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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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Hi Sir, I have last month date on 14th, till this date 26th I have no date. I have taken a medicine of progicare for stopping pregnancy 1 table on 19th and other 4 table on 21st, I have a very small bleeding on 22nd there after nothing. I am worrying about please help me.
Overactive bladder (OAB) is a set of symptoms that causes a sudden urge to urinate to an extent that can negatively affect a person’s life. OAB incidence increases with age but it is not part of the normal aging process. Many affected people may feel embarrassed and isolate themselves from work and social activities. During normal urination, the detrusor muscle of the bladder contracts when the bladder is full and relaxes when empty. A normal adult bladder contains up to 600cc of urine, in OAB, as little as 200cc of urine can trigger bladder contraction. Certain neurological conditions like stroke, multiple sclerosis, Alzheimer’s disease, tumors, diabetes, bladder stones, enlarged prostate and other abnormalities that obstruct bladder outflow can lead to an overactive bladder. Excessive consumption of caffeine or alcohol could also obstruct the process of normal urination.
While sometimes one may have an urgent urge to urinate due to diet or lifestyle modification, but mentioned below are few symptoms mentioned below should not be ignored:
- Urgency to urinate for a longer period of time, however, a patient may or may not urinate after feeling this urge.
- Patients may leak urine after feeling a sudden urgency. They find it unable to control the flow leading to leakage of few drops or sometimes a gushing large amount of urine.
- Frequent urination, more than 8 times in 24 hours.
- Nocturia i.e waking up one or more times at night to urinate.
- Diet, lifestyle modification should be the first line of treatment
- Weight loss in obese patients reduces episodes of incontinence
- Avoiding caffeine and alcohol can do the trick.
- Kegel exercises are exercises of pelvic muscle, which strengthen the muscles of the pelvis and the urethra which support the opening to the bladder. Recommended 30-80 times every day for 8 weeks.
- In women, vaginal weight training can be really helpful. In this small weights are held by the vagina by tightening the vaginal muscles. It should be practiced for 15 minutes twice daily for 4-6 weeks.
- Bladder training is generally done with the help of physical therapist or urologist. It also uses pelvic floor muscle contractions to expand the intervals between voiding and to suppress the urge to void.
- Medications: Used as the second line of treatment as the drugs in most cases are only moderately helpful.
- Anticholinergics act by relaxing the bladder, they decrease the hyperactivity of the detrusor muscle. There are several other medications that may be prescribed by the doctor depending upon the severity of the condition.
- Other procedures: third line of treatment
- Botox injections can be given directly into the bladder wall. It suppresses involuntary bladder contractions by blocking nerve signals.
- Neuromodulation uses electrical stimulation to reorganize spinal reflexes involved in bladder control.
- Reconstructive bladder surgery enlarges the size of the bladder by using part of the intestine.
The Pap Smear Test or the Pap Test is a screening test for cervical cancer. This test helps in detecting the possible growth and presence of precancerous as well as cancerous cells within the cervix - the opening of the uterus. This test was named after the doctor who discovered its use when it comes to detecting the signs of the early onset of this kind of cancer.
Let us find out more about the Pap Smear Test:
- Reasons: The main reason behind getting a Pap Smear Test done on a regular basis is to rule out any risk or sign of cervical cancer. Also, it can help in detecting the 40 sexually transmitted viruses that may be lurking around in your system. It is a fact that genital warts are born from the presence of the Human Papillomavirus or HPV which can be of 100 different types - out of which 40 lead to STDs. These STDs can be the start point of cervical cancer.
- HPV and the Pap Smear test: The Pap Smear Test may not be able to detect the exact kind of virus, but it can easily detect any cellular growth and changes that may be caused due to the virus. This helps in homing on to the risk or the beginning of cancer. In case this is detected, then the treatment can start before the problem becomes too difficult to manage.
- Candidates: The perfect candidates for the Pap Smear Test include women who have crossed the age of 21 years or above. Also, women who have a weak immune system due to the presence of the HIV virus also need to get this test done regularly as they are prone to risk of contracting cancer and infections, more than others. Once a woman over 30 years of age has had three normal Pap Smear readings in a row, she can ask her doctor to schedule her for a Pap Smear Test once in five years.
- Preparation: To begin with, you must ensure that you are not menstruating on the day of the test, in which case it will have to be rescheduled. Avoid having sex at least a few nights before the test as well.
- Procedure: The procedure for the test is pretty quick, but a little uncomfortable. The doctor will ask you to lie down before putting your legs up in stirrups and then insert a speculum into the vagina so as to extract sample cells for testing. The scraping action may cause mild pain later.
Get in touch with your doctor about getting regular Pap Smears to rule out the possibility of cervical cancer.