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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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Sir My wife is pregnant she has second trimester (17 week) I want to my baby must be handsome but we have normal color what should I done.Please tell.
Pregnancy is that wonderful and beautiful phase that most women rejoice about. However, many may find it hard to believe that pregnancy can bring with it a condition known as ‘antenatal depression’. This is a common condition in expecting mothers and should not be ignored.
Depression during pregnancy like regular depression is a clinical condition and requires further investigation and management. Pregnancy is related to the female hormones and therefore, mood swings are common (as during PMS and menopause). However, depressed pregnant women would typically have the following associated symptoms too.
Altered eating habits
Altered sleeping patterns (too much or too less)
Loss of attention/ability to focus
Losing interest in activities which usually interest the person
Feeling very anxious
Constant feeling of sadness
Uncertainty about the future
Feeling of worthlessness
It has been noted about 25% of women can get depressed during pregnancy for varying periods of time. Some potential reasons for this are as below.
Strained relationships: One of the most important factors for a healthy pregnancy is a happy relationship, not just with the partner, but with immediate and close family members with whom there is a high level of regular interaction.
Work stress: For working women, a stressful office environment could take a toll on their moods.
Previous miscarriages: This can cause anxiety and depression about possible repeat incident.
Potential complications: If the periodic examinations showed up possibility for complications in pregnancy, the chance of depression in the mother increase.
How it affects pregnancy?
A depressed mother would not be able to care for herself and therefore, the baby may not get adequate nutrition for its development. Additionally, the potential for nicotine and alcohol abuse increases, which also negatively impacts the baby’s growth. There could be low birth weight, premature birth and developmental delays after birth.
How it can be managed?
While the hormonal changes during pregnancy causes mood swings, diagnosing if it is depression is important. A consultation with a psychiatrist may be required for some women.
Some of the options available for treatment include support groups, individual counseling, and medications.
It is important to understand that this is a common condition and you are not the only one going through this. Talking to other women who feel depressed can help in mood uplifting of all involved.
If you are too shy about it, individual counseling could be the next best thing.
Stress management including light exercise, music, meditation, rest, diet, and support from close friends and family are highly recommended.
- Since most antidepressants would reach the baby, it is advisable to avoid these less you need them as a last resort. If you wish to discuss about any specific problem, you can consult a psychologist.
Kidney is a crucial detoxifying organ that performs a lot of functions including, absorption of minerals, filtration of blood and production of hormones and urine. It also helps your body to maintain a healthy pH level. Since kidney failure can prove to be fatal, it is essential to keep it healthy, to ensure smooth functioning of your system.
The following are the tips to ensure the health of your kidneys:
- Adequate intake of water: It is advised to drink a minimum of 8 glasses of water daily, to help your kidneys function properly. Adequate intake of water ensures that your body is able to flush out the harmful toxins at regular intervals. However, in case if you are already suffering from kidney disease, this point is not applicable.
- Control your blood pressure and blood sugar level: Diabetes is one of the major causes of kidney failure. It is recommended to control your blood sugar level on a regular basis to ensure healthy functioning of your kidney. People who have high level of blood sugar and blood pressure are more susceptible to suffer from kidney disorders.
- Quit tobacco: Accumulations of toxins in your body tend to have a harmful impact not only your kidneys, but also on your overall health. It is strictly recommended to quit smoking and use other forms of tobacco to protect your kidneys from damage.
- Reduce weight: Obesity and the problem of excessive body fat are harmful for your body in more ways than one. Being overweight makes you more susceptible to develop kidney cancer. Therefore, it is advisable to lose a few kilos to ensure the proper functioning of your kidneys.
- Avoid intake of analgesics without prescription: Most analgesics have the tendency to be harsh on your kidneys. Ingestion of analgesics increases your risk of developing kidney cancer. Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, naproxen and acetaminophen are some of the analgesics, which are known to affect your kidneys in the long term. Therefore, it is necessary to avoid taking them without consulting a doctor.
