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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
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Medical Termination Of Pregnancy (Mtp) Procedure
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More than half the patients with blood pressure are patients of diabetes too. Get your BP checked every time when you visit your doctor! Both BP and Diabetes have bad effects on kidney and as such should be controlled together asap!
Hello doctor, I am 46 yr old female. First of all let me thank you for always solving my health issues, now I have problem of heavy bleeding during periods. And also clotting. I have observed itchy and burning around my vagina. I am divorcee and did not had sex since more than one year. But I experienced burning n dryness during sexual intercourse i. E one year ago. So I lost interest in it.
When tissues that usually grow inside the uterus, start growing outside the organ, it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, extreme bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.
Treating endometriosis usually depends on the following factors
- Severity of symptoms
- Severity of the disease
- Future plans for children
Depending on these the doctor might opt for any of the following treatments
- Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs.
- Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include:
- Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity.
- Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug.
- Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation.
- Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
- Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery.
- Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Can we have intercourse during pregnancy? If yes, till what period of pregnancy? The pregnancy is normal right now but before pregnancy there is cyst in the left ovarian but now its no more. Please advise.
What is polycystic ovary syndrome?
What are polycystic ovaries?
Polycystic ovaries are slightly larger than normal ovaries and have twice the number of follicles (fluid-filled spaces within the ovary that release the eggs when you ovulate). Having polycystic ovaries does not necessarily mean that you have PCOS. Women with PCOS have symptoms as well as polycystic ovaries.
What are the symptoms of PCOS?
The symptoms of PCOS include:
Irregular menstrual periods—Menstrual disorders can include absent periods, periods that occur infrequently or too frequently, heavy or unpredictable periods
An increase in facial or body hair (hirsutism)- face, chest, abdomen and upper thighs
Thinning hair/loss of hair on your head (male pattern baldness)
Being overweight/rapid increase in weight or having difficulty losing weight
Difficulty becoming pregnant (reduced fertility)
Oily skin, acne
Patches of thickened, velvety, darkened skin called acanthosis nigricans
Skin tags, which are small flaps of excess skin in the armpits or neck area
Depression and psychological problems can also result from having PCOS.
The symptoms vary from woman to woman. Some women have very few and mild symptoms, while others are affected more severely by a wider range of symptoms.
PCOS is a cause of fertility problems in women. You may still become pregnant even if you do not have periods. If you do not want to become pregnant, you should seek advice from your gynaecologist about contraception.
What causes PCOS?
The cause of PCOS is not yet known but it often runs in families. If any of your relatives (mother, aunts, sisters) are affected with PCOS, your risk of developing PCOS may be increased.
The symptoms are related to abnormal hormone levels:
Testosterone is a hormone that is produced in small amounts by the ovaries in all women. Women with PCOS have higher than normal levels of testosterone and this is associated with many of the symptoms of the condition- the ovaries may be prevented from releasing an egg each month (a process called ovulation). High testosterone levels also cause the unwanted hair growth and acne seen in many women with PCOS.
Insulin is a hormone that controls the level of glucose (a type of sugar) in the blood. If you have PCOS, your body may not respond to insulin (this is known as insulin resistance), so the level of glucose is higher. To try to prevent the glucose levels becoming higher, your body produces even more insulin. High levels of insulin can lead to weight gain, irregular periods, fertility problems and higher levels of testosterone.
How is PCOS diagnosed?
Having polycystic ovaries does not mean you have PCOS.
Women with PCOS often have symptoms that come and go, particularly if their weight goes up and down. This can make it a difficult condition to diagnose, which means it may take a while to get a diagnosis.
A diagnosis is made when you have any two of the following:
Irregular, infrequent periods or no periods at all
An increase in facial or body hair and/or blood tests that show higher testosterone levels than normal
An ultrasound scan that shows polycystic ovaries
When a diagnosis is made, you may be referred to an endocrinologist (a doctor who specialises in the hormonal system).
What are the health risks for women with PCOS?
PCOS affects all areas of the body, not just the reproductive system. If you have PCOS, you are at greater risk of developing the long-term health problems discussed below.
Insulin resistance and diabetes
One or two in every ten women with PCOS go on to develop diabetes at some point. If the diabetes is untreated, this can cause damage to organs in the body.
If you have PCOS, your risk of developing diabetes is increased further if you:
are over 40 years of age
have relatives with diabetes
are obese (a body mass index (BMI) of over 30)
Women with PCOS tend to have high blood pressure, which is likely to be related to insulin resistance and to being overweight rather than to the PCOS itself. High blood pressure can lead to heart problems and should be treated.
