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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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I am 24 years and I m married but I am having irregularity in my periods for about 2 months gap before marriage also. So how I could get pregnant ?
I don't get any sexual feeling in vagina but in clitoris and I had severe pain during intercourse what should I do to stop this pain and feel relaxation.
Factors increasing absorption of calcium:
1 vitamin d: vitamin d works in the digestive tract to absorb calcium into the blood stream from the walls of the duodenum. Vitamin d also helps maintain normal blood calcium level.
2. Parathyroid hormone: it increases calcium transport across the membrane of intestinal cells.
3. Acid environment: hydrochloric acid secreted in the stomach during the process of digestion is required for the absorption of calcium in the duodenum. Calcium supplements could be taken with magnesium at bedtime or between meals due to the acid environment needed in the stomach to assimilate the calcium. Always consult a physician before beginning a new supplement regimen.
4. Milk lactose: it favors absorption in infants. Lactose is acted upon by intestinal microbial flora to form acid which causes lowering of ph which makes calcium more soluble.
5. Amino acids: supplemental calcium is often chelated, or combined with protein molecules called amino acids, to help the body absorb them during digestion. Lysine and arginine increase calcium absorption.
6. Exercise: exercise along with vitamin d intake helps calcium absorption thereby making bones strong.
Factors decreasing absorption of calcium:
1. Oxalic acid& phytic acid: foods that are high in oxalic acid such as spinach, chard and chocolate, reduce calcium absorption. Oxalic acid binds with the calcium to form a salt crystal, calcium oxalate which cannot be absorbed. Phytic acid, which is found in whole-grain foods and high-fibre foods, effects calcium absorption the same way.
2. Phosphorus: too much phosphorus in the diet causes precipitation of calcium in the form of calcium phosphate.
3. Stress: stress can have a negative effect on hcl production in the stomach and on normal digestive behaviour in the body, and can therefore have a negative effect on calcium absorption.
4. Caffeine, drugs like anticoagulants, cortisone and thyroxine reduce calcium absorption.
V lack of exercise and vitamin d deficiency leads to decrease calcium absorption.
There are two methods by which abortion can be done:
- Medical Abortion - Non-surgical abortion in which medicines are used to induce abortion
- Surgical Abortion - Use of transcervical procedures for terminating a pregnancy, including vacuum aspiration, and dilatation and evacuation (D and E).
Surgical or Medical Abortion for Unwanted Pregnancy
- If pregnancy is lesser than = 7 weeks; medical method with Mifepristone with Misoprostol is favorable as the success rate is as high as 97%.
- If pregnancy is between 7-12 weeks; surgical abortion is the only option.
- If pregnancy is beyond 12 weeks - 20 weeks, then the woman needs to be hospitalized and will be given either Mifepristone followed by Misoprostol tablet or only Misoprostol tablets and woman will then abort like a miscarriage in the hospital. If any products are remaining, then it will be evacuated surgically.
Surgical abortion is preferred if patient desires concurrent tubal ligation or IUCD (CuT) insertion. If a woman fulfills the criteria for selecting either method i.e. before 7 weeks, final choice has to be given to the woman.
Summary of choice between Surgical or Medical abortion in India
- Lesser than = 7 weeks - Medical method or surgical method
- 7-12 weeks - Surgical abortion
- 12 - 20 weeks - Medicines with or without surgical procedure in hospital
Advantages of Medical Abortion
- Avoid surgery - Controlled by the woman and may take place at home
- No need for admission to the hospital
- Usually, well tolerated by women, if properly counselled and motivated
- No need to take leave from work, as bleeding can be managed with menstrual pads even while in the office or at work.
Disadvantages of medical abortion
- Takes time (hours to days) to complete abortion, and the timing may not be predictable. Women experience bleeding and cramping, and potentially some other side-effects (nausea, vomiting, fever, and shivering). May require more clinic visits than surgical abortion.
Advantages of Surgical Abortion
- Quick procedure
- Complete abortion easily verified by evaluation of aspirated products of conception
- Takes place in a hospital so Sterilization or placement of an intrauterine device (IUD) may be performed at the same time as the procedure. It can be performed under local anaesthesia if woman is properly motivated and counselled
Disadvantages of surgical abortion
- Requires instrumentation of the uterus
- Small risk of uterine or cervical injury
- Timing of abortion controlled by the doctor and hospital
- Anaesthesia needs to be administered. Most doctors perform this procedure under short general anaesthesia. A woman needs to be in the hospital for at least 6 hours. Effect of sedation will be there throughout the day.
