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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
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Me and my girlfriend have sex without condoms and have it in a very calm way. We both do not have any std's so is there any risk of having one? If we have sex without protection?
If you have concerns about your child’s ability to communicate, have his or her hearing tested even if this was done in the newborn period because the most obvious sign of possible hearing loss is a delay in speech.
My wife has just delivered a baby girl last month after recovering her body I'm realising that she's absolutely getting weak from inside due to calcium deficiency and muscle pain. Can you suggest me a better way of regaining her health and fitness by natural treatment? What kind of foods and supportive supplements I must to add in her meals?
Some of the diseases can manifest during pregnancy, like some diseases of heart, blood pressure, blood sugar etc. But if the couple comes to doctor when they are planning pregnancy, then we can diagnose it and start treatment so that pregnancy can be safe to both the mother and the baby.
On the other hand, some pre-existing disease may turn serious during pregnancy and endanger life of both mother and baby. This includes thyroid disease, hypertension, epilepsy, renal disease, cardiac disease etc. If taken care of properly, the disease can be controlled before pregnancy so that the risk can be reduced. Again all the drugs are not safe for the baby. So, if treated before pregnancy, the mother can be put on safer but effective drugs before pregnancy.
Some diseases may run in family and often goes undetected and can affect the baby. Thlassaemia, hemophilia etc are the best examples. So, if the couple comes to us before pregnancy, we can screen them to diagnose whether they are bearer of the disease or not and then we can take care to prevent birth of defective baby.
Some diseases indicate that there may be problems in having pregnancy, like problems in periods or abdominal pain in female, sexual problems in male and female etc. If treated properly, it will avoid unnecessary time wastage for trying for pregnancy.
The woman can be instructed how to remain healthy to have normal baby, before pregnancy. She can be advised some drugs (like folic acid), can be asked to avoid harmful drugs and substances (like drugs, excessive vitamin a, excessive vitamin d, excessive caffeine, smoking etc). Even the husband can be asked how to improve his fertility (by avoiding heat exposure to his scrotum).
Again some infections can be dangerous for the baby. So, before pregnancy we can treat the women for the infections and in some cases we can vaccinate her to prevent infection.
"a stitch in time saves nine. So, why don't you consult your gynecologist when you are planning for pregnancy? have smooth journey throughout pregnancy and enjoy parenthood.
Hello Doc, I have one problem in every month my period cycle are not proper every month before date in periods.
Hi mam I am female 22 years old actually my vaginal hole is not opening to insert penis please suggest me some yoga tips or any solution please mam.
Hello doctor I have unprotected sex with my girlfriend on fifth day of periods. She also taken unwanted 72. But in next 5 days period comes ,but next months period missed 40 days the periods did not come. She is pregnant or not? Whats the matter? What can I do for her periods.
Hi Doc. I am newly married I have tried intercourse with my wife from 5 days but I couldn't intercourse because she feeling very pain. How can I solve this problem? Doc please suggest me.
Hi i Am 30 years unmarried women. I took primolut 5mg twice for five days. Due to absence of periods. Today is 4th day by finishing that. But still no periods. Why it is like that. When I can expect my periods?
Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.
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Awareness is prevention!
Hi I am married female trying to conceive I have 26-30 days cycle and I do bleed for 3 days with clots but this month I started my period on 29 th day with only clots with some pink discharge for 1.5 day and then stopped today is my fifth day of new cycle I took tsh test which was 0.3 and hemoglobin is 12.9 So what would be the reason to happen like this which never happened before for me whether this will affect my pregnancy and what precautions can I take it for this cycle to get pregnant?
My mom is 78 years old, physically healthy and active. But since last two years she has psychological problems like she always afraid that someone is after her always, tease her, try to kill her and always want to see her wherever she is. Now the person is a group of people who are after her. I took her to psychiatrist, he gave her medicine, but after taking that she became so fragile n weak and always sleeps. Then she discontinued the medicine. After that with a consultation of gynae she started taking lybotrip 10 in the night. Now her condition is deteriorating. Kindly guide and suggest some light medicine.
