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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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Hello, I am 23 years, suffering from menstrual problem my periods was not on time my doctor tell me tat I have hormonal disturbnc and prescribe projesteron tblt after I intake that tblt my period cycle was correct but now my last periods was on 27th feb.
M 21 suffering from pcod since 5 months m married for 7 months yesterday was day 8 n my follicles we're about 3 to 6 mm n 23 in left n 18 in right will I have chance to get pregnant this time is 3 to 6 mm of follicle is Normal on day 8 please help me out.
Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.
Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.
Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.
Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.
The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.
IgG & IgM dengue
In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.
Immature Platelet fraction (IPF)
A very useful test in Dengue for patients with thrombocytopenia.
If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.
If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.
If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.
Better to do an IPF even with borderline low platelet count.
A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.
The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .
According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.
At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.
“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”
Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.
Novelon 21 day pill from june. Missed second last doubled with the last, break of 6 days from 2-7 july. Menses from 5-7july. New pack from 8th july. Protected intercourse but condom used thrice on 9th july (first timw intercourse) Next fully protected on 14th july (last intercourse) Missed 21st july pill doubled 22nd july night. Light bleeding on 22nd july morning (breakthrough bleed or implantation bleed?) Pill ended on 28th july menses from 1-6 aug. Negative hpt at 4,5,6,7,8,11,12 weeks all negative hpt done with first morning urine with different brands. No pills or intercourse after 1-6aug. Periods due on 1st sept as it dint came did a usg and hcg beta on 8th sept (10 weeks from first and 9 weeks from last intercourse) Hcg was 0.11 and usg shows pcod (no mention of pregnancy) Dr. prescribed deviry 2 tab for 5 days for withdrawal bleed. But after taking just a single dose bleeding started from 11-16th sept. It was heavy. On 21st july morning when I woke up I can feel my pelvic bone in the front (can it be due to exercises like crunches leg rise etc with weight loss? I was 72 in july 70 in aug and now I am almost 68 kgs) and after continuous touching I made it hurt. Scared went for usg on 21st sept (12 weeks ftom first and 11 weeks from lasr intercourse) Usg only showed bulky ovaries with pcod. I asked him if my uterus was normal he said its absolutely normal. Usg was transabdominal. The hardness yet not gone. Moreover m fln gassy all the time and I cn feel sensation under my rib and back and m passing lots of gas. M worried too. finally ve taken an hpt with first morning urine at almost 12 weeks 6 days. And its negative. Can their still be risk of pregnancy? M 23 years old and come from a strict conservative family. Can I go to doctor with my mother? Their will not be any risk of pregnancy right? I have heard about cryptic pregnancy. Is it at all possible after so many hpts usgs and blood tests? I did not felt any symptoms except gas and that bone in front. Google says its common in pregnant woman. M scared, m I 100% safe?
It's been almost 3 months of my pregnancy and like most of the lady I am also feeling excessive itching over belly, legs and even chick which cause literally painful situation So please advise what shout I use as best medicine, Lotion, Oil to get rid of this, Please suggest best solution.
I got married before one month and now I m pregnant I m having pcod and also taking medicine for irrational thoughts repeatedly comes in my mind I m not mentally prepared for conceiving But all suggest me to continue pregnancy because of pcod infertile rate I m confused Its too early I do not want baby so early please give me advice.
My Sister (35years) has continuous periods from past two months, she got the scan done and everything is fine. They gave her tablets for hormonal changes. Till she took tablets it was fine but bleeding stated again when she stopped the tablets. Is it because of strain because she has to travel to different places in india due to the nature of her work.
I had physically intimacy with my bf on my fifth day of period without protection in the month of july . Now i am delay with my periods date is 20th of every month is there anything to worry about m little scared? please suggest.
I am trying to conceive one miscarriage previously and now from one week having milky discharge .Am I pregnant?
I am 5 weeks pregnant with triplets. I heard that triplets will cause premature delivery for babies in 7th month. Is that true? Will they born with less weight? How can I take care of my babies? Im very very hungry always. If I eat more will it effect my babies?
How many i-pill are appropriate in a year, I had one yesterday within a time period of 1.5 months, I've heard 5 pills a year is fine if more that that it might affect my reproduction system, I had 6 till now.
Write Up - True Relationship
Relationship is the one which exists in all humans in every part of their life Cycle, which is inevitable and it also the one which differentiates them from other creatures and to way to cope the situation.This sometimes gives them more valid in their deliverance in their inherited skill and acquired through their experiences
Few Relationship were still maintained in order to value their Faithfulness and affectionate towards the others as they disobey the basic law of trust and integrity of the relationship, because as there is no expectancy in their mind and feels their love, bond affection is true, These quality still makes them perfect analytical and dutiful well being
All these are the variants in form of stages of relationship in accord to situational needs and demands and can be a characteristic impedance to one.
Values Of True Relationship :
- Unmeasurable Love Bond and Affection
- Makes Perfect Dutiful And Productful to the Society
- Happiness to the mind and avoids Unnecessary Negative Thoughts
- No Ego or Lies
- Realisations does takes place in case of injustice done
- May End up with Good Trusted and Genuine Partners to another
- Would Bring Heathy and Disciplined Children.
- May avoid unnecessary hatredness conflicts to fellow beings