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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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Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.
- Hormonal problems: Ovulation is linked with a complex balance of hormones and any disruption in the process can hinder ovulation. The disruption includes the fact that the ovaries are not producing normal follicles in which the eggs can mature. Ovulation is rare if the eggs are immature and there are no chances of fertilization. Polycystic ovary syndrome is the most common disorder responsible for infertility. Malfunction of the hypothalamus leading to failure in triggering hormonal stimulus to ovaries for egg maturation leading to immature eggs and ovarian failure. Malfunction of the pituitary gland leading to imbalance in hormonal secretion thus causing disturbance in ovulation. This can occur due to physical injury, a tumour or a chemical imbalance in the pituitary.
- Scarred ovaries: Ovulation failure can also be due to a physical damage to the ovaries. Invasive surgeries involving ovarian cysts leads to damaging or scarring of capsule of the ovary to become due to which follicles cannot mature leading to disruption of ovulation.
- Premature menopause: Early menopause or premature menopause before the normal age means that the natural supply of eggs has been depleted. This is most common in extremely athletic women with a history of low body weight and extensive exercise.
- Follicle problems: Infertility is also caused due to non-ruptured follicle syndrome in which women who produce a normal follicle, with an egg inside of it, every month but the follicle fails to rupture. This leads to disruption of ovulation as the egg remains inside the ovary.
- Others: Treating female infertility by chemotherapy is next to premature ovarian failure by loss of primordial follicles. Sexually transmitted infections are a leading cause of infertility. Tobacco smoking is detrimental to the ovaries and the amount of damage is dependent upon the amount and length of time of exposure of smoke in the environment. Nicotine in cigarettes interfere with the body’s ability to create oestrogen, a hormone that regulates ovulation. In addition, blocked fallopian tubes due to pelvic inflammatory disease or surgery for an ectopic pregnancy also causes infertility. Infertility can also be due to physical problems with the uterus or fibroids of uterus where non-cancerous clumps of tissue and muscle on the walls of the uterus.
Hello doctor meri age 24 h or mujhe 6/7mahine se 2 din hi period hote h please mujhe btaiye aisa kyu ho rha h or kuch mahine se pimples k bi problem start hogai please mujhe btaiye k me kya kru.
My NT Scan report for first trimester shows that - Fetal heart reveals mildly enlarged right atrium and ventricle. Small echogenic focus noted in left ventricle which appears small. Please provide suggestions what to do next.
Fibroid tumour is the abnormal cell growth in the uterus and they are mostly benign. Fibroids usually affect women in the age bracket of 30 - 40. Fibroid tumours are of three types, depending on their location:
- Submucosal fibroids: The tumour develops under the lining of the uterus
- Intramural fibroids: The growth is found amongst the muscles in the wall of the uterus
- Subserosal fibroids: The growth develops on the wall of the uterus right in the pelvic cavity111939
Causes behind it
The exact cause of fibroids in not known clearly. But certain factors have been discovered that might influence their formation. These factors include:
- Hormones: Progesterone and estrogen are the hormones responsible for recreating the uterine lining during every menstrual cycle. These hormones might trigger the formation of tumour.
- Family history: If any member in your family; your mother, grandmother or sister has/had fibroids in their uterus, you may also develop it.
- Pregnancy: Your body produces excessive progesterone and estrogen when you are pregnant, which may cause an increase in the size of a pre-existing small fibroid. Myomectomy can be done by giving incision on the abdomen or by laparoscopy depending on the size and location of the fibroids.
Signs You are suffering from it
- Heavy bleeding along with blood clots during or between your periods
- Lower back or pelvic pain
- Elevated menstrual cramping
- Frequent urination
- Pain during sex
- Longer than normal periods
- Bloating or pressure in lower abdomen
- Enlargement or swelling of the abdomen
How it can be treated?
Your doctor will formulate the right treatment depending on your age, the mass of the fibroids and your overall health. Your doctor may choose a combination of treatment to cure your fibroids, and they include:
- Medication: Gonadotropin releasing hormones (GnRH) agonists, birth control pills and ibuprofen (anti-inflammatory medicine) are prescribed. GnRH agonists reduce the level of progesterone and estrogen in your uterus.
- Surgery: Myomectomy and hysterectomy are two common surgical procedures to treat fibroids. Myomectomy is performed by removing the fibroids only by making an incision on the abdomen. But hysterectomy completely removes the uterus. The latter is reserved for serious cases.
- Non-invasive surgery: Forced ultrasound surgery, myolysis (shrinking fibroids with laser or electric current), cryomyolysis (fibroids are frozen) and endometrial ablation (an instrument uses heat, hot water, microwaves or electric current to destroy fibroids) are some non-invasive surgical procedures.
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Is it possible to get pregnant with clothes on? 4 layers of clothing. Even a slightest chance of so?
