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
Me and my wife doing sex after 15 min taken ipill and after 6 days start bleeding. Now her periods not come whats? Is their is any chance of pregnancy or be effect of the tablet?
Hi Doctor. My age is 24 now I am 6 months pregnant. Can I have sex with my husband. I am normal in all the sense. I just want to satisfy my husband. I feel shy to ask this with my doctor. Please answer me.
Epithelial Ovarian Cancer is a condition in which malignant tumor emerges from the tissue lining in the outer surface of the ovary. Epithelial tumors are usually benign, but this form of malignancy has been found to be the most common type of ovarian cancer. Moreover, it cannot be diagnosed until in its advanced stage. Medical research shows that factors such as multiple pregnancies, delayed childbirth and early menarche seem to raise the risk of ovarian cancer, while dietary and environmental factors also play a significant role in it.
1. A majority of the patients have been observed to have extensive intra-abdominal growth.
2. They may experience discomfort or swelling of the abdominal region.
3. The feeling of being bloated, lack of appetite, unnatural weight alteration, dyspepsia, malaise, and urinary problems are frequently reported symptoms.
4. Patients also experience constipation and other gastrointestinal problems.
The first step towards treatment of ovarian cancer is to diagnose the condition. A thorough pelvic examination (consisting of an examination of the vagina, uterus, ovaries, fallopian tubes, and cervix) will help to pin point any abnormality of the ovary. If the doctor notes nodularity, firmness or lack of tenderness during the examination, these can be taken as symptoms of malignancy of epithelial ovarian tumors. Ultrasound examination of the abdominal region will also help to locate abnormality in the tissues on the outer surface of the ovary. The next logical step towards treatment is getting a biopsy. During this procedure potentially malignant cells are removed and then diagnosed by a pathologist to conclude if the cells are cancerous or not. The process of removal is known as laparotomy.
Apart from a handful of stage one patients, most women with epithelial ovarian cancer receive chemotherapy. The standard treatment for this type of ovarian cancer is the surgical elimination of tumor. This includes total abdominal hysterectomy, a surgery in which the uterus and cervix is removed through an incision in the abdomen. Post surgical treatment consists of taxane-platinum chemotherapy. Patients with minimal residual cancer undergo external radiation therapy or intraperitoneal chemotherapy (radioactive liquid is channelled into the abdomen with the help of a catheter).
A lot of research has been done in this field and a variety of clinical trials are available for a patient, if he/she wishes to be a part of it. Leading methods are immunotherapy and targeted therapy are also available. Immunotherapy uses the immune system of the patient to battle cancer. Bodily substances or substances created in the lab are used to restore and boost the body’s natural defence mechanisms against cancer. Targeted therapy, on the other hand, uses substances to identify the cancer and attack the malignant cells without jeopardizing non-cancerous cells.
Gynaecological endoscopy is a surgical practice that aids in diagnosing the most common female disorders, such as minute vaginal haemorrhages, infertility problems and endometrial polyps (noncancerous growths on the inner uterine wall). It uses a small and slender optical device to diagnose such problems.
Gynaecological endoscopy is of two types
- Hysteroscopy: A small optical instrument is inserted at the neck of the uterus; it is used to examine the inside of the uterine cavity, and in some cases, is used to remove endometrial polyps.
- Laparoscopy: It is done through a small incision on the belly to examine the Fallopian tubes, the ovaries and the uterus; it is minimally invasive.
Gynaecological endoscopy has the following advantages
- Recovery time is minimised
- Lesser risks of infections, or other side-effects
You do not need to do a lot to prepare for endoscopy. Here are the few things you have to go through before this surgery is conducted:
- The preparation depends on the kind of surgery to be done. You might require imaging tests. Also, the doctor may recommend an enema or even fasting.
- You need to inform your doctor about any medication you are taking, including supplements or non-prescription drugs. Stop taking your medications before the procedure.
- The surgery is mostly done under general anaesthesia.
- A catheter (a small tube) is inserted to collect urine and carbon dioxide is used to fill your abdomen once you are asleep. The gas keeps your organs safe by keeping the abdominal wall away from them. This reduces the dangers of injury.
