Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Mr.Thanganatarajamani
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
Submit a review for Dr. Mr.ThanganatarajamaniYour feedback matters!
For most women, the ultimate feeling is bringing their bundle of joy into this world. However, as much as you want, getting pregnant is not always in your hand. Infertility among women has seen an exponential growth in the last decade or so. In this article, we will limit our discussion to the factors responsible for female infertility.
In many women of reproductive age, PCOS (Polycystic Ovarian Syndrome) is found to be one of the common underlying factors making it difficult for the affected female to conceive. PCOS, as indicative of the name, is a condition whereby cyst formation takes place in the ovary or the ovaries. PCOS triggers a hormonal imbalance with increased production of androgen by the ovary interfering with the ovulation process. The mature eggs either don't get released from the ovary or in some cases, the eggs may not mature at all. Infertility can be one of the many depressing complications associated with the disorder.
Primary Ovarian Insufficiency can also be responsible for female infertility. True to its name, the disorder is an autoimmune condition resulting in the loss of eggs prematurely (from the ovary). The condition can be a genetic predisposition or at times may be a consequence of chemotherapy.
The hormones Follicle Stimulating Hormone (FSH) and Luteinizing hormone (LH) play a pivotal role in ensuring a healthy ovulation process. However, certain factors including obesity, drastic changes in the body weight (gain or loss) or stress (physical, mental, or emotional) can spell doom inhibiting the production of FSH and LH. In the absence of these two hormones, the ovulation process will also be affected, often giving rise to female infertility. The increased production of another hormone, Prolactin can also act as the trigger resulting in infertility. Proper treatment and medications can go a long way to reverse the condition.
Under certain conditions, the tissues that are supposed to line the inside of the uterus (a term called endometrium) grows outside it (often in the fallopian tubes, or ovaries) a condition termed as Endometriosis. While the painful condition in itself can lead to female infertility (can damage the implanted fertilized egg), removing the tissues through surgery can also damage the fallopian tube. With a damaged fallopian tube, infertility is the obvious consequence.
Certain medical conditions such as pelvic tuberculosis, STDs that triggers inflammation and infection of the fallopian tube and the uterus, women having undergone surgery for ectopic pregnancy, or the inflammatory diseases of the pelvis can also damage the fallopian tube
Infertility in females can also be an outcome
- Cervical stenosis (the cervix narrows down to a great extent).
- Congenital uterine disorders and abnormalities.
- The formation of noncancerous tumors and polyps in the uterus can trigger infertility in some females only.
- In some rare cases, the exact cause of infertility may be hard to explain (Unexplained Infertility).
In case you have a concern or query you can always consult an expert & get answers to your questions!
Osteoporotic vertebral fracture, also known as compression fracture, is a condition of the spine. The simplest way to detect the issue is by visiting a doctor when you feel pain in the back. Usually this pain is limited to the lower back, but with time, the discomfort may spread upward. Here is a look at some of the things you should know about the condition, if you have been diagnosed with the same.
Causes of Osteoporotic Vertebral Fracture
Several things may cause the condition. For instance, osteoporosis is a major contributing factor for such a fracture. Other causes for the disease include underlying conditions that can affect proper development of the bone. Furthermore, accidents are often responsible for such fractures. With age, men and women begin to lose bone density and end up with osteoporosis. At this stage of the condition, the bones become hollow and thus, they have a greater chance of fracture than a healthy bone.
Since it is a spinal fracture, affliction with such a condition will mean that much of your mobility and ability to do work diminishes. Here are some common symptoms of osteoporotic vertebral fracture aside from back pain-
- Pain increases when you walk or stand
- Such a fracture may decrease your height
- Trouble having to bend down and twist the body.
- Shoulders may stoop.
- Strain on the spine will increase the pain experienced and even lifting relatively lightweight objects may become difficult
- Lifting heavy items can be difficult and the pain may become too much to bear.
Treatment depends on the cause of the condition. For instance, if the compression fracture results from osteoporosis, doctors will prescribe medication for the pain and the underlying osteoporosis as well. The pain can last for anywhere between a few weeks to a month or even longer. Certain medications are used to provide relief from some of the pain.
Apart from the medication, doctors may also advice certain lifestyle changes. For instance, bed rest is recommended to patients during such a fracture. However, osteoporosis patients should ensure not to stay in this inactive state for a long period, as their condition may worsen.
In acute cases of compression fractures in the spine, patients may need to undergo a surgical procedure in order to find relief from the discomfort and pain. Vertebroplasty, spinal fusion surgery and kyphoplasty, are the three common surgeries used to rectify the compression fracture. While Kyphoplasty and Vertebroplasty are minimally invasive procedures, spinal fusion surgery is a complicated treatment, which is usually the last resort.
The most devastating period for any pregnant women is a miscarriage. This normally happens because of genetic abnormality noticed in the fetus caused due to tripling of a chromosome. This is also called ‘spontaneous abortion’ because the body rejects the random genetic abnormality. Apart from this, there are many other reasons for miscarriage namely blood clotting, deshaped uterus, uterine fibroids, unhealthy cervix and so on. Now, this could lead you to the next question - What can we do to prevent miscarriage?
Time to meet the gynaecologist:
When there is tripling of chromosomes or genetic mismatch, the body actually rejects the fetus, thereby preventing birth of an unhealthy baby. But, if the miscarriage repeats several times, then you have to meet your gynaecologist for further tests and appropriate medical intervention.