Cancer of the womb lining (endometrium)
If you have fewer than three periods a year, the lining of the womb (endometrium) can thicken (a condition called endometrial hyperplasia) and this may lead to endometrial cancer in a small number of women over the long term.
There are various ways to protect the lining of the womb using the hormone progestogen. This may include a five-day course of progestogen tablets used every three or four months, taking a contraceptive pill or using the intrauterine contraceptive system (Mirena®). The options will depend on whether you are trying for a baby.
Depression and mood swings
The symptoms of PCOS may affect how you see yourself and how you think others see you. It can lower your self-esteem.
What can I do to reduce long-term health risks?
Have a healthy lifestyle
The main ways to reduce your overall risk of long-term health problems are to:
Eat a healthy balanced diet. This should include fruit and vegetables and whole foods (such as wholemeal bread, whole-grain cereals, brown rice and whole-wheat pasta), lean meat, fish and chicken. You should cut down the amount of sugar, salt and caffeine that you eat and drink. You should not drink more alcohol than is recommended (14 units a week for women).
Eat meals regularly, especially breakfast
Take exercise regularly (30 minutes at least three times a week).
You should aim to keep your weight to a level that is normal. BMI is the measurement of weight in relation to height and you should aim to keep your BMI between 19 and 25. If you are overweight, it would be helpful to lose weight and maintain your weight at this new level.
The benefits of losing weight include:
a lower risk of insulin resistance and developing diabetes
a lower risk of heart problems
a lower risk of cancer of the womb
more regular periods
an increased chance of becoming pregnant
a reduction in acne and a decrease in excess hair growth over time
improved mood and self-esteem.
You only have to lose a small amount of weight to make a difference to your symptoms and your health.
Have regular health checks
Once you have a diagnosis of PCOS, you will be monitored to check for any early signs of health problems:
- Diabetes: Women with PCOS over the age of 40 should be offered a blood sugar test once a year to check for signs of diabetes. If your BMI is 30 or over or you have a family history of diabetes you should be tested for diabetes even earlier.
- Cancer of the womb: If you have not had a period for a long time (over 4 months) or have irregular bleeding, it is advisable to see your doctor. You may be offered tests like an ultrasound scan of your womb (uterus) or treatment to make you have a period if they are very irregular.
- High blood pressure: Discuss with your doctor how often you should have your blood pressure checked and whether you should have blood tests to check your cholesterol levels.
- Depression and psychological problems: You can be referred to a counsellor or trained specialist if necessary.
Are treatments available for women with PCOS?
There is no cure for PCOS. Medical treatments aim to manage and reduce the symptoms or consequences of having PCOS. Medication alone has not been shown to be any better than healthy lifestyle changes (weight loss and exercise).
Many women with PCOS successfully manage their symptoms and long-term health risks without medical intervention. They do this by eating a healthy diet, exercising regularly and maintaining a healthy lifestyle.
Treatment is tailored to each woman according to symptoms, other health problems, and whether she wants to become pregnant.
How can combined hormonal birth control pills be used to treat women with PCOS?
Combined hormonal birth control pills can be used for long-term treatment in women with PCOS who do not wish to become pregnant. Combined hormonal pills contain both estrogen and progestin. These birth control pills regulate the menstrual cycle and reduce hirsutism and acne by decreasing androgen levels. They also decrease the risk of endometrial cancer.
How can insulin-sensitizing drugs help treat women with PCOS?
Insulin-sensitizing drugs (eg. Metformin) used to treat diabetes frequently are used in the treatment of PCOS. These drugs help the body respond to insulin. In women with PCOS, they can help decrease androgen levels and improve ovulation. Restoring ovulation helps make menstrual periods regular and more predictable.
Hair removal or slowing hair growth: You can try facial hair removal creams, laser hair removal, or electrolysis to remove excess hair. A prescription skin treatment (eflornithine HCl cream) can slow down the growth rate of new hair in unwanted places.
What can be done to increase the chances of pregnancy for women with PCOS?
Successful ovulation is the first step toward pregnancy. For overweight women, weight loss often accomplishes this goal. Medications also may be used to cause ovulation. Your doctor may prescribe medicine to help you ovulate, such as clomiphene (Clomid).
