Doctor in Dr Sonia Ghuman's Clinic
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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How Long To Breastfeed To Get Benefits?
There is no fixed duration to breastfeed. When considering the duration you wish to feed your baby, do take note of the following points:
Exclusive till six months: Pediatric and medical experts throughout the globe recommend exclusive breastfeeding up to six months and then breastfeeding in combination with solid food for up to 12 months.
Continue after 12 months: The AAP recommends breastfeeding beyond the first birthday and encourages mothers to do so. A toddler may get most of his nutrition from solid food, but he still enjoys added benefits of breastmilk that contains unique substances such as antibodies.
Can extend to two years and beyond: The World Health Organisation (WHO) recommends breastfeeding up to two years and even beyond if the mother and toddler wish to do so. WHO states that breastmilk is a “natural food”. Even when the baby is a year-and-a-half old, breastmilk is capable of providing a third of the toddler’s nutritional requirements.
What Are The Benefits Of Breastfeeding For The Mother?
Here are some scientifically proven benefits of breastfeeding a baby.
While your baby benefits from the breastmilk, you gain health advantages as well.
- Quick postpartum recovery: Mothers who breast-feed recover faster post-delivery even if it is a Cesarean-section. It happens because suckling of the nipples releases the hormone oxytocin, which speeds the recovery of the uterus, letting it regain its original shape.
- Breastfeeding can help you lose pregnancy fat: Producing milk uses additional calories that body sources from the body fat accumulated during pregnancy. It means, mothers, who exclusively breastfeed, tend to return to their pre-pregnancy shape and weight faster.
- Lower risk of breast and ovarian cancers: The chances of getting breast and ovarian cancers are lower in women who breastfeed. Researchers found that a woman can reduce her risk of breast cancer by 50% if she breastfed for two years in life. Other studies noted a reduced chance of having ovarian cancer if the mother breastfed at least for a year. These benefits last a lifetime thus making breastfeeding a form of natural health insurance for a woman.
- Lowers the risk of high blood pressure, cardiovascular disease, and diabetes: Extensive research has proven that when you breastfeed, you invariably reduce the chance of developing hypertension (high blood pressure), cardiovascular diseases such as heart attack, and type 2 diabetes.
Polycystic Ovarian Syndrome or PCOS is referred to as a condition that leads to an imbalance in the hormonal levels of women between the ages of 18 to 44. Women suffering from the syndrome develop small cysts in the ovaries. These cysts might disrupt the normal functions of the ovaries resulting in hormonal imbalances. If you suffer from PCOS, the secretion of the male hormone androgen (which is present in a small amount in every female) increases abnormally, thereby causing a significant disruption of the ovulation process and the menstruation cycles.
Women suffering from obesity or who have a past history of PCOS in their families are at a higher risk of suffering from the syndrome.
The symptoms that one might experience along with syndrome are as follows:
Appearances of acne along with the development of excess body and facial hair.
Irregular or no periods.
Problems with conception and infertility.
Homeopathic Treatment for PCOS:
Polycystic Ovarian Syndrome is curable with the Homeopathic mode of treatment. Homeopathic treatment for polycystic ovarian syndrome is very safe and free from any side effect.Which Homeopathic medicine is required to extract the disease from its roots varies from case to case. Both the physical and mental spheres of the patient are thoroughly investigated while prescribing the Homeopathic medicine. The complete cure of PCOS is a time-consuming process and it cannot be expected in a few days. It requires complete observation regarding the change of symptoms in the patient and frequent clinical follow-ups. Some of the most beneficial homeopathic remedies for PCOS are:
Sepia – Useful for the symptoms of severe pain in the lower back and abdominal areas along with abnormal menstrual periods.
Apis Mellifica –This homeopathic preparation is effective in relieving the symptoms of severe pain in the ovarian regions along with tenderness in the abdominal and uterine areas caused by PCOS.
Pulsatilla – This medication is very effective in treating symptoms of PCOS such as late and minimal menstrual periods along with rapid mood swings, irritation and a decreased sensation of thirst.
Sulphur – This homeopathic preparation is very useful if there is a presence of severely itchy and painful acne along with other skin related symptoms of PCOS.
Natrum Muriaticum – This homeopathic preparation is useful if you experience significant problems with conception along with irregularity in menstrual cycles, along with an excessive craving for salt in the regular diet, unwillingness towards sunlight exposure, and intense episodes of crying and uncharacteristic shyness.
Graphites – If you are of a stout build or are overweight and regularly suffer from constipation along with PCOS, graphites are one of the best homeopathic medications to relieve symptoms and treat this condition.
