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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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I have gained lot of weight since last 2 years after taking ovral-g for irregular periods prescribed by some doctor bt my periods are still irregular and even m tryng hard to lose weight bt nt working. please suggest me any medicine to lose weight with minimal side effects.
I am having weakness after breast feeding my child who is just 4 months old. Is there anything to worry about? Please help me out.
My wife 33 weeks pregnant she is feeling bit of itching in her lower abdomen n sides of her private part on her legs. Is this is common symptoms of pregnancy?
I had taken I pill ,since me and my boyfriend is fooling around .he accidentally dropped his pre cum on my vagina ,and now am being afraid and taken the pill. Now am having stomach pain body pain and pain in my area .wht to do?
I had unprotected sex on 6th of December and 7th of December and had one unwanted 72 on evening time empty stomach then after 1 hour I had some pani Puri where some tamarind was added will the medicine work or there is chance for getting pregnant.
She have period problem. She is in very pained .in one month period coming in every five days. Please do something. And talk with me soon. Please.Thank you.
It's been almost 3 months of my pregnancy and like most of the lady I am also feeling excessive itching over belly, legs and even chick which cause literally painful situation So please advise what shout I use as best medicine, Lotion, Oil to get rid of this, Please suggest best solution.
Are there things I can do to make myself feel better?
There are many comfort measures to help pregnant women who suffer from nausea and vomiting during early pregnancy. Changes in diet, sleep pattern and lifestyle can help.
Few suggestions are given below:-
1. Changes in lifestyle
* Get up slowly from lying down position and do not lie immediately after eating.
* Keep your head higher than your feet when lying down.
* Go outside for fresh air as much as possible.
* Rest or nap often
* Dentify conditions which make vomiting worse, such as certain foods, odours, activities or stress and avoid them.
* Wait about half an hour after dinner to brush your teeth
2. Changes in diet
* Eat bland foods that are high in carbohydrates and low in fat such as toast, bread, rice, cereal, crackers and potatoes.
* Eat foods that are high in protein such as lean meat, eggs and dishes made with beans and pulses.
* Eat foods high in vitamin b6 like whole grains and cereals, wheat germ, nuts, seeds, legumes, corn
* Avoid greasy, fatty, fried and spicy foods.
* Drink 10-12 glasses of liquids such as coconut water, buttermilk, milk and fresh juices.
* Avoid excess of tea, coffee and aerated drinks
* Do not drink alcohol
* Try to eat every 2 to 3 hours, even if you are not hungry. Have small frequent meals than large meals.
* Have a snack such as yoghurt, milk or a small sandwich before going to bed.
* Sniffing lemon or ginger can sometimes relieve nausea.
* In case if you have nausea and vomiting in the evening, have a good meal in the morning and a light meal at night and vice versa.
When should I call my doctor?
Call your doctor right away if you:
* Have been vomiting for almost 24 hours.
* Have been stomach pain, fever, dizziness, severe weakness or feel faint.
* Have weight loss of more than 2-5 kgs.
* Have very dark yellow urine or do not urinate for long periods.
* Feel your mouth is dry and your hands and feet are cold.
* Feel very thirsty.
* Have a fast heartbeat.
* Vomit blood.
She has a history of spontaneous abortion 1 month back. Nw she has concieved again as her urine pregnancy test is postive. Wat precautions shud she take nw to avoid miscarriage again?
Carotenoids essential fatty acids zinc and vitamin a c and e boost the immune system green leafy vegetables tomatoes bell peppers and strawberries are good sources of these nutrients
Nuts and seeds like sesame and pumpkin provide zinc while flax seeds olive oil and avacado are
Good sources of essential fatty acids
Most of the people who are against sex education in school seem to view sex and sexually as something associated with physical and functional aspects of sexual relationships. There are also others who feel that providing knowledge about sex may provide a gateway for experimenting sexual life at a young age. I don’t deny this risk factor. But these people can also never deny that without such informations such exploration and experimentation are still happening among adolescents.
What everyone should understand is sex and sexuality are not just related to physical and functional aspects of sexual life. There is emotional, interpersonal, relationship, social, moral and personality factors such as decision making, self confidence and self esteem associated with it. Any systematic sexual education should comprehensively cover all these factors in a progressive model at different grades. The sadness is that our normal academic system has failed to address all these psychological factors which are essential for a wholistic development of a child.
