Book Clinic Appointment with Dr. G.K. Bedi
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
Management of Fertile Period
Management of Menopausal Disorders
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Patient Review Highlights
Early signs of pregnancy usually resemble the side effects you may encounter just before and during your monthly menstruation cycle. Therefore, you might not realise that you are pregnant. You need to realise that different things other than being pregnant might bring about these signs. So the way that you see some of these signs does not really mean you are pregnant. The best way to tell without a doubt is with a pregnancy test.
However, here are a few signs:
- Sore breasts: This is an extremely common pregnancy sign. The breast tissue is to a great degree hormone sensitive. Whenever progesterone and hCG begin flooding the body after the egg is prepared, they tend to increase your blood volume, which makes your breasts swell and feel heavier than regular.
- Cramps: You may feel crampy like you have or are going to get your period. However, this pregnancy sign is really activated by implantation. When the fertilised egg connects to the uterine wall, the uterus might extend a little to prepare for its growth throughout the following nine months.
- Spotting: Numerous women mix up some light bleeding for a period, yet more than twenty-five percent will spot during fertilisation. In case that you see that your period appears to be way shorter or different in relation to a regular one, it might be an indication of pregnancy.
- Weakness: If everything you want to do at work is sleep or in case you are excessively tired, making it impossible to stay awake during the day, then it might be one of the soonest indications of pregnancy. Indeed, even at this early phase of pregnancy, the fetus is beginning to go through your calories, which can wipe out your energy very soon.
- Nipple darkening: Pregnancy hormones additionally influence the movement of melanocytes, or cells in the nipples in charge of their shading. Darker-complexioned women may not see this until some other time in pregnancy - say, around ten weeks or after.
- Nausea: Morning sickness affects around eighty-five percent of the women. While a full-blown morning sickness does not happen until the later stages of pregnancy, a few women may encounter subtle motion sickness as an early pregnancy side effect.
- Missed period: The clearest early side effect of pregnancy and the one that leads most of the women to get a pregnancy test is a missed period. Yet, not all missed or postponed periods are brought about by pregnancy. There could be many other reasons including cysts or other hormonal changes. Additionally, women can encounter some bleeding during pregnancy. In case that you are pregnant, ask your doctor what you need to know about it.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy is an experience where a woman experiences physical, mental and emotional changes. Out of all the changes, one of the major change, a woman goes through is hormonal change. Here are few different ways your body changes during pregnancy:
- Increase in the blood volume: The blood and plasma of the body are increased from thirty to fifty percent because the heart at that time, is working harder and more efficiently. This results in the heart ejecting more blood and plasma for the growth of your baby. It also helps protect the mother from certain delivery risks.
- Growth of hip size: The pelvic bone separates from the middle because of a hormone called relaxin, which helps the uterine muscle relax and softening of the cervix. It is not a dangerous thing as opening up of the pelvis makes the delivery safer.
- Skin darkening: Linea nigrea is a dark line that grows down your stomach and the belly button. It is always there even before pregnancy. However, the hormones change the pigmentation in the skin to make it look more evident. Moreover, that is not the only skin darkening that takes place. Some women develop dark spots and patches on their face. These are called melasma. Applying sunscreen can help prevent these.
- Vaginal color: The vagina tends to change its colour. It turns blue or purple and this is known as the Chadwick sign. The vagina may also swell up because of the increased blood flow as well as discharge. Development of vulvar varicose veins is very common during pregnancy. This mainly happens due to the pressure and weight of the uterus, which results in a decrease in the blood flow from the lower part of the body.
- The feet grow in size: Not only does the belly grow during pregnancy but, so do the feet. During pregnancy, the foot’s arch flattens because relaxin loosens your ligaments and the extra weight tends to push down the feet. The feet become longer and wider, hence. Moreover, fluid retention may also make your feet swell.
- Hair growth: Women tend to go through hair growth all over the body. It can also cause the hair to become thicker. Whereas, after the birth, hair fall becomes quite frequent. However, there is no need to worry since it is the body’s way of getting back to normal. It usually happens after six months of delivery.
- Brain fog: About eighty percent of the women go through memory loss or impairment. Although, the cause is unknown. The sleep deprivation or feelings of stress during pregnancy are a cause behind this.
