Doctor in Ahuja Clinic
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
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
Though pregnancy is one of the most cherished phases in a woman’s life, there are times when it is not desired. This can be due to various reasons ranging from premarital sex to the couple not being ready yet. Whatever the reason, emergency contraceptive measures are available, and I-Pill has become synonymous with that.
Since its introduction, it is widely used to prevent unwanted pregnancies. The easy availability (no prescription required) and low cost have added to its popularity. However, not many realize it has some side-effects and the need to be aware of certain facts when using the I-pill.
- It is an emergency contraceptive pill, should be used between 24 to 72 hours after unprotected sex
- It is effective in 95% of the women when taking during this time frame
- It prevents pregnancy by stopping fertilisation or preventing implantation of the fertilising egg
- It stops pregnancy; however, if you conceive before the pill it was taken, it will not have any effect. It is therefore not an abortion pill
- So, if you miss the period the next month, test for pregnancy
- It does not offer protection against sexually transmitted disease including HIV/AIDS
- It is not to be used on a regular basis
- If you are on long-term medication, please consult with the doctor before taking the I-pill
- It has no long-term consequence. However, there could be some minor symptoms including breast tenderness, nausea, vomiting, headache, and lower abdominal pain (pelvic area),
- The next menstrual cycle could be delayed by a couple of days
- There could also be spotting before the actual period starts
- Women who are allergic to levonorgestrel should not take I-pill.
- It can cause skin allergies and reduce libido.
- When used repeatedly, it can cause delayed and irregular menstruation
- It is ideal for use between the age of 25 and 45. Teenagers should not use it regularly. This needs to be made aware through sex education, as the prevalence of teenage sex and pregnancy is on the rise in India
- Repeated usage can cause ovarian damage and severe menstrual issues, so occasional use is the only recommended usage
- It is safe to take the pill during lactation. There is no effect on the quality of milk or any other adverse effect on the baby
I-Pill was introduced as an emergency contraceptive method, and not for regular contraceptive purpose. Its correct usage and avoiding complications is largely dependent on sex education which needs to start early and talk about other safe sex measures and avoid using it on a regular basis.
Endometriosis is a painful condition where the endometrium tissue lining the walls of the uterus, grows as implants outside the womb of the patient. This can lead to a number of painful conditions and is often considered as a common cause behind severe pelvic pain, as far as women are concerned. Here is all you need to know about Endometriosis and pelvic pain:
- Painful Menstruation: Depending on the stage of the condition, the implants could remain on the surface or go deeper into the ovaries which may cause acute and severe problem during ovulation as well as the menstrual cycles. This is one of the symptoms that one must not ignore. If you are having painful cramps that affect the pelvic area and the abdomen, and if these cramps last throughout the duration of the cycle, then there are strong chances that you are experiencing the pain that comes with Endometriosis.
- Pain During and After Intercourse: While there are many reasons why women may face pain during intercourse, it may be noted that vaginal and pelvic pain that come during and after intercourse could point towards the presence of Endometriosis which is causing irritation and discomfort due to the implants.
- Bowel Movements and Urination: Usually, pelvic pain may trickle down to and also get activated by the bowels when there is a motion as well as urination. This is a common problem that can cause pain which spreads throughout the region if the patient is suffering from Endometriosis.
- Bloating and Other Symptoms: When the abdomen and nearby regions face bloating due to the implants and their painful spread, the pelvic region as a whole bears the brunt in terms of severe pelvic pain. The bloating and other symptoms like loose motions and constipation can also create pain in the abdomen and pelvic region on a persistence basis. Sharp pains may also shoot up and down the lower back due to such symptoms which should not be ignored if they do not abate within a few days.
- Misdiagnosis: Many times, the bloating and pelvic pain may be linked with pelvic inflammatory disease which causes pain in the muscles and joints. But if you are having pain in the abdomen as well as problems during your menstrual cycle, then it may be helpful to have the tests for Endometriosis done as well.
In order to diagnose the condition, the doctor must ensure that proper imaging tests like MRI and CT scans as well as an ultrasound with lab tests based on blood samples have been conducted. The pelvic pain that comes with this condition can be treated with the help of pain relievers like ibuprofen and aspirin.
Medical Treated of Endometriosis-
- Oral contraceptives, progesterone, danazol
- GnRH agonist with add-back
- Alternating GnRH agonist and OCs
- Aromatase inhibitors
The surgical management of endometriosis involves careful consideration of the indications for surgery, surgical techniques, surgeon experience, preoperative evaluation and ancillary techniques.
Surgery may be either 'conservative' or 'definitive'. Conservative surgical management of endometriosis has the goal of restoring normal anatomy and relieving pain. This approach is most often applied to women of reproductive age who wish to conceive in the future or to avoid induction of menopause at an early age. It may involve:
- direct ablation,
- lysis, or excision of lesions,
- interruption of nerve pathways,
- removal of ovarian endometriomas,
- excision of lesions invading adjacent organs (bowel, bladder, appendix, or ureter).
Definitive surgery involves bilateral oophorectomy to induce menopause and may include removal of the uterus and fallopian tubes and, ideally, excision of all visible endometriotic nodules and lesions. It should be considered in women who have significant pain and symptoms despite conservative treatment, do not desire future pregnancies, or are undergoing hysterectomy because of other pelvic conditions, such as menorrhagia or fibroids.
My friend is only 5 weeks pregnant and aged 20 years old. So if she visits any government hospital, will the abortion be done under one roof, or for other check ups she will have to visit somewhere else? And do keep everything confidential?
Hi I'm 23 year's old unmarried girl Can I loose 4 kgs in a span of a week Also I'm suffering from PCOS.
Can I get pregnant if I have taken the unwanted 72 within 7 hours on 11th august and my period date is 4th Sept. So can I expect pregnancy in this case .although I am facing normal side effects of the pill like mild itching, breast tenderness, back ache, and abdominal cramps .but no bleeding. please tell me could I be pregnant, I am worried day by day.
I have hypothyroidism and pcos. I have conceived after a course of medication and now I am having a daughter who is three years old. After my delivery my period got on track i.e monthly and varied by only couple of days. But the problem of delayed period started again and its been three months now without any period and I want to conceive again. Please suggest what can I do now.
Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.
Bleeding during the first trimester:
Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:
- Implantation bleeding. You may experience some normal spotting within the first six to 12 days after you conceive as the fertilized egg implants itself in the lining of the uterus. Some women don't realize they are pregnant because they mistake this bleeding for a light period. Usually the bleeding is very light and lasts from a few hours to a few days.
- Miscarriage. Because miscarriage is most common during the first 12 weeks of pregnancy, it tends to be one of the biggest concerns with first trimester bleeding. However, first trimester bleeding does not necessarily mean that you’ve lost the baby or going to miscarry. In fact, if a heartbeat is seen on ultrasound, over 90% of women who experience first trimester vaginal bleeding will not miscarry.
- Molar pregnancy (also called gestational trophoblastic disease). This is a very rare condition in which abnormal tissue grows inside the uterus instead of a baby. In rare cases, the tissue is cancerous and can spread to other parts of the body.
- Other symptoms of molar pregnancy are severe nausea and vomiting, and rapid enlargement of the uterus.
Additional causes of bleeding in early pregnancy include:
Cervical changes. During pregnancy, extra blood flows to the cervix. Intercourse or a Pap test, which cause contact with the cervix, can trigger bleeding. This type of bleeding isn't cause for concern.
Infection. Any infection of the cervix, vagina, or a sexually transmitted infection (such as chlamydia, gonorrhea, or herpes) can cause bleeding in the first trimester.
Bleeding during the second or third trimesters:
Spotting may also occur during late pregnancy and the possible reasons are listed below.
- Problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.
- Uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.
- Premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.
- Vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.
Investigating early bleeding
Your doctor is likely to begin with an internal examination to feel the size of your uterus and to look for any obvious visible sign of bleeding.
- Ultrasound: After about six weeks of pregnancy the baby’s heart beat can usually be seen on ultrasound. If you have been bleeding, you will likely be offered a vaginal ultrasound because it offers the best possible view of your pregnancy. A vaginal ultrasound is a narrow probe, which is put inside the vagina; it feels much like an internal examination and is quite safe.
- Blood tests: A blood test can measure the level of the pregnancy hormone hCG (human Chorionic Gonadotrophin), which changes depending on how pregnant you are.
No matter when it occurs, any bleeding during pregnancy warrants a phone call to your doctor or midwife, even if only to confirm nothing is amiss. Be prepared to answer detailed questions about the color, amount, and timing of blood in order to best help your practitioner determine the possible cause.