Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Dilatation And Curettage (D C) Procedure
Proton Therapy Treatment
Preimplantation Genetic Diagnosis (Pgd)
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Ovarian Ablation Procedure
Treatment Of Female Sexual Problems
Egg Donation Procedure
Treatment Of Menstrual Problems
Treatment Of Menopause Related Issues
Treatment of Polycystic Ovary Syndrome In Adolesce
Pre And Post Delivery Care
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Patient Review Highlights
Pregnancy loss could be devastating. Not only does it affect a woman mentally, but it also often takes a huge toll on her confidence. Post miscarriage trauma is a common phenomenon in this case. The range of emotion a woman might go through include denial, guilt, anger, depression, envy and yearning. Although the process of grieving takes a lot of time, the first step towards post miscarriage trauma is to accept the inevitable and move on.
Here is a list of tips that will greatly help a woman to cope up with the loss:
- Take time: While listening to friends and family seems to be the best course of action around this time, your loved ones need not get priorities at this time. If you believe that clearing your baby’s belongings is causing pain to you, take the time to prepare yourself. Clear away the stuff only when you are emotionally ready to do so.
- Create memories: While a lot of people suggest to completely get rid of all the memories that are attached to the baby, it may not be a great thing to do. Studies have shown that creating a memory about your loss helps to heal faster. So go ahead and take a picture with your baby, plant a tree, take a footprint or christen the baby. Good memories attached to your baby will not haunt you about the loss.
- Take care: Do not neglect your personal health and well-being. Eat well, take enough rest, quit smoking and drinking and seek pleasure in your loved one's company. The more you embrace life, better are your chances to get back to the grooves. Following an old hobby or working out one hour per day goes a long way in the process of healing.
- Get your partner’s help: Being open about your emotions is a good thing to do. Express your feelings about the baby to your partner. The process of coping up can be entirely different from each other. What matters is to let each other’s feelings known. Your partner’s broad shoulder is your best bet to come out of your loss.
- Set the expectations right: Women often get cranky and irritated after a miscarriage. Speak to your loved ones and let them know about your feelings. This will help you to get your loved ones support you and let you heal quickly from your loss.
- Support group: It is very comforting to share your feelings with people who have already experienced the kind of loss you have faced. Sharing in person can reduce your pain a great deal. A spiritual healer or a professional psychiatrist can also play a crucial role in your recovery.
Hello Dr: My wife is 24 week pregnant, She gone thru scan yesterday and report says: Umbilical artery - PI: 1.50 (>95 th centile). High Resistance flow" baby weight is 550 gram approx, AFI: 11.5, MCA PI: 1.99. Please help us how to resolve this issue. She taking Ecosprin 150 from 9 week onward. Please help.
I had intercourse from 14-20 day of this month. Is it possible for me to attain pregnancy? please let me know the fact. Because we are planning to make baby.
Hello Doctor. Am pregnant with twins. My random blood sugar tested at three months of pregnancy was normal around 101. At 27 weeks I again got tested for sugar and results are bit high. FBS is 108, after one hour it is 174 and 2 hours its is 163. Please suggest what does this mean. I was not having diabetes before pregnancy as clearly shown by random blood sugar. What effect it can have on my babies and will it come back to normal after pregnancy?
Hlo sir, I had sex with my partner and the semen did not get into the vagina. And I had pregnancy tests as well the it showed me that I am not pregnant I did it twice. After sex one day after I had a water like fluid secretion and then after a day I had bloody like fluid section once then nothing. Now the matter is this I am not getting my periods. My actual date for the periods was 23 march but I didn't get it now. What should I do and qhat is the reason behind this. Thanks. Also I did thyroid test its result is high then normal i.e 7.80.
Hi I had unprotected sex on 25th march night and 26th morning n then took ipill on 26th noon itself. But now I got periods on 9th april n then on 2nd day it s not happening or very light like 4th day of period. So am I pregnant or it could be just side effect of pill? And I had my last period on 13th march. It s 3rd day of period still it is not happening. What should I do?
Hi I had unprotected sex on 25th march night and 26th morning n then took ipill on 26th noon itself. But now I got periods on 9th april n then on 2nd day it s not happening or very light like 4th day of period. So am I pregnant or it could be just side effect of pill? And I had my last period on 13th march. Now it s third day of period and it s still not happening. What should I do?
In-vitro fertilization (IVF) is a fertilization technique through which the sperm and an egg are fused in a laboratory. The embryo is grown in a lab for a span of 4-5 days and then transferred to a woman’s uterus. This process is extremely effective and increases the chances of fertilization. There is a four-step process of IVF as discussed below:
- Ovulation induction: The first process involves the inspection of the ovary and subsequent release of the eggs. Among other observations, the doctor observes whether the ovaries are functioning well, hormones are present in adequate quantities and blood pressure is normal. If there is a shortage of ovary, women are advised to consume fertility medicine for a while. More the number of ovaries produced, better are the chances of successful embryo formation. In case egg formation causes a bother, one can talk to their doctor regarding donor eggs being used for the process.
- Retrieval of the egg: During this process, a doctor might suggest pain medication in order to negate any discomfort that a woman might face. A thin needle is then passed through the vaginal wall. Along with vaginal ultrasound and gentle suction, fluid from the follicles is taken out. The egg is separated from the follicular fluid and is placed in the culture dish that contains nutrient media. The dish is then placed in the incubator for further processing.
- Fertilization: The next process is to ensure that the egg fertilizes properly. In order to do this, a healthy sperm cell is obtained from the partner or a wishful donor. After a careful inspection, the most active sperm cell is combined with the egg and placed in a chamber. The sperm and the egg are taken to a common place and the two are mixed in the incubator. A healthy embryo thus develops.
- Embryo transfer: The final process involves the transfer of the embryo. This is the most complicated step in this procedure. A little glitch can jeopardize the whole procedure and threat the success rate. Out of all the embryos, the healthy one is selected. Inside the vagina, a speculum is then placed and the healthiest embryo is transferred into the uterus. This is a strenuous process and complete bed rest for more than a day is advised by doctors.
- Pregnancy: Post the IVF process, a woman might take a couple of weeks to get pregnant. If the procedure becomes successful, your pregnancy test will come as positive. Many, though, return a negative test result. This only signifies that the procedure has failed. On an average, it takes 2 attempts for IVF to become successful. This is not a high-risk procedure and the same can be taken as many times as you want.
Hello doc im planning for baby and my period is regular and my last month period was started on 21 to 23 so today shall I start intercourse, for how many days or should I go for ovulation kit. Please help me out waiting for your earliest reply. Thank you.
One of the major milestones in a woman’s life is the entry into motherhood. For most women, when this does not happen in the natural logical sequence of things, there is anxiety and lot of pressure from family and friends.
However, with advancements now, there are options like intrauterine insemination and in vitro fertilisation (IUI and IVF) available, which can help increase the chances of conception and pregnancy. IVF is where the egg is retrieved from the woman’s womb, fertilised externally and then transplanted back into the uterus where it grows to full term. However, there are always unanswered questions like how long to wait before going for IVF, is it the right procedure for me, etc.
Read on to know to find answers to some of these.
- Maternal age: As a woman reaches 35 and a man reaches 40, the fertility rates drop significantly. The chances that a woman at 35 will conceive is about 20%, which goes down to 5% if the woman is 40. However, this rate can be significantly increased by using IVF. The quality of the egg would gradually deteriorate, and so if a woman is nearing 40, it is better to consider IVF as the ovarian reserve would be optimal with IVF.
- Failed intrauterine insemination: In couples who have problems with the sperm reaching the uterus, intrauterine insemination (IUI) is first attempted. However, if 3 or more attempts of fail, it is time to consider IVF.
- Duration of inability to conceive: While some couples conceive quite promptly in a month or two, most take about 6 to 8 months of unprotected sex to conceive. Therefore, IVF can be an option if you are failing to conceive even after a year. Less than a year, don’t fret. Take it easy and it might just do the trick.
- Medical health: Both the partner’s medical health should be taken into account. Lifestyle changes like smoking, alcohol abuse, drug abuse should be considered, which can account for poor sexual performance and therefore lead to an inability to conceive. Health conditions like diabetes and heart disease can also lead to infertility. Hypothyroidism in women is another thing that must be ruled out, as it often leads to an inability to conceive.
- Sexual problems with the partner: One of the first things to do before going for IVF is to check that the male does not have any issues. Be it erection issues or ejaculation issues or sperm issues, they need to be ruled out. Sperm quality, quantity, and motility have to be analysed, and if they are optimal, IVF can be considered. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Female genital sores are painful eruptions that bear a red appearance which may cause severe itching and pain. These lumps and sores may be caused due to sexually transmitted diseases and other ailments like allergic reactions, dermatitis, and other irritants. These lesions are usually found in the vaginal area and may also be caused to a number of skin disorders which all affect this region. Let us find out how to treat this painful condition.
- Recognising the Sores and Lumps: Many of these cases go unreported because the patient may feel embarrassed or ashamed to come up with the problem. But one must recognise the symptoms and the appearance of such sores so that the doctor may take a look at the earliest signs of eruption, so as to avoid a flare up and increase in the severity of the condition. The symptoms include pain and itchiness in the area as well as burning and bleeding along with pain in the pelvic area and discomfort during sexual intercourse and urination.
- Causes: There are many reasons for these eruptions. Sexually transmitted diseases or STDs remain the top causes. Genital warts, genital herpes and chancroid which is a bacterial disease, can also cause this condition. Further, syphilis and molluscum contagiosum is a viral infection with pearl shaped nodules, which can also cause such eruptions and lumps in the genital area. Apart from STDs, other chronic conditions like inflammation of the vulva known as Vulvovaginitis, and contact dermatitis as well as atopic dermatitis, can cause this condition.
- Diagnosis: The diagnosis will usually be done with a pelvic examination as well as urine culture to show the presence of bacteria. Also, other blood tests may be done to detect the presence of cysts. The patient's medical history will also be taken into account, for such cases.
- Treatment: The doctor will prescribe a host of medicines including antibiotics and anti-viral medicines along with corticosteroids and pain relievers to help in treating these sores. Also, anti-itching ointments and medicines will be prescribed to make the condition less painful. These sores may also have to be removed with a minor surgical procedure at the doctor's clinic, in case they are too bothersome or painful.
- Home Remedies: The best way to take care of these sores is by taking a sitz bath with warm water and wearing clothes that will not brush against the area, which can cause further abrasions and discomfort.
One can prevent this condition by practicing safe sex with one partner at a time. Using condoms is strongly recommended along with routine testing and check-ups. All sexual contact should be avoided until the condition is cured completely.
Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time.
Here is everything you need to know about this ailment:
Symptoms: Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period.
Stages: There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.
- Minimal Stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
- Mild Stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
- Moderate Stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
- Severe Stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.
Treatment: There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone, Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases.
A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed.
One must discuss all risks and complications before going in for a certain form of treatment for this ailment.