For ages together we have tried to maintain the secrecy of sexual life from not just from children, but also from adolescents who physically mature. Even the informations shared are partial and shrouded with secrecy. Just like any partial information motivating us to know more, this approach has only lead to increasing the interest in children to know more about sex. Leave out the films that brand themselves as “adults only” even though there is very limited restrictions on young children watching such films, even the ones which are branded as “for all” or family movie also have a lot of content which shows physical contact among opposite genders as pleasurable and exciting.
Children also witness such intimate contact in real life, in various social environments and sometimes even among their parents. children also come across a lot of sexuality associated terms which are explicit such as “fuck” in emotionally charged conversations, or words and terms with veiled informations, in lighter ones, for which the reactions from the listener is so different and explicit, that any child can smell that there is some shady information in it. These stimuli without appropriate systematic scientific knowledge can only evoke interest to know more and experiment at the first available opportunity.
With more and more children getting access to internet and have started using social networking rampantly, sex and sexuality are no more a holy secret to be preserved. Now children as young as 6yrs are browsing internet for information to get additional informations related to academic activities. Even without any intentional search or interest, they can very easily stray in to any of the website which provide obscene stories, pictures or prone video clips. Use of simple words like “hot” “position” in search engines, can give a lot of leads into such websites. These sites only provide information of the erotic pleasure associated with sexual life.
Since sexual interest are instinctual, it is quiet natural that the children who have once strayed into such websites are motivated to go again and search for such websites. With the parents finding very little time to monitor the activities of the child, provide adequate care, love, affection and emotional support, provide appropriate knowledge and clarifications, whenever the child has some doubts and apprehensions about what they have come across, the vulnerability of the children to become victims of cyber bullying and sexual assault increases in leaps and bounds. All a person with intentions of abusing a child has to do, is act affectionately to the child and the child easily falls into the trap.
With the majority of society focusing of increasing their standards of living by increasing their materialistic possessions and physical / environmental comforts, stress levels have increased and moral values and value for relationships have come down drastically. This has also lead to the increase in pervasive cognitions among adults making children more vulnerable to harassment.
Every data related to sex and sexuality is hidden from children or used with some other sublime representation, due to the fear that the parents or teachers may be put in a delicate situation if any questions are asked about it. Few also fear the embarrassment they may encounter if any such questions are asked by the child in a social situation. Other fears that this can create interest in sexual activities in the child. While all other body parts are taught by their names both in schools and by the parents the genitals name are not addressed as “vagina” or “penis” the real name. These parts are left out without names in the books and addressed with casual verbatim as “si si” or “su su”. This approach of the adults is the first seed for creating a belief in the mind of the child that anything related to genitals is supposed to be kept as a secret and should not be discussed openly. It is this thought that prevents the child from communicating any issues or happenings related to their genitals including sexual abuse.
Open communication about the genitals just like any other parts of the body can make the child free enough to communicate any happenings associated with it to their parents. A child should feel comfortable to say that somebody touched my vagina or penis just like he or she can say that somebody has touched my nose. Just like we teach the child how to take care of their teeth by brushing twice regularly, the child can also be taught how to maintain their genital hygienically, keeping it covered and not allowing anybody else to touch them and also immediately report any such incidents whether it’s done with consent or not, to parents or teachers. If such openness is created sexual abuse can been identified at a very early stage and preventive measures can be taken.
With the Freudian “id” the animal pleasure seeking behavior increasing in individuals, the society is becoming a dangerous place to live in, more so for the children. The demand of the current situation is to equip children adequate knowledge, skills, confidence and feeling that there are parents and teachers who they can freely approach for support when they encounter any crisis. Preventing sexual abuse has a important role to play in safe guarding the physical and psychological health and sex education from a very early stage has a very important role in ensuring this
Hi i am 28 years old girl my periods are not regular and soon i get tired please suggest me some solution
New path to blood sugar control
Most dm drugs make pancrea to increase insulin other act on liver other act on body cell
To date, two of these new drugs have been approved by the u. S. Food and drug administration for treating type 2 diabetes. The first, canagliflozin (invokana®), was cleared last march; the second, dapagliflozin (farxiga®), was approved just this week.
