Doctor in Dr Indira Kohli's Clinic
Management of Abortion
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
Submit a review for Dr Indira Kohli's ClinicYour feedback matters!
Hepatitis refers to an inflammatory condition of the liver. Excessive alcohol consumption can cause liver damage and inflammation. Other toxic causes of hepatitis include overuse or overdose of medications and exposure to poisons.
Homeopathy can be used for first aid, to fight common infections and as general constitutional remedies.
As surprising as it may sound, this disorder is rather common than a rare phenomenon. A lot of men bring their wives/partners to the sexologist, claiming their partners”have no interest in sex”.
The patient gets evaluated with lots of tests and some times are given Injections of testosterone by some dubious practitioners. The partner may have to consume a whole list of drugs, undergo surgeries or suffer domestic violence or face divorce threats/verdict. All this because people are not aware of what we call, Sexual Aversion Disorder. There may not be anything wrong physically or with the hormones with these patients.
What is SAD?
SAD, also known as Sexual Aversion Desire is most commonly described as a feeling of disgust, fear and phobia, revolt, revulsion and lack of genuine interest in sex. Despite what people name it, Sexual Aversion Disorder is not just a common and mood-related downfall in one's sexual desire, rather, it is more about active avoidance and a strong feeling of dislike towards any sexual activity which would otherwise be termed normal for other people.
Other sexual disorders differ from the Sexual Aversion Disorder in a tiny little fact and that is, SAD does not only include a lack of interest, it also comprises of the feeling of disgust and fear (just like a phobia) for any type of sexual activity.
Different patients have different types of aversions such as:
● Some might not like to see the genitals of their partner
● Some do not like the smell of the ejaculations or genital organs
● Some do not like kissing, hugging, cuddling, or mutual mastrubation
● And for some, the fear grows to a complete hatred for intercourse as a whole
A person may become so obsessed with the fear/phobia for sexual activity, that he/she may take every gesture from the partner as demand for sex and may avoid all intimacy or communication between the partners. In long term, aversion for sex might jeopardize their relationship, the bonding and finally the marriage itself.
What causes the SAD and are there any noticeable symptoms included?
Clearly, the Sexual Aversion Disorder is a psychological disorder with a few physiological causes that might be an underlying reason. But the greatest factor which becomes the reason for a person developing an aversion such as this is due to some traumatic past experiences or perhaps issues with the partner itself.
If the cause is interpersonal with the partner, it is likely that the patient is capable of sexual fantasies and imagery. This person avoidance may be situational.
In case of an abusive past, such as physical violence, rape, molestation even verbal abuse or bad parenting, the patient will need an extensive therapy as well as the emotional support of the partner.
However, it is important to remember that no person can be branded as suffering from SAD unless he/she has been evaluated or any other causes have been ruled by an expert sexologist.
Also, SAD can be treated very well, with extensive psychotherapy, marital counseling and cognitive behavioural therapy. The results are very promising. The couple should really be motivated to work on their issues.
Infertility is a condition where a couple trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.
So here are the causes, risks and treatment for this condition.
There are many causes of infertility. It may be down to a condition present in one or both partners. As per a medical study, 20% of the cases of infertility are due to males, while 40% to 50% cases are due to problems in the female partner. 30% of the cases suffer from infertility due to problems in both males and females. Ovulation and fertilisation are the main elements of the conception process, and any condition in the female or male can upset either function which can make it difficult to conceive. While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard.
For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions. Also, factors like thyroid, cancer and medication leading to temporary infertility may be at play.
There are a number of factors that put a male or a female at risk of infertility. Being in your mid 30s usually has an adverse effect on the ovulation and production of well functioning sperm. Further, smoking and tobacco are among the main causes of infertility in either partner. Excessive alcohol consumption may also lead to this problem. Being overweight or underweight can also make a person infertile. Further, not getting enough exercise and routine activities out of your day, can lead to this condition as well.
Male patients can go through treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal, and ART or assistive reproductive technology. Female patients can turn to medication that will stimulate ovulation, Intrauterine Insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery.
If these methods fail, the patient or the couple can always turn to methods like In Vitro Fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception.
