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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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Sir I had unprotected sex with my boy friend later I took unwanted 72 within 3 hours but I got my periods at my own date my cycle is 25 days is it normal or there is any chance of pregnancy please clear this.
I have take ipill Jan 4, then I get period Jan 10. Again I get period that month jan 28. After 7 days I ovulate. That day and next day I get sex (for second baby) I start continue backache to that day. It don't go back. 10th day of ovulation I have period like cramps. I am 32 days cycle. Please tell me this month when my period come?
I am 22 yrs old unmarried. Facing problems in menstruation. Every month I had a delay of one or two days but this time there is a gap of 12 days still I dint get my periods. My period date s 20th. Also m experiencing severe itching in my vaginal area. and a lot of white discharge. Please help.
Some medicine/syrup has the exp. Date as best before 24 month. I want to know that can we use these medicine/syrup after that best period or it can not be used after best period mention on the label?
IVF (In vitro fertilization)
In Vitro Fertilisation means Fertilisation “ in- glass that is fertilization outside the human body . It was initially developed for fertility in females who had blocked or unfunctional fallopian tubes. At present IVF is recommended to patients who are unable to conceive due to several other causes also.
We try to provide you with the utmost services :
Your initial consultation : It is an initial visit in which you open up with your doctor and know your doctor and the doctor knows you. A detailed history is taken of the couple.
Pretreatment preparation and planning management : This will include a detailed blood workup which will include your hormonal assays , a uterine assessment, semen analysis and other tests if required. We review the whole history and all the tests and then only a definitive management is planned for you.
Start of oral contraceptive pills : You will be put on oral contraceptive pills for a short span of two to four weeks if your cycle needs to be synchronized with that of an egg donor or surrogate . These help the ovaries to be cyst free and help in planning of your cycle.
Ovarian induction : The IVF cycle begins with ovarian stimulation with injectable hormones on a daily basis and serial ultrasound monitoring. A baseline ultrasound is done before starting the stimulation to assess egg production. The hormone levels will also be monitored . Once the follicles reach the optimal size , you are prepared for egg retrieval.
Visits : Prior to egg retrieval three to five visits are done in that IVF cycle.
Egg Maturation : An injection is given 34-36 hrs prior to egg retrieval.
Egg retrieval : It is a procedure done transvaginally under ultrasound guidance under short general anesthesia . You need to be six hrs. fasting prior to the procedure.A long thin needle is passed through the vagina in the ovary and the follicular fluid is aspirated .The follicular fluid is collected in test tubes under strict temperature control and immediately given to the embryologist in the embryology lab. The embryologist searches for the eggs .The eggs are rinsed counted and placed in an incubator . After few hrs , they are fertilized with the sperm either through IVF or through ICSI.
An anesthesiologist is there to give you pain relief and comfort during the procedure. Chances of injury during egg retrieval is extremely rare .Structures near the ovary such as bladder,bowel or blood vessels could possibly be damaged and may require further surgery. Minimal bleeding from ovaries might occur but the risk of transfusion is extremely rare. Infection during this procedure is also extremely rare. You will be discharged four hrs. after the procedure.
Embryo Assessment : During IVF embryos are assessed for 2-5 days in a temperature controlled incubator. The embryos are assessed and the day of transfer is determined between day 2-day 5 . We call you to update you about the embryos.
Embryo Transfer : Embryo is transferred back in the uterine cavity between day 2-day5 when it becomes multi celled /blastocyst . This requires no anesthesia and the female is happy to see her embryos being implanted in the cavity . We discuss the number of embryos and made and the number to be transferred so that you have the highest probability of success keeping in mind the risk of multiple birth associated with it. For embryo transfer you need to come on a full bladder and the procedure is done via an embryo catheter transferred vaginally under ultrasound guidance.
Pregnancy test : We schedule a pregnancy test 10-15 days after the transfer . If the first test is positive we repeat beta hcg repetitively every 48-72 hrs. and an obstetrical ultrasound is planned two weeks following the pregnancy test when we look for the no. of embryos and fetal cardiac activity.
I am 30 weeks pregnant. My family and me are so very eager to have a girl. I have come to my native place. People are looking at my stomach and saying it's a boy saying I have small stomach. I am fully aware this is not legal but I think in my present stress situation I would be much better when I know the gender. If it's a girl il be happy and if it's a boy I will mould myself to stay happy so I won't go into depression later on. Please advice.
She is 17+, unmarried. Her period is now running. But this time suddenly milk come out from her breast. Is it normal or harmful? please advice as soon as possible and if need prescribe some medicine.
C-section or Caesarean section is a surgery performed to deliver a baby. The baby is taken out from the abdomen through an incision in the abdominal wall. This surgery is performed when there is some sort of physical difficulty in natural childbirth through the vagina. Other reasons for performing a C-section are when the mother is carrying more than one baby, or the health of the baby is in danger. It could also be because of an undesirable fetal position, or when the mother is physically unable to push the baby out of the uterus.
Procedure followed in C- Section
The procedure is most often done when the mother is in her senses and awake. However, epidural or spinal anaesthesia is provided to numb the body from chest to the feet, before the surgery is performed.
An incision is made on the lower abdomen, above the pubic area. A cut is made through the uterus and amniotic sac. The baby is pulled out from this opening. The umbilical cord is cut and cleaned. The fluids are cleaned from the baby’s mouth and nose. The infant’s breathing rate, heart rate and other vitals are kept under observation.
Recovery from a C-section can take several weeks. The stitch wounds need to heal, including the recovery of pelvic muscles. It is important to walk around and do some very light exercises to boost the healing procedure. Doctors may prescribe painkillers in some cases and advice on effective post-operative care. Though the surgical procedure is quite safe now, with the use of highly advanced technology, there are risks that cannot be entirely ignored.
Risks associated with C-section
Infections: Any surgery has some risk of infection associated to it. In the case of a C-section, an infection can occur around the site of incision that may rapidly spread in the uterine wall and other internal pelvic organs.
Haemorrhage: Blood refuses to clot and dangerously high quantity of blood is lost in the process. In such a case, it requires immediate transfusion and intensive care.
Injuries: The mother or the baby, both have a risk of getting injured during the surgery. Although these are rare, but the infant may suffer nicks and cuts while being manually pulled out from the womb. Other organs of the mother located near the pelvis may suffer minor or major wounds.
After the C-section, the mother and child will be retained in the hospital for 2 to 3 days, under intense care and constant monitoring. It is important to exercise and take the medications as advised by the physician to prevent any complication. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.