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
Most women stay confused with the time of their ovulation. Couples who are sexually healthy and are in their 20s and 30s and are not using any birth control measures have 20% chances of getting pregnant. It is interesting to know that you have a high chance of getting pregnant at the time of ovulation. It is a small window period that comes each month. It is the time when your ovary produces ovum or egg and the egg is open for fertilisation. Even if you are having sex two or three days before ovulation, there is a high possibility of fertilisation. After ovulation is over, the window period gets shut for the next cycle. It is the safe period. Though doctors say that it cannot be considered 100% safe to have unprotected sex during this period, the chances of getting pregnant are considerably lower.
When does ovulation actually start?
It should be remembered that ovulation takes place at the middle of your menstrual cycle. It usually occurs halfway through the cycle. Commonly, the average time period of a cycle is 28 days. But, in some cases, women may have cycles as long as 23 to 35 days.
How will you know that you are ovulating?
- Check your calendar: It is a healthy habit to keep a menstrual calendar. You must maintain the dates for a few months. This will give you an idea as to when you actually ovulate.It is difficult to know the actual time of ovulation if you are having irregular periods.
- Carefully listen to your body: It is a common thing that your body spontaneously sends a memo to you before ovulation starts. You get cramps or feel pain in the lower abdomen before ovulation starts. This pain is called mittelschmerz. It is a reminder of the coming periods.
- Chart your body temperature: Well, you will need to keep a record of your basal body temperature. You can measure it after three to five hours of sleep. Your basal body temperature changes throughout the monthly ovulation cycle. Progesterone hormone is responsible for the increase in body temperature. In the first half of the month, the progesterone levels are low and hence the temperature remains low as compared to the second half of ovulation.
- You can go for saliva test: Your saliva contains the estrogen hormone. Its level changes throughout the cycle. You can also use an ovulation detector kit to know the dates. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
PMS or premenstrual syndrome affects women exactly prior to their menstrual cycle. This syndrome may have affects manifold, impacting a woman’s physical health, behavior and emotions. The condition is very common and affects more than 80% of the women before their monthly cycles begin.
The exact cause of PMS is not yet ascertained. It is believed that changes in hormones in the body can lead to PMS. Before the menses start, progesterone and estrogen levels tend to dip in the body. This hormonal dip results in anxiety, anger and irritability issues. Levels of serotonin, a chemical in the brain which affects your moods and thoughts, in the body also decrease at this time. Here are certain factors which make you prone to PMS –
Family history of PMS
Being subject to domestic violence
Emotional and physical trauma
Past history of mood disorders
The menstrual cycle lasts for 28 days. On the 14th day, egg is released from the ovaries; this is known as ovulation. The bleeding or menstruation occurs on the 28th day of the cycle. Symptoms of PMS start to show up from around the 14th day of the cycle.
PMS includes signs such as abdominal cramps, bloating, acne and sudden craving for sweet foods. Stomach disorders such as constipation and diarrhea are also common. Mental disorders such as anxiety and mild depression have also been observed.
Managing PMS Symptoms-
With PMS, one can take these steps to deal with the various signs of discomfort. Here are some remedies to deal with PMS symptoms:
Eat a balanced diet consisting of fruits and vegetables to get Vitamins and minerals in the required amounts.
Keep yourself hydrated to ease symptoms of bloating.
Consuming supplements of folic acid, Vitamin D and calcium can help easing the symptoms.
Sleep for 6-8 hours on a regular basis.
Exercise regularly to beat stress and avoid bloating.
Try relaxation techniques to get rid of stress or at least limit stress levels.
Some pain killers can help combat the pain resulting from muscle aches.
Piercing is a form of body ornamentation. It involves the use of needles to pierce through the skin and attach a piece of jewellery to the skin. The purpose of piercing is to beautify and in case of genital piercing, it comes with the additional perks of sexual stimulation. However, this completely depends on individual preference. In the female genital anatomy, several parts are suitable for piercing. This includes the clitoral hood, the labia and the vulva vestibule.
How piercing should be done?
1. The skin around the area where the piercing is to be done must be cleaned with antiseptic.
2. A topical anaesthetic may be applied to temporarily numb the area to be pierced. This helps to control pain.
3. Any piercing must be carried out by a licensed, well-practised professional.
4. Piercing must be done with the use of new, unused, sterilized needles, which are easily disposable.
5. After-care must be provided immediately after the piercing. This includes the application of medicated healing creams, or an ice pack that relieves the pain of piercing. Typically a piercing should heal completely by the sixth week.
Risks associated with vaginal piercing
1. Wrong technique of piercing can lead to uncontrollable bleeding and wounds.
2. Poor placement of jewellery can cause the piercing to heal very slowly and painfully.
3. Poor sterilization of needles and unhygienic methods can cause severe skin infections and other complications.
4. Tearing of skin or sagging of the clitoral hood, or labia can occur due to the improper weight of the jewellery placed.
5. Spread of genital disease may occur if the piercer does not use gloves or antiseptic during the procedure.
Never opt for a piercing just because your friends are getting it done. A healthy method of getting pierced involves an understanding of your anatomy, skin type, tolerance of certain kinds of metal on your skin and extremely hygienic conditions. It sure is fashionable and may appeal to people with a different sense of aesthetics, but you must never ignore the risks. Do a thorough background check of the piercer you would like to visit and the possible after care products that you can use. It would also help to quickly get a check up done by a doctor before going ahead with the piercing. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Most women have their own distinct smell below the belt. It might be a little embarrassing to know that there is a feminine odor, sometimes foul, in the private parts of a lady. But, it is true that this smell can be a cause of concern as well. Vaginal odour is a symptom for sexually transmitted diseases like chlamydia and gonorrhea. Besides, a combination of factors including infection of the vaginal tract, unhygiene, gland secretions, sweating and improper clothing are responsible for vaginal odour.
