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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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
Urinary Incontinence (Ui) Treatment
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Hello doctor, I am 24 Years old, I got married in May 2015. In september I got to know I was pregnant, We both were not prepared for baby yet, so I got it aborted, it was a medical abortion. After the abortion I did scanning and everything was cleared. Till january my periods were regular, again in the month of february I was pregnant, we were in dilemma whether to continue or not, still I got it aborted, I took medicine myself, after that I did scanning everything was cleared and my uterus is normal, both the ovaries are also normal. Again till September 2016 my periods were absolutely normal (28 days cycle), I am pregnant now, due date is august 3rd, this time we want to continue the baby. Will my earlier two abortions affect my third pregnancy? Please answer me. My periods are always regular, in other two pregnancies I had pregnancy symptoms of nausea, vomiting, morning sickness. But this time I don't have any strong symptoms as such. I have done urine test and my pregnancy is confirmed. Please give me solution for my confusions. Please doctor.
I am 12 weeks pregnant I did my ultrasound doc told my to do cervix stretch my cervix is 3.5 cm shall I do now or after I month shall I do this (5 years no baby now only I am pregnant)
Fibroids are the most frequently seen tumors of the female reproductive system. Fibroids, also known as uterine myomas, leiomyomas, or fibromas, are firm, compact tumors that are made of smooth muscle cells and fibrous connective tissue that develop in the uterus. It is estimated that between 20 to 50 percent of women of reproductive age have fibroids, although not all are diagnosed. Some estimates state that only about one-third of these fibroids are large enough to be detected by a doctor during a physical examination.
In more than 99 percent of fibroid cases, the tumors are benign (non-cancerous). These tumors are not associated with cancer and do not increase a woman's risk for uterine cancer. They may range in size, from the size of a pea to the size of a softball or small grapefruit.
Causes: While it is not clearly known what causes fibroids, it is believed that each tumor develops from an aberrant muscle cell in the uterus, which multiplies rapidly because of the influence of estrogen.
- Age: Women who are approaching menopause are at the greatest risk for fibroids because of their long exposure to high levels of estrogen.
- Race: African-American heritage also seems to be at an increased risk, although the reasons for this are not clearly understood.
- Parity: Some studies, of small numbers of women, have indicated that women who have had two liveborn children have one-half the risk of developing uterine fibroids compared to women who have had no children. Scientists are not sure whether having children actually protected women from fibroids or whether fibroids were a factor in infertility in women who had no children.
Some women who have fibroids have no symptoms, or have only mild symptoms, while other women have more severe, disruptive symptoms. The following are the most common symptoms for uterine fibroids:
Heavy or prolonged menstrual periods
Abnormal bleeding between menstrual periods
Pelvic pain (caused as the tumor presses on pelvic organs)
Low back pain
Pain during intercourse
A firm mass, often located near the middle of the pelvis, which can be felt by the doctor on examination
In some cases, the heavy or prolonged menstrual periods, or the abnormal bleeding between periods, can lead to iron-deficiency anemia, which also requires treatment.
Diagnosis: Fibroids are most often found during a routine pelvic examination. This, along with an abdominal examination, may indicate a firm, irregular pelvic mass to the physician. In addition to a complete medical history and physical and pelvic and/or abdominal examination, diagnostic procedures for uterine fibroids may include:
Transvaginal ultrasound (also called ultrasonography). An ultrasound test using a small instrument called a transducer, that is placed in the vagina.
Magnetic resonance imaging (MRI). A non-invasive procedure that produces a two-dimensional view of an internal organ or structure.
Hysterosalpingography. X-ray examination of the uterus and fallopian tubes that use dye and is often performed to rule out tubal obstruction.
Hysteroscopy. Visual examination of the canal of the cervix and the interior of the uterus using a viewing instrument (hysteroscope) inserted through the vagina.
Blood test (to check for iron-deficiency anemia if heavy bleeding is caused by the tumor).
Treatment: Since most fibroids stop growing or may even shrink as a woman approaches menopause, the doctor may simply suggest "watchful waiting." With this approach, the doctor monitors the woman's symptoms carefully to ensure that there are no significant changes or developments and that the fibroids are not growing.
In women whose fibroids are large or are causing significant symptoms, treatment may be necessary. Treatment will be determined by the doctor based on:
Your overall health and medical history
Extent of the disease
Your tolerance for specific medications, procedures, or therapies
Expectations for the course of the disease
Your opinion or preference
Your desire for pregnancy
In general, treatment for fibroids may include:
Hysterectomy. Hysterectomies involve the surgical removal of the entire uterus.
Conservative surgical therapy. Conservative surgical therapy uses a procedure called a myomectomy. With this approach, physicians will remove the fibroids, but leave the uterus intact to enable a future pregnancy.
Gonadotropin-releasing hormone agonists (GnRH agonists). This approach lowers levels of estrogen and triggers a "medical menopause." Sometimes GnRH agonists are used to shrink the fibroid, making surgical treatment easier.
Anti-hormonal agents. Certain drugs oppose estrogen (such as progestin and Danazol), and appear effective in treating fibroids. Anti-progestins, which block the action of progesterone, are also sometimes used.
Uterine artery embolization. Also called uterine fibroid embolization, uterine artery embolization (UAE) is a newer minimally-invasive (without a large abdominal incision) technique. The arteries supplying blood to the fibroids are identified, then embolized (blocked off). The embolization cuts off the blood supply to the fibroids, thus shrinking them. Health care providers continue to evaluate the long-term implications of this procedure on fertility and regrowth of the fibroid tissue.
Anti-inflammatory painkillers. This type of drug is often effective for women who experience occasional pelvic pain or discomfort.
