One's child birth is a joyous and emotional time. After nine long months of pregnancy, one greets the arrival of baby with great anticipation. It is absolutely normal that the time post delivery marks a drastic change in sexual desire. While both women and menexpect changes in their sex life immediately after the birth of a child, but as time passes by, it is normal for both partners to wonder when things will ever return to normal. It is a fairly common condition to have a decreased sex drive after giving birth and this feeling can last for months which can be attributed to many factors. Refer to the following tips to get your drive back.

 Consult your gynaecologist: one should take gynaecologist into confidence to discuss how one's libido has changed after child birth, who will in turn help to rule out any physical issues if any. 
 Emotional &amp; physical fatigue: nursing a new born is no joke and it drains you physically. In a post delivery scenario, ones libido has to fight with overwhelming emotional as well as physical fatigue that results from nursing of a new born. One can share the night-time feeding with one's partner and try to catch up on the sleep with day time nap. One simply cannot look forward to sex if one is deprived of sleep.
 Release the pressure and guilt: the body is still recovering and one may get a feel that one is not attractive as before, which makes a dramatic impact on body image. Communicate honestly with your partner about the lack of drive. It is likely that he will also be experiencing similar issues and conflicting emotions. Giving reassurance that one is working on increasing the libido can help ease the pressure on both the individuals.
 Prepare for sex: do anything to relax and get into the mood before hitting the bed. It can be as simple as a hot shower or a refreshing drink, but it is important to help your body transition from mother to lover.
 Use a lubricant: it is hard to look forward to something that is painful. Breastfeeding plays a significant role in the decrease in libido. Oestrogen is an important hormone that decreases with breastfeeding which affects vaginal tissues. The most common vaginal side effects of decreased oestrogen are dryness hence it's important to use lubricants to minimize the discomfort of vaginal dryness and make sex more enjoyable.

Libido is a complicated and there will be times one has to do even if one is not in the mood. Sometimes it takes a little nudge to get the libido back into gear. Once one gets over the hurdle of not being in the mood, one may just realise that one is enjoying the act. The good news is that this decrease in libido is temporary. With time and patience, one can rebuild a satisfying sexual relationship with their partner.

Tips on How to Get Back The Female Sex Drive After Giving Birth

The incidence of pain and lumps in the breast is on the rise. Breast cancer has grown in incidence over the years. More women are getting diagnosed with it, and the age at which they are being diagnosed has reduced too. Therefore, preventative checks and screenings have gone up significantly. The number of women diagnosed with small lumps has gone up drastically. The good thing is that since these are diagnosed in the early stages, the treatment is simpler and the prognosis far better than women who get diagnosed much later in life.

In a majority of cases, once a lump is identified the most preferred treatment is removal. This is known as lumpectomy. However, before a final decision is made to remove the lump, there are certain tests that are run by the doctor to confirm the diagnosis and extent of spread.

A thorough breast exam to identify if this is an isolated lump or if there are more lumps in either breast. The exact shape and size of the lump also need to be identified so that treatment can be planned accordingly.
Imaging to see if the lymph nodes have been involved. In most cases, there could be spread to the lymph nodes in the armpits which also need to be removed if required. If the lump is too big or too many in number, then a mastectomy may be required instead of a lumpectomy. This requires removal of the entire breast tissue on one or both sides (rarely) along with involved lymph nodes.
Pre-surgery: Once the diagnosis is confirmed, then the doctor will plan treatment. Prior to the surgery,

Talk to your doctor about your other medical conditions and medications and allergies, if any
Gynecologic history is very important to be discussed in detail
Blood thinners have to be stopped prior to the surgery
Post-surgery care needs to be planned, including a caretaker for a few days and postop care
During surgery:

Lumpectomy or mastectomy is often done under general anaesthesia
This requires hospitalization and carries the risks associated with anaesthesia
The outlined breast tissue or complete breast and surrounding lymph nodes will be removed. The area will be closed using sutures and bandaged
Post-surgery:

The wound needs to heal, and so postop care is very important
For the first few days, painkillers and antibiotics are used to control pain and infection
As a follow-up, some women may require radiation therapy to contain the suspicious tissue that may be left behind after lumpectomy
If extensive breast tissue was removed, some women may prefer to have reconstructive surgery done
Remember that lumpectomy is not a definitive procedure, and there could be cases that require a repeat operation
Advantages:

Less invasive compared to a mastectomy
The appearance of the breast is minimally affected, and symmetry is maintained
Disadvantages:

May not ensure complete removal
May require additional radiation therapy
May require repeat surgery

Surgical Treatment For Pain And Lumps In Breasts Of Women!

Pregnancy brings with it a set of challenges, and for a diabetic woman, these only increase further. Earlier, the risks of dealing with pregnancy and diabetes as a combination were too high. However, over the last few decades, things have changed. The age at which women are choosing to have a baby has gone up. On the other hand, the age of onset of diabetes has come down drastically.
These days, there are many diabetic women who go through pregnancy smoothly without major complications. Of course, there is extra care and precaution required, but it is not something that cannot be planned and managed well between the doctor and the mother-to-be.

