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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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Hi Doctor, My wife is feeling breast pain from last 4 -5 days. Can it may be symptoms of pregnancy? But 8-9 days still remain in next period. We didn't observe other pregnancy symptoms except Brest pain which she never felt earlier like that. When we can go for pregnancy test. Please advise. Thanks.
I have irregular periods .....I wanna make it regular for me.....because I feel something heavy ......
We are parents to a 14 year old daughter and 11 year old son. I am in a transferable job and the family moves with me. Our daughter started her periods when she was 9.5 years.It was the time that she stated being physically abusive towards her mother without any reason or remorse. In the last 3-4 years her behavior towards her parents, sibling has worsened. In our last relocation 3 years back, she had problems in making friends at school for which we sought professional counselling, got her enrolled in sports and things were a little better for a few days.We also took homeopathic treatment to treat the aggression in her. One day we learnt that she has infatuation for a 17 year old boy at the sports academy. The boy was suggesting sexual advances towards her as we could gather from her personal diary. We could intervene and resolve the issue. We have also been meeting the school counseller off and on. During this time she was making use of the mobile phone which we had kept for use at home ( in place for the regular landline). Last year she pestered and forced her to buy her a smartphone.Our problems aggravated manifold after we bought the smartphone. Her attention towards her studies nosedived despite taking extra tuitions. She would throw her clothes, towels etc on floor after use and listen to music on the cell all the time.Her sleep wake cycle is also abnormal. She would get up at 12 PM on holidays. For last 6 months she is friends with a 17 year old boy of her school and has been chatting with him on FB/whattsapp. The boy is making sexual advances towards her while in the school( as we could understand from her phone). We were called one day in the school to inform that she has been bunking her classes. All this while we have been very supportive /sympathetic towards our child. The teachers have suggested that we take the smartphone back from her. But her behavior is so violent and abnormal that we do not know to head in which direction.
PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances.
Common symptoms include:
- Gain of weight or Weight loss problems
- Excess hair on body and face
- Irregularities in periods
- Fertility problems
It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.
There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.
IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:
- Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
- PCOS down-regulation protocol
This protocol combines:
- Oral Contraceptive Pills
A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control.
Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.
• Eat a nutrient dense fertility diet
• Sleep tight and get plenty of rest
• Avoid alcohol, cigarettes, and other drugs
• reduce your exposure to dry cleaning fluids and petroleum products