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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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Hello sir, My Usg done on 19 dec. Gestational age is 14wk nd 06 days nd my foetus weight is 1.02kg. Is it normal.
I am unmarried 31 yrs old female. The duration of my cycle is decreasing and periods last for max 2 days that is worrying me and I'm not able to concentrate on my work. Leading to stress even after consultation with doctor the report of pelvic ultrasound is normal. But less monthly discharge is worrying me. Can it be problematic for my future. exercise can help.?
With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.
Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.
Types of contraceptives:
* percentages mentioned within brackets are failure rates
It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.
Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts
Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.
It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Increased blood loss and duration of menses, increased dysmenorrhea
Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.
Indicated for: multiparous women greater than 35 years who smoke.
Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.
It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.
Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.
This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.
Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.
Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).
A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.
Me and my husband had unprotected sex on last Saturday. I didn't d orgasm though. Can I get pregnant? And also let me know tgr natural foods through which I can avoid pregnancy. Cz we r nt ready for having a child.
Hi! Doc. I am 6 months pregnant witj low lying placenta. So what precautions should I take to have everything normal. Please suggest.
Hello! Doc. S Group And Good morning everyone. I'm 20yrs. Old and I have a baby also 0.5years old and I'm also feeding to her so in this situation Dronis 20mg is suitable for me or not and how should I use it./Doges for me. And My period starts from 6 per month.
Hi I am Going to get married. What are the methods that I can postpone the pregnancy. If we have sex not in the day cycle of 14 to 20 can v avoid pregnancy. Her cycle is 28 days. If I did not leave my sperm can v avoid pregnancy.
Believe in "Achaar (Good conduct/moral character), Vichar (Good positive thinking), Niyam (Follow strict daily routine like wake up, sleep time, meal timings etc.), karma, Dharma and sanyam (Control). You will never get ill. I promise. Give it a try - and see the change in life.
My wife had undergone a chocolate cyst surgery on 30th August. Her periods have not yet occurred as of 01 Nov. We visited her gynaec 10 days ago and she asked us to wait and watch. Is this expected? What is the average no. Of days after periods start occurring again?
Hello Dr. M 30 year old and I got married in Jan 16 i'm planing for baby I tried 2 months but couldn't workmy period date are below: 9th Jul'16 14th Aug'16 19th Sep'16 24th Oct'16 23rd Nov'16 im taking folic acid 5 mg per tablet daily I have 6 days period please confirm the period cycle days and ovulation time also suggest best time to intercourse and what to do to conceive fast. M getting tensed month by month please help.
I aM female 37 year old my menstrual cycle normal (21-22 dys) this month my period has been scanty only staining. 3 months before it happened bt got period aft 10 dys with regular flow. Since then my periods has been regular and normal. But this month no flow at all only staining. I practice yoga regularly and I did sarvangaasan on previous day of my menstruation. Sarvangaasan is inverted portion and is not to be practiced during periods. What should I do ?
Water is vital for our survival. Our body is constituted with 70% water and we may well surmise from this, how essential water is for our health. For the proper functioning of our body systems, we need to maintain the right proportion of water in our bodies at all points of time. It is often taught to us that drinking water is a habit that must not only be inculcated in one and all but also be practiced diligently. There are certain immediate health benefits attached to consumption of adequate water. It stimulates proper digestion, regulates the kidney functioning and supplies the body with the essential nutrients. Water is one of the best resorts for detoxification of your body. The appropriate quantity of water intake is also necessary for watching over one's weight. Indiscriminate amount of water content in the body often adversely affects your metabolism which in turn asserts a negative impact on your body weight. The ideal amount of water that needs to be consumed varies from person to person. The measure is dependent on one's stature and the level of activity.
What is the correct measure?
Toppling the notions about the standard intake being 8 glasses a day, contemporary physicians recommend that the sufficient quantum of water depends upon a multitude of factors. Climate and altitude is one of them. For drier conditions, the water requirement of the body is more than in those situated in the coastal conditions. Similarly, for those based on higher altitudes, your body shall need more water to sustain than those in the lower areas. Considering the huge influence that your water intake has on your metabolism level, your level of activities also determines how much of water you should consume on a daily basis.
A commendable practice is to reach out for a glass of water the first thing in the morning. You should not remain dehydrated for a fair stretch of time. It often leads to all kinds of ailments. Instead of gulping down large quantities of water at one go, you should drink smaller sips all throughout the day to meet the body's requirements of water adeptly.