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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Pelvic Inflammatory Disease (PID) is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.
- Causes: STDs (sexually transmitted diseases) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.
- Symptoms: The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina.
- Associated symptoms: High fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.
- Diagnosis: A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries. Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause PID. An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs. A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.
- Treatment: The treatment procedures of PID vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Fibroid tumour is the abnormal cell growth in the uterus and they are mostly benign. Fibroids usually affect women in the age bracket of 30 - 40. Fibroid tumours are of three types, depending on their location:
- Submucosal fibroids: The tumour develops under the lining of the uterus
- Intramural fibroids: The growth is found amongst the muscles in the wall of the uterus
- Subserosal fibroids: The growth develops on the wall of the uterus right in the pelvic cavity
Causes behind it
The exact cause of fibroids in not known clearly. But certain factors have been discovered that might influence their formation. These factors include:
- Hormones: Progesterone and estrogen are the hormones responsible for recreating the uterine lining during every menstrual cycle. These hormones might trigger the formation of tumour.
- Family history: If any member in your family; your mother, grandmother or sister has/had fibroids in their uterus, you may also develop it.
- Pregnancy: Your body produces excessive progesterone and estrogen when you are pregnant, which may cause an increase in the size of a pre-existing small fibroid. Myomectomy can be done by giving incision on the abdomen or by laparoscopy depending on the size and location of the fibroids.
Signs You are suffering from it
- Heavy bleeding along with blood clots during or between your periods
- Lower back or pelvic pain
- Elevated menstrual cramping
- Frequent urination
- Pain during sex
- Longer than normal periods
- Bloating or pressure in lower abdomen
- Enlargement or swelling of the abdomen
How it can be treated?
Your doctor will formulate the right treatment depending on your age, the mass of the fibroids and your overall health. Your doctor may choose a combination of treatment to cure your fibroids, and they include:
- Medication: Gonadotropin releasing hormones (GnRH) agonists, birth control pills and ibuprofen (anti-inflammatory medicine) are prescribed. GnRH agonists reduce the level of progesterone and estrogen in your uterus.
- Surgery: Myomectomy and hysterectomy are two common surgical procedures to treat fibroids. Myomectomy is performed by removing the fibroids only by making an incision on the abdomen. But hysterectomy completely removes the uterus. The latter is reserved for serious cases.
- Non-invasive surgery: Forced ultrasound surgery, myolysis (shrinking fibroids with laser or electric current), cryomyolysis (fibroids are frozen) and endometrial ablation (an instrument uses heat, hot water, microwaves or electric current to destroy fibroids) are some non-invasive surgical procedures. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Eating 6 dates daily during the last 4 weeks of pregnancy produces a more favourable delivery outcomes.
Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urination, pain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.
Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.
Certain hormones such as progesterone and estrogen that prepare the body for pregnancy are even responsible for triggering the development of fibroids.
Substances which help the body maintain its tissues trigger fibroid growth as well.
Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin D, obesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.
Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.
Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-
Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production
Progestin-releasing intrauterine device (IUD) to alleviate severe bleeding caused due to fibroids
Tranexamic acid to ease excessive menstrual periods
Progestins or oral contraceptives to regulate menstrual bleeding
Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain associated with fibroids
Surgeries to Treat Fibroids:
Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:
Hysterectomy: removing the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.
Myomectomy: fibroids are surgically removed from the wall of the uterus. This option is more popular for women who want to get pregnant.
Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.
UAE (Uterine artery embolization): this treatment cuts off the fibroid's blood supply, effectively shrinking the fibroid.
Magnetic-resonance-guided focused ultrasound surgery: an MRI scan locates the fibroids, and sound waves are used to shrink the fibroids.
Here are reasons, effects, screening and diagnosis of down's syndrome in children
Here are reasons, effects, screening and diagnosis of down's syndrome in children.
6 dietary dos and don'ts for pregnancy
Pregnancy is an important time in a woman's life. During this period, you need to be most conscious of what to eat, do and how to change everyday habits. Following these dos and don'ts will ensure a smooth pregnancy experience for you.
1. Take your prenatal vitamin
If you have not yet started taking a prenatal vitamin, now is the time to start. It's particularly critical to get enough folic acid while trying to conceive importantly during the first trimester. It greatly reduces your baby's risk of developing neural tube birth defects such as spina bifida.
2. If you smoke, quit
Smoking increases your risk of developing several problems including miscarriages, placental and preterm birth problems. It slows the fetal growth and increases the risk of stillbirth and infant death. It's never too late to quit or cut back smoking. Every cigarette you don't light gives your baby a much better chance of being healthy.
3. Do eat seafood
Seafood is loaded with vitamins and minerals. Consume a variety of seafood so you don't have a concentration of minerals from only one type of fish. But remember to not eat more than 12 ounces of fish per 7 days.
