The year 2014 has seen a massive increase in the number of patients affected by Gonorrhoea. The most infected age group is between 15 and 24. This is mainly due to lack of knowledge in this age group about the disease. Here are some facts about Gonorrhoea that one must know.

Gonorrhoea Transmission
Gonorrhoea, also known as drip, is transmitted when a normal person comes in contact sexually with an infected person. Infected fluid of a mother can also pass to her newborn infant during delivery. The disease can affect both the genders.

Cause of Gonorrhoea
Neisseria gonorrhoeae bacteria cause the disease. The bacteria grow in mucus membranes and usually grow in the warm and moist areas of humans' reproductive tracts such as uterus and fallopian tube of women. These can also grow in anus, mouth as well as throat. As a matter of fact, the infection can be passed even via oral or anal sex.

Symptoms of Gonorrhoea
An infected person will develop symptoms of the disease in 2 to 14 days. Men may feel burning or painful sensation while urinating. Other symptoms are as follows:

1. Swollen and painful testicles
2. Swollen or redness at the tip of the penis
3. Penis may have a drip or discharge
4. Frequent urination
5. Recurrent soreness of throat

Females have milder symptoms of the infection. This makes it difficult to diagnose, and is sometimes misinterpreted as common vaginal yeast or other bacterial infection.

Following are a few symptoms of the disease in women:

1. Burning or painful urination
2. Frequent urination
3. Vaginal discharge
4. Soreness in throat
5. Fever
6. Lower abdominal pain
7. Pain while sexual intercourse

If the disease is not treated, infection spreads in blood stream leading to rashes, fever and even pain in the joints. Such unnoticeable symptoms make it difficult to treat.

Testing Methods of Gonorrhoea
One method is that penile or vaginal discharge samples are taken from patients and examined under a microscope by adding reactive stain. However, this is not an accurate assessment.
Another test is conducted where exposing samples are incubated. In case of infection, colony of gonorrhoea shows growth. Preliminary test may take 24 hours. Final assessment may take around three days. Samples can be from the patient's anus, joint fluid, blood, throat, vagina or tip of the penis.

Treatment
The disease is treatable under proper medical supervision. However, the bacterial resistance to Azithromycin drug has made it more difficult for treatment.

Protection
It is highly recommended to have a protected intercourse. Women of age group less than 25 need to have STI evaluation once a year.

Know All About Gonorrhoea

6 pregnancy complications you need to know about

The biggest wish of a to be mother's mind is a smooth and safe pregnancy. One of the ways you can deliver your baby safely is by being aware of the complications that may arise during this period and taking precautionary measures to reduce your chances of developing them.

Here are the 6 pregnancy complications that you need to know about?

1. Preeclampsia

Preeclampsia is a condition that normally occurs after the 20th week and is characterized by high blood pressure, kidney abnormalities and the presence of protein in your urine. Most of the time, symptoms are mild, which can be easily resolved with proper care. But the condition can progress quickly, causing several of your organs to not function properly and even proving to be life-threatening.

2. Gestational diabetes

Gestational diabetes happens when hormonal changes during this period hamper your body's use of insulin. As a consequence, the insulin hormone is unable to normalize blood sugar levels, leading to abnormally high blood sugar levels. While the condition is not usually a cause of concern for the mother, it can pose several health problems for the baby, more specifically, the occurrence of macrosomia (a condition wherein the baby has an abnormal body weight).

3. Premature labor

You're said to suffer from premature labor or preterm labor if you experience regular contractions that lead to your cervix dilating and effacing before the 37th week. Preterm birth can prove dangerous for the baby, not to mention make it prone to several health problems. In order for it stay alive and be healthy, you child needs to reach its full maturity before birth.

4. Ectopic pregnancy

When the fetus develops outside the womb, more specifically in the fallopian tube, a condition known as ectopic pregnancy is said to occur. It is highly important to put a stop to this pregnancy complication as it the developing embryo might bring about the rupturing of the fallopian tube, and may result in internal bleeding.

5. Placenta previa

The condition of placenta previa sees your placenta occupying a very low position in the uterus, most commonly, adjacent to or over your cervix. If the placenta continues to be at this position during the whole course of the pregnancy, it can lead to bleeding as well as other complications.

6. Low amniotic fluid

It is the fluid-filled amniotic sac that supports and protects your baby in the womb. It is said that about 4% of pregnant women worldwide experience low amniotic fluid levels during their pregnancy. This condition is also known as oligohydramnios. When this happens, labor is usually induced as you come close to the end of your pregnancy.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

6 Pregnancy Complications You Need to Know About

Are you experiencing reduced libido along with intense dryness in your genitals? Loss of libido is a tough thing to cope with in women. In spite of having a great sex life, your vaginal area can become nonresponsive because of several reasons. You might not even know what is happening and the reasons which are causing the condition. These conditions are common in the menopause stage in women.

