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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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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What is puberty?
Puberty is the phase in life when the body of the child matures to become an adult. This change is mainly influenced by the developing reproductive system and it makes them capable of sexual reproduction. It a progressive change and happens over a span of few years. Girls start to develop breasts and might start menstruating whereas boys notice changes in body hair growth pattern with their voices beginning to crack.
The average age for a girl to attain puberty is found to be 11, whereas in boys, it is longer and the average age is somewhere around 12. Puberty also marks the onset of emotional maturity in kids as well.
Sometimes puberty can be seen at a very young age such as 7 or 8; this is called precocious puberty. This can make it physically and mentally taxing for a child and can be a sign of health issues.
What causes puberty?
The stimulation of the hypothalamus in the brain leads to the production of a hormone called Human Gonadotropin-releasing hormones (GnRH) which signal the Pituitary Gland to produce luteinizing hormone (LH) and follicle-stimulating hormone (FSH). This is responsible for sexual development.
Signs that may indicate the onset of puberty in girls:
The telltale signs of puberty in girls are:
- Development of breasts
- Growth of hair in areas such as armpits and genitals
- A growth spurt, i.e., rapid growth in height
- Start of menstruation or her periods
- Increase in body fat in certain areas of the body
- Development of acne
- “Mature” body odour
Signs that may indicate the onset of puberty in boys:
The usual signs of puberty in boys are:
- Enlargement of the testicles or penis
- Pubic, underarm, or facial hair development
- Rapid height growth — a growth "spurt"
- Deepening of voice
- "Mature" body odor
- Increase in hair growth in other parts of the body such as the arms and legs
Along with these signs and symptoms, other signs can be changes in mood. Boys and girls may develop sexual urges wherein you will notice an unexplained attraction to the opposite sex. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
The word 'surgery' is often dreaded by most patients. Be it an invasive oral surgery or a keyhole gallbladder surgery, it does not evoke a ready 'yes' in most patients. There are too many patients who are ready to be on long-term medications if they could to avoid the surgery and its complications. While there could be swelling, bruising, tingling and many other symptoms, the one feared by most is the postoperative pain. What happens after the effect of the anesthetic wears off can leave many patients in a very anxious and fearful state. The trick is to prepare oneself not just for the surgery but for the after effects.
Before the surgery, a detailed discussion with the doctor on the following is very important:
- List of medications: Complete list of medications include supplements so that the medications used during and after surgery to avoid any potential drug interactions
- Type and severity of the pain: This will help you anticipate and be prepared for the pain after the surgery.
- Pain tolerance/threshold: Letting your doctor know your tolerance levels can help them prescribe an appropriate pain killer
After the surgery, the following are some ways to cope with the pain:
- Pain killers - Don't wait for the anesthesia effect to completely wear out. Take the painkiller much before the pain starts so that the onset of pain is delayed or nullified. For severe cases, opioids may be used to manage immediate postoperative pain. However, in most cases, non-steroidal anti-inflammatories like ibuprofen are used. They may also be used up to a few days after surgery to ease the pain and inflammation, depending on the type of surgery.
- Topical creams/lotions - In cases involving skin incisions, these help reduce the pain in the skin along the incision.
- Compression stockings - In addition to reducing blood clot, they also reduce pain in the legs.
- Physiotherapy - If there is a joint involved, doing physiotherapy after surgery is extremely beneficial. In addition to reducing pain, they also help improve mobility.
- Sleep - Sufficient sleep (more than you normally would) promotes healing and helps your ability to cope with the pain.
- Heating pads and ice packs - If these are your regular remedies for pain, feel free to use them even in postsurgical pains.
- Reduce Stress - This will help you cope better with the pain and heal faster.
A given patient and a given surgery are a unique combination. No two patients will react the same way to a particular surgery. Postsurgical pain can be managed very effectively with a little planning.