Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 44 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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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My wife is of 21 years. Her menstrual date is 17 in every month. But this month menstrual did not occur. Is she going to be pregnant. If not why menstrual did not occour. Which medicine should be taken for stopping pregnancy in this situation?
Here is Post Prophylaxis of Hiv Drugs
Oh Hi! I’m Dr. Vinod Rena today we are going to talk about PEP drugs.
What is PEP? It is posted prophylaxis of HIV drugs if a patient had sexual intercourse with some prostitute, with some sex worker, some unknown lady, some transsexual or with some homosexual and if in this case the condom gets busted then the patient is exposed to the death content of HIV. We can nowadays start the medication within 72 hours of the direct contact and we can save the life of the patient. These drugs are called PEP or prophylactic HIV drugs which can be taken within 72 hours of the direct contact. HIV drugs and which can be started within 72 hours of the direct contact.
These drugs contain 3 to 4 anti-HIV drugs and moreover, we shall give more drugs for example if there is liver toxicity we can give drugs to stop it. If there is some problem with the liver we can give drugs to stop that and moreover we can work on the immune system. We can give pre and probiotics if we are starting these drugs on time definitely we are going to protect this patient from HIV.
If you want to connect me you can log on lybrate.com/Dr. Vinod Rena or you can visit my clinic in Sabhderjung Enclave or you can just write me or you can have an online consultation on the platform of Lybrate. Thanks.
I am 49 years old female, diabetic, going through menopause, my last period came on October 2017. But now since last few days small blood stains are seen. Kindly let me know whether it is period or something else. Should I go to doctor? Kindly suggest.
On the other hand, only miniscule amounts of steroid medication enter the bloodstream after inhaling it. The reasons for this difference include the following. First, steroids used for inhalational treatment of asthma are designed not cross well from the surface of the bronchial tubes into the bloodstream. Somewhat like applying a steroid cream to the skin, they are poorly absorbed from the surface into the blood. Second, only very small amounts of steroid medication are delivered from the inhalers with each dose or "puff" Less medicine is needed when it can be directly applied to the affected area. We measure the amounts of steroids inhaled in micrograms, which are units one thousand times smaller than the milligrams by which we measure prednisone or Medrol® tablets.
When breathed in, some steroid medicine remains in the mouth and can be swallowed into the stomach and from there absorbed into the bloodstream. You can minimize any effect from steroids left behind in your mouth in two ways. First, use a spacer tube with your steroid spray. (A spacer can not be used with budesonide [Pulmicort®] dry powder inhaler.) Medicine that would otherwise land on your tongue and mouth stays in the spacer chamber. The part of the spray that passes through the spacer also tends to pass through your mouth and proceed down onto the bronchial tubes. Second, rinse your mouth with water after inhaling the steroid spray. Rinsing removes any medicine residue from your mouth. The portion of the medicine that helps your asthma remains undisturbed on your bronchial tubes.
So much for the theory; what about the actual experience with steroids in inhaled form? The current generation of steroid inhalers first began to be used in the mid 1960s. For more than three decades they have been prescribed for millions of people with asthma and other lung diseases worldwide. No serious long-term adverse effects have emerged. For adults, given in the usual doses, they do not cause degeneration (atrophy) of the normal tissues of the respiratory passageway. They do not predispose to lung infections. They do not cause cancer, diabetes, or high blood pressure.
We need to look more carefully at the two phrases used above: "for adults" and "in the usual doses" Children's bones may be sensitive to the very small amounts of steroids that can enter the bloodstream after inhalation. There is currently debate ? and considerable on-going research ? to determine whether in children inhaled steroids might slow bone growth and reduce a child's ultimate height.
Also, when given in very large doses (many puffs from a high-concentration steroid inhaler), the amount of steroid medicine that spills over into the bloodstream can become significant. Although the effect is small, like a very small dose of prednisone, over the years this small effect can potentially add up to serious harmful effects. High doses of inhaled steroids taken for a long time can probably predispose to cataracts, glaucoma, and thinning of the skin and bones. As a result, your doctor will probably only have you take high doses of inhaled steroids as a means to avoid steroid tablets. And he/she will constantly work with you to attempt to reduce the dose of inhaled steroids to a more conventional and safer range.