- Include healthy food in your diet: If you increase the intake of green vegetables in your diet, it will help your body to accelerate the process of detoxification. Fruits and vegetables including watermelon, cranberries, blueberries, strawberries, apples, cabbage, cauliflower, peppers, garlic and onions provide considerable aid in removing the toxins out of your system. However, in case if you are already suffering from kidney disease, this point is not applicable.
Hello doctor I had sex for the first time and now I'm bleeding. How long this bleeding will be continue and is there any adverse effect of it? How to control it please help.
Sometimes there pale greenish vaginal discharge with no odour, itching or burning. What does it implies.
I hav a 28 days cycle, had my periods on 1 st March aftr dat on several occasions had sex but every time v both had clothes on. There was pressing of penis on vagina part.
I am 31 years old (male). We look for 2nd baby after 4 years gap but not succeeded so far. Please give solution sir. I have no bad habbits. Weight 70 kg. Height 175cm.
I have 2 fibroids measuring 5cm and three cm. Doctors have suggested myomectomy. Please suggest as i am am scared of surgeries. I am 41 years old.
Hello Doctor, My period is due today or tomorrow. I have had period symptoms from last 2 days and today morning I found brownish discharge on tissue while wiping. However I don't have cramps now. But period has still not shown. Still brownish discharge. Will I get my period? Also we have been sexually active and trying to conceive. Anything to worry?
PolyCystic Ovarian Disease (PCOD)
PolyCystic Ovarian Disease (PCOD) जिसे PolyCystic Ovarian Syndrome (PCOS) की कहा जाता है, एक महिलाओ में पाया जाने वाला सामान्य विकार है। अनुमान किया जाता है की प्रजनन की उम्र वाली 90 लाख से ज्यादा महिलाओ को PCOD है तथा इनमे से 60 % से ज्यादा महिलाओ को पता नहीं है की उन्हें यह विकार है। कुछ सालो पहले यह समस्या 30 से 35 साल के ऊपर की महिलाओ में ही आम होती थी परन्तु अब कम उम्र की लड़कियों में भी यह ज्यादा प्रमाण में दिखाई दे रही है।
PCOD क्या है ?
महिलाओ में Sex Hormones के असंतुलन के कारण अंडाशय (Ovary) में छोटी-छोटी गाठ या cyst तैयार हो जाती है जिस कारण महिलाओ के मासिक धर्म (Menstrual Cycle) के साथ प्रजनन क्षमता (Fertility) पर भी असर पड़ता है।
महिलाओ में अंडाशय में सामान्य से अधिक मात्रा में Androgen Hormones की निर्मिति होने पर अंडाशय में छोटी-छोटी तरल पदार्थयुक्त cyst तैयार हो जाती है जो धीरे-धीरे आकार में बढ़ने लगती है। इससे महिलाओ में प्रजनन क्षमता कम हो जाती है और महिला गर्भधारणा करने में असमर्थ हो जाती है।
PCOD के लक्षण क्या है ?
PCOD से पीड़ित महिलाओ में निम्नलिखित लक्षण पाए जाते है :
अनियमित मासिक धर्म (Menstrual cycle) चेहरे / शरीर पर अधिक बाल मुंहासे (Acne) Dandruff पेटदर्द गर्भधारणा में मुश्किल आना यौन इच्छा में अचानक कमी आना गर्भ में छोटी-छोटी गांठ जो की Ultra Sound Scan करने पर दिखाई देती है बार बार गर्भपात सिर के बालो का अधिक झड़ना त्वचा पर डाग मोटापा
PCOD के क्या कारण है ?
