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Management of Surrogacy
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
Management of Postnatal Care
Adiana System Treatment
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Very understanding doctor. She has an experience of almost a lifetime. Highly recommended :)
If you are experiencing lower back pain during pregnancy, you should know that it is a common complaint. The lower back pain may occur because of several factors associated with pregnancy. You gain weight, your center of gravity shifts and your hormones relax the ligaments present in your pelvic joints. There are several ways by which you can reduce your lower back pain during pregnancy. They are as follows:
- Practice good posture: As the baby grows inside you, your center of gravity changes in a forward direction. You may feel like falling forward and may lean back for prevention. This strains the lower back muscles and causes back pain during pregnancy. You need to maintain a good posture. Always stand tall and straight, hold your chest up high, and keep your shoulders backwards and relaxed. You should not lock your knees.
- Get proper gear: Get adequate gear for dealing with lower back pain during pregnancy. You must wear low heeled shoes having good arch support. Avoid wearing flat heeled shoes and high heels, which will shift your balance more forward, thereby increasing the chances of falling. You can also opt for a maternity support belt. This additional support might be helpful for you.
- Lift properly: While you are lifting an object, you should squat down, lifting your legs and arms. Do not bend at your waist and lift with your back. Know your limits before lifting anything.
- Sleep on your side: Sleep on your sides keeping your knees bent, instead of your back during pregnancy. You may also use support pillows between your knees, under your abdomen and at your back.
- Hot and cold massage: Although this method is not effective for long term relief, massaging your lower back with a hot pad followed by an ice pack may be effective for temporary pain relief.
- Engage in regular physical activity: Regular physical activity helps you in keeping your back strong and also relieves pain during pregnancy. You should opt for mild exercises such as walking and water exercises. You should consult a physical therapist for showing you effective stretches and aerobic exercises which are beneficial.
You can try stretching your lower back, resting your hands and knees and keeping your head in line with your back. Pull your stomach in, rounding your back a bit, and hold the position for some seconds. Several other complementary therapies are also effective in curing lower back pain during pregnancy.
Hi im five month pregnant and my uterus is just open now. And dctr said that early pregnancy will done in this situation. So my gynecologist do stitch to my uterus and say I take complete bed rest for 2 months. Is it safe for walking and do some works in this condition?
Main jab apni wife se relationship ke liye bolta hoon to woh mana kar deti hai. Pichle 2-3 years se same problem aa rahi hai. Main bahut pareshaan hu. Woh kehti hai ki uska mann nahi hai. Pichle 2-3 years mein maine 4 se 5 baar hi relation banaye hai. Main bahut pareshaan rehta hoon. Please suggest the best solution.
My baby is 2 months old and I had periods after delivery for 17 days then I had irregular lil spotting and then for some days it stops again 8 m having lil periods but not heavy I am already weak after delivery and my periods are not stopping one or two day in a week it starts and ends pls tell me is there any problem .i m drinking boiled water because of my baby .pls suggest what to do.
My wife have abdominal pain during menstruation and it atleast persists for 2 days. please help me what should I do?
Dengue fever is a virus-caused disease that is spread by the bite of mosquitoes (Aedes-aegypti). This is also known as Break bone fever. WHO currently estimates there may be 50–100 million dengue infections worldwide every year. Dengue is not transmitted directly from person-to-person.
Its symptoms range from mild fever to fatigue, headache,
joint and muscle aches,nausea or vomiting,
swollen lymph nodes.
In severe cases hemorrhage dengue fever which is characterized by fever, abdominal pain, persistent vomiting, bleeding and breathing difficulty; can be fetal due to blood loss.
Prevention: Clothing, mosquito repellent, and netting can help reduce exposure to mosquitoes. Traveling during periods of minimal mosquito activity can also be helpful.
Homeopathic management: Homeopathy has been used successfully in India to tackle this epidemic. The selection of homoeopathic remedies depends upon the individual response to infection.
Dr Rushali Angchekar
Sir I am 20 years old and my menstruation cycle is irregular. I don't have thyroid and hormonal imbalance. I have taken treatment also but it is not curing. What should I do?
I have irregular periods that occurs once in 50 to 55 days and I am 42 years old. What is the natural way out for a regular mensural cycle.
I had unprotected sex twice on the same night during the days when I had the highest chance of getting fertilized. I took an I-Pill within 24 hours but I didn't bleed. I have taken the emergency contraceptive pill before and I have bled all the three times. Do I have a chance of getting pregnant or it is normal?
I am 24 years married woman, I want to get pregnant, my last ultrasound report is endometrium thickness is 13.5 mm diameter, missed period 14day from the expected period. My Ovulation day.
I got 5 months old baby. What can I apply for the stretch marks appears on my stomach? Please can you suggest me any cream or oil through which I can ride off my stretch marks?
Dear Doctor, I'm 3 months one week pregnant and I have constipation. If I put little pressure also I will get little bleeding. Please help.
1Take a walk when you are conversing on the phone.
Instead of the lift, take the stairs.
Take short breaks and step away from workstation.
