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Best Hospital

Gynaecologist Clinic

No 9, Vellala Street, Kodambakkam. Landmark: Opposite D A Power House, Chennai Chennai
1 Doctor
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Best Hospital Gynaecologist Clinic No 9, Vellala Street, Kodambakkam. Landmark: Opposite D A Power House, Chennai Chennai
1 Doctor
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Best Hospital
Best Hospital is known for housing experienced Gynaecologists. Dr. Vasundara, a well-reputed Gynaecologist, practices in Chennai. Visit this medical health centre for Gynaecologists recommended by 51 patients.

Timings

MON-SUN
09:00 AM - 09:00 PM

Location

No 9, Vellala Street, Kodambakkam. Landmark: Opposite D A Power House, Chennai
Kodambakkam Chennai, Tamil Nadu
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Dr. Vasundara

Gynaecologist
Available today
09:00 AM - 09:00 PM
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Polycystic Ovary Syndrome (PCOS)

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
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This condition, known as PCOD and PCOS, or polycystic ovary syndrome, may make it difficult for you to get pregnant, and unwanted changes in your appearance are also indicated. In most cases, women with PCOD develop small cysts in their ovaries.

Hello mere pcos h mere kafi time se ek din ke hi period aata h wo bhi ab do teen month se half day hogya aur flow bhi kam h mujhe doctor ne elistra tablet di thi lekin ye lene k baad bhi period ka wahi haal h please help me .kya is condition se breast Cancer ka risk increase hota h kya .thanku.

BHMS, Diploma in Dermatology
Sexologist, Hyderabad
Hello mere pcos h mere kafi time se ek din ke hi period aata h wo bhi ab do teen month se half day hogya aur flow bhi...
Normal menstruation can last from one to seven days, although for most women with regular menstrual cycles, their period lasts an average of three to five days. It's important to note that nothing is wrong if your period is a couple days longer or shorter than the average three to five days.
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Am getting my periods only after taking meprate every month can I take up icsi treatment.

BHMS
Homeopath, Lucknow
Am getting my periods only after taking meprate every month can I take up icsi treatment.
It's due to HARMONAL imbalance. It's completely curable from homoeopathic treatment. U can consult me privately.
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Know About Complications During Laparoscopic Surgery!

M B B S, MS - General Surgery, Fellowship of National Board(Minimal Access Surgery)
General Surgeon, Pune
Know About Complications During Laparoscopic Surgery!

Laparoscopic surgery is also called minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby the lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.
However, as with any surgery, complications may occur during the course of laparoscopic surgery.
1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
4. Anesthesia-related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
5. Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract: Proper protocol must be followed by the doctor to avoid such complications as much as possible.

I am 26 years old female I had irregular periods and this month my periods didn't stop and consulted my doctor and I got my pelvis sonography done and the report says I have endometrial poly of 13.9*8.6 mm.

BHMS, Diploma in Dermatology
Sexologist, Hyderabad
I am 26 years old female I had irregular periods and this month my periods didn't stop and consulted my doctor and I ...
A normal menstrual cycle lasts 28 days, plus or minus seven days. Menstrual bleeding is considered irregular if it occurs more frequently than every 21 days or lasts longer than 8 days. Missed, early, or late periods are also considered signs of an irregular cycle.
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I am 22 years old female and I am pregnancy 8 month. I complain back pain, headache, fatigue, and I see water before 2 days and I go doctor he make ultrasound and he say normal pregnancy Hb is 6.5 And don't like to make blood transfusion what can I doplce.

MBBS, MD - Internal Medicine
General Physician, Jaipur
I am 22 years old female and I am pregnancy 8 month. I complain back pain, headache, fatigue, and I see water before ...
You can take iron tablet or injection after proper investigations and under physician guidance 6.5 is very low.
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What Are The Common Symptoms Of A Brain Stroke?

DM - Neurology, MBBS, MD - Medicine
Neurologist, Bhubaneswar
What Are The Common Symptoms Of A Brain Stroke?

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.  Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below). 

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

  1. Treatment depends on the type of stroke.
  2. Ischemic strokes can be treated with 'clot-busting' drugs.
  3. Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  4. The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

  1. Remember Every second Loss means brain cells die.
  2. Rush to the nearest Stroke Centre whenever you experience such symptoms.
  3. U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 

Endovascular procedures 
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which  trained doctors try  removing a large blood clot by  sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including 

  1. High blood pressure,
  2. Cigarette smoking,
  3. Diabetes
  4. Atrial fibrillation and
  5. Physical inactivity.
  6. More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.

Low Ovarian Reserves - Knowing The IVF Protocol!

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Low Ovarian Reserves - Knowing The IVF Protocol!

The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages.

A woman starts with 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.

Causes:
Low reserves are caused by

  1. Production of eggs decreasesChromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
  2. Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.

IVF Protocols:
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:

  1. Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
  2. Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
  3. Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
  4. Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
  5. Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results.

Uterine Fibroids - Causes, Symptoms & Treatments!

Dermatologist, Delhi
Uterine Fibroids - Causes, Symptoms & Treatments!

Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urinationpain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.

Causes:

  1. Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.

  2. Certain hormones such as progesterone and estrogen that prepare the body for pregnancy are even responsible for triggering the development of fibroids.

  3. Substances which help the body maintain its tissues trigger fibroid growth as well.

  4. Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin Dobesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.

Treatment:

  1. Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.

  2. Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-

    • Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production

    • Progestin-releasing intrauterine device (IUD) to alleviate severe bleeding caused due to fibroids

    • Tranexamic acid to ease excessive menstrual periods

    • Progestins or oral contraceptives to regulate menstrual bleeding

    • Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain associated with fibroids

Surgeries to Treat Fibroids:

Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:

  1. Hysterectomyremoving the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.

  2. Myomectomy: fibroids are surgically removed from the wall of the uterus. This option is more popular for women who want to get pregnant.

  3. Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.

  4. UAE (Uterine artery embolization): this treatment cuts off the fibroid's blood supply, effectively shrinking the fibroid.

  5. Magnetic-resonance-guided focused ultrasound surgery: an MRI scan locates the fibroids, and sound waves are used to shrink the fibroids.

Myelopathy - Types, Causes And Symptoms

MBBS, DNB (Orthopedics)
Orthopedist, Srinagar
Myelopathy - Types, Causes And Symptoms

Myelopathy refers to any neurological deficit in the spinal cord. The three most common types of myelopathy are cervical myelopathy, lumbar myelopathy and thoracic myelopathy. Here are the causes and symptoms of myelopathy.

Causes are as below :

1. Injury

This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.

2. Spinal stenosis

This is a condition in which the spinal cord narrows. It is one of the leading causes of myelopathy.

3. Degenerative disc disorders

As you get older, these get more likely as well as other conditions which affect the spinal column such as osteoporosis.

4. Tumor

It is a little known fact that tumors very often do cause myelopathy.

5. Multiple sclerosis

There are many other diseases which may cause myelopathy and multiple sclerosis is one of them .

Symptoms are as below :

There are many indications that you are having a form of myelopathy and should consult a medical expert. Here are some of them :

1. Changes in coordination

What this means is that all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, this can affect the whole body.

2. Sudden muscle weakness

It is highly likely that if you have myelopathy then you will have sudden weakness in your muscles.

3. Decreased hand-eye coordination

This is perhaps the biggest indicator of myelopathy since hand eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be worse.

These are just some of the symptoms of myelopathy, however the doctor cannot diagnose myelopathy until he does certain tests. These tests include MRI scans and other tests as well as a regular physical check-up in addition to a look at your medical history.

 

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