- Having vampire breath: The hormonal change can cause bacteria in the mouth and cause it to become inflamed. Hence, it can lead to bleeding gums and a bad breath.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Do you know about the various signs and symptoms that indicate a miscarriage? Miscarriage refers to pregnancy, which ends on its own, within 20 weeks of gestation. Miscarriage is a matter of great loss and grief for pregnant women. It accounts for being the most common form of pregnancy loss. According to studies, almost 10% to 25% of pregnancies result in a miscarriage. Chemical pregnancies are likely to be responsible for almost 50% to 70% of miscarriages.
Causes of miscarriage
- The causes of miscarriage vary from one woman to another and in many cases the exact cause is not identified.
- During the first trimester of pregnancy, chromosomal abnormality is the most common cause of miscarriage. It signifies some problem with your baby’s chromosomes. Most cases of chromosomal abnormalities occur because of damaged eggs and sperm cells.
- A certain problem which appears after the zygote goes through divisional procedures may also be responsible for a miscarriage.
Other causes for miscarriage include the following:
- Hormonal imbalance, maternal health complications, and infections
- Several habits such as smoking, malnutrition, excessive caffeine consumption, drug abuse, and exposure to toxic substances
- Maternal age
- Maternal trauma
- When implantation of the egg in the uterine lining occurs improperly
Warning signs of miscarriage
There are several warning signs of miscarriage. The most important of them are as follows:
- Back pain, which can vary from being mild to fatal. This pain can be even worse than menstrual cramps.
- Loss of weight
- Discharge of mucus that is whitish pink in color
- True contractions are likely, in which pain occurs after every 5 to 20 minutes.
- Bright red or brown bleeding with or without the presence of cramps may indicate a miscarriage.
- Passage of tissue with a cloth material from your vagina.
- Sudden reduction in the signs and symptoms of pregnancy
Chances of miscarriage
There are certain factors, which indicate whether you are likely to have a miscarriage. They are as follows:
- Increase in your maternal age increases the chances of a miscarriage.
- Women who are in between the age of 35 to 45 are at a higher chance of miscarriages than women who are relatively young. In women above the age of 45, the chances of miscarriage are maximized.
- A woman having a miscarriage in the past has more chances of having another miscarriage.
In case you experience some or any one of these symptoms, it is important for you to seek professional health care as you need to evaluate whether you are having a miscarriage or not.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy is an exciting time for most. However, having a child can be burdening to your body, particularly in the case where a woman delivers the baby through a C-section. In such cases, one requires more time and opportunity to recover than a normal vaginal delivery. If you have undergone a cesarian (C-Section) delivery, it is time you take extra care for a quicker recovery.
Here are six remedies to accelerate your recovery so you can invest less energy in getting sore and tired, and additional time holding your new child.
You may feel deadness and soreness at the cut site, and the scar will be marginally raised, puffy, and darker than your regular skin tone. Your specialist will have regular appointments with you to know how you are doing and make sure that the injury is healing quickly.
Here are a few tips for a faster recovery:
- Soup or broth: Bone soup is filled with amino acids like proline and glycine, which are required for collagen creation and incredible for skin recovery. Broth likewise contains gelatin, which is helpful for wound recovery and for the skin. There is a reason broth is a doctor recommended food for those suffering from any illness or sickness.
- Binding: The essential point is to stay away from heavy lifting. Lightweight can diminish the pain and speed recovery after a C-section. Indeed, this can be useful for non-cesarean births too since it decreases pain and helps the uterus come back to its original size all the more rapidly.
- Gentle Cesarean: Circumstances of the cesarian have a major effect on the recovery of a woman. Crisis C-sections or ones where a mother loses a considerable measure of blood clearly take more time to recover from. However, it has been established that women recuperate all the more speedily when they have a normal surgery and get sufficient holding time with the infant immediately. This is a development called tender cesarian and when conceivable, it appears to truly help recovery.
- Soothing balm: A cesarian is a stomach surgery where there is a big cut. Using stomach ointments during pregnancy can help reduce the risk of dry stitches that stretch the skin and cause a tear in it. Using a softening balm after the operation can get rid of the numbness and speed scar recovery.
- Glutamine: Glutamine is a key substrate for quickly developing and increasing cells, including white platelets. Glutamine increases the multiplication of fibroblasts, along these lines helping in wound recovery. It is the real amino acid lost during any tissue damage, suggesting a huge part in the conservation of the body mass.
- Water and Magnesium: Many people get constipated after surgery and this can be particularly difficult after a cesarian. To prevent this from happening, drink lots of water to ensure that you stay hydrated. Take some magnesium to soften the stool and prevent constipation.
Are you aware of the connection between ovarian cysts and pregnancy? A woman’s ovaries produce eggs and sex hormones, namely estrogen and progesterone. Sometimes, a sac filled with fluid may develop on one of your ovaries. Ovarian cysts are common and are experienced by all women in their lifetime. Commonly, these cysts are painless, accompanied by no specific symptoms. As the cysts grow, symptoms such as swelling or bloating, painful bowel movements, painful sexual intercourse, and pelvic pain during menstrual periods are indicated. Other symptoms like breast tenderness, lower back and thigh pain, nausea and vomiting are also likely.
Link between ovarian cysts and pregnancy
Ovarian cysts are connected to pregnancy as they are associated with a woman’s fertility. Some ovarian cysts which can affect your fertility and hence pregnancy include the following:
• These are ovarian cysts, which are associated with complications in fertility and occur on account of endometriosis. This is a health condition in which the normal tissue lining around your uterus or the endometrium starts growing outside your uterus.
Ovarian cysts occurring because of polycystic ovary syndrome
• Polycystic ovary syndrome (PCOS) is featured by the development of several small cysts on the surface of your ovaries.
• Irregular menstrual periods and the increase in levels of certain hormones are indicated.
• This condition is associated with fertility. It results in irregular ovulation that causes complications in fertility in many women.
Ovarian cysts which only affect fertility after becoming large
There are some types of ovarian cysts, which do not affect fertility unless they become very large. They are as follows:
- These cysts include corpus luteum cysts and follicular cysts. These are the most common forms of ovarian cysts.
- Functional cysts from a usual menstrual cycle do not contribute to infertility in any way. Instead, they indicate the functions, which lead to fertility.
- These are developments or growths in your ovaries. They usually occur from the surface of your ovaries.
- These cysts require treatment, but do not affect fertility in any negative way.
- These are solid cysts containing tissues similar to skin, teeth and hair instead of fluid content.
- These cysts too are not related to infertility problems during pregnancy.
If you are diagnosed with ovarian cysts and are concerned whether they will affect your pregnancy, it is important for you to consult your doctor. You will be able to discuss the various treatment measures, which revive your pregnancy chances.
Pregnancy places a lot of demand on the expectant mother. While the emotional demands are not very evident, the physical ones are. The mother has to ensure that the developing baby gets all the required nutrients through her. Some of them are very critical, and not getting adequate amounts of these manifest as problems, which cannot be rectified later. Calcium supply and associated problems that may arise is one such example.
If there is a reduced supply of calcium and the bones and teeth are not formed properly, taking any amount of calcium is not going to correct the situation later, after delivery.
- The bones which are forming in the developing baby are dependent on the mother for adequate supply of calcium. It is common knowledge that calcium is an integral component of bones, teeth, and skeleton. Hypocalcemia, which is a condition where there is reduced amounts of calcium in the body, can be quite severe during pregnancy.
- In addition to the growing baby’s needs, calcium also plays a vital role in the pregnant mother for muscular contractions, nerve conduction, hormone secretion, and blood clotting. So adequate intake of calcium during pregnancy is essential.
Now, the question arises as to how much calcium is good enough. For a normal female, about 1000 mg of calcium is required on a daily basis. This goes up by another 200 to 300 mg for a pregnant woman, especially during the third trimester when the bone and teeth formation is in full speed. This extra amount of calcium should be continued even after pregnancy, as calcium continues to be provided to the baby during the lactation phase.
Some of the symptoms of reduced calcium intake during pregnancy are aching muscles, brittle nails, weakened bones, severe cramping, and dry skin. If there is suspected hypocalcemia, it is best to seek medical advice. It is not advisable to take supplements without medical supervision. Increased amounts of calcium can produce a different set of symptoms.
