Dr. Sukanya Prakash

First get her ultrasound done for exact dating of pregnancy. Results of medical abortion decrease after 7 weeks and it can't be given beyond 9 weeks.

take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days

Yes. Mifepristone just seperates the fetus from uterus. Whereas misoprostol helps to expel it out only on mifepristone, there are more chances of incomplete abortion.

Fibroid position and size matters in conceiving. You need to get it removed if you are not conceiving for more than 6 maths.

Take oral contraceptive pills regularly for 3 months to regularise the MC .Yes of course first test urine pregnancy test.

Breast Reduction
Breast reduction, or reduction mammoplasty, is for a woman experiencing health problems and/or extreme self-consciousness associated with very large, heavy breasts. The main complains are backache, neck pain and skin rashes or itching along with difficulty in carrying large breasts. The goal is to give the woman a more attractive contour with smaller, better-shaped breasts in proportion with the rest of her body. She will then benefit from freedom of health problems associated with large breasts and an improved self-image.
Medical problems associated with very large breasts include back and neck pain caused by the excessive weight, skin irritation, skeletal deformities and breathing problems. Bra straps may leave shoulder indentations. Large, heavy breasts also contribute to poor posture, and can interfere with normal daily activities such as exercise. Excessive breast size may also lead to a decreased sense of attractiveness and self-confidence.

THE PROCEDURE
Breast reduction is done under general anesthesia on an outpatient basis or in the hospital. The surgery removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple.
Incisions are made around the pigmented nipple-areolar complex and extend vertically below the nipple and in the fold under the breast. The nipple-areolar complex is moved upward to the desired location. The incisions are covered with a light dressing.
Afterward, the breasts are placed in a surgical bra that will hold them symmetrically during initial healing. Initial discomfort subsides daily and can be controlled with oral medications. Scars will fade in 6-18 months. Surgery will likely reduce, but not eliminate the ability to breast-feed.

RECOVERY: WHAT TO EXPECT
When performed by a qualified plastic surgeon, breast reduction is a safe procedure. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following your physician’s advice both before and after surgery.
Much of the swelling and bruising disappears in the first few weeks following the surgery. Breasts may appear slightly mismatched, or have unevenly positioned nipples. Their new shape will be apparent within 6 months to a year, and will depend on hormonal fluctuations, weight changes and pregnancy.
Although your surgeon will make your scars as inconspicuous as possible, some permanent scarring is inevitable. Smokers are more likely to experience poor healing and wider scars. The scars will be red and lumpy in the months following the surgery, but the redness will fade and in time the scars will be less obvious.

ABILITY TO BREASTFEED
Because the surgery removes many of the milk ducts leading to the nipples, breast-feeding may no longer be an option.
Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.)

THE END RESULT
Breast reduction produces the most dramatic results of all plastic surgeries. It ends the physical discomfort or large breasts and makes your body appear more evenly proportioned, and clothes fit better. Your new image will take some getting used to, as much as you desired the change. Give yourself—and your family and friends—time to adjust to the new you and, like most women, you will enjoy the benefits.

White discharge called lucorrhoea is common and normal if not associated with other complaints. For this nothing to be done except Pap’s smear if not done. If associated with other complaints, then needs examination by Gynecologist.

Delay in periods can be due to breast feeding and To clear your doubts get an ultrasound pelvis done to rule out any pathology and follow up with reports.

treatment of fibroid depend on size of fibroid and first try to treat by medicine if still problem remain same then will do surgery for fibroid.so,visit to doctor with report for proper treatment.

Yes definitely you should wait for minimum 3 to 6 mths ,in order to strengthen your uterus and build your vital parameters adequately for a healthy pregnancy, you would also need a treatment for fibroid and maintain your harmonal balance along with ovarian reserves, should you need any assistance or advice for this you may get back to us.