Remember that not taking inhaled steroids for fear of side effects may have real consequences that are far worse than potential effects in the future; namely, asthma symptoms and risk of asthma attacks now. Severe asthma attacks are usually treated with steroid tablets, which all agree have the worst side effects.
Pregnancy is usually one of the most important times in a woman’s life. Pregnancies are divided into four terms. These include the early term where the delivery happens after 37 weeks, the full term where delivery happens after 39 weeks, the later term where the delivery takes place after 41 weeks and the fourth or post-term stage where the delivery happens after 42 weeks.
If a pregnancy lasts for two weeks longer that the expected due date, a woman is more likely to experience complications. In such situations, it is recommended that a woman induce the labour or has it done by a doctor.
The medical ways to induce labour are as follows:
1. Cervical ripening helps in making the unborn baby anxious and come out of the womb.
2. Breaking or bursting of the amniotic sac that covers the baby within the uterus. This gets the labour started and is also known as amniotomy.
3. Using oxytocin to induce labour as it tends to ripen the cervix and making more space for the delivery around the uterus by lubricating it further.
4. Naturally occurring chemicals like prostaglandins might be used. These tend to soften the cervix to allow cervical stretching. These can either be delivered to the vagina or taken as an oral medication.
Some of the natural and most effective ways through which labour can be induced are as follows:
1. Relaxation techniques: Self-hypnosis or guided imagery may be useful in inducing labour in certain women.
2. Sex: The uterus tends to contract from the orgasm and release oxytocin. However, women with broken waters or vaginal bleeding should not indulge in this activity.
3. Nipple stimulation: Gently rubbing or rolling the nipple may release oxytocin and hence induce labour.
4. Herbs: Certain herbs like tulsi or turmeric might be useful in inducing labour.
5. Exercise: Taking a light walk or certain exercises might help in inducing labour. This might help moving the baby into the pelvis.
6. Foods: certain spicy foods might help induce labour. However, at times they can also slow it down. One should consult a doctor while doing so.
7. Homeopathy: Certain homeopathic treatments might also be very useful. Do consult a homeopathy specialist before taking any and discussing the side effects if any.
It is highly important that women speak with their doctors or specialists to talk about methods of inducing labour since some of the methods mentioned above might turn out to work for some, whereas for the others, they may not be as useful or could also turn out to be harmful. There are chances that a woman might get highly annoyed because of the delay during the post-term stage. However, one should always give different relaxation techniques a try.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Whether it is the dipping winter temperature, chilling effect of the air conditioning or a lower temperature caused due to rain, we complain about the body pain. It is quite normal when our body experiences lower temperature than it is comfortable with, various forms of aches crop up, esp. if you already have a condition or have been physically hurt.
Winters are typically associated with several types of body pains. Particularly, we’ve seen higher incidences of nerve – related pain, joint pains and vascular pains during the season.
Manage your pains by following these 6 tips:
1. Keep yourself warm: Needless to say, it’s extremely important to keep yourself warm when its gets uncomfortably cold. Clinical research has shown higher incidence of nerve – related, vascular pain and joint pains if your body is exposed to low temperatures for long periods. This is especially true if you are 60+ in age. So, dress appropriately with body warmers, sweaters and jackets
2. Keep yourself physically active: A colder weather reduces average activity levels. An average person walks up to 1,000 lesser steps when its cold. To avoid pain in knees and other joints, it’s especially important to keep up activity levels. Try and take out time for walking in the afternoons or evenings, even if it is inside your house or office.
3. Take care of your diet: It is important to ensure that your intake of Vitamin D, Calcium and Vitamin B complex is adequate. Make sure that your diet remains rich in dal, green leafy vegetables (Vitamin B complex), milk (Calcium) and cheese and egg yolk (Vitamin D).
4. Get enough exposure to sunlight: Lesser exposure to the sun causes Vitamin D deficiency during winters, which can result in fatigue, lethargy and general body pains. Make sure to get at least 15-20 minutes of sunlight exposure, ideally in the mornings around 9am to 10am.
5. Avoid the wrong foods: Actively manage your diseases like diabetes and hypertension to stay pain free. If you suffer from diabetes, make sure that you do not overeat foods with high glycemic index. If you suffer from hypertension, it is important to keep away from spicy and oily foods.
6. Get expert advice: Visit your pain specialist if your pains continue for more than 2 weeks. Be regular with your prescribed pain medications, but strictly avoid self-medication or overuse of painkillers.