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Management of Abortion
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
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As many people use to say. Does having sex position determines the sex of the child? And the rate of making pregnant soon?
It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.
The following are considered to be abnormal or dysfunctional uterine bleeding:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovaries
- Endometrial hyperplasia
- Cancer of the reproductive tract
How to Diagnose it?
Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
- Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding
How Best to Treat It?
This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.
- Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.
Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways.
When will my first period start after csec, I am breast feeding, have delivered on 14th November 2015. Please advise.
Urgent help required. My friend's last period was on 5th of april and lasted for 4 days approx. She was virgin also. But a week before she had tried to have intercourse with her bf. They didn't actually had intercourse. Only the tip may have got in. They are sure he didn't cum. But their is a possibility of precum. She was late 3 days for pill also. Now the problem is that her regular period was about to start in 1-2 days. But a light bleeding have started today which is very lighter. She is she ok? Hope She is not pregnant? What should be done? Help urgently.
I had sex with my grlfrnd used condom on 9th day after her period nw its one month over still she not getting periods what it seems? How to ger period now please its urgent.
I find lump in breast. Is it cancer and other symptoms are like lack of memory. Sweating palms. radish palms. Please tel me something whats going on. I'm tensed. Am I suffering from cancers.
Hi. Am 23 years old. I have pcod. I am taking tablets for past 6 months for pcod. We are planning for a baby. April month I conceived for 45 days. Due to improper growth we abort it. After 2 months rest. We can started a treatment. My lmp is 28/8/16. Now 15 th day. Am so worried tat this tym I should conceived. What are all things to be careful for healthy pregnancy. Because I want to be so careful this tym for healthy pregnancy. Whether I can do things as usual or bed rest is needed. Since am pcod is there any restrictions in diet plan as well as bed rest or something. Please suggest some thing which can be done in home or eat some healthy foods.
Too tensed need gynecologists help. Sir / Mam I had unprotected sex with my girlfriend on 27th August. After 6 hours she took ipill (ecp) .After 4 days I.e On 1st September she started bleeding and she bleed for 4 days. Then after 21 days of Intercourse, we did 4 home urine pregnancy test which were on 18 September, 25th September ,2 October and on 9th October. All the test came NEGATIVE. We even did bHCG test on 18th October. The result was <1.2 miU/ml. On 23rd October she started bleeding which continued till 29th October. My question is that can we rule out pregnancy now?
I am married 6 month ago. Now I and my husband planing for a baby so you please help me what can I do please suggest me.
Hello Doctor, I want to know that, if I take 2 unwanted 72 in a week then what is the side effects or any problem in future regarding pregnancy. Please suggest me about it.
Miscarriage is the early loss of foetus within 20 weeks of pregnancy. It is also known as ‘spontaneous abortion’. According to research, about 8-20% of the pregnancies end in miscarriage. Out of the total number of miscarriages, 80% of them end within 12 weeks of pregnancy.
Types of Miscarriages and their Symptoms
- Threatened Miscarriage – As the term suggests, in this condition the process of miscarriage might have begun. This is the initial stage of the process. In threatened miscarriage, there is slight bleeding accompanied by cramps and pain in the lower back, which is usually mild. The cervix (the lower part of the uterus) remains closed.
- Inevitable and Incomplete Miscarriage – In these conditions, there is bleeding along with an open cervix. When there is dilatation and thinning of the cervix, miscarriage is inevitable. In incomplete miscarriage, part of the tissue comes out and a part remains inside the uterus. In inevitable and incomplete abortions, the bleeding and cramps are more severe.
- Complete Miscarriage – Complete miscarriage is when the embryo has completely emptied from the uterus. The pain and bleeding reduce once the foetus is expelled. This can be confirmed through ultrasound.
- Missed Miscarriage – In Missed miscarriage, there is no sign of the life of the embryo and there is no expulsion of the embryo. It can be detected from the absence of heartbeat of the embryo found on ultrasound.
- Recurrent Miscarriage – It happens when there are two or three miscarriages one after the other. It affects about 1% of the pregnancies.
- Increased maternal age i.e., women above 35 years.
- Excess or insufficient chromosome in embryo.
- Placenta is the organ which links mother and the baby for blood supply. Problem in the development of placenta can cause miscarriage.