1. Don't drink alcohol
Alcohol may immensely impact your baby's development. Women who drink alcohol while pregnant could easily deliver a baby with fetal alcohol syndrome (fas). Symptoms of fas are usually low birth weight, learning disabilities, behavioral problems, and lagging patterns in terms of growth and development milestones. Limiting or avoiding alcohol is a step that you need to take.
2. Don't eat raw meat at all
Raw and undercooked meat or eggs carries the risk of food-borne diseases as well as food poisoning incidence. Make sure all eggs and meat that you eat while you are pregnant are cooked well.
3. Don't drink lot of caffeine
Caffeine easily travels through the placenta and increases your baby's heart beats. Research shows that women can safely consume a cup or two of coffee every day, but avoid downing a triple shot strong latte while you have got a bun in the oven.
Heavy bleeding during menses.... What should you know?
Heavy or prolonged bleeding during menses is medically known as 'menorrhagia'. It is more common as you approach menopause but can occur at any age. The bleeding has to be severe enough to interfere with your daily activities.
The cause could be hormonal, pregnancy complications, bleeding disorder or a structural lesion like a fibroid, polyp, endometriosis or adenomyosis.
In advanced age cancer of the uterus or cervix has to be ruled out.
Symptoms of heavy periods
- soaking a pad or tampon every 2-3 hrs or less in a day
- passage large blood clots during menstruation
- your period lasts more than seven days
- you become anemic due to excessive blood loss
How to manage excessive bleeding
1. Maintain a record of the no of days and pattern of heavy bleeding.
2. Increase your intake of fluids and salt
You should increase your intake of fluids and especially salty fluids during heavy menstruation. You can have vegetable juices like tomato juice as well as salty broths during such times. This will help you especially when your blood volume goes down (which is characterized by dizziness or pounding of heart) when you get up after lying down. Your body would need more than four to six cups on such a day.
3. Increase the intake of iron
Increase your iron intake through natural sources like green vegetables, egg yolks, red meat, liver and dried fruits like raisins and prunes. You can also start an iron tablet once a day for faster recovery from anemia
4. Visit your gynecologist
A good history, few blood tests, and a simple ultrasound generally leads to the diagnosis. Sometimes a biopsy is required to rule out cancer. Multiple new drugs have been added in the last few years which have avoided the need for surgery
An early diagnosis ends up with better results. Hence, it is important to act early
- Take lot of fluids
- Avoid over exertion. Add short periods of rest in your routine
- Avoid exercise if any high-risk factor is associated with pregnancy
- In the second half of pregnancy propped up position, avoiding spicy food helps in case of heartburn
- Avoid constipation by having lots of water and veggies
- Avoid over the counter medication
- Avoid unnecessary travelling or shopping sprees
- Keep a track of your fetal movement in the third trimester
- Always carry the number of your obstetrician or hospital for emergencies.
Do you know that the future health of your baby is decided before you even conceive? Your preconception health is very important. Planning a baby is a demanding task, but if you plan it well you will have a healthier and easier pregnancy.
These are a few tips which can do wonders
1. Relaxation at Work and Household Backup - Plan out your work schedule. You might need to change your work hours or may be change the job profile. You will also need someone to help you out with the household chores around this time.
2. Finances - Get your finances settled and insurance plan changed accordingly.
3. Lifestyle Modification - Eat healthy. Stop the intake of alcohol and stop smoking. Set aside a time for regular exercise if possible. Try to lose that extra flab and stay very active.
4. Reduce Stress - Create a support system for yourself. Engage in activities that uplift your mood.
5. Take Folic Acid - Take 400 mcg of folic acid tablet daily. It helps prevent birth defects of brain and spine in the baby.
6. Avoid Exposure to - Harmful chemicals, metals and toxic substances at workplace and home. Protect yourself from infections. Stay away from cats.
7. Up-to-Date Vaccination - Make sure your vaccination is complete. Vaccination against rubella and flu are very important. It is also important to maintain a gap of at least one month between your rubella shot and pregnancy planning.
8. Optimize your Medical Condition - If you have Hypertension, Diabetes, Asthma, Epilepsy or any other medical condition you must take complete advice from the physician. Blood pressure and sugar levels have to be under full control. The type and dose of the drug may need modifications.
9. Check Family History - Ask your parents, grandparents, brothers, sisters, aunts and cousins about any health problems in the family like genetic problems, mental retardation or malformations in babies. This can help your Gynaecologist to determine which problems to look for and how to prevent it.
10. Visit your Doctor - Carry a record of your medical conditions, family history and a checklist of your queries. Get tested for Li Blood Group, Thalassemia, HIV, Thyroid Levels, and Blood Sugars.