My wife is now 3 month pregnancy, before 5 day every evening more vomiting. She use also doxinate plus. Please suggest me how to do.
Hi some doctors told me that if you are planning a baby then have sex in cycle of 10th to 18th day of period if she has a regular 30 days cycle. So my question is in this 10th to 18th day of cycle can I have a sex daily or on alternate days please suggest.
Using contraceptive methods is the easiest method for a couple to avoid pregnancy and enjoy a tension free physical relationship. People have used birth control methods for thousands of years. Today, we have many safe and effective birth control methods available to us.
All of us who need birth control want to find the method that is best for us. If you're trying to choose, learning about each method may help you make your decision. Only you can decide what is best for you. Some contraceptives, such as condoms, will also protect a person from sexually transmitted diseases (STDs).
The methods can be categorised into temporary and permanent methods:
1. Withdrawal method: This involves removing the penis from the vagina before ejaculating. Ejaculation should be away from the introitus. However, it requires extreme self-control on the part of your man.
2. Barrier methods: These methods prevent sperm from entering the uterus. Barrier methods are removable. Types of barrier methods include:
a. Condom: This is the oldest barrier method. A condom is a thin tube that the man puts over his penis. This keeps the sperm from getting to the egg. Condoms are also called rubbers.
b. Female condom: This is like a condom, but it goes in the woman's vagina.
c. Diaphragm and cervical cap: These are put in the woman's vagina to cover the cervix
d. Contraceptive sponge: This is a sponge that is filled with spermicide and is put in the woman's vagina over the cervix.
Barrier methods can be easy to use and have few side effects.
3. Hormonal methods: These can only be used by women. Hormonal methods cause changes in the woman's reproductive cycle and include birth control pills, birth control patches, emergency contraception pill, Implants and so on. Unlike barrier methods, hormonal methods do not interfere with sex.
4. Intrauterine methods: In this method an object called an intrauterine device or IUD is put in the woman's uterus. There are two types of IUD: the copper IUD or an IUD with hormones implanted on it. The hormonal IUD has better protection against pregnancy but costs more. You need not do anything once it is inserted. Also, it is effective for up to 10 years.
Of course, the permanent methods are more effective for preventing pregnancy than the temporary methods. The decision to proceed with a permanent method should only be made if a person is absolutely sure that no more children are desired. The biggest problems after a permanent procedure is regret that it was done.
Sterilization is a permanent form of birth control that prevents a woman from getting pregnant. These procedures usually are not reversible.
a. A sterilization implant is a non-surgical method for permanently blocking the fallopian tubes. The doctor places a coil in each Fallopian tube through the vagina and uterus block each tube completely. It may take up to 3 months to completely block the tubes.
b.Tubal ligation is a surgical procedure in which a doctor cuts the fallopian tubes. This procedure blocks the path between the ovaries and the uterus. The sperm cannot reach the egg to fertilize it and the egg cannot reach the uterus.
c. Vasectomy is a surgical procedure that consists in cutting the tubes that carry sperm. This procedure blocks the path between the testes and the urethra due to which the sperm cannot leave the testes and hence cannot reach the egg. It can take as long as 3 months for the procedure to be fully effective.
I am 26 year old married women. Two weeks back I got diagnosed with PCOS. Doctor advised me to take hormone tablets for 6 months as I am not planning for pregnancy. My hair is falling very badly. What is the strict diet plan I should follow?
Hi Dr. I am 34 years old, and I am facing a problem of heavy vaginally bleeding from past 1 week I.e from 12th of this month. My period was from 29th Jan 2017 to 3rd Feb 2017, my menstrual period is regular. I had safe sexual intercourse with my boyfriend on 9th Feb 2017 and I found little blood during sex, but exactly after 2 days there heavy vaginal bleeding since which has not stopped. I won't take any birth control tablets. Please prescribe solution.
Hello. I am 24years old n m planning fr a baby. My doctor said that my two eggs have been ruptured. She has given me medicine" Neogest Sr" fr fifteen days. N asked me to wait fr my period. Can you please tel me wot r the chances of pregnancy n what happens after the eggs r ruptures. M having PCOD.
I have a right ovary retention cyst should it be operated or it will go on its own I am 45 yrs old now still having regular periods. Or this problem is common for woman of my age due to menopause what precautions and treatment I should take for this
My sister serum aso titre is 355 what should she do I order to get rid of this problem and what are the consequences of this.
Main yeh jan na chahata hu ki pregnant krneka sahi time kaun sa ha. Mera shadi 1 years ho gaya aur main abhi humare ghar me 1 naya chota meheman chahata hu. Aur main isse pehele 1/2br try kiya thaa lekin koyi aasar nhi hua. Aur sayed mera koyi sex me galti hua thaa .aur mere biwi isse pehele mala -n ki tablet use krta thaa. Aur uska m.c period 4 days aage peeche hota hai. Aur is situation me kb sex krnese new baby born ho shakta ha kindly mujhe thora guide kijiye sir.
Firstly my periods are nt regular second I cry alot bcs of my parents relationship and I don't get success in anything I do bt I do exercise and yoga is it all interrelated? I even have joint pains in knees and hands.
Can periods occur even after girl is pregnant? My friend is 20 years old and she has done sex before 1 month but condom was used during sex. Her periods didn't come even after 22 days of her regular date. But now she's with period. Does it mean she is not pregnant? Please help.
There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.
There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:
- Abdominal Adhesions and Infertility: Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body. Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.
- Secretions from Implants: Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.
- Prostaglandins: Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy. This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.
Just like the endometrium, the implants also secrete these hormones. And, the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.
A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.