PCOD होने की मुख्य वजह महिलाओ में Hormones की सामान्य से ज्यादा प्रमाण में निर्मति होना है। स्त्रीरोग विशेषज्ञों का कहना है की पिछले 10 से 15 वर्षो में महिलाओ में PCOD के प्रमाण में 50 से 60 प्रतिशत वृद्धि हुई है। इस असामान्य वृद्धि के कुछ खास कारण है :
असंतुलित आहार (Diet): पिज़्ज़ा, बर्गर जैसे शरीर के लिए हानिकारक junk food। ज्यादा तेलयुक्त, वसायुक्त और मीठा आहार।
रोग (Diseases) : PCOD होने के पीछे मधुमेह (Diabetes) और उच्च रक्तचाप (Hypertension) जैसे रोग भी एक बड़ी वजह है। अगर परिवार में किसी को PCOD का ईतिहास है तो अनुवांशिकता यह भी एक कारण है। Cholesterol का बढ़ना, HDL कम होना या उच्च Triglycerides के वजह से भी PCOD हो सकता है।
मोटापा (Obesity) : अत्यधिक junk food का सेवन और व्यायाम के अभाव के कारण आज की युवा पीढ़ी में मोटापा एक बहोत बड़ी समस्या के रूप में उभरा है। ऐसे तो मोटापा कई बीमारियो का घर है परन्तु मोटापे में शरीर में बढ़ी हुई अत्याधिक चर्बी के कारण Estrogen hormone की निर्मिति सामान्य से ज्यादा होती है, जो की अंडाशय में cyst बनाने के लिए जिम्मेदार माना जाता है।
तनाव (Stress) : आज के दौड़भाग के युग में बढ़ रहे तनाव के कारण लोगो का खानपान और दिनचर्या बिगड़ चुकी है। धूम्रपान, शराब, देर रात का खाना इत्यादि कारणों से भी hormonal imbalance होता है।
PCOD का निदान (Diagnosis) कैसे किया जाता है ?
PCOD का निदान करने के लिए निम्नलिखित परिक्षण किया जाता है :
Ultra Sound Scan of Pelvis / Vagina
LH : FSH ratio
PCOD का उपचार कैसे किया जाता है ?
दवा (Medicine) : डॉक्टर द्वारा दी हुई दवा समय पर डॉक्टर के निर्देशानुसार लेना चाहिए। दवा से अंडाशय में ovulation induction कर गर्भधारणा में मदद की जा सकती है। अगर आप मुंहासो के लिए इलाज करे तो अपने डॉक्टर को PCOD होने की जानकारी अवश्य दे।
वजन कम करना (Weight loss) : अगर आपका वजन बढ़ा हुआ है तो उसे कम करने का प्रयास करे। कई PCOD के मरीजों में केवल वजन कम करने से ही बेहद फायदा होते देखा गया है।
व्यायाम (Exercise) : व्यायाम करने से आपका वजन नियंत्रण में रहेगा और PCOD की वजह से होने वाली insulin resistant की समस्या भी कम हो जाएंगी। आप अपने उम्र और शरीर अनुसार चलना, दौड़ना, तैराकी या aerobic व्यायाम कर सकता है।
संतुलित आहार (Balanced Diet) : खाने में पिज़्ज़ा, बर्गर जैसे शरीर के लिए नुकसानकारी आहार लेने की जगह हरे पत्तेदार सब्जी और फल का समावेश करे।
जीवनशैली (Lifestyle) : चिंता, शोक, भय, क्रोध इत्यादि तनाव बढ़ाने वाली चीजो से दूर रहे। योग और प्राणायाम करे। हमेशा सकारात्मक विचार रखे।
शल्यक्रिया (Surgery) : जरुरत पड़ने पर PCOD के उपचार में शल्य क्रिया या operation भी किया जाता है जिसे Laproscopic Ovarian Drilling (LOD) या Laparoscopic Electrocauterisation of Ovarian Stroma (LEOS) कहा जाता है। इस Operation में Laser या Cautery से अंडाशय के cyst में छेद किया जाता है।
PCOD से पीड़ित महिलाओ में मधुमेह, उच्चरक्तचाप और कर्करोग होने का खतरा रहता है। जल्द उपचार आदि कार्यवाही करने से PCOD के दीर्घकालीन जाखिमो से बचाव किया जा सकता है।
Dr surbhi agrawal
consultant physician and diabetologist
Fear of herpes After getting kiss. Wana know if it is transmitted by saliva. As Dr. skull from the body. Com said No saliva only infected virus.