Reasons for decreased libido and vaginal dryness: 

1. Several changes occur in a woman s body during the menopause stage. The sex hormones, which include estrogen and progesterone start decreasing. This may lower your libido, cause vaginal dryness and affect your sex life to a great extent.

2. Testosterone is the sex hormone which turns you on or gets you into the mood for having sex. When the production of this hormone is insufficient, the urge for having sex gets affected and reaching an orgasm gets even harder.

3. The decrease in estrogen production causes several physical changes in a woman. The blood circulation to your sexual organs gets reduced, making you less sensitive to any kind of sexual stimulation. It also leads to vaginal dryness. The walls of the vagina also become thin due to which penetration may get painful.

Remedies for decreased libido

1. You should start practicing breathing exercises and do meditation for at least thirty minutes every day. This will enable you to eliminate stress, which is a primary trigger for decreased libido.

2. For balancing the estrogen levels, you should consume phytoestrogenic tea and supplements. Some important herbs which you should take include black cohosh, red clover and dong quai.

3. You should also consume aphrodisiac food items. Garlic is such a food item, which contains allicin and increases the blood flow to the vagina. Dark chocolate can also be taken.

Remedies for vaginal dryness

Several conventional vaginal lubricants may lead to irritation, infection and dryness of the vagina.

1. You should always use a natural lubricant, which is not associated with side effects and works effectively. Natural lubricants such as tea tree oil, coconut oil and vitamin E based oils provide effective vaginal lubrication. They also moisturize and repair the vagina.

2. You must keep fit and active. Regular cardio or yoga sessions will help with enhanced blood flow to your sexual organs, making you feel wet.

3. You should drink plenty of water and always stay hydrated in order to prevent dryness in the vagina.

Most importantly, it is a good idea to continue having sex. If you shy away and do not make any effort, the problem of decrease in libido will continue. Therefore, sex is the best way of encouraging your body. Proper communication with your partner is also necessary.

Decreased Libido and Vaginal Lubrication. What can you Do?

Contraception is not only restricted to married couples in today's world. Most of the young couples refrain from seeking medical advice for contraception may be because of social concerns or simply because they feel hesitant and shy.

There are many contraceptive pills available over the counter which youngsters are tempted to buy and use as it seems to be the easy way out. Frequent and improper use of such emergency pills can lead to a lot of hormonal disturbances and the menstrual cycle goes topsy turvy. Then the dilemma starts. As it becomes difficult to interpret the cycle dates and erratic bleeding which happens is disturbing.

In my practice I have seen many young girls popping in pills randomly every now and then. Sometimes at weekly intervals as they are unable to manage the stress of their relationship getting disturbed. What youngsters should try and understand is there is nothing wrong in having pills for contraception but it should be done with proper guidance and the selection of the right pill for that particular individual is important which can be done easily by getting into consultation with a doctor. Need not necessarily be a gynecologist always.

Emergency pills are ok for once in a blue moon kind of use. But it should not become a habit.


Misuse Of Emergency Contraceptive Pills

Herpes simplex virus is a viral infection of the genitals. This disorder can also occur in the mouth, characterized by the formation of fever, blisters and cold sores. The disorder occurs when the body is infected by the Herpes Simplex Virus.

Causes:

Herpes is caused by a contagious virus called the  Herpes Simplex Virus . This virus spreads through direct contact with an infected person. A child may also contract the disease from an already infected adult. This infection may also spread via media such as sharing utensils, kissing or sharing toiletries. Sexual contact with an infected person is one of the primary ways to contract genital herpes. The risk factors for this disorder are  

Multiple sex partners.

Gender: Women are more prone to developing Genital Herpes.

Weak immune system.

If you are affected by a sexually transmitted infection.

Symptoms:

In case of genital herpes, sores form on the genitals. Symptoms include difficulty in passing urine, headaches, fever, fatigue and a lack of appetite. Pain in the eyes and watery discharge from the eyes will be common symptoms if the infection spreads to the eyes.

Treatment:

There is no cure for this disorder. The aim of the treatment is to manage the symptoms and prevent it from spreading. The sores need not necessarily be medically catered to. Certain medications such as  acyclovir  and  valacyclovir  are prescribed to reduce the severity of the symptoms.

Once infected with the virus, it might remain in the body in a dormant state till a long time, in some cases, even a lifetime. However, symptoms might not show up. Factors such as stress and excessive sun exposure can lead to reactivation of the virus. Over time, the intensity of the symptoms tend to come down as the body adapts itself to the disease.

Sores Forming On Your Genitalia - A Sign Of Herpes Simplex Virus

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.

Methods of Abortion for Unwanted Pregnancy

Don't wait any longer, manage your Lady Doctor online with a Lybrate doctor today

Consult for Lady Doctor - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES