to repeat the investigations like ultrasound needs to be done after an interval of a week or ten days to see the difference in growth, has the baby grown in ten days or not, or to say with confidence that it is a growing pregnancy. Once the diagnosis of missed abortion or abortion has been made, now what is the treatment or what would be the next step. Sometimes a patient comes to us that it is a very early pregnancy, very small sac or she is bleeding, having a heavy flow like a periods flow. Then we would just ask the patient to wait and watch. Let her clear off with the periods and sometimes the pregnancy will be washed on its own and doctor would decide not to interfere with the natural process, and at times it is sufficient. But yes if the sac is a little larger in size or the bleeding is not that much in flow, or period is not there, the doctor might give some medicines to you so that there is proper flow and pregnancy is washed off.
But there might be certain cases which would require intervention by the doctor that is a surgical procedure or such an evaluation or dilation and then by the patient to remove whatever products of conception still remain. Even after medicines, sometimes you know all the products of conception won't be washed out then after a period of two weeks the doctor might advise you to go for another ultrasound to confirm that everything is clear and if still there are some fragments then surgical procedure might be advised to you. Generally, the next question is will it in any way harm the next pregnancy. No, it is not like that. Generally, these are safe procedures and very necessary at that period, therefore, you people are advised about it and they are not related to any long term consequences. So here we have discussed the treatment of early pregnancy loss. Generally, these people do quite well, have good chances of having a healthy pregnancy the next time they become pregnant. So my advice to you all doesn't get anxious, look for support from your doctor, from your family, with your partner. Decide well in advance before your next pregnancy.
If any of you need to consult me about this you are most welcome. You can get in touch with me through Lybrate.com or if you want to see me in your clinic I'm available at Indirapuram at Ghaziabad NCR. You can fix an appointment and see me personally and I hope this talk was useful for you.
Puberty brings hormonal changes which affect the body in a number of ways and the skin is one of the main affected organs. While acne is the more common issue, there are also other lesser known skin lesions, which can bother teenagers. The less common trichoepithelioma is one such disease.
In this health condition, multiple hair follicle tumors are seen on the face after attainment of puberty. These are benign, but not very common. They form small hair shafts, but do not develop into full fledged hair follicles. While the exact cause of these lesions is not identified, they are related to a syndrome called Brooke-Spielger Syndrome. There is also a genetic component where the CYLD gene is affected, and the proteins required for self-protection of the skin are missing. There is also a theory which states this condition to be an autosomal dominant condition. In such a scenario, multiple lesions are seen, and it is also the most common variant of the disease.
The lesions are small, less than 1 cm, isolated, firm, round, and shiny. Their color can vary from brown, to blue, yellow, or pink. The face is first affected, starting from the cheeks, and then slowly moving to the eyelids, and the nose. Multiple lesions are easier to diagnose, while individual lesions can be confused with basal cell carcinoma. The lesions grow very slowly and when multiple lesions are present, they can cause aesthetic concerns. There could be ulceration and recurrence in these patients. The genetically correlated ones have a higher incidence of aggressive behavior both in terms of severity of the lesions and the rate of recurrence.
Treatment: Though they are benign, aesthetic concerns may mandate treatment. The treatment is usually multipronged and includes the following genetic counseling, drug therapy (mostly topical creams and lotions), and minor invasive procedures.
- The best solution is to let them run their natural course, as they usually subside with age, both in terms of numbers and the severity of the lesions.
- Dermabrasion or carbon dioxide laser is useful in improving facial appearance too.
- In more severe cases, surgical removal may be done, which is partial and does not cover the entire depth of the lesion.
- However, in some cases, if there is a concern for malignancy, the lesions are completely excised (excision biopsy) and then sent for biopsy to confirm their benign nature.
Trichoepithelioma is also known by the name hereditary multiple benign cystic epithelioma, which explains the nature of the disease quite well. Other than cosmetic concerns, more so because if affects females, these are harmless in nature. But a detailed discussion with your dermatologist is suggested to confirm the state of the condition.
How many days ovum produced every month after periods? How long does it live? Can 1 continue having sex after d ovum dies without the fear of getting pregnant?
Can a girl become pregnant immediately after period. My period starts on 23rd-27th of every month. I had unprotected sex on 30th. Is there any chance of pregnancy. My age is 22.
My daughter has been having irregular periods and is over weight. For three years she is on drug and diabetic medicines which would surely have side effects. She is 23 years old. Please suggest some ready so that she can get rid of the drugs. She walks a lot but her tummy muscles are very loose.
Hi. I have pcos n married by one n half year. I'm trying to conceive. I'm taking glyciphage 500mg n oosure. please suggest the best way that helps me to conceive.