Surgery on the ovaries has been used when other treatments do not work. The outer shell (called the cortex) of the ovaries is thickened in women with PCOS and thought to play a role in preventing spontaneous ovulation. Ovarian drilling is a surgery in which the doctor makes a few holes in the surface of your ovary using lasers or a fine needle heated with electricity. Surgery usually restores ovulation, but only for six to eight months.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you experiencing swelling, bump and lesions in your vaginal area? These might be an indication of female vaginal sores. They may be itchy, quite painful, are usually tender and may also produce discharge. The sores usually develop because of skin disorders. Most cases of genital sores are symptoms of some kind sexually transmitted infection (STI).
Diagnosis of female genital sores
A physical examination is undertaken for finding out the exact cause of genital sores and swelling in women. A pelvic test may also be carried out and you will be required to provide your doctor with your medical history reports. Blood tests, including blood work and a culture of the sore are also used for diagnosis. A culture is referred to as the method of taking a sample from your genital sore and testing it for the detection of bacteria. An ideal treatment method is suggested by your doctor after proper diagnosis.
Based on the symptoms you experience and observe, you can cure vaginal sores by using simple self-care methods before consulting a doctor. A sitz bath is effective for getting relief from pain and discomfort. You can prepare a sitz bath at home by filling your bathtub with warm water and adding a saline solution or baking soda to the water in the bathtub. The water should be up to your hips when you get into the bathtub. You may even purchase a small basin meant for a sitz bath, which is available at all drug stores.
There are various ways of treating vaginal sores and the exact treatment depends on the cause of the sores. Here is a list of the most common treatment methods:
- Use certain oral and topical medicines for treating the sores and getting relief from pain.
- Try other medicines which include pain relievers, antibiotics, corticosteroids, antiviral medications, and certain anti-itch medicines for treating vaginal sores.
- Some forms of genital sores do not require treatment, but you can get rid of them if they are bothering you. A noncancerous cyst is such a type of sore.
- The long term outlook for vaginal sores depends on the cause. Sores accompanied by swelling occur due to chronic skin conditions, which are likely to affect you again in the future. You should get an existing STI treated for avoiding the recurrence of vaginal sores.
- The best way to keep away from vaginal sores is to have safe sex using protection, such as condoms. This will prevent the infection from being transmitted to your sexual partners. You must not hide the fact that you are having vaginal sores to avoid harassment, and should always open up and seek proper treatment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
During sex if male sperm discharge some time earlier then female discharge. Is that time pregnancy chances became less or its impossible to pregnant? Kindly clear my question.
Hi, I'm 26 year old female. I got my laparoscopic surgery 3 months back for having endometriosis and PCOD disease. After surgery doctor adviced me to take zoladex 3.6 mg depot injection. After how many months can I try for a baby?
While the term STD clearly explains that it is transmitted only through penetrative intimacy, is it always the case? Quite often, there is paranoia about using a public rest room, which brings up an image of a place highly populated with germs. Is it possible to get an STD from there?
These places are, of course, full of germs, and there are multiple instances of developing a urinary tract infection from these areas. However, the chances of developing an STD from these areas are quite low. Read on to get a little more clarity on the same.
- The organisms causing STD are like any other germs, except that they grow and flourish in the mucosa (oral/genital/rectal), which is conducive for their growth. These germs cannot flourish under any other circumstances. So even if an infected person uses the toilet seat before you, the chances that those germs remain active enough to cause an infection are quite low. These germs cannot survive in the outside environment and die very quickly. Also note that the public restrooms are drier and hotter compared to the mucous membranes that these germs thrive on.
- The mucous membranes (genital/oral/anal) can get infected only, if they come in contact with someone’s infected fluids (vaginal secretions or ejaculate).
- Moreover, STDs spread through contact from one point to another. Given this fact, the chances that the sexual organs come into contact with the public restroom are very low. The body parts are vulnerable to sexual contact and therefore infection do not come in direct contact with the toilet seat. If there was a cut or a bruise that could get exposed to the fluid, there is a slim chance of catching an STI, but this situation is extremely rare.
- Our body has a natural immune system which fights most germs and infections effectively. So in people with good immunity, the chances of developing an infection are highly unlikely.
While the chances of actually getting an infection are quite low, there are still some precautions that can be taken to improve the safety levels. Always think of hygiene while in a public bathroom.
- After using the bathroom, wash and dry your hands, which helps in preventing the spread of different viruses.
- Do not touch your face until after the hands are washed, especially after a visit to the bathroom.
- Wash hands with soap and dry them thoroughly. Touching surfaces like doorknobs without drying your hands helps create a moist environment in which these germs can thrive.
If you follow these precautionary measures, rest assured, you are not going to catch an STI by using any public toilet or shower. If you wish to discuss about any specific problem, you can consult a Sexologist.