Hello, I was thinking about getting a general check up with gynecologist. I have been having comparatively very less period from past three months, with dark clots. I want to consult a doctor before assuming anything. Just want to be mentally prepare for the kind of examinations that it would include. So, could you please let me know how the check up will be. Or is there any specific tests that I should ask my gynaecologist for? What kind of tests it probably should include?
My wife delivered a baby 2 months ago. She is getting a lump in her left breast, can you please provide a solution on treating this?
Yesterday I had done sex with my bf without any precautions but during sex bleeding was started. Is this will be the chances of coming period or something else? Also tell me that weather their will be any chance of pregnancy or not and if yes may I take I pill to avoid pregnancy. Please suggest me.
Gestational diabetes is a kind of diabetes that happens during pregnancy. Diabetes is referred to a condition where your blood glucose or blood sugar is very high. Although, glucose is good as it used by your body for energy, but excessive glucose in your blood can be harmful for both you and your child. Gestational diabetes is mostly diagnosed in the later stages of pregnancy. If gestational diabetes is diagnosed in the early stages of pregnancy, then it is quite possible that you may have had diabetes before you became pregnant. Treating gestational diabetes can help both you and your baby stay fit and healthy. You can protect both, yourself and your baby by controlling your blood glucose levels.
Here are 7 things that you need to know about Gestational diabetes:
- Every three to eight out of 100 ladies tend to develop diabetes during pregnancy, a condition known as gestational diabetes. Fortunately, it can be dealt with and even kept away by maintaining healthy lifestyle choices. Eating leafy foods and avoiding sugar-rich things, is a vital step for both control and counteractive action. Exercise, after consulting your doctor can guarantee that you have a healthy pregnancy.
- In diabetes, when your body's glucose or sugar levels get so high that the carbohydrates and sugars cannot be converted into energy, the excess starts accumulating in your body. This additional glucose can harm the vessels in your kidneys and all through your body, particularly in organs like eyes.
- Two or three factors might cause danger for creating gestational diabetes, both inside and outside of your control. If you are overweight before you get pregnant or while you are pregnant or your family history shows that you are hereditarily inclined to the sickness, you will probably build up the condition.
- One will have to stay on the right path as far as medication and insulin goes. Your specialist may prescribe that you require diabetic pills or insulin to help you control your glucose levels.
- Your weight can bring about complexities during the delivery in case of gestational diabetes. So it is best to keep your weight in check in order to have a smooth sailing pregnancy and delivery.
- Gestational diabetes can likewise put ladies at risk of contracting preeclampsia, which can bring about a number of side effects and complexities. Side effects brought on may start from swollen feet, legs, fingers, and hands to hypertension and even seizures or strokes.
- Apart from the risks of having gestational diabetes during your pregnancy, it might affect the child later on. Your baby may have a higher danger of obesity as it develops, both in the teenage years and youth. Youngsters who are overweight may suffer from type 2 Diabetes in the long run. If you wish to discuss about any specific problem, you can consult a endocrinologist and ask a free question.
I am 24 year old female. I experience excruciating pain during periods. I have had multiple treatments for the same but none seemed to work (even if they do it is only temporary). As soon as I stop medication it all comes back. In december 2013 I was diagnosed with pcod. So I continued my medication for about a year. The medication regulated my periods and the problem was gone. But now that I have stopped taking meds, I am again getting delayed and painful periods. Please help me out. Is there any permanent solution to this problem? if yes, what is it?
Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.
Emergency Contraceptive Pill?
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .
When to take #ECP?
Emergency contraception offers women a last chance to prevent pregnancy after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.
Side effects of emergency contraception:
Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.
Effects on Pregnancy:
There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs
Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.
When to contact a doctor after taking the ECP?
If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.
How long effect of ECP last?
The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.
When to expect periods after taking ECP?
Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.
Does Weight Affect Emergency Contraception effectiveness?
Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.
Dr. Jyotsna Gupta
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