Cerebral palsy and occupational therapy
In order to recover the skills that are required for leading an independent and a satisfying life after any injury or disease, an occupational therapist is required. The word occupation refers to the tasks which one has to perform everyday not to one’s profession. Muscle and joint coordination issues can be fixed with the help of occupational therapy in case if kids .These include the daily activities like eating, brushing using the toilet. With the help of OT your cognitive and social abilities and even your motor skills will improve at a very good rate.
How is this beneficial for children with cerebral palsy?
Occupational therapy will be helpful to the children who are specially suffering from cerebral palsy. These benefits includes:
- It will increase the chances of making your child more independent.
- It will boost their ability to play as well as to learn.
- The self esteem and the confidence of your child will readily increase.
- They’ll have a sense of accomplishment.
- Their quality of life will improve as well.
- This is also beneficial for the parents as well. It will reduce your stress and will provide you with a sense of security.
What to expect?
Occupational therapy is different for different children who have cerebral palsy. It depends on one’s physical, intellectual and social emotional abilities .The first session is basically done for evaluation where your child’s fine motor and will be observed how your child responds to touch or any kind of movement. The parents are also interviewed in order to find out about the strengths and the weaknesses of your child. For children with cerebral palsy, a revaluation should be done in every 7-8 months in order to see the progress and change the treatment plan accordingly as per the improvement .The operational therapist will use some specific techniques which will help your child to improve very quickly and reach their destination.
These techniques are :
Paediatric constraint induced Movement therapy: This therapy helps your child to move the weaker parts of the body by restraining the stronger counterpart. If you child has a difficulty in moving one of the arms then the stronger arm will be restrained and the weaker arm will be trained in order to gain the strength.
Sensory integration therapy: This type of therapy will help your child to improve the ability bro receive , interpret and act on the information and situations that comes in your child’s brain with the help of sensory receptors .
Occupational therapy has been a very important part in improving the physical and the mental discomfort faced by your child when he or she is suffering from cerebral palsy. The therapist may even provide your child with some gadgets in order to make his /her daily life easier and more independent. This helps your child to improve and gradually get better at it without any sort of negativity. While you’re looking for a OT make sure the person has enough experience and knowledge, just to ensure that your child gets the right treatment.
Pregnancy and childbirth is one of the most important time in the life of a woman. It is a time to celebrate and yet be cautious as well, so that all goes well and the end of the pregnancy is a beginning of life for a baby. There are numerous ways of monitoring the health of the foetus during pregnancy. The non-stress test is one of the ways. Let us find out more about this:
Heart rate monitoring: The non-stress test is basically concerned with the monitoring of the heart rate of the foetus. This is a prenatal test that is very commonly used in order to check the overall health and vitals of the baby while it is still in the womb. The test is essentially carried out to check how well the heart rate responds to the other movements carried out by the baby inside the womb. It is called a non-stress test because there is no external stimulation that may put pressure on either the heart rate or the movements of the baby.
Why: This test is usually recommended by the doctor when there is an increased risk of losing the foetus due to complications. This test is conducted from 36th week of the pregnancy and onwards till delivery. It is also done even when the patient is in labour.This test will usually show whether or not the baby needs extra test, monitoring or care. This test is essentially conducted to check the oxygen supply and is a non-invasive procedure that does not pose any serious physical risks or harm.
Fetal Hypoxia: This test will also show whether or not the baby is suffering from fetal hypoxia, which is a condition where the heart beat is disrupted, if the passage of oxygen is blocked due to some reason.
Conditions for non-stress test: The non-stress test may be conducted if the lady in question has lost or had complication in previous pregnancy. Also, if the mother has any other medical condition like diabetes or cardiovascular conditions, then this test is imperative. Decreased movement of the foetus may also prompt the doctors to take action and conduct this test as a cautionary measure.
Procedure: During the procedure, you will be asked to lie down on a reclining chair and two belts with monitors will be attached to your abdomen. The heart rate of the baby, as well as the movements, will then be studied once the monitors are switched on. These monitors are in turn attached to a screen, in order to take the reading. This test will take no more than twenty minutes. However, if there is no movement in the baby, then the test may continue for a little longer until the baby becomes more active.