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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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I had sex on 17rh may and from 19th may I have been frequently urinating in every 2hours. Does it mean I am pregnant?
The term neurovascular disease refers to any kind of abnormality that can be observed in the blood vessels or in the blood supply to the spine or brain. The narrowing or shrinking of the arteries due to the plaque buildup also falls under this particular disease, which intervenes the normal blood flow to the brains, and makes the risk of stroke a more prominent one. If not treated at the right time in the right way, neurovascular diseases can not only cause disabilities in the adults, but may also be fatal.
Below are some of the common types of neurovascular diseases.
- Aneurysms: Aneurysms are a particular type of neurovascular disease where a vascular lesion or a balloon shaped abnormality manifests in the artery walls due to the walls' weakness or swelling. Vomiting, nausea and sudden headache of a severe kind are a few common symptoms of it.
- Arteriovenous malformation: When a defect is formed in the circulatory system which reduces the oxygen supply to the spinal cord and the brain, AVM or arteriovenous malformation occurs. While severe pain in the back is the main symptom of arteriovenous malformation in the spinal, headaches and seizures are common symptoms of the malformation in the brain.
- Arteriovenous fistulas: AVF or arteriovenous fistulas are nothing but some unnatural passageways in the vein and the arteries, encompassing the spinal cord and the brain. Here, the blood flows directly into a vein from the arteries through the fistulas, which gives rise to the blood bypassing the capillaries continuously.
- Carotid artery stenosis: When the carotid arteries, situated on the both sides of the neck and leads to the brain, starts to become narrower due to the plaque formation or the compositions of fatty deposits, the normal blood flow gets interrupted severely. Sometimes, mini-strokes or transient ischemic attacks are its first signs.
- Moyamoya disease: It’s comparatively a very rare condition where some blood vessels in the brains close due to blood clots. Some of its early warning signs are speech problems, weakness, limp paralysis and headaches.
- Cavernous malformation: Cavernous malformation refers to a neurovascular disease where not only the malformation occurs in the blood vessels, but they bleed too. Blood leaking from the affected blood vessels makes signs like seizures, vision loss or difficulties in swallowing, visible.
- Stroke: A stroke is a neurological event that happens all of a sudden, without any warning. As a result of it, often a new onset of different neurological symptoms becomes visible. Hemorrhagic stroke, transient ischemic attack, and cerebral infarction or ischemic stroke are three common types of strokes.
Neurovascular diseases are one of the main illness conditions that affect a considerable number of the population worldwide. Therefore, having a proper idea about the types and consulting with a doctor in case one suspects having any of the neurovascular diseases, is of crucial importance for leading a safe and healthy life. Consult an expert & get answers to your questions!
Good afternoon, I am Dr. Puneet Kocchar. I am a consultant gynecologist and a fertility specialist at Elixir Fertility Center, New Delhi. Today I will be talking about Recurrent miscarriages and abortions.
A positive pregnancy test is a very exciting news not only for the couple but for the entire family. However, sometimes there is a miscarriage and the chances of miscarriage in the normal pregnancy are about 10-15%. If you have had only one miscarriage, then the chances that you will carry on till term without requiring any medical extensive treatment in your next pregnancy are nearly 80% or more. For women who have had only one miscarriage, we will not recommend going for extensive testing or treatment.
What is recurrent abortion or recurrent miscarriage?
If a lady has had 3 or more repeated abortion, it is called recurrent abortions. Even these days we start doing test and treatment if a lady has had 2 abortions and we do not wait for third one to occur.
So, why does an abortion occur?
In simple terms, either it is a fetus, that is, an embryo is not normal or the womb which is going to carry the pregnancy has some problems in it. What happens to a fetus if you are carrying a genetically abnormal baby, that can lead to miscarriage. It is nature's way to take care of the pregnancy and not letting the abnormal baby come into life. So, we do tests called genetic tests to check the chromosomic make up of a baby. They can be done on the products of conception. We also recommend that we have complete parental care, that is the blood test of both mom and dad to check the both of the chromosomal content.
Sometimes, in2-5%of the cases, there is balanced chromosomal translocation. Now this translocation will not cause any problem to the person who is guiding translocation. But when you produce an egg or the sperm, the embryo can be abnormal and this will lead to a miscarriage.
What happens to a person carrying a translocation?
If you are carrying a translocation which is leading to repeated miscarriages, it is better to plan IVF cycle along with PGD or PGS rather than normal conception.
IVF is where we create an embryo using the eggs from the lady and sperm from the husband. When the embryo is ready, we take a small biopsy and we subject it to test and a complete chromosomal analysis. And once the results are back, the normal embryo is transferred back into the lady's womb resulting in healthy pregnancy. This is one factor that we just addressed.
The second factor that we talked about is abnormalities in the womb. Now, simple test to analyze hormonal balance from the blood taken from the lady will tell us about thyroid status, diabetes, abnormal prolactin. These are all hormones which if are elevated or below the range can lead to abortions. THis can all be treated by giving oral tablets. So, these are important to be tested for any women having recurrent abortions.
- Then we look into other factors such as autoimmune problems which are very common, occurring in about 20% of the patients. During pregnancy, we advise you to take low dose aspirin tablets and low molecular weight hampering injections for the entire duration of pregnancy. And this results in more than 60% successful pregnancies.