Iam 29years old, and my weight is 69kgs, I have hypothyroidism since 2004 with a recent reading of 8.5MmicroIU/ml, we are planning for a baby, if I want to conceive will this level of TSH Interfere? If means how much should I reduce in order to conceive quickly, I mean to ask what is the optimum level of TSH for conceiving? Kindly advice?
Emotional Health, Counselling and Fertility Treatment
Few couples are prepared for the diagnosis of infertility, and for most, this will be one of the greatest challenges they face together. Fertility treatment can affect a couples work, family, relationship, social life and self-esteem.
Although everyone is different, there are some common questions that come up for many couples. Have you wondered about any of the following:
- How to deal with your friends who are getting pregnant and having babies?
- Who to tell and what to tell?
- How to fend off unwanted questions and/or comments?
- How to relieve tension?
- How to keep your relationship strong?
- How to deal with the workplace and frequent absences?
- How to find strength and strategies to keep going cycle after cycle?
It is strongly recommended that anyone undergoing fertility treatment attend at least one counselling session at the start of treatment. At our Centre, you have the opportunity to use a complimentary counselling session once during every stimulated cycle. You will find out more about the emotional processes involved in fertility treatment, realistic expectations of outcomes, both physical and emotional, and how to prepare for and manage the rollercoaster of emotions.
It is very common to fear that getting counselling means that there is something wrong with you or that it confirms a weakness and inability to handle treatment. But this is not the real scenario infertility helps you manage emotions, cope better with day to day stresses, whether these are related to treatment or not, and ultimately prevent long-term problems, such as depression or anxiety.
Overall, our goal is to help you gain a greater sense of control and reclaim life amidst treatment. It is therefore our role as Counsellors to help you identify which strategies would suit you the best. We become support person, educator, counsellor, therapist, mediator, and life coach.
Im 18 years old I have periods problem of irregular time sometimes comes after date in 4 5 days or sometimes directly after 1 month why is this so. please help.
Vitamin a, a fat-soluble vitamin, is a potent antioxidant that performs a wide host of functions that are critical for the functioning of the body. In humans, most commonly, it is consumed in two forms:
Animal-based foods rich in active vitamin a or retinol
Plant-based foods rich in pro-vitamin a or carotenoids.
Of the two, animal-based foods (retinol) can be directly assimilated by the body whereas plant based foods (carotenoids) have to be converted to retinol and then taken.
Let us give a quick glance at the critical roles played by vitamin a in the human body, thereby making it an indispensable vitamin in the human body.
1. Promotes eye health
Vitamin a, the key component of rhodopsin, an eye-compound that ensures clear vision prevents night as well as color blindness in humans. Vitamin a also checks macular degeneration which is the common cause of blindness in the elderly.
2. Ensures healthy skin
Retinol deficiency causes the skin cells to dry out prematurely and therefore could be a reason for dry, scaly and flaky skin. Vitamin a nourishes the skin cells and promotes a healthy and glowing skin. Recent studies showcase that a healthy dose of vitamin a also prevents skin cancer by maintaining the production of new skin cells.
3. Boosts immunity
Being a potent anti-oxidant, vitamin a reverses cell damage caused by free radicals and strengthens the immune system. It helps to prevent diseases such as cancer, flu and the common cold. Deficiency of the nutrient may render you susceptible to infections as well.
4. Strengthens bones
Vitamin a helps to strengthen the bones and teeth. A majority of age-related skeletal issues can be prevented if the body has vitamin a in the adequate quantities. It also plays an important role in the healthy growth of the muscular system as well.
How much vitamin a do you actually need?
As per the recommended dietary allowance, an adult (man) must have at least 900 micrograms and an adult (woman) must have 700 micrograms of vitamin a in a day. Pregnant women must consume at least 770 micrograms of vitamin a on a daily basis.
Where do you get vitamin a naturally from?
1. Carrots, a single carrot has over 200% of the daily need of vitamin a.
2. Sweet potatoes are nutrient dense roots and contain double the amount of vitamin a compared to a carrot.
3. Mangoes, the king of fruits is not to be left behind when discussing vitamin a. One whole mango has enough to satiate your need for a day.