My sister is 8 month of pregnancy. Suddenly water content from stomach came out. His husband admitted some hospital. They have informed that all the water content around baby came out. Within two days may be delivery happen. Or operation may required. We are confused. Pls explain.
There is another silently progressing, common disease other than diabetes and hypertension that can cause potentially serious risk to your health in old age. Osteoporosis meaning “porous bones” indicates a condition where your bones become more porous, thinner and weaker due to accelerated loss of bone or reduced bone formation or both. It is most evident in the vertebrae of spine, hip bones and in the wrists.
Thin and porous vertebrae fracture easily. They crumble on their own or due to minor stresses during daily activities like coughing, sneezing, bending forwards. These fractures can be painless and go unnoticed in multiple levels till the spine develops a forward bend and a noticeable loss of height. Or it can cause significant pain and disability, limitation in daily activities and increased dependence on others. A simple slip and fall at home can cause a fracture in the hip bones that can make the patient completely bed ridden. These situations commonly cause depression and general deterioration of health and leads to other risky complications in old age.
Though it is most common women after menopause, it also happens in men above age of 65 years and in those with certain risk factors like liver or kidney disease, thyroid or parathyroid disorders, and certain tumours. Smoking has been proven to cause osteoporosis. Long term steroid intake given for various conditions and medications given for seizure disorders also can cause osteoporosis.
Osteoporosis can be detected easily by a screening test called the DEXA scan. Any one above the age of 50 years should consult an orthopaedic surgeon to know if they are at risk of osteoporosis and whether he/she needs a DEXA scan. If the DEXA scan reveals that you have osteoporosis, you must be evaluated by an orthopaedic surgeon and an endocrinologist to look for other treatable conditions that can cause osteoporosis. There are medications that are prescribed to strengthen the bones and reduce the risk of fractures in future. Diet rich in calcium and vitamin D and supplementary calcium and vitamin D medications are also an essential part of treatment.
Although the vertebral osteoporotic fractures commonly heal in a few weeks with bed rest and medications, some of them may not heal in time or cause severe pain and disability. These patients might need surgical intervention. Vertebroplasty is a procedure that involves injection of bone cement into the broken vertebra and can give immediate pain relief. Kyphoplasty is a similar procedure that can restore the height of the fractured vertebral body and reduce the forward stoop in the spine. Open surgery might be required sometimes if the collapsed vertebra causes a compression of the spinal cord or nerves in the spine. Osteoporotic hip fractures and wrist fractures often need surgical treatment for fixation.
Prevention of osteoporosis should begin in childhood. Growing bones accumulate calcium and the calcium in bones reaches a peak at around age of 26 to 30 years. After that age, there is a slow decline in the bone calcium, which accelerates in old age especially in women after menopause. So those who reach a lower peak of calcium in bones by the age of 30 are at a higher risk of developing osteoporosis in old age. This means that adequate intake of dietary calcium, vitamin D and adequate exercise from young age is very important to prevent osteoporosis.
Prevention of falls and resultant fractures in those who are osteoporotic is an important aspect of treatment. This needs modification of their living spaces to remove the risks of a slip and fall. Routine exercises and an active lifestyle load the bones and make them stronger and it is a must for all those with osteoporosis and those at risk of developing osteoporosis.
Is it possible to be 18 weeks pregnant with no symptoms and negative pregnancy tests? Also I had my period last month after not getting it for 2 months. But I'm still doubtful.
1. Wash all fruits and vegetables thoroughly
2. Drink Hot and Warm Beverages; Add mint or ginger to tea
3. Moong Dal is recommended food during the rainy season because it is easy to digest.
4. Take good quantity of Garlic, Ginger, Hing, Jeera Powder, Pepper, Haldi and Dhania because these spices help improve digestion and immunity.
5. Avoid stale food and prefer freshly cooked food
6. Drink only filtered and boiled water. Don’t keep the water for long.