Symptoms of miscarriage:
In the normal course, when miscarriage occurs, the women would experience back pain or vaginal bleeding or blood in the vaginal mucus or cramping or abdominal pain. Ironically, sometimes the miscarriage may happen without any of these symptoms. It would get noticed only during routine scanning. However, in the normal course, the chance of a miscarriage is highest before the 12th week. But if miscarriage happens after the 12th week and before the 24th week, then it is called spontaneous abortion. Thereafter, it is known as a ‘still born’ baby.
However, there are some steps that can help women prevent a miscarriage. These steps are briefly explained here.
- Nicotine retards growth of fetus and it is for this reason the couple should shun smoking, months before they plan pregnancy. This change in lifestyle has remarkable effects in preventing miscarriage. Similarly, caffeine can also be the cause of miscarriage. Therefore, women should regulate their intake of coffee as per the advice given by the gynaecologist.
- Women suffering from chronic ailments like lupus, problems with thyroid, epilepsy and such other ailments are prone to a miscarriage. Similarly, it is also advisable that women should get tested for STD/HIV because these ailments can cause a miscarriage. Women suffering from such ailments should be under constant medical care.
- In addition to these, the women should take food rich in vitamins, proteins, Omega-3 and fibres. Further, they should also do physical exercises as per the instructions given by the gynaecologist. One should drink enough water so as to keep oneself sufficiently hydrated. Women must practice meditation, which helps in reducing stress.
The causes of a miscarriage are many; women should discuss about the issues relating to a miscarriage with their gynecologist. This helps them take appropriate preventive steps against this unwanted situation.
Hi. I am not getting conceived though I am using folic acid (folavite) from 2 months. I also use 38 mg thyroxine as I have hypothyroid. Please suggest something to conceive soon?
Ovarian cysts are a common development in many women. Cysts are sacs filled with fluid which are formed in the female ovaries. Most cysts are harmless and do not even show any symptoms. However, some cysts do show outward symptoms like heavy bleeding, clotting, nausea, vomiting, stomach pain during the menstrual cycle, and pain during sex.
If you feel any of the above-mentioned discomforts, it will be in your best interest to book an appointment with your gynaecologist and get a check-up done. Most cysts are manageable unless they are very severe. In fact, it is best that cysts come to light at the right time and are efficiently managed, unless they develop into severe issues in the future.
Management of cysts
- Oftentimes, medical practitioners resort to what is called ‘watchful waiting’.
- At times, ovarian cysts disappear in a few months.
- It is recommended to take a blood test and an ultrasound to see the progress of the cyst.
- If you have already experienced menopause, then these tests are carried out every four months. This is because in such cases the risk of an ovarian cancer is at its highest and regular monitoring of the cyst is necessary.
Treatment of cysts
Ovarian cysts can be treated in their earlier stages. Here are some of the most popular treatments.
- Laparoscopy is one of the most popular treatments. It is a surgery carried out under general anaesthesia. The tummy is cut to a radius of a key hole and a laparoscope is inserted. This helps the doctor to see the internal organs, which is then used to remove the cyst. This method is less painful and has a quick recovery time.
- Laparotomy is the other method used for removing a cyst. In case the cyst is large, then one single large hole is made in the body to access the cyst. At times, the cyst and the ovaries are removed and sent for further laboratory inspection. This inspection is done to detect whether the samples are cancerous or not. This procedure is more complex than the previous one and might need the patient to stay in the hospital for a few days.
- In case you have a cancerous cyst, then your reproductive part itself would have to be removed rendering you barren for your life.
Ovarian cyst is very much treatable and is best to be detected at an earlier stage for better and faster treatment. Thus, it is best to go for regular check-ups and report in case of any disturbing symptoms. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 28 years old. My AMH levels are low - it's 0.318 ng/ml. Are there any chances for me to conceive / become pregnant naturally? Also I am deficient in vitamin D. Please help me with my question.
I am 26 years old female ,married. V r the on the way to plan. This month 12 period has to come but brown discharge cmg from the vagina with no sign n symptoms of menses. Am I expecting early pregnancy? I hope you will reply early.
Hello, I am married few months ago. I and my husband stayed in 2 different countries after marriage, so there was no physical relationship. Now we are together and I am not ready for kids now as I want to spend some time with him, where as my husband is against using any precautions. And he has an opinion of following the natural process. I do not want more time but, to spend at least 3-4 months before planning for a baby. Please suggest the precautions I can take!
No matter what your age is, what your field is, what kind of a person you are, what your lifestyle is, the impact of your looks and health will never ever cease to affect your life.
You need to be in pace with of how you look, how you behave, how strong and healthy you are and how you balance between all of them.
When someone sees you for the first time then the first thing that captures their mind is the looks then they come to talk to you to get deeper to your personality, then they get to know you when you start working with them they get interacted with your behavior and your healthiness to execute tasks. So all the things are related and are sequential in real life.
The sequence of these things is universal and work for male as well as females irrespective of their ages. This reminds to look at the fact that with getting older in age it also keeps getting difficult to maintain the looks and health in good condition as per the body type and lifestyle.
However, we need to take of few things when we are dealing with the problem of aging. The first thing in aging that needs care is to look energetic, then to look glowing, not look pale or dull, have least of wrinkles, not to look older than your age if not young.
To have all these we need to opt for some remedies but before that lets make sure of one thing that we don’t let stress and worries take over our mind because they show up their impact clearly on our looks and health.
Now working on the remedies of aging do not mean to have those expensive ant-aging treatments every month and pouring all the money at the parlors.
However, we refer for simple home remedies along-with natural ingredients like lemon juice along with milk cream and egg white to be applied on face for around 15 minutes to get you rid of aging spots.
Above all, keep smiling because that will give you a good look and health at the same time.