Common reasons for vaginal odour:
- Bacterial vaginosis: It is a very common phenomenon. Vagina contains bacteria, which are produced there naturally. Bacterial vaginosis refers to bacterial overgrowth. It leads to vaginal odour. Most women experience this condition at least once during their lifetime, especially in the reproductive years. Though the exact cause behind its occurrence is unknown, it can occur due to having unprotected sex or frequent douching.
- Yeast Infection: The odour caused due to yeast infection is not very strong. But it has other symptoms like white vaginal discharge and itching. The discharge looks like cottage cheese and is caused due to the excess growth of yeast named Candida. There might be a burning sensation at the time of having sex or urination.
- Sexually transmitted diseases: Vaginal odour is a symptom for STDs like chlamydia and gonorrhea.
- Vaginal odour can intensify after having sex: It can also be caused due to inflammation of the pelvic region.
When is vaginal odour a signal for STDs?
Vaginal odour is normal, but you need to watch out for other symptoms to be sure that whether or not you are infected with STDs. If you have vaginal discharge, painful urination and difficulty in having sexual intercourse, there is a possibility of developing STDs. In case of STDs, the discharge is bloody or brown in colour.
The vagina is a muscular, tubular structure of the female genital tract extending from the vulva to the cervix (the opening of the urethra). Sexual activity affects vaginal health in a number of different ways during intercourse and in the long term.
A few of the varying effects and the factors responsible for these effects are listed below:
- Changing size of the vagina: The vagina is designed to be elastic and adjustable. So, no permanent change in size is possible but it does undergo temporary changes in sizes as effects of sex. The inner walls of the vagina enlarge during sexual intercourse and during childbirth. Tissues in the clitoris puff out and harden, this also causes an expansion in size. It takes a while to get back to its normal size.
- Vaginal secretion: When you are aroused during sex, the blood vessels supplying the vagina expand immediately. The blood flow increases to lubricate the vaginal walls (rugae). The rugae unfold and the space increases. These secretions are important because, women who are sexually inactive for a long time at a stretch, experience dryness that leads to urinating difficulties and rashes.
- Unusual discharge: Apart from natural lubricants, vagina secretes some fluids, the process being termed as 'female ejaculation'. A tiny amount of white fluid made of prostate plasma cells, is produced just before you climax and discharged with some quantity of urine. Sometimes, prostatic specific antigen (PSA) and prostatic acid phosphatase (usually found in semen) are also found in the secretion.
- Infections in the urinary tract: The friction caused by sexual intercourse may cause small cuts which enable bacteria to pass from the vagina to the urinary bladder through the urethra. This causes infection in the bladder, the urinary tract and the vagina. These can be avoided by using a condom or by urinating before and after having sex.
- Vaginal pain: A lot of women report the experience of pain and discomfort inside or around the vagina during and immediately after sex. The pain can result from repeated sex within a short period of time or reduced secretion of natural lubricants. If the pain is too severe, you should see a doctor because yeast infections or chronic vulvodynia can also be responsible for the pain sensation.
Fibroids are non-cancerous growth that develop in the uterus in varying sizes. Fibroids do not usually show symptoms, but if they are large they may cause severe pain in the abdomen, heavy menstrual bleeding, bloating, infertility or complications during pregnancy. Several factors may lead to the formation of fibroids, including hormones, family history, and pregnancy.
What is myomectomy?
Myomectomy is the surgical procedure which is used for removing fibroids from the uterus. It is a safe method that allows women to become pregnant in future. Gonadotropin-releasing hormone analogue therapy, performed before myomectomy helps in lowering the estrogen level and also controls anemia by stopping uterine bleeding. The different surgical methods for myomectomy include:
- Hysteroscopy, involving the insertion of a lighted viewing instrument into the uterus
- Laparoscopy, involving the insertion of a lighted viewing instrument and one or more incisions in the abdomen
- Laparotomy, involving a larger incision made in the abdomen
Why is the surgery performed?
Myomectomy treats fibroids while preserving the uterus. It is a viable option for those who have:
- Anemia which cannot be controlled with medicines
- Pain which cannot be tackled with medicines
- A fibroid that can cause infertility or increases the risk of miscarriages
How well does it work?
- Pregnancy: myomectomy is the only treatment for treating fibroids that improve your chances of having a baby. The method is effective for treating submucosal fibroid. A cesarean section is required for delivery after performing a myomectomy.
- Recurrence: recurrence of fibroids after myomectomy is really low. It is possible in rare cases, depending on what the original fibroid problem was. Large and numerous fibroids have a greater risk of recurrence.
Use of regular contraceptive methods like pills or condoms have most effectiveness with least side effects, but in the case of emergency, you can resort to ipill easily available on all chemists. Unplanned pregnancy is best detected at the earliest and managed.
Sir how I can make my physical good. Because I am very slim. Please do respond with effective solution. Tell me what diet to follow?
I am 24, newly married for 6months and I had sex with my husband 2days prior to my periods. I took the i-pill right in the morning and I take oral contraceptive on a regular basis. Can I get pregnant?
I am have taken I pill on 13/3/16. My last of mensuration was 14/03/16. Tomorrow I have to go out of town. Can I take medicine to extend my date?
Have a light and early dinner for good sleep and fresh morning, lots of salad and vegetables and less chapati/rice.