These are just a few of the commonly used Homeopathic remedies and are mentioned only to create awareness about the effectiveness of Homeopathic medicines for PCOS. It is not advisable to resort to self-medication for any disease.
Homoeopathy has been a long time saviour for Gynaecological problems for Women without going for some surgery. Homoeopathybis side-effectless too which will not cause any harm to a woman for future life. In case you have a concern or query you can always consult an expert & get answers to your questions!
Career counselling can be defined as a process that helps an individual to gain an understanding of oneself and the various interests to make a firm decision about the career choice and further education plans. It helps in managing a variety of problems such as managing time, help in increasing the concentration levels, resolving various conflicts between parents and children in a family regarding what profession should a child choose.
Career counselling is required by everyone at one point in time as it helps in gaining an insight and hence illuminates us regarding our career opportunities and various improvements that a person can make. There are different roles performed by the career counsellors which are mentioned below:
- They help in making the correct assessment of aptitude, personality, interests and other aspects of an individual.
- It helps an individual to gain access to the resources and knowledge that are possessed by career expert.
- It helps in gaining confidence to cross the hurdles in one’s life and give a right direction with respect to different aspects of one’s life be it maintaining social relationships, personal life or any other career problem.
- It helps in modifying the abnormal behavioural patterns, especially in case of children. These behavioural patterns may involve the procrastination, ignorance of one’s mental and emotional health, low self-esteem etc. A career counsellor helps in correcting these behavioural patterns and makes a person indulge in more productive activities at any place.
- It helps in connecting students to the professionals having extensive experiences in life to share.
Psychology has played a very prominent role in counselling. Other than handling emotional difficulties, counselling follows a more holistic approach in dealing with various issues. Psychology is an integrated part of the field like career counselling where more emphasis is given upon the understanding thoughts and feelings of others. The roles like performing personality assessments require the knowledge of psychology where a person should have a detailed knowledge of different theoretical perspectives of personality and other underlying principles.
Hence, to work as a counsellor, you should have a professional educational qualification in psychiatry, psychology, or social work. The career counsellors have to be very effective in dealing with people; therefore they should be having good communication skills and should be able to establish rapport with the clients. They should be having the good connection with the education institutions such as schools, colleges, etc. The practitioners should be able to handle associations of large or small groups. They should be willing to take initiatives and work as a team. They should be flexible while dealing with different people and working on various aspects. They should have a good adaptability with respect to changes that take place in the environment.
Therefore, career counselling is not just a matter of good communication but a lot more than that. It involves a variety of skills and knowledge to deal with people’s problems. Also, knowledge of psychology is very much essential for being a career counsellor. In case you have a concern or query you can always consult an expert & get answers to your questions!
No Blood, No needle, No visit to hospital, you can do yourself at home with water. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one week before performing the procedure.
The catheter has numerous holes in order to facilitate the transformation of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out.
There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can perform after a short training period and this can be done anywhere in clean private place like hotels, home and even in office.
Procedure followed during Peritoneal Dialysis
All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections.
Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheters and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when adequate amount of fluid is drained.
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing.
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution.
Make sure you perform without giving way for infection and excess fluid and dextrose absorption. In case you have a concern or query you can always consult an expert & get answers to your questions!
One of the major milestones in a woman’s life is the entry into motherhood. For most women, when this does not happen in the natural logical sequence of things, there is anxiety and lot of pressure from family and friends.
However, with advancements now, there are options like intrauterine insemination and in vitro fertilisation (IUI and IVF) available, which can help increase the chances of conception and pregnancy. IVF is where the egg is retrieved from the woman’s womb, fertilised externally and then transplanted back into the uterus where it grows to full term. However, there are always unanswered questions like how long to wait before going for IVF, is it the right procedure for me, etc.
- Maternal age: As a woman reaches 35 and a man reaches 40, the fertility rates drop significantly. The chances that a woman at 35 will conceive is about 20%, which goes down to 5% if the woman is 40. However, this rate can be significantly increased by using IVF. The quality of the egg would gradually deteriorate, and so if a woman is nearing 40, it is better to consider IVF as the ovarian reserve would be optimal with IVF.
- Failed intrauterine insemination: In couples who have problems with the sperm reaching the uterus, intrauterine insemination (IUI) is first attempted. However, if 3 or more attempts of fail, it is time to consider IVF.
- Duration of inability to conceive: While some couples conceive quite promptly in a month or two, most take about 6 to 8 months of unprotected sex to conceive. Therefore, IVF can be an option if you are failing to conceive even after a year. Less than a year, don’t fret. Take it easy and it might just do the trick.