Workouts at home, such as sit-ups, push-ups, crunches, lunges and squats, keep you in shape 2.Eat Healthy and On TimeFoods which are low in nutritional value and have too many calories can pose serious health problems, including weight gain, cardiovascular problems and diabetes. It is important to stick to a healthy diet and a strict routine.
Instead of starchy foods, choose wholegrain variants which contain more fibre, and keep you feeling full.
Feel like snacking in the middle of the day? Stock up on nuts and seeds or citrus fruits that are known to cure fatigue and stimulate alertness.
To keep your energy up and your metabolism on overdrive, eat breakfast and smaller meals throughout the day, rather than 3 big meals.
Have sufficient liquids through the day to avoid dehydration.
Avoid processed or packaged foods that contain too much sugar. Excess sugar has been linked to energy spikes followed by a crash, while too much salt can lead to high blood pressure and an increased risk of strokes and heart disease.3Sleep is ImportantFinding it difficult to get a good night’s sleep? Sleep deprivation can lead to fatigue, confusion, memory lapses and irritability.
3To get a restful sleep:
Create a sleep schedule and stick to it. Reading a book, listening to relaxing music, or taking a warm shower can help in relaxing your body.
Avoid watching TV or surfing on your mobile as this can interfere with your sleep.
Pay attention to what you eat and drink. Going to bed hungry or stuffing yourself too much can cause discomfort and keep you awake.When you are trying to juggle multiple things at a time, you are bound to be stressed. Five to ten minutes of deep breathing can help in relaxing you and reducing anxiety.
4Watch Your Posture
Good posture is not just great for your back and neck, but also allows you to breathe properly and increases concentration and thinking ability. To improve your posture:
Get a good quality office chair, one with firm and dense cushioning and back support.
Instead of resting your weight on a particular foot, plant both feet flat on the floor.
Set a reminder to check your posture. This can be in the form of a post-it note, an alarm on your phone or an email reminder. Focus on Deep Breathing
5 just breathe
When you are trying to juggle multiple things at a time, you are bound to be stressed. Five to ten minutes of deep breathing can help in relaxing you and reducing anxiety.
You can also close your eyes and focus on relaxing and tensing each muscle group while taking deep, slow breaths. The best part about this is that you can do it any time, at home, workplace or even on the road.
1. What is infertility?
Infertility is a term that is used to describe the inability of an individual to successfully contribute to the process of conception. In females, it refers to their lack of ability to conceive post having regular, unprotected intercourse. In some cases, it also refers to their inability to carry a pregnancy to its full term. A normal fertility helps conception in the first 12 months of trying for almost 86% of couples, with around 7-8% couples conceiving in their second year, depending on their age. Hence, many practitioners also treat an inability to conceive within the first 12 months as infertility.
2. Is infertility a global problem?
Sub-fertility as well as infertility are a global public health issue affecting approx. 8-12% couples, worldwide. It is prevalent in both males and females. While over 10% of women world-wide, who have been in stable relationships for over 5 years yet been unsuccessful in conceiving, have been estimated to be inflicted with this problem; the count is much smaller in the case of men, primarily because of non-acknowledgement, even though it contributes to almost 50% of reported cases.
3. Do infertility problems occur only among women?
No, infertility problems are as common in men as they are in women. Almost 50% of cases of infertility are attributable to male infertility related issues. However, due to the social structure prevalent, most of such male infertility related issues go unacknowledged.
4. What could be the probable symptoms that suggest a possibility of infertility related problems?
Though the process of conception and the possibility of infertility related problems could be time-driven factors, some symptoms could indicate a bent towards infertility and could be medically examined and addressed in time to curb the problem at the very onset. Some of these indications include:
Indications in Females:
Infertility symptoms in females can be related to either one of multiple of these problems:
• Changes in menstrual cycle: Irregular or infrequent periods mean that the number of days between two cycles varies each month. This is a common indication of infertility as it reflects that the ovulation cycle is not stable, i.e. the body is not producing ovules (egg) regularly or at times not at all.
• Abnormalities in periods: Sudden changes in the bleeding pattern – heavier periods, no period or cramping and pelvic pain associated with periods – could also be indicative of an underlying fertility related problem.
• Hormonal Disturbances: Sudden changes in skin like more than usual acne, changes in sexual drive, unexplained and sudden growth of facial hair, excessive weight gain/loss, etc.
• Other Symptoms: Other symptoms such as pain during sex, milky-white discharge from breast/nipples (unrelated to lactation) can also be indicative of infertility and one should seek medical advice at the earliest.
• Age-related: As one advances in age, the egg count decreases rapidly along with a related deterioration in the egg quality. Hence, if a woman is in her early 30s and is failing to conceive, it could be related to a fertility problem.
Indications in Males:
Infertility symptoms in men can be quite elusive as they are very closely related to the cause of infertility. These often go unnoticed until the point that the couple start trying for a baby. Some of these are:
• Sudden changes in sexual drive.
• Pain, inflammation or lump in the testicles or if the testicles are small and firm.