Both drugs are so-called sglt2 inhibitors that act by blocking the kidneys’ reabsorption of sugar, or glucose. The result is that more glucose is released in the urine and the patient’s blood glucose level goes down — a major goal of diabetes treatment.
Most other available drugs for diabetes work by targeting the liver, pancreas or gut to improve insulin sensitivity, reduce insulin resistance or stimulate insulin secretion. In contrast, sglt2 inhibitors work completely independent of insulin.
The two new medications, which are taken by mouth in pill form, are approved for use as stand-alone drug therapy, in addition to changes in diet and increased exercise, or in combination with other drugs for diabetes. Their approvals were based on multiple clinical studies — nine for canagliflozin and 16 for dapagliflozin — showing that they effectively lowered hemoglobin a1c, a measure of average blood sugar level over the previous three months.
A surprise effect on the waistline
An added benefit is that sglt2 inhibitors are associated with modest weight loss. For instance, patients shed from 2.8 percent to 5.7 percent of body weight in clinical studies of canagliflozin.
“The weight loss is an appealing side effect of sglt2 inhibitors, especially in the growing population of obese individuals with type 2 diabetes,” says cleveland clinic endocrinologist mary vouyiouklis, md. “aside from metformin, which occasionally results in modest weight loss, other oral drugs used to treat type 2 diabetes are weight-neutral or can cause weight gain.”
Safety profile: keeping an eye on heart effects
Another potential benefit is also a potential adverse effect: the fact that sglt2 inhibitors have a mild diuretic effect (i. E, tend to increase urination). This results in lowering of blood pressure, which can be good for some patients who have high blood pressure but can also cause lightheadedness, dizziness or even fainting in other individuals. Dr. Vouyiouklis says caution is needed before these drugs are started in any patients at particular risk of the latter effects, such as the elderly or patients taking diuretics or multiple drugs for blood pressure.
The drugs’ other most common side effects in clinical trials — genital yeast infections and urinary tract infections — are also related to the fact that they act via the kidneys. Both drugs posed a low risk of hypoglycemia, the dangerously low blood sugar episodes associated with some diabetes therapies.
However, the new drugs were found to modestly increase levels of ldl (“bad”) cholesterol, which could be a concern because patients with diabetes are already at increased risk of heart disease. The potential for increased rates of heart attack, stroke and other cardiac events is being specifically monitored in large ongoing studies of both canagliflozin and dapagliflozin, but full results are not expected for several years.
Ongoing bladder safety scrutiny with dapagliflozin
Additionally, patients taking dapagliflozin in clinical trials showed a small increase in bladder cancer diagnoses compared with control patients. In fact, dapagliflozin was rejected for approval by the fda two years ago because of concerns over bladder cancer and liver toxicity.
The agency’s concerns about these risks were eased by additional data from dapagliflozin’s manufacturer this time around, but the drug’s approval included a requirement that it be studied for bladder cancer risk in patients in ongoing trials as well as in new animal studies looking specifically at effects on the bladder.
Canagliflozin does not appear to be associated with bladder cancer or liver toxicity, the fda concluded.
More agents in the pipeline
Several other sglt2 inhibitors may soon be available as well. One of them, empagliflozin, is in late-stage studies, and the fda is expected to decide on its approval by the end of march.
Who should get these drugs, and when?
Dr. Vouyiouklis says obese patients with type 2 diabetes and normal kidney function stand to benefit most from sglt2 inhibitors. In general, these drugs seem to be best tolerated by patients with normal kidney function and less well tolerated by those with moderate kidney disease (they should not be used by patients with severe kidney disease). They are not approved for use by pregnant women, patients under 18 or individuals with type 1 diabetes.
“Although sglt2 inhibitors are approved for use as single drug therapy, metformin remains my choice for first-line oral therapy,” says Dr. Vouyiouklis. “Because sglt2 inhibitors are relatively new and their long-term effects are not yet known, I prefer to reserve them for use as add-on therapy. I believe they will be a useful addition, especially in obese patients who are seeking to lose weight.”