- Medical health: Both the partner’s medical health should be taken into account. Lifestyle changes like smoking, alcohol abuse, drug abuse should be considered, which can account for poor sexual performance and therefore lead to an inability to conceive. Health conditions like diabetes and heart disease can also lead to infertility. Hypothyroidism in women is another thing that must be ruled out, as it often leads to an inability to conceive.
- Sexual problems with the partner: One of the first things to do before going for IVF is to check that the male does not have any issues. Be it erection issues or ejaculation issues or sperm issues, they need to be ruled out. Sperm quality, quantity, and motility have to be analysed, and if they are optimal, IVF can be considered.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The perineum is the area between the vagina and the anus. This fragile area plays a significant role in the female reproductive system. This is often intentionally or accidentally torn open to allow for the normal delivery of the baby. This needs to be repaired meticulously to ensure that the pelvic floor is safeguarded from further damage.
The pelvic floor contains multiple muscles and supporting tissues which help in keeping the vagina, rectum, uterus and supporting structures in their places. When these muscles become weak due to childbirth, ageing, perineal injury etc, the uterus, bladder and rectum loosen up and prolapse down.The most common problem that is encountered is urine and fecal incontinence, where the woman has difficulty holding urine and feces. Though not often discussed openly given the private nature of the topic, many women suffer from a weak pelvic floor. Read on to know some of the common causes, symptoms, and management measures.
- Chronic cough: The next time you cough for prolonged periods, notice how much pressure it puts on the pelvic area. This goes unnoticed, but chronic cough can weaken the pelvic floor muscles. It is not common for women to lose some urine during these long-drawn coughing spells.
- Chronic constipation: The pressure exerted during constipation weakens the pelvic floor, often leading to incontinence.
- Pregnancy and delivery: Most common cause of perineal injury, where the perineum is torn (accidentally or intentionally) to allow for easy passage of the baby. If it is not repaired meticulously, the pelvic floor is weakened.
Urinary incontinence is the most common symptom that women present to doctors with. However, there are minor symptoms which a woman would experience prior to reaching this stage. Most often, these are ignored, and only brought to doctor’s notice when symptoms become quite severe. If left unattended, there could be more severe repercussions too.
- A heavy feeling in the pelvic area, commonly referring to as a bearing down sensation, a feeling that the internal organs are going to pop out through the vagina
- A small lump that can be felt and/or seen at the vaginal opening
- Feeling of incomplete emptying of the bladder and/or bowel
- Pain or bleeding from the vagina or the rectum
- Recurrent pelvic and/or urinary tract infections
- Kegel exercises are often used to strengthen the pelvic floor. This is very effective if the problem is identified quite early.
- In more progressive cases, surgical repair is the most effective option. This not only corrects the prolapses but also helps boost confidence of the person, by correcting the incontinence problems and improving sexual experiences.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Ever been in a situation where a medicine you used to take regularly to deal with something, has suddenly stopped being effective? This is because of antibiotic resistance. This refers to the ability of bacteria to change their structure so as to resist the antibiotic. Thus, an illness that was once easily treatable is no longer affected by the same medicines and the bacteria causing the infection multiplies, thus worsening the condition.
How do bacteria develop antibiotic resistance?
When you take a drug, not all the bacteria present is affected equally. While some bacteria die out, others turn dormant. Repeated and improper use of antibiotics can lead multiplication of the dormant bacteria, which results in spreading of disease, instead of containing the same. One of the main causes of this is using strong antibiotics to treat minor viral illnesses.
What can you do to fight antibiotic resistance?
- Follow your prescription: When taking a course of antibiotics, it is also essential to complete the course and not leave it midway just because you are feeling better. Antibiotics are also most effective when taken regularly. Hence, avoid skipping a dose in your treatment. Doing this does not completely cure the infection, but increases the bacteria's resistance to the drug.
- Do not take someone else's medicine: Self medication can do more harm than good. Each drug attacks a particular combination of symptoms. Taking medication prescribed for someone else can increase the bacteria's resistance to antibiotics. It can also delay correct treatment, thus allowing your condition to worsen.
- Discard the leftover medication: When stored for a long period of time, medicines lose their potency. Thus if you were to take them later, they would be less effective against the bacteria.
- Do not take antibiotics for a viral infection: In any case, antibiotics to not address viruses and hence, the medicine will not have a beneficial effect on the virus. However, it can affect the bacteria present in your body by making it resistant to the drug.
- Do not use antibiotics for an extended duration: Use of antibiotic for treating issues such as acne can contribute to antibiotic resistance. If you must take any such medication, ensure that you are being cared for by a healthcare professional. Most doctors will suggest giving your body breaks between antibiotic courses when it comes to long term medication.
- Try natural remedies: Many common bacterial infections can be successfully treated naturally in their early stages. Aloe Vera, turmeric, garlic and tea tree oil are some of the natural cures for a range of bacterial infections. The biggest advantage of these natural cures is their lack of side effects.