While these are evident symptoms, there are other detrimental effects on the baby too. Calcium deficiency affects development of heart and associated structures and puts the newborn at a higher risk of developing hypertension. The baby’s fat percentage and triglycerides are also increased. The bone mineral density is reduced. The delivery period could be prolonged, as muscular contractions and nerve conduction are severely impacted when there is less calcium in the system. Recovery from labor is also delayed.
It is possible that you are taking adequate amounts of calcium, but its absorption is affected. Reducing caffeine intake helps in better absorption of calcium. Iron, which is often given during pregnancy, prevents calcium absorption and so needs to be spaced out. In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you experiencing high blood sugar during pregnancy? This condition is known as gestational diabetes. It is associated with hormonal changes, which occur in your body during pregnancy. Women who are overweight, above the age of 25, and have a family history of diabetes are more likely to experience gestational diabetes. In most cases, the blood sugar levels return to normal after giving birth, and proper management enables you to keep away from any complications during pregnancy as well.
Here are ways by which you can control your sugar levels during pregnancy:
- Develop an ideal diet plan. You should consult a registered dietitian for framing a diet, which is specific to your condition. Your overall health, age, and other health conditions, if present, are taken into consideration while shaping your diet plan.
- Cut down your consumption of sugary food items and drinks. Avoid having candies, soda, cakes, cookies, and all food products, which contain simple sugar in large amounts. This can boost your blood sugar levels rapidly and worsen gestational diabetes.
- Have three to four small meals regularly, and also eat snacks in between. Eating frequently prevents the crashing of your blood sugar levels between meals.
- Reduce your amount of carbohydrate intake. Instead, consume a lot of food rich in fiber like fruits, vegetables, and whole grain.
- Drink a lot of water every day. Sufficient hydration of your body is important for stabilizing your blood sugar levels to keep away from complications during pregnancy.
- Undertake regular, light activity after your doctor’s approval. Activities like walking and swimming help in keeping your blood sugar under control. Exercising during pregnancy is also important for weight loss after giving birth.
- Buy a glucose meter and get your blood sugar levels checked frequently. Most common meters require you to prick your finger with a needle and drop your blood on a strip for testing. You can make changes in your diet and medication for preventing a hypoglycemic episode, based on your regular results.
- If your doctor recommends it, you should test your urine ketones. Ketones occur in your urine, while your body burns fat to produce energy. These are harmful for your growing baby.
Apart from these, you should take insulin strictly according to your doctor’s instructions. Your doctor will instruct you in detail about how and when to administer insulin. You will also be provided with information on storing insulin at a safe place. In case you have a concern or query you can always consult an expert & get answers to your questions!
Uterine cancer is also known as endometrial cancer. It is a cancer which begins in the lining of the uterus. The uterus is the part of a woman's body where the fetus develops. Uterine cancer is one of those rare cancers in India, which can be diagnosed in its early stages. This is because excessive vaginal bleeding occurs, thus making it a very serious and an apparent symptom. It is also one of the few forms of cancer which can be cured as removing the uterus is often more than enough to cure the patient of uterine cancer.
Here are the causes, diagnosis and treatment of uterine cancer:
The exact cause of uterine cancer is not yet known, however, there is a theory on what causes uterine cancer. Hormones in a woman's body have been thought to increase the chances of getting uterine cancer. This is because it has long been thought that having high levels of estrogen is the cause of uterine cancer. Increased estrogen thickens the endometrium and thus, increases the likelihood of uterine cancer.
There are several tests used to diagnose whether you have uterine cancer including:
1. Pelvic examination: This is an examination in which the vagina, bladder, rectum and uterus are scanned for lumps. If they are found, it might be due to uterine cancer.
2. Pap test: A pap test is a special test designed to scan for uterine cancer.
3. Transvaginal ultrasound: A transvaginal ultrasound uses high-intensity sound waves so that pictures of the uterus can be taken.
4. Biopsy: During a biopsy, the doctor will remove tissue from the endometrium and it will then be analyzed for cancerous growths.
1. Surgery: This is the most common treatment as it removes the entire uterus and prevents the spreading of the cancer.
2. Chemotherapy: Chemotherapy involves giving drugs which kill cancerous cells. They are given through either an intravenous line or even in pill form.