- Another important factor that leads to abortion, which is Thrombophilias. THese are inherited problem which increases the tendency of blood to clot. Since the blood flow to the uterus is not occurring properly, you might again need blood gain agents such as aspirin.
- Some of the other common factors are an anatomical factor. So, if the uterus or a womb is carrying a fibroid can also lead to abortions. Now, these can be easily diagnosed by doing an ultrasound either 2-dimensional or 3- dimensional. If such a problem is present, we can treat it by doing a hysteroscopic procedure.
- Another important factor that leads to Abortion, especially in our part of the country, that is North India, is Tuberculosis. This is one of the commonest cause of miscarriages especially in our part of the country. It can be tested by doing Biopsy. Take a small amount of tissue from the uterus and check whether the lady is carrying Tuberculosis or not. It can be treated by giving oral medication of tuberculosis that has to be taken for the period of 6-9 months.
- Another common cause is the imbalance of Th1 or Th2 cytokines. These are the cytokines present in the uterus which may not let the embryo or the pregnancy to grow. And if these are found to be positive, we recommend Immunomodulation.
So, these are the various causes due to which a lady can have an abortion. An important thing here is do not loose hope and do not give up treatment. If you have had 2-3 abortions, you need to get complete panel of tests done and with the help of a treatment, you have 60% of the chance to deliver a baby normally.
If you wish to consult me, please contact me through Lybrate or you can visit my clinic directly.
I am having vaginal itching since 2 weeks. Is there any infection or what. Some times its more than normal. Also I used razor at the bikini area for the first time, since then this problem persist. Please suggest.
Hello Dr. Main pregnant Hu from Dec. Month but mujhe white discharge hota hai thoda iske liye kya kru main.
It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. These females are given medication (as tablets or through injections) to stimulate there hormones.
How does Ovulation Induction work?
First, we’ll confirm your ovulation cycle by:
- Taking blood samples to measure hormone levels at specific stages of the cycle,
- Carrying out a transvaginal ultrasound to see the development of follicles in the ovaries, and the thickness and appearance of the lining of the womb.
The Ovulation Induction cycle
Day 1: (of your menstrual cycle) Call the clinic to arrange an appointment for a blood test.
Day 2-4: Start taking medication.
Day 10 or 11: Visit the clinic for a blood test to determine your hormone level. /an ultrasound.
Day 14: (approximate) Attend the clinic for an ultrasound test. This will determine if you are about to ovulate.
For women who don’t have a normal menstrual cycle, it may take some time to ovulate. In fact, it is not unusual for ovulation to occur much later in their cycle (after Day 14). You would then need to continue attending the clinic until you ovulate.
There are various treatments to treat ovulation disorders.
These medications may cause multiple follicle development, with the risk of multiple pregnancy. For this reason you need to undergo regular ultrasounds to determine the number and rate of growth of these follicles. If more than one follicle develops, your fertility specialist will discuss the risks of multifollicular ovulation.
After the follicle has developed we may use another injection of synthetic human chorionic gonadotropin (hCG) to trigger the release of the egg from the follicle.The fertile time is for 36 hours from the time of trigger.
Hi doctor my aunty had removed her uterus becoz of fibroid 2 year past now her health is ok but her legs some time pains very badly mostly when she wake up in the morning what is the reason for that pain can you plss give some good home remedy treatment for her.
I'm a 16yrs girl I got intimate during periods so I missed my periods for 2 months n during these days I used too much sleeping pills so I jus wanna ask that what could be the reason for missed periods?
Yes we all desire for that perfect physical gratification that we get from being with our partners and we all look forward to a supercharged physical intimacy. However, what can go wrong with it? Most people will experience some sort of sexual difficulty at some point in their lifetime. Luckily, various healthcare professionals, including sex therapists and counselors, are trained to help people with these issues. Although individual cases vary in their specifics, a few sexual concerns are quite common.
Top Sexual Concerns among Women:
The top two sexual concerns for women are low desire or complete lack of sexual desire. Up to 40 percent of women report that they have little or no desire to have sex.
- Low Desire or Lack of Sexual Desire: Low desire or lack of desire is an increasing trend among women (and some men). Lack of desire is often accompanied by discussions about lack of time or energy for sex.
- Body Image Issues: Not liking what you see in the mirror can make the thought of being naked in front of someone else unpleasant.
- Aging and Hormonal changes: Changes associated with menopause may conspire to reduce a woman's interest in sex. Hot flashes, night sweats and weight gain can be some of the causes.
- Relationship Conflicts: Conflict with one's partner over everyday issues, from money concerns to childbearing, can reduce feelings of desire.
- Unskilled Sexual Partners: People who are experiencing unsatisfactory sex often lose desire. The more bad sex you have, the less you want (conversely, the more good sex you have, the more you want).
- Medical Conditions: Certain medical conditions may affect sexual desire. One of the symptoms of depression, for example, is a lack of interest in sex.
What You Can Do?
First, you should work with your physician to rule out any physical reasons for low desire. Next, it is important to understand how your body responds to touch. Make time for self-pleasuring (masturbation) and explore your capacity to experience pleasure.
In case you have a concern or query you can always consult an expert & get answers to your questions!