In case you have a concern or query you can always consult an expert & get answers to your questions!
One of the emerging psychiatric disorder that has significant medical and psychiatric consequences is compulsive sexual behaviour or hypersexuality, is an obsession with sexual thoughts in which people cannot manage their sexual behaviour. It may involve a commonly enjoyable sexual experience as self-stimulation which becomes an obsession. The person suffering from the condition may also get involved in sexual behaviours that are outside the bounds of commonly accepted conduct like paying for sex or having extramarital affairs.
Untreated compulsive sexual behaviour damages one’s self-esteem, health, job, relationships and career. However, with treatment and self-help,
one can manage compulsive sexual behaviour and learn to manage one’s urge. Males are more likely to be unfaithful than females because they have stronger sexual impulses and weaker self-control. Compulsive sexual behaviour symptoms vary in type and severity. During intense sexual impulses, one feels as if they're beyond control. This is the first and the most common symptom as the patient uses compulsive sexual behaviour as an escape route for problems like loneliness, depression, anxiety and stress. One has trouble establishing and maintaining emotional closeness, even if one is married or in a committed relationship.
The treatment for compulsive sexual behaviour involves psychotherapy and medications. A primary goal of treatment is to help one manage urges and reduce excessive behaviours while maintaining healthy sexual activities. If one has compulsive sexual behaviour, one may need treatment for mental health condition. People with compulsive sexual behaviour often have alcohol or drug abuse problems or a mood disorder such as depression.
Counselling sessions can help one learn how to manage one’s compulsive sexual behaviour. Intensive treatment programs for compulsive sexual behaviours focus on identification of core triggers and beliefs about sexual addiction. It assists in development of healthier choices and coping skills to minimize urges and deal with the preoccupation of sexual addiction. Psychodynamic psychotherapy can prove to be very useful as it focuses on increasing one’s awareness of unconscious thoughts and behaviours, and developing new insights into their motivations. Resolving conflicts using this therapy is also recommended. The other kind of treatment program is cognitive behavioural therapy. This therapy helps one to identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones. Family therapy and couples therapy may restore trust, minimize shame and guilt thus establishing a healthy sexual relationship between partners.
Medications include anti-depressants like selective serotonin reuptake inhibitors, mood stabilizers and anti-androgens have also been used to treat compulsive sexual behaviour. Anti-androgens are prescribed as it reduces the biological effects of sex hormones in men thus reducing sexual urges. Luteinizing hormone is also prescribed as it reduces obsessive sexual thoughts by reducing the production of testosterone. Anti-seizure medications, naltrexone, and medications which decrease male hormones have been found to decrease the compulsive urges and impulses associated with sexual addictions for some sufferers. In case you have a concern or query you can always consult an expert & get answers to your questions!
Vagina is one of the most delicate organs of your body. While you tend to the hygiene of other body parts, caring for the vagina either doesn’t strike you or it is too taboo a thing to be discussed about. Vaginal rashes are prevalent among many women and in most cases, they are not aware of ways to approach the problem. Rashes can lead to extreme uneasiness and if neglected, could even cause complicate health disorders. Thus vaginal rashes should be treated with proper medical assistance and watchful sanitation.
Factors that can cause vaginal rashes:
1. Warts in and around a person’s genital: Warts are infections that can have a painful and disturbing effect on your health. Genital warts are the result of sexually transmitted infections. The diverse kinds of human papillomavirus are known to trigger the formation of vaginal rashes.
2. Infections caused due to the predominance of viruses: Vaginal rashes may exhibit themselves in the form of aching blisters. This symptom could be indicative of Genital Herpes that further needs medical expertise to be dealt with.
3. Folliculitis could cause suffering: The base of a hair shaft is indeed a sensitive area. Any infection pertaining to hair shafts surfacing usually in the form of a red lump can worsen to cause rashes in your genitalia.
4. A cyst in the Bartholin gland could be the reason: A Bartholin gland is one of the two glands positioned at the opening of a person’s vagina. A cyst might happen to develop in any one of these glands due to accumulation of fluids produced by the glands itself. Secondary symptoms of such a condition could be red, itchy rashes.
1. Redness of the skin in and around one’s vagina is a characteristic feature of an underlying problem.
2. Your vagina could itch persistently preventing you from free movement. Constant itching can also hamper your otherwise smoothly functioning sex life.
3. The skin around your vagina can become excessively dry and peel off as a result.
4. Tenderness and soreness are common symptoms that make sitting or lying down troublesome.
5. Vaginal rashes may or may not be accompanied by a stinging, throbbing pain.