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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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Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.
Vaginismus may be mild, moderate or severe. In some females, even the anticipation of vaginal insertion may result in muscle spasm and prevention of penetration. Desire, pleasure and orgasmic capacity may not be impaired. The condition may disrupt relationship. Unconsummated marriage and infertility have been found to be associated with condition. Diagnosis is made during the routine gynecological examination when the contraction of vaginal outlet is observed. Contraction of the muscles may cause pain.
In some vaginismus cases occurs during sexual activity but not during gynecological examination. This disorder found more in younger women. Vaginismus is a psychosomatic problem. Women can experience orgasm by getting effective sexual stimulation, without penetration. Husband may become ‘impotent’ being persistently unsuccessful in penetration or because of not wanting to hurt his wife. We are treating such cases at WNHO Clinic, Pune. Detail Information help line Mob. No. 9822006427.
I am 18 years old. I wanna know is it possible to have sex without getting pregnant and without the use of condoms or protections? If so, how and when is it the best time?
Hi Mam I am 26 week pregnant women and I am first time pregnant and I am feeling weakness very much. And my haemoglobin level is not good and I am RH NEGATIVE factor also. Now a days I am feeling pain in vagina and both sides of it. What should I do. I am taking. Hemfer XT And Shelcal 500 Only.
Hi doctor. Tomorrow was my periods date but I did not got my periods. Feeling bit nausea also. What should I do.
Period missed past 1.5 months. Suffering from lower abdomen cramp and back pain. Frequent urination and dry tongue. I am pregnant?
Although STDs are capable of affecting both genders, the impact on men and women is different. In women, this problem can cause long-term issues such as infertility in women. Although most STDs can be readily treated as soon as the symptoms surface, some cases might not throw up any symptom. Some of the curable STDs that can affect women are discussed below:
Gonorrhoea: This STD is caused by bacteria living in mucous membranes of the vagina, urethra, mouth, rectum and eyes and is capable of spreading through contact. The symptoms in women include excessive discharge from the vagina, abdominal cramps, pain in the pelvic region and bleeding from the vagina after sex.
Chlamydia: This STD is a result of a bacterial infection of ‘Chlamydia trachomatis’. Symptoms in females include burning sensation during urination, unusual vaginal discharge and bleeding between periods. Without treatment, the infection might spread to the urinary tract which could potentially cause PID (Pelvic Inflammatory Disease) which is capable of causing problems in pregnancy and even infertility.
Genital Herpes: Genital herpes is generally caused by the herpes simplex virus-2 (HSV-2) or the herpes simplex virus-1 (HSV-1). The virus is commonly known to be the chief cause of cold sores. Symptoms may appear soon after infection and usually are severe. This includes blisters, which turn into raw and painful sores that scab and heal over time. This might be accompanied by swollen lymph nodes and fever.
Chancroid: This infection is caused by the bacterium ‘Haemophilus Ducreyi’. It occurs most commonly in the vulva (the female external genital organ that includes the clitoris, labia as well as the opening of the vagina). The condition starts out as a tender lump that appears during the incubation period after intercourse. The incubation period generally ranges between 3-10 days. The bump turns into an ulcer i.e. an open sore, due to the death of the cells. This is usually painful.
Syphilis: It is caused by the bacterium ‘Treponema pallidum’ and the disease mainly occurs if you have sexual intercourse without any protection, that too with multiple sexual partners. The other mode of infection is blood transfusion. Symptoms of Syphilis include appearance of ulcers around the genitals or the oral region known as a chancre, severe rashes around the hand or feet coupled with other symptoms of mild fever, headache, throat pain and immense fatigue.
Iam 36 years old, I don't have any children till now due to low count, my test show as 2million, how can I increase my count and now a days I have erection problem also, only on first touch it is erected and later it difficult get it stand, please help me out with these two problems.
I am suffering with breast pain which frequently comes from one month but I have this from 13 now my age is 20. Can you give me suggestions please ?
Hi doctor I had unprotected sex last night but he didn't cum inside me. Can I get pregnant and should I take a contraceptive?
My period dates are not fixed sometimes it succeed 5 days sometimes nearby 10 days I hav 2 children older is 7 years and younger is 3 years first delivery was normal and second was sygerian is this a matter of concern should I hav to consult a doc.
What are some signs or symptoms of swallowing disorders?
Several diseases, conditions, or surgical interventions can result in swallowing problems.
General signs may include:
- Coughing during or right after eating or drinking
- Wet or gurgly sounding voice during or after eating or drinking
- Extra effort or time needed to chew or swallow
- Food or liquid leaking from the mouth or getting stuck in the mouth
- Recurring pneumonia or chest congestion after eating
- Weight loss or dehydration from not being able to eat enough
As a result, adults may have:
- Poor nutrition or dehydration
- Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
- Less enjoyment of eating or drinking
- Embarrassment or isolation in social situations involving eating
Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.
Treatment will depend on whether your swallowing problem&nbsp;is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).
The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.
Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.
High (oropharyngeal) dysphagia
High dysphagia is swallowing difficulties caused by problems with the mouth or throat.
It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.
There are three main treatments for high dysphagia:
- Swallowing therapy
- Dietary changes and
- Feeding tubes
You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.
An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.
Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.
You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.
An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.
Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.
A feeding tube can also make it easier for you to take the medication you may need for other conditions.
There are two types of feeding tubes:
- A nasogastric tube - a tube that is passed down your nose and into your stomach
- A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach
Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.
Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.
Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.
Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.
You should discuss the pros and cons of both types of feeding tubes with your treatment team.
Low (oesophageal) dysphagia
Low dysphagia is swallowing difficulties caused by problems with the oesophagus.
Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat&nbsp;indigestion&nbsp;may improve symptoms caused by narrowing or scarring of the oesophagus.&nbsp;
Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.
It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.
Other cases of low dysphagia can usually be treated with surgery.
Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.
Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.
An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.
Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.
You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.
Find out more about gastroscopy.
Inserting a stent
If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.
A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.
The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.
If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.
Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes.
Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery.
Narrowing of the oesophagus
Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus.
Gastro-oesophageal reflux disease (gord)
Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.