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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
Submit a review for Dr. RameshYour feedback matters!
Hi I am neha 25 year old. My last period was came on 17th April 2018 and after that I was done unprotected sex. My monthly routine circle is 28 days according to that it should be come on 15th or 16th May but today it&aposs 21st May and my period did not come till now. While it was never late. I have also check 4 times via prega news but every time result coming negative now question is this that if I am pregnant so why result coming negative and if I am not pregnant than why period not coming. It can be also towards swelling because I am feeling like that but I want to know that after how many days it can be confirmed via test kit that I am pregnant or not. Kindly let me know about all these all things so I can take any action about this. Kindly reply as soon as possible.
I am 25 years old .i had sex 6_7 times two year ago. And after this I even not think about sex. But a little fingering some times. Now I have done hymenoplasty operation. Sir I want to know that is after this my vagina also become tight. Bcoz sir mere marriage hai 1 saal bad. So please tell me that k mere vagina apne app tight hojayegi. please help me
I'm 21 years old unmarried girl. Mujhe ye janna hai ki agar koi unmarried girl pregnant ho uski age 18 years se jyade ho. Pregnancy can be more than 12 weeks. Vo surgical abortion krwana chahti ho kisi reputated clinic ya hospital mei jaha vo sirf apni written consent de skti hai. Parents , relatives ya or kisi ki bhi consent nahi de skti. To kya aise abortion legal hai India mei? If yes then please suggest me any good clinic.
At 7 month pregnancy AFI 10.5m and placenta grade 2 lying middle fetal heart rate 140/min fetal weight 1082 gms please suggest precaution and solution how to recover from this.
Hi doctor, I am 29 year old. September 11 2016 was my last period date, I hope I am pregnant. please suggest.
In 38 week of pregnancy doctor prescribed two tablets first is Epidosin and black-5 is it safe to have these medicines. The doctor said it is used for to have pains. She asked me to take 2 Bylax tablets at a time and Epidosin 3 times a day. I want to have normal delivery I don't want c section at any cost I am worried if I take these tablets instead of normal delivery c section na hojaye. please help me out is it safe to have these tablets or not?
- Primary Infertility
- Secondary Infertility
- Investigating & treating a case of B.O.H.
- Investigating & treating Abnormal bleeding P/V
- Investigating & treating case of mass inside the uterine cavity
Confirmed by TVUSG as typical shadow towards endometrial linings. SOL/polyp can also be better visualized by Sono-salpingography by introducing 10-50 cc of normal saline with pediatric Foley’s catheter inside uterine cavity during TVUSG to delineate endometrial polyp better.
Hysteroscopy is the commonest type of work up in the entire Infertility & BOH patient along with Diagnostic Laparoscopy. Only diagnostic hysteroscopy is the commonest work up recommended before IVF. We record Hysteroscopy diagnostic & operative procedure for future important record in Infertility patient, for second opinion & for deciding future treatment protocol.
Benefits of Hysteroscopy Surgery:
- Shorter Hospital stay.
- Earlier return to your routine work.
- Cosmetically no scar on abdomen.
- Less pain after operation.
- Best fertility enhancement & Fertility results following hysteroscopy
- Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
- Patient discharged within 2-4 hours after procedure.
- Patient can resume to her normal routine work within 12-24 hours after the procedure.
Pre-operative Check Lists:
- Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.Etc.); Pelvic Trance vaginal USG report.
- Specific Investigations for Infertility (Endocrine, Blood, Genetic, Husband’s Semen report etc. If The couple is infertile) and repeated pregnancy loss (BOH)
- Operation planned from 4th to 10th day of Menstrual Cycle.
- Preparation of local parts.
No. Of Cuts on Abdomen: Nil
Average Stay in Hospital:
2 to 4 hours. (DAY CARE SURGERY)
Average Duration of Surgery:
Average time after operation to resume normal activities/work:
Within 12-24 hours.
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery)
Patient is given general anesthesia. Patient is put on lithotomy position. Local parts cleaning & paintings with antiseptic solution & draping are done. After P/V examination cervix is checked with uterine sound.
Hysteroscopy requires distention of the uterine cavity with Normal saline to create working space inside the uterine cavity and flushes both fallopian tubes with high pressure fluid also helps in achieving very good fertility enhancing results following Hysteroscopy in infertility patients.
First Diagnostic hysteroscopy is done after removing the air from sheath & hysteroscope (varsascope/1.9 mm/ 2.9 mm) assembled. Hysteroscopy along with irrigation of Normal saline is introduced inside the cavity. Systemically both corneal openings, cavity, both lateral walls and anterior & posterior wall of the uterine wall is noticed for any lesions or normalcy.
For endometrial polyp, hysteroscopic sheath is introduced & cervix is dilated up to 7mm / 10 mm for introduction of Operating hysteroscopic sheath or resectoscope for operative hysteroscopy. Endometrial polyp is cut with 6F scissor from the respective wall of the uterine cavity & sends for HPE. Both cornual ends & hemostasis checked.
Patient remains drowsy/sedated for 1-2 hours after hysteroscopy but conscious & pain free. Patient can take fluids 1-2 hours after hysteroscopy & light food after 2-4 hours. She may feel little discomfort after hysteroscopy for 6-8 hours but it can be relieved with pain killer tabs. Most of the patients can walk normally without support and can take normal diet 6-8 hours after the hysteroscopy. She can be discharged on the same day of the operation. Few patients may feel nausea & vomiting after hysteroscopy, which can be very well controlled with injection in post-operative room. Patient can do her normal activity within 12-24 hours after hysteroscopy. Patient is advised to take antibiotics & analgesic tabs for 5 days following hysteroscopy. Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately. Patient is advised to come for follow up 7 days after the next period or on the day for IVF protocol & preparation for IVF.