3. Hormone therapy: This is a therapy in which either progesterone levels are increased or estrogen levels are decreased.
4. Radiation therapy: In this treatment, high energy laser beams are used to destroy cancerous cells.
Good breast health is very necessary for a woman to avoid the risks of getting breast diseases, most particularly breast cancer. But there are some common mistakes most women make without knowing that they contribute to the threats of breast diseases. Read on to know which common habits may be bad for your breast health and what lifestyle alterations you can make to avoid them.
1. Not taking requisite care of your breasts with increasing age
The chances of developing diseases like breast cancer increase with age, especially as you enter the 40s and 50s. Most women don't consider their chronological age with requisite seriousness and this can expose them to higher risks of breast diseases. As you hit 40, you should sincerely make it a habit to get regular clinical exams to maintain proper breast health.
2. Not considering an annual mammogram
An x-ray of the breasts is known as a mammogram which is usually performed to detect premature symptoms of breast cancer. Studies reveal that a large number of women do not consider getting an annual mammogram done even after the age of 40. Experts are of the opinion that this can be threatening to your breast health as a delay of even a few months can result in developed and undetected breast cancer symptoms. So, it is recommended that after entering your 40s get a mammogram done after every year.
3. Not keeping track of your weight
According to researchers, women who have bmi (body mass index) more than 25 are considered obese and have greater chances of developing breast diseases in comparison to women having a balanced weight. The risk rises due to increase in the formation of oestrogen caused by the greater number of fat cells. Increased level of oestrogen is responsible for the growth of 'hormone-receptor-positive' type of breast cancer. You should try to eat healthy and regularly monitor your weight to avoid obesity.
4. Avoiding exercise
Avoiding exercise can have adverse effects on your breast health. Studies prove that women who exercise for about 4 to 7 hours every week have lower chances of developing breast diseases. This is due to the fact that regular workout ensures limited blood levels of the hormone 'insulin growth factor' which significantly influences the growth and behaviour of breast cells. So, start exercising from today to stay fit and maintain proper breast health.
5. Drinking too much alcohol
Regular consumption of alcohol increases risks of breast cancer as it causes damage to the DNA in cells. Moreover, it raises levels of oestrogen and other hormones responsible for triggering 'hormone-receptor-positive' breast cancer. You can avoid this risk by keeping your alcohol consumption to moderate levels and reserved for special occasions.
6. Exposing yourself to too many chemicals in the form of cosmetics
Most women use too many cosmetic products containing certain chemicals that increase their chances of developing breast diseases. This happens because often these chemicals tend to disturb the hormonal balance of the body by mimicking or blocking certain hormones.
The question of whether or not a woman should work out or not when it is the time of the month is one that has been much talked about. Fluctuations in hormone levels that take place during the monthly cycle have a tremendous impact on the level of energy, stamina and the body's response to exercise. The likelihood of getting injured is also different during periods.
Exercising during your period has many positive impacts on the body. Each woman's ability to work out and her response to it are different and hence the workout routine you must adhere to can vary from person to person.
What are the benefits of working out during periods?
- Exercising during periods can be effective in alleviating the symptoms that accompany your period at the time such as stress and anxiety.
- Loss of body fluids through sweating while doing exercises significantly reduces loating in the belly.
- Exercising can also ensure that there is less cramping and heavy flow during periods.
- Endorphins released during exercise functions as a natural painkiller for period pains.
What are the best ways of working out during periods?
Depending upon how your body responds to periods, suitable workout routines can vary from high-intensity training (hit) like running, cycling and heavy lifting to low intensity training (lit) like brisk walking and step aerobics.
Most women opt for light exercises during the first few days of the cycle and then gradually increase intensity, which is advisable for those who are not in the habit of regularly working out. Athletes and sportswomen who train all around the year take to high-intensity workouts that focus on core strengthening and cardio boost.
What exercises should be avoided during periods?
The only kind of workout that should be avoided during this time is yoga that involves any 'inverted pose' that requires a woman to perform partial or complete headstands. These poses negatively impact blood flow and can cause painful heavy bleeding.
Apart from that, when it comes to exercising during periods, the guideline is simple - if you can handle it, you should go ahead and do it. In case you have a concern or query you can always consult an expert & get answers to your questions!