- A small incision in your navel will allow the surgeon to insert the endoscope. The endoscope relays images on a screen, giving a clear image of your organs to your doctor. Consult a gynaecologist online.
Infertility is a condition, which is characterized by the inability to have a baby for over a year in spite of having planned and unprotected sex. It is a pretty common phenomenon for both men and women. However, there are several treatments available for both the sexes to help them recover from this problem. Here are some of the most common treatments available for infertility:
1. Changing your lifestyle: Certain factors in your lifestyle, which may cause you to be infertile include the medications you take, lack of exercise or not having intercourse frequently enough or not at the right time. The solution for these problems is simply incorporating certain changes in your daily life, such as exercising more, sticking to a healthy diet or having intercourse more often at the right time.
2. Sperm retrieval: Sperm retrieval is the technique used when you cannot ejaculate or when there is hardly any sperm present in your semen. It is also used in case of a low sperm count.
1. Intrauterine insemination: Intrauterine insemination is a process in which healthy sperm cells are put into the uterus so that the egg gets fertilized when it is released. The sperm cells have to be inserted at the time when your ovaries release eggs; therefore it is crucial to know your menstrual cycle as well as how fertility drugs are affecting it.
2. Fertility drugs: Fertility drugs are used to stimulate ovulation. This is done by administering medications which either regulate or cause ovulation to occur. There are several types of fertility drugs, so you should talk to your doctor about which should be the best for you.
3. Hysteroscopic surgery: This is a last resort, which is taken only when there are significant problems such as intrauterine scar tissue, uterine septum or endometrial polyps.
4. IVF: IVF is an assisted reproductive technology. During IVF, the sperm is first retrieved, after which fertility medications are given to the woman so that the egg can be retrieved. Finally, the egg is fertilized on a laboratory dish and injected back into the mother or a surrogate mother.
The uterus is a very important organ within the human reproductive system as this is the chamber where an embryo grows into a baby. Due to a multitude of factors, the incidence of uterine cancer has been on the rise. Let's look at some of its symptoms.
Symptoms of uterine cancer: When cells within the uterus grow abnormally and turn malignant, it may be termed as uterine cancer. This may be in the form of a fibroid or tumor or be part of the uterine tissue itself. It may be caused due to a multitude of factors such as late menopause, radiation exposure, estrogen treatments and many others. Some of the common symptoms for uterine cancer could be:
- Pain in the abdomen, lower back and especially the pelvic area.
- Pain during urination,
- Weight loss without any apparent reason
- Vaginal bleeding with or without discharge
- Pain during sex
Stages of uterine cancer: Before we understand the stages of uterine cancer you need to know how doctors diagnose the various stages. This is done by the three following steps in the TNM method:
- Tumor: Doctors try and search for tumors and locate them within the uterus, estimate its size and whether it is malignant or not.
- Node: If the tumor is malignant, then doctors try to find out whether the tumor has reached the lymph nodes or not.
- Metastasis: Doctors look for Metastasis, which is whether the cancer has spread to other organs within the body and to what extent.
Stages of cancer: Cancer is primarily grouped in five stages from 0 to V according to the T, N and M stages mentioned below.
- Stage 0 - This is a very early stage of cancer where the cells have malignant growth but are still small in number and haven't spread anywhere.
- Stage I - If the cancer has developed a little, but is restricted within the uterus, it is considered as stage one. This is also further divided into Stage 1A and 1B.
- Stage II - When the cancer has started spreading, but only to some parts of the cervix from the uterus, it is diagnosed as stage 2 uterine cancer.
- Stage III - Categorized into Stage IIIA, Stage IIIB, Stage IIIC1 and Stage IIIC2, it is primarily where the cancer has spread to other organs, but it is only limited to the pelvic area.
- Stage IV A - When the cancer has gone beyond the pelvic area and also spread to the rectum and bladder area.
- Stage IV B - This is where the cancer has metastasized in the groin area or gone to other organs within the body as well.