• Problems related to ejaculation and erection
• Sudden, unexplained changes in hair growth patterns.
• Known semen abnormalities
5. Who are at risk of infertility problems?
Age is one of the most crucial risk involved in fertility related matters. For couples who start trying for a baby later in age, the chances of infertility increases manifolds. Couples where either partner is in their mid-30s or into 40s are at higher risk of infertility problems. While a man’s overall lifestyle, health and other factors can affect his chances of contributing to a successful conception, in a woman age and chronic health conditions play a major role.
6. What increases infertility risk in men?
While health and lifestyle are the most important factors that contribute to their fertility levels, including their sperm quality and count, there are many other factors that affect fertility and push towards higher infertility risk among men. Some of these include:
• Alcohol and tobacco consumption
• Excessive physical exercise, especially excessive cycling
• Weight related issues
• Exposure to toxins at workplace or as part of a medical treatment like chemotherapy/radiation
• Surgical procedures like vasectomy or its reversal
• Family history of infertility or fertility related disorders or other genetic medical conditions like cystic fibrosis
• Medical history of sexually transmitted infections (STIs)
• Certain chronic problems like high blood pressure, diabetes, renal or hormonal problems
7. What can increase the risk of infertility among women?
Ovulation related issues contribute to over 25% of female infertility cases, with tubal blockage and uterine problems coming in as the other infertility causes in women. However, some other factors like the ones enlisted below also put females at risk of infertility:
• Advanced age
• Frequent or heavy alcohol or caffeine consumption
• Cigarette smoking
• Weight-related issues
• Eating disorders and lack of balanced healthy diet
• Intense and extended athletics or no exercise at all
• History of STIs, endometriosis, polycystic ovarian syndrome (PCOS) or fibroids
• Chronic health issues like high blood pressure or diabetes.
• Hormonal problems like thyroid etc.
• Mental stress and fatigue
8. How is age related to a woman’s ability to conceive or infertility aspects?
A woman’s fertility rate begins to recede with her age. As a woman nears her mid-30s, her natural fertility starts to fall and many experience difficulties in conception as well as multiple pregnancy failures. The reason for this is that the ovarian reserve in women is fixed since birth and as they age it starts to fall drastically as the follicles keep leaving the reserve in a continuous flow (menstrual cycle). This follicular depletion accelerated as she approaches 40s and decreases not just her egg count but its quality too, as she ages. For men, this progressive drop in fertility rate hits after the age of 40.
9. What are common causes of infertility in men?
One of the most common causes of infertility in men are semen disorders. The semen comprises a milky white fluid and sperms that are ejaculated during orgasm. Abnormal semen contributes to over 75% cases of male infertility. The common semen related disorders include:
i. No sperm presence in semen
ii. Low sperm mobility
iii. Abnormal sperm shape/size
iv. Low sperm concentration (under 10 million/milliliter) in the semen (Ideal: 20 million/milliliter of semen)
The major causes of these abnormalities and a consequent infertility in men are:
1. Ejaculation Disorders
2. Frequent use of saunas, hot baths etc. that lead to overheating of testicles.
3. Testicular infections
4. Testosterone deficiency
5. Deformed or undescended testicles that usually happens as a birth defect or abnormal fetal development.
6. Genetic disorders like Klinefelter's syndrome that lead to abnormally developed testicles.
7. Very frequent intake of medications like Sulfasalazine, Anabolic steroids (frequently taken by athletes), etc. or exposure to chemotherapy/radiation.
8. Conditions like hypospadias (a condition where the urethral opening is not at the tip of the penis but at its underside) or cystic fibrosis.
10. What are common causes infertility in women?
There are a number of conditions that lead to fertility among women, such as:
1. Ovarian Disorders: The most commonly reported reason for infertility among women is a disorder in the ovulation process.
Ovulation involves the production and release of egg. This cycle happens on a monthly basis. However, certain situations lead to a malfunctioned ovulation. These causes include:
i. Polycystic ovary syndrome (PCOS) which lead to mal function of ovaries
ii. Very high prolactin levels in non-lactating females
iii. Damaged or abnormal eggs – Poor egg quality is common in older women
iv. Thyroid disorders
v. Medical conditions like cancer, diabetes, AIDS, etc.
vi. Premature (before the age of 40) ovarian failure
2. Uterine Disorders: Once fertilized, the egg travels from the ovary to the uterus and it is important that the uterus be healthy to receive and nurture the fertilized egg. However, at times, disorders of the uterus lead to infertility problems in women. Uterine disorders can be attributed to one or more of these reasons:
i. Pelvic or cervical surgery that may cause scarring or damage of the uterus or fallopian tubes or at times shortening of the cervix which serves as the mouth of the uterus.
ii. Endometriosis – a condition where the cells that line the uterus start growing outside the uterus.
iii. Sterilization treatments like tying of tubes, etc.
iv. Uterine fibroids or endometrial polyps
3. Medications: Certain medications like those used in chemotherapy or certain NSAIDS like aspirin and ibuprofen lower fertility rates in females.