Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 41 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. Sharmila Bhanu
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. Sharmila BhanuYour feedback matters!
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.
If you want to discuss any other problem, Consult IVF Specialist.
To be considered healthy, one must not only be physically and mentally sound, but one must also be sexually and reproductively healthy. Sexual and reproductive health includes a person’s ability to enjoy a satisfying sex life and capability of reproducing. Sexual and reproductive health is important for both men and women.
When it comes to women, sexual health problems can refer to
- Lack of sexual desire
- Inability to be sexually aroused
- Inability to achieve an orgasm
- Painful intercourse
There are many factors that could trigger these problems, such as
- Relationship problems
- Emotional distress
- Gynaecological problems
Some of the common gynaecological problems that affect women’s sexual health are
- Vaginal dryness
- Pelvic inflammatory disease
- Uterine fibroids
- Gynaecological cancer
- Interstitial cystitis
Endometriosis and some of the above mentioned diseases can also affect a woman’s reproductive health and cause problems with pregnancy. Exposure to STDs is another major reproductive health problem. STDs such as HIV, gonorrhoea and HPV are dangerous not only for the mother, but also affect the health of the baby. Reproductive health problems or women also include unwanted pregnancies, unsafe abortions and maternal death.
Being a victim of sexual violence affects both sexual and reproductive health. Sexual violence can be defined as a non-consensual sexual activity. While anyone can experience this, women have a higher risk of facing such violence than men. Sexual violence can cause a person to fear sex itself and in some cases can interfere with their ability to reproduce.
Though men’s interest in sex is often joked about, men too can face sexual health problems. This could be triggered by a physical or psychological condition. Erectile dysfunction and ejaculation disorders such as premature ejaculation or retrograde ejaculation are the two most common sexual health problems faced by men. Anxiety and depression along with illnesses such as diabetes and high blood pressure can also cause a loss of libido and sexual disinterest.
Men can also suffer from a low sperm count and low testosterone. In many cases, this can make a man infertile. Peyronie's disease and testicular cancer are other conditions that can affect a man’s sexual and reproductive health. Like women, men also need to protect themselves against STDs to ensure they remain sexually healthy.
Thankfully, most sexual and reproductive health problems can be treated and cured with a combination of medication and psychological counselling. Hence sexual and reproductive health problems should not be considered taboo but should be addressed as soon as possible.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Desai Bhuma I have been diagnosed for left ovarian hemorrhagic cyst which is 6.3*3.7*2.3 cm in size. I am on hormone therapy only from one day. Can I stop pills and go for laparoscopy or I should complete 21 day course? I am going to abroad for studies after 10 days and will come after a year. What should I do?
I had unsafe sex with my wife and she got pregnant. But after 2 months we came to know about pregnancy. But she does not want baby. What is the medicine to abort pregnancy. please tell as soon as possible.
HIV is a systemic disease which affects all parts of the body. The oral cavity also has some tell-tale symptoms which indicate HIV / AIDS. A careful examination and detailed history of symptoms is essential. In some cases, the oral manifestations could be the area where HIV is suspected. This can help in reducing morbidity and improves prognosis. The oral lesions that occur in HIV patients can vary and differ significantly in children and adults. While there are a variety of oral lesions in HIV-infected individuals, listed below are some common infections seen in HIV patients. These are a combination of fungal, viral and bacterial infections.
- Candidiasis: Candida is an opportunistic fungus that is normally present in the oral cavity and with reduced immunity of HIV, recurrent bouts of the infection begins to show up. It can be in the form of regular thrush which is whitish and cannot be scraped off (pseudomembranous candidiasis), hyperplastic candidiasis (white patches which can be scraped off) or erythematous (reddish patches). Candida can involve any part of the oral mucosa including the pharynx and the palate.
- Herpes Simplex: This is the most common viral infection seen in patients with HIV/AIDS. There could be primary or secondary infection of herpes virus, especially inside the mouth and the vermillion border of the lips.
- Herpes zoster: This virus, when already present in the body, can be reactivated with HIV/AIDS and with oral herpes. The distinction with herpes simplex is from their distribution. These are unilateral, along the distribution of the maxillary or mandibular nerve. The lesions appear both on the facial skin and the oral mucosa. While the facial ones break open and form crusts, the mucosal ones coalesce to form larger lesions.
- Hairy Leukoplakia: This is present in about 20% of asymptomatic HIV patients. Onset of hairy leukoplakia is an indication of rapid progression of HIV with increased CD4 counts. The typical lesion is a non-movable, hairy lesion along the side of the tongue and can spread to the top and the undersurface of the tongue. There are large amounts of Epstein-Barr virus (EBV) identified from biopsies of hairy leukoplakia.
- Cytomegalovirus: If the ulcers have a necrotic base with a halo surrounding it, it is CMV infection, usually seen on any oral mucosal surface.
- Periodontal disease: This is one of the bacterial infections that manifests itself in HIV patients. It can take two forms such as Linear Gingival Erythema (LGE) which can subsequently lead to Necrotizing Ulcerative Periodontitis (NUP). The oral hygiene is generally good with minimal plaque and there is rapid bone loss and soft tissue reddening and swelling. The, mouth, therefore is certainly a window to one’s health.
Diagnosing HIV with Western Blot Test-
It is a series of blood screenings are performed to test for HIV. The enzyme-linked immunosorbent assay (ELISA), also known as an enzyme immunoassay (EIA), is the first test that your healthcare provider will order to screen for HIV. ELISA, like the Western blot test, detects HIV antibodies in your blood. Antibodies are proteins your immune system produces in response to the presence of foreign substances, such as viruses. If you test positive for HIV on the ELISA test, your provider will order the Western blot test to confirm HIV infection. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.