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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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Unexpected or abnormal vaginal bleeding usually refers to the kind of bleeding that occurs any time outside of the normal time of menstruation. Also termed as spotting, inter-menstrual bleeding or metrorrhagia, bleeding between periods always calls for extra measures to be taken against it, and is a matter of serious concern. The primary causes for unexpected vaginal bleeding generally are:
- An imbalance of progesterone and estrogen levels triggered by a variety of causes like thyroid gland problems, dysfunctional ovaries and irregular doses of birth control pills, which may eventually lead to spotting. However, one must take note of the fact that hormonal contraceptives, in many cases, may cause abnormal bleeding for the first few months, after which it always subsides.
- Noncancerous growth such as uterine fibroids are also potential causes of spotting or abnormal bleeding.
- Miscarriages, ectopic pregnancy, and other kinds of complications involved during childbirth can cause abnormal vaginal bleeding.
- Infection of reproductive organs caused due to intercourse, vaginal douching, pelvic inflammatory disease, or STDs (sexually transmitted diseases) may lead to bleeding and inflammation.
- Cancer of the vagina, uterus, cervix, or ovaries, albeit extremely rare in nature, may cause abnormal bleeding of the vagina.
While in most cases, this type of bleeding is naturally corrected, some women might need to undergo treatments when the case is severe. Overlooking an otherwise minor issue might thrust you in the face of life-threatening circumstances, if it develops into a case of cancer, infection, or any other type of disorder.
‘Prevention’ of vaginal bleeding, as such, is indeed a narrow possibility and the measures will almost always vary since the factors that cause intermenstrual bleeding aren’t the same in all cases. However, what your doctor will always advise you in this regard will be to ensure that your diet is balanced, your weight under control and your lifestyle is essentially healthy. If you happen to be on birth control medications, be so while adhering to medical instructions. Resorting to taking aspirin doses often might also influence the incidence of such abnormal conditions. If your pain still persists after you experience unexpected bleeding, you must consult a doctor without any further delay.
Hii I am 21 years old. I have my periods 2 months ago nd my periods are still not coming. This is the first time when my periods are not on time. I had take norlut n tablets 3 times in a day nd still my periods are not coming. S suggest me what should I do?
Androgens, or the male sex hormones are steroid hormones that mainly include Testosterone, Androstenedione, DHT (Dihydrotestosterone), DHEA (Dehydroepiandrosterone), DHEA-S (Dehydroepiandrosterone- Sulfate). These hormones are produced in both males and females, and androgen is responsible for the secondary sexual characteristics in men. Androgen is also responsible for the synthesis of estrogen (a precursor for estrogen synthesis) in females. The hormone is also known to regulate the activities of a host of body organs including the reproductive tract (both in males and females).
In females, androgens (testosterone, in particular) are, however, produced in lesser quantities by the ovaries. The problem arises when the there is an elevated production of androgens in females, a condition termed as Hyperandrogenism. Mentioned below are some of the symptoms and complications indicative of Hyperandrogenism in women.
- Hair loss and alopecia: This is common in women with Hyperandrogenism. When there is an increased production of androgen, especially testosterone, some of the testosterone gets converted into Dihydrotestosterone (DHT). A healthy hair growth cycle consists of three phases- Anagen (growth phase), Catagen (transitional hair growth phase), and Telogen (resting phase). The DHT produced get attached to the hair follicles, resulting in the hair follicles to enter into the Telogen phase prematurely with increased hair loss and alopecia.
- PCOS: The elevated levels of androgen also result in the formation of cysts in one or both the ovaries. The ovarian cysts often interfere with the ovulation process as the condition either stall the maturation of the eggs or the release of the matured eggs from the ovary fail to take place.
- Menstrual problems (irregular periods, heavy or scanty flow) and infertility are common in females with PCOS.
- Menstrual problems and abnormalities: Research suggests that elevated plasma androgen levels can significantly affect the menstrual cycle in females. Incidences of Amenorrhea (a condition whereby a woman has missed three or more successive menstrual cycles) and Oligomenorrhea (a condition where the menstrual cycle is often lighter and less frequent) are relatively higher in women with Hyperandrogenism.
- Hirsutism: Hirsutism is characterized by the presence of the excess body and facial hair in females (male pattern hair growth). Androgen plays a pivotal role in the regulation of the pilosebaceous unit along with the modulation of the hair growth. The pilosebaceous unit (the unit mainly includes the sebaceous glands and the hair follicles) is involved in the production of the sebum.
In females with Hyperandrogenism, the elevated androgen level contributes significantly towards increased production of terminal body hair as seen in males (increased facial hair, hair on the chest, arms, legs) resulting in Hirsutism.
Probable complications and problems Hyperandrogenism can cause
- Hyperandrogenism in females also triggers an elevated sebum production, resulting in acne and related skin problems.
- As already mentioned, androgen is responsible for secondary male sexual characteristics. Thus, females with Hyperandrogenism often exhibit Virilization or increased male characteristics.
- With Increased incidences of menstrual abnormalities and PCOS, Hyperandrogenism can eventually make it difficult for a woman to conceive.
- Females with Hyperandrogenism often suffer from obesity.
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Hi Doctor I had a termination of pregnancy of 1 week using MT Pill on 04th Feb and bleeding stopped completely on 20th Feb. Now again I am tested positive on Pregnancy Test. I am not sure if I got pregnant again or previous termination didn't happen completely. If its a new pregnancy this time, Shall I again use MT Pill to terminate it or go under medical examination this time.
I am pregnant I check up and the result is its around only a month so I do not want this child this child will be destroy by medicine?
Postpartum is the period after one's labour and delivery. Pregnancy and postpartum are a time when a woman's body changes to a great extent, in order to first accommodate the baby and then go through labour and delivery. A vaginal delivery can have many implications when it comes to the postpartum.
The same goes for a Caesarean Section or C Section as well. Let us find out what your postpartum care routine should include.
- Vaginal Soreness: Deal with vaginal soreness with the help of stool softeners and pain relievers, as prescribed by your gynaecologist. You should also make hygiene a priority at this time. Use a washcloth and warm water to clean the area every time you urinate. Also, you can use an ice pack if the wound is particularly painful.
- Discharge: Vaginal discharge in the postpartum period is called lochia, and it usually carries on for a few weeks after the baby is born. You must use a sanitary napkin during this period and clean up regularly. If your bleeding or discharge is accompanied by fever, then you should contact your gynaecologist immediately.
- C Section Wound: In case there is redness and swelling in the wound, accompanied by symptoms like pain and foul smelling discharge from the vagina, you will need to get in touch with your doctor immediately so that he or she can check for possibility of infections.
- Movement: After a C Section, you will need to take as much rest as possible, so that the wound heals properly. This includes avoiding making too many trips up and down the stairs as well. It would be a good idea to have a family member or partner around who can help as well. Gentle walks after a week or two are usually recommended for the body to come back to normal gradually.
- Kegels: Do kegels or contracting exercises for the strength of the pelvic floor to return, especially after a vaginal delivery. This will help in alleviating pain and burning sensation during urination at this time.
- Nutrition: Take special care to eat nutritious and home cooked food, especially if you are breast feeding. This will also help in the healing of the vaginal or C Section wound. Also, a high fibre diet will help in better bowel movement, which will lessen the pain while visiting the bathroom.
Taking care of your body in postpartum is a matter of bringing it back to normal gradually even as you deal with the side effects of delivery. Ensure that you are in touch with your doctor.