I was on krimson 35 from november. Doctor prescribed me to start from 5th day of the cycle. But did not remember if I have started from 4th or 5th. Pill pack ended timely and bleeding occurred in the 7 day break. I again started dec pill pack from the 5th day of period (may be the gap was 8 days. My dec pill pack ended on 24th dec (usually take the pill from 9-11 pm at night. Never missed any pill. On 25th dec partner rubbed his unprotected genitals on my butt (no intercourse, no ejaculation, he went to toilet before the act). Bleeding occurred from 28th dec-2nd January. Again started jan pill pack from 5th day. This time the gap was 7 days. And I took the pill on same time each day. Pill pack ended on 21st jan and bleeding occurred from 25th January to 29th january. My feb pack got over on 18th February and period started from 22nd feb to 27th feb Every time bleeding was light on the first day and got heavier on third day and from fourth day night it becomes lesser and it comes regularly on 4th day of stopping pill. My march pill got over on 18th march. And period started from 22nd march-27th march. No sex activity after 25th dec. Is their any chance of pregnancy since I had certain confusion with November pill regarding the pill free interval. Since no ejaculation or intercourse, will it be able for sperms in precum to make you conceive? Is their any chance of conceiving? M I safe.
Can I become pregnant from semen as he touched my anal with penis? So we are scared that there might be any sperm present on semen. Plss reply asap.
Bacterial vaginosis is an infection that occurs in the vagina due to an imbalance in growth of the vaginal bacteria; It is the overgrowth in the naturally occurring bacteria in the vagina causes the imbalance. This disorder is very common among women, especially among pregnant women. This problem is usually not very serious and tends to subside within 4-5 days. However, in certain cases, they are capable of causing serious complications.
Symptoms of bacterial vaginosis include:
- Vaginal discharge that is white or grey in colour
- Constant itching in your vagina
- The vaginal discharge usually has a foul smelling odour
- Burning sensation during urination
Vaginal bacteria can be either good or bad. Any disruption in the delicate balance of the vaginal bacteria can lead to bacterial vaginosis. There is no exact known cause of this disorder, but it is believed that having multiple sex partners can aggravate this risks. Other factors include:
- Douching: If you clean your vagina with water and other cleansing agents on a regular basis, it might cause a bacterial imbalance, thus leading to this infection.
- Multiple partners: Having multiple sex partners puts you at a higher risk of contracting bacterial vaginosis. This disorder may also lead to various complications such as:
- STIs: This infection may make you highly susceptible to various infections such as Chlamydia, HIV and gonorrhoea.
- Disorders of the pelvic region: Bacterial vaginosis may lead to inflammation in the pelvic region, which in turn may lead to infertility.
- Preterm birth: It increases the chances of premature birth
- Smoking: Smoking frequently increases the risk of a bacterial vaginosis infection.
- Unprotected sex: Having sex without proper protection increases the risk levels of bacterial vaginosis.
There are certain preventive measures that you can adopt to prevent this condition:
- Use soaps which contain no or very little chemicals to clean the region around your genitals
- Use latex condoms during sexual intercourse to prevent STIs.
- Do not clean your vagina (the practice referred to as douching) on a regular basis. If you wish to discuss about any specific problem, you can consult a gynaecologist.
In vitro fertilisation, commonly known as IVF, is the process of fertilising single or multiple eggs outside the body. This treatment can be performed by either using your own egg and sperm or using donated egg or sperm or sometimes both. The resulting embryos are evaluated for quality and then one or more of them are positioned properly in the uterus through the cervix. IVF is regarded as one of the most commonly opted treatment plans, and it accounts for more than 99% of assisted reproductive technology processes.
Who are suitable for IVF?
IVF can be helpful for you in case you have some issues with the egg quality or ovulation, fallopian tubes that are blocked in some way or endometriosis. It can also help you get pregnant if your partner has reduced sperm count or there is some problem with motility or morphology of sperms. About 1.5% of babies in the United States are conceived through the IVF process.
How does IVF work?
There are several steps through which IVF process works and the timeline follows the following steps:
- Stimulation for ovary: You will have to take a special kind of fertility drug for 8 to 14 days near the start of your menstruation cycle. This drug aids in the stimulation of your ovaries for developing multiple mature eggs to fertilise instead of a single one. You may also need to take an artificial hormone-like cetrofelix and leuprolide for keeping your body from releasing eggs very early.
- Development of follicle: When you are under all these medications, you will have to visit your doctor’s office often for checking the hormone levels as well as ultrasound measurements for the ovaries.
- Getting the trigger shot: Once the follicles are ready, you are likely to receive a trigger shot, which is an injection causing the eggs for maturing fully and becoming capable of being fertilised. Your eggs are ready for being retrieved after about 36 hours of receiving this shot.
- Gathering the eggs: At this stage, you are likely to receive an anaesthetic drug. Ultrasound probe is then inserted through the vagina for aspirating the follicles. Normally, about 8 to 15 eggs are retrieved through the insertion of a thin needle.
- Fertilization: This is the most vital step, where an embryologist is going to examine the eggs before they are combined with the sperm and incubated overnight. Fertilization happens at this particular time, but abnormal eggs are not fertilized. Fertilised embryos start developing in the laboratory and then the embryos are transferred inside the uterine cavity. If you wish to discuss about any specific problem, you can consult a gynaecologist.