The following are some rough guidelines for a pregnant diabetic woman.
Potential complications

It increases the risk of polycystic ovaries, thereby making it difficult to conceive.
Fluctuating sugar levels can be a reason for not being able to conceive, as the body does not see itself as healthy.
It increased the chances of miscarriage.
There are higher chances of birth defects in the developing baby due to very high sugar levels in the first trimester.
Preparation
If you are planning for a pregnancy, meet with your doctor to review your sugar levels. Chalk out a plan with your doctor, taking into account your diet and nutrition, exercise, lifestyle, and medications.

Diet: Ensure you cautiously decide what and how to eat ahead of your pregnancy. Moving away from refined carbohydrates and processed foods towards wholesome food items like whole grains, fresh fruits and vegetables will make a difference.
Exercise: Build an exercise routine to suit your body and keep yourself active. It is very important to stay active so that diabetes is under control.
Lifestyle: Quit smoking and reduce alcohol use. This helps in managing stress also, which can help keep diabetes under check.
Medications: Check with your doctor on the medicines you are taking and if dose adjustments are required to get sugar levels under control, plan them out.
During pregnancy, constant monitoring and vigilance is required to ensure diabetes is under control.

Let your gynecologist know about your condition (stable/fluctuating), and if you are doubtful about them being able to handle your condition, do not hesitate to change.
Many consider switching to oral medications as the risk of transmission to the baby is less and the control over sugar levels is better.
Constant monitoring for daily blood sugars is essential.
A regular, healthy lifestyle in terms of eating and sleeping should help keep the sugars under check.
Constant monitoring of the baby is essential to ensure its normal growth with no developmental defects.
Read up and train yourself on how to deal with low or high sugar levels. Happy sugary pregnancy!

Diabetes During Pregnancy - Know The Best Ways To Control It!

What is vaginitis?

Vaginitis refers to infections of the vagina. This condition results in inflammation of the muscular walls of the vagina due to contamination of bacteria, yeast or viruses and results in itching, soreness, reddening and pain of the vagina along with pungent odors and unusual discharge.

Vaginitis is a common medical condition that affects all women at some point in their lives. Most of the time, the problem is not severe and can be easily treated with simple remedies. But if the symptoms become chronic and remain persistent, it requires the immediate attention of a gynecologist.

What are the different types of vaginitis?

There are a number of different types of this condition, which have varying causes and symptoms. Some of the most common types of vaginitis are as follows:

1. Bacterial vaginosis

This is caused by the explosive growth of the bacteria that is usually present in small numbers in the vagina under normal conditions.

2. Yeast infection

A type of fungus is known as candida Albicans causes this type of infection.

3. Vaginal atrophy

This generally occurs after menopause and is caused by falling estrogen levels.

4. Trichomoniasis

This type of injection is sexually transmitted and caused by parasitic infestation.

What are the symptoms of vaginitis?

Common symptoms of vaginitis include the following:

- vaginal discharge with unusual colors or odors

- the occurrence of pain during urination

- the occurrence of pain during intercourse

- itching, swelling and irritation of the vagina

- vaginal bleeding and spotting

If you would like to consult with me privately, please click on 'consult'.
Related Tip: All you need to know about infections of the Uterus, Vagina and Cervix

What Each Woman Must Know About Vaginitis

Certain diseases are fatal, thus, proper measures must be taken to ensure that once the symptoms have been confirmed, treatment must start immediately. Syphilis is one of the most communicable sexually transmitted diseases. If left untreated, syphilis can be fatal.

It can lead to heart disease, brain damage and blindness. A woman infected with syphilis can also pass it on unknowingly to her baby, if she suffers from the disease during her pregnancy. Syphilis can be easily treated, but if left too late, the antibiotics that treat it cannot reverse the damage caused by syphilis.

Syphilis can be tested by
* a blood test: in most cases, a simple blood test can confirm the presence of syphilis by showing signs of the antibodies used to fight it.

* testing the fluid from the sores: this is usually done in the case of primary or secondary syphilis when sores are present on the patient's skin. Looking at a scraping of the sore under a microscope can be used to diagnose syphilis if it shows the presence of the syphilis bacteria.

* testing cerebrospinal fluid: this is performed only in extreme cases of syphilis where the disease may have caused complications with your nervous system. The earlier syphilis is diagnosed, the easier it is to treat.

Syphilis is usually treated with antibiotics amongst which penicillin is the most preferred. If you've had syphilis for less than a year, a single injected dose of penicillin can stop the disease from progressing. You may need additional doses if you have been suffering from syphilis for more than a year. Penicillin is also the only antibiotic that can cure syphilis and suits pregnant women as well. If you have been diagnosed with syphilis during pregnancy, your baby should also be treated for it.

When undergoing treatment for syphilis, here are a few other points to keep in mind:
* abstain from oral, vaginal and anal sex until the sores have healed
* get blood tests at regular intervals for at least a year after treatment
* get tested for an hiv infection
* fevers, nausea, headaches and chills are normal side effects associated with syphilis treatment
* if you are allergic to penicillin, let your doctor know so that you can be given an alternative antibiotic
* if you have a lesion around your mouth, syphilis can even spread through kissing another person

The good news is that once you've been cured of syphilis, it does not recur. However, it is recommended to always use protection while having intercourse and abstain from sexual activities if your partner suffers from syphilis.

Best Treatment For Syphilis Problem | Precaution & Tests

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improve the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, the infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

Endometriosis - How It Results in Infertility?

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