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Treatment Of Female Sexual Problems
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Hi friends, I am Dr Shakuntala Kumar I am practising obstetrician and gynaecologist at New Life Hospital Delhi and Fortis Hospital Shalimar Bagh. Today we will be discussing ovary commonly encountered problem name Polycystic Ovarian Syndrome. Are you suffering from problems like hair fall, excess facial and body hair, very-very oily skin along with acne, frequently encountered menstrual abnormalities or problems in periods of difficulty in becoming pregnant, chances are you may be suffering from the Polycystic ovarian syndrome. A polycystic ovarian syndrome is because of a hormonal imbalance namely the female hormones like estrogen and progestogen imbalance between the excess of male hormones happening in these women. These women also have insulin resistance in their body, leading to several other disorders like high blood pressure, diabetes and high cholesterol levels in their body. Friends because of a Polycystic ovarian syndrome is at the interplay of hormonal disbalance compounded with environmental factors, like the lifestyle of the person because of this there is a development of multiple eggs in the ovary rather than formation of one single egg. These small-small eggs coming up in the ovary do not allow a dominant egg to form because of which there is an ovulation or non-development of eggs. This is the main reason why these women face difficulty in conceiving and are facing several hormonal imbalances.
Now let us talk about the diagnosis of a polycystic ovarian syndrome, so friends just an ultrasound finding of multiple cysts in the ovary of these women is not the sole criteria. We have certain criteria because of which we diagnose Polycystic ovarian syndrome a woman will be having normal ovaries but suffering from PCOS, on the other hand, she may be having polycystic ovaries but she is in a normal lady. So the diagnosis depends on certain clinical and investigational and certain ultrasound findings of the women. Which is not one single criteria of polycystic ovaries coming up in the ultrasound. Coming to the treatment part of these women that treatment depends on the problem that is these women are facing but in the root cause of these problems lays the obesity part of these women. So the most important part of the treatment is weight loss and lifestyle management, so please listen to your doctor, when she is saying and requesting you to lose weight. That is possible through a healthy lifestyle, a healthy diet and workout plans. Secondly, if this woman is suffering from menstrual irregularities we will correct that by improving her lifestyle and by giving her certain drugs, if she is suffering from acne or excess body hair we will be giving certain drugs to tackle that, if she is suffering from anovulation or by that I mean difficulty in conceiving or becoming pregnant, we will be giving certain drugs to induce ovulation, this may require the intake of tablets or sometimes intake of certain injections. So friends polycystic ovarian syndrome is no longer an enigma, it can very much cure. The only thing that is required is you helping your doctor curing it by managing a very healthy lifestyle and through the drug that we prescribed you taking them diligently. Thank you very much.
Both young and old are vulnerable to fractures. While the former gets them during intense physical activities, the latter experience fractures due to less bone density. Thus, quite common, they are, however, if you experience a persistent pain in the fracture spot even after undergoing treatment, you must visit your doctor without delay as it might be a case of nonunion.
Despite modern treatment methods that heal most fractures, sometimes new bone tissue doesn't begin to form and repair the broken pieces. This hindrance to the healing of bones is known as ‘nonunion.' Patients suffering from nonunion of fractures usually feel pain in the fractured area even after the fracture disappears and can last for months or years. In some cases, these pains may get triggered, if pressure is applied to the fractured area.
Why does a nonunion occur?
The three most important aspects of bone healing include stability, blood supply, and nutrition. If the broken bones that have been put together are moved out of place before they fully heal, it can lead to complications. Cases, where surgical fixation is involved, can be disrupted due to various reasons, including ineffective surgery which can happen due to unforeseen complications and can cause nonunion.
- Limited blood supply to the fracture site can be caused due to a lack of or disruption of the body's healing cells. Blood supply to the injured area usually returns to normal during the healing period, but there might be medical complications that prevent fractured bones from healing.
- Nutrition is the third biggest factor that can cause nonunion of fractures if the patient does not have a well-balanced diet and lacks essential vitamins, calcium, and proteins in the body. Dietary guidelines need to be followed to allow proper healing.
- Other situational risk factors that may contribute to nonunion include age, diabetes, infections, anemia or use of tobacco and other forms of nicotine.
Treatment of A Nonunion
- Depending on the situation, treatment is possible using both surgical and non-surgical methods. A bone stimulator may be used to treat a nonunion non-surgically. This small device helps send ultrasonic waves to stimulate healing, and through repeated usage of the device, it can help patients start healing.
- Surgical treatment involves the usage of a bone graft that can help new bone (or bones) to grow in the affected area. Bone grafts are surgically planted, and they provide fresh bone cells and necessary chemicals that the body needs for healing. Surgeons make an incision and remove pieces of bone from different areas of the patient and transplant them into the affected area. Bone harvesting can be a painful process, but it does not affect the bodily functions or cause any cosmetic problems in any way to the patient.
- In many cases, bone harvesting can be avoided by using allografts (bone grafts from cadavers) or other substitutes (known as osteobiologics) made of chemicals that can be fixated both internally and externally.
- These methods kickstart the healing process and allow the fractured bones to heal and return the area to its normal and undamaged state.
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