I had done oral sex with my hubby on 24 may his sex part was near to mine but his sperm dsnt came out at that time after in regular days my periods were started on 10 june but at that time I had putted vitamin c tablets inside my vagina n had drink 3000gm of vitamin c tablets which make me less periods at that time .now I am having pain of periods my legs and stomach are paining from one week in short periods of interval but I dnt have periods. Had doc sad me for pregnancy test I had done that too with prega news .n my result is negative. So what should I do now .should I take medicine for early periods.
Am 22 years female. I had severe low back ache due to wrong yoga positioning. I consulted a doctor and took medicines. Due to that my periods were 3 weeks early. The next time the medicines course was over and my periods were still 3 weeks early. Then the next month it was perfect for 26 days which is my usual cycle. Was 3 weeks early. And to my surprise again last month it was 3 weeks early n now also it is 3 weeks early. Its like my periods are thrice in a month. My period dates are 21st october 2015, 3rd november 2015 15th november 2015, 11th december 2015, 24th december 2015, 6th jan 2016.
Please advise on best contraception method for newly married couple. Both want enjoy sex life. No plan for child for three years. Don't want to use condom.
How does a women get pregnant, only entering sperm in her vagina is ok or some thing more have to do.
I am 13 weeks pregnant, just got to know that my Vitamin b12 levels on low side 151pg/ml with normal hemoglobin. What should I do? Does it has already affected my baby? I am worried about my baby.
Hello. How get pregnant fast .any steps or any thing please tell me .and how to increase sperm thanks.
I am 22 year I am suffering from pcos nd doctor suggest me contraceptive pills (21 days pills) is it safe? And also I want to gain some weight so suggest me some supplement and diet.
Does a normal health (good health) after going through abdominal pains, white vaginal discharges and all. Means I am fine as I have taken ipill 3weeks ago however, my menses are still delayed by 13days. And the preg test 4days be4 came negative. As of know I am feeling completely fine does it mean that I can expect my periods soon and the pregnancy is prevented.
Hello doctor, I have a doubt that if i-pill is taken in morning & had unprotected sex in night of the same day will it work or not because it should be taken after intercourse right please solve this for me.
Health problems caused by not drinking enough water
Our body is made up of almost 70% water and while we can live without food for a few days at least, it is important to replenish your water needs every day. If you miss drinking enough water even for a day, you will notice a change. And the ill effects of not drinking enough water can be severe and should not be taken lightly.
You might have to face these 5 health problems if you are not drinking enough water:
- Constipation: If your body is not getting enough water, it will not be able to digest well because our bodies need right amount of liquid to process the foods we eat. When the stomach is constipated, digestive juices are secreted in lesser quantity, thus leading to other digestive disorders.
- Weight gain: Many a times, we eat or feel hungry just a while after eating. This is not really hunger and actually means that the body needs water. A dehydrated body often sends misleading signals which is misinterpreted as hunger and we end up gaining unnecessary weight.
- Cholesterol and changes in blood pressure: When we don't drink enough water, the water reserve in the body gets used up resulting in there not being enough for the capillaries, veins and arteries. This results in blood pressure going high and/or low. Similarly, the cells of the body get dehydrated and in an attempt to stop this, the body starts producing cholesterol more than what's required.
- Dryness of the skin and other problems: Apart from through urine, our body also loses water in the form of sweat. This needs to be replenished or the skin starts becoming dry, lips are chapped and we even experience an increase in hair fall. Not drinking enough water also leads to premature aging and graying.
- Infections: It is important to urinate frequently because through urine, our body releases toxins which are not needed for the body. If you don't drink enough water, you won't urinate enough and might end up with problems like UTI and cystitis.
Technology is opening doors to innovation in patient care and rehabilitation, ranging from robotics to social media and beyond.
Patients who have suffered trauma, strokes, spinal cord injuries, hip fractures or neurological disorders, the key to a quicker recovery lies in technology and skilled physical therapists,
The new technique, details of which are reported in the journal of neurotrauma, is believed to represent the first time patients have regained voluntary leg movement without the need for invasive treatments such as surgery.
Instead, scientists utilized electrical stimulation therapy and physical rehabilitation exercises to treat patients.
"the potential to offer a life-changing therapy to patients without requiring surgery would be a major advance; it could greatly expand the number of individuals who might benefit from spinal stimulation"
Stimulation was elicited by a device called an epidural stimulator, which needed to be surgically implanted into the patient's spinal cord.
An ongoing computer science PHD with the school of computing and information engineering at the university of ulster, Coleraine, investigating how the principles of computer & video game design can be effectively applied to upper-limb stroke rehabilitation.
Rehabilitating finer movements such as reach, grasp, manipulation and release of objects. The advantage of using this technology is that real objects of different shape, size and weight can be used, with the potential of rehabilitating meaningful and transferable skills. The games work with a standard PC and webcam and so are very low-cost and potentially suitable for home use. The games are currently in early stages.