- Excessive smoking and drinking during pregnancy.
- Obese women have higher risk of miscarriage.
- Long-term health conditions like high blood sugar, high blood pressure, liver disease etc.
- Infections like rubella, malaria etc.
- Weakened cervix, which is the result of previous injury or surgery, can also result in miscarriage.
What are the symptoms of a miscarriage?
- Bleeding or spotting can be one of the symptoms of miscarriage. It should be kept in mind that not all pregnant women who suffer from spotting or bleeding, end in miscarriage.
- Lower backache starts before or right after bleeding, which can be persistent or you could have cramps which may be mild or sharp and can feel like more of pelvic pressure.
- Missed miscarriages are detected through ultrasound when the doctor finds that there is no heartbeat of the embryo or when the uterus is not growing.
What are the treatment options in miscarriage?
- Medical – In most of the cases, there are no specific drugs to stop a miscarriage from occurring. In some cases, certain hormonal preparations help. There is no point in prescribing medicines for prevention of miscarriage if there is heavy bleeding.
- Surgery – Dilatation and evacuation (D&E) is a simple operation which is done under general/local anaesthesia. In this operation, the cervical canal is dilated and contents present in the uterus are evacuated. There is no cutting involved as it happens through the vagina. The process needs only five to ten minutes, but the patient has to stay in the hospital for about 3-4 hours.
This process is opted when:
- There is heavy bleeding.
- The patient suffers from missed miscarriage.
What can you do to prevent miscarriage?
Nothing much can be done to prevent miscarriage in most of the cases. However, following supportive measures may help:
- There should not be overexertion during pregnancy. Moderate amount of physical activity is permissible.
- One should have a well-balanced diet. Studies have shown that a diet loaded with fruits and veggies helps in overall well-being during pregnancy. One should limit the consumption of caffeine.
- Avoid smoking, alcohol and certain drugs to prevent miscarriage.
- Avoid stress and anxiety.
Report to a Doctor as soon as any symptom related to miscarriage appears.
Sir, I am married before 1 year and I am tried for pregnancy but not get pregnancy. Please give a name of medicine if any Please help.
I want to get pregnant but I can not because my husband semen is 48000 million is this low and another issue for that kindly please let me know about that.
Sir my wife had her last period on may6. Now its been 53 days since her last period. During these days we tried to contact several times. She have all major pregnancy symptoms. But we have done many tests like ultrasound, urine, blood and home tests. All are shown negative. We are really confused whether she is pregnant or not. Please give some advice.
I have an itch in my vagina. Happens only in the evening. It feels very dry even while having intercourse.
Hi there. She is 36 years old had lumps in right side breast 4 cm one year back it was 2 cm doc did mammography n scanning he said we ll see after 6 month no medicine nothing wt to do I want permanent treatment. please suggest can it turn in to cancer.
I am 38 years married female since 4 years with a 2 years old child. I hardly hav relation with my husband. May be once in a month or sometimes we don't even remember when last we came close. I do not enjoy sex neither I have any erge for it. Pl help.
Polycystic ovarian syndrome (PCOS) is a medical condition related to a woman’s endocrine system. Generally, this disorder is characterised by an imbalance of the sex hormones (oestrogen and progesterone), which leads to the development of multiple small cysts in the ovaries. Symptoms of PCOS include acne, irregular menstrual cycle and depression to name a few.
The causes of PCOS have not been accurately identified so far, but researchers suggest that the following factors might contribute to the onset of the condition.
1. Increased amount of insulin secretion- Women suffering from insulin resistance may get PCOS as their body is not able to effectively use this insulin, which results in increased insulin secretion by the pancreas. This, in turn, triggers more androgen (male sex hormone) production in the ovaries, making it difficult for the ovaries to ovulate.
2. Lower inflammation levels- The white blood cells present in your body form resistance against infections through a response termed as inflammation. Women with lower inflammation levels are likelier to get PCOS as the decreased levels stimulate polycystic ovaries, thereby producing more androgens.
3. Genetic factor- If you have a family history of PCOS, it’s highly probable that you may also get it as the disease is linked with your genes.
How To Live with PCOS
PCOS comes with numerous side effects like acne, obesity, infertility, excessive facial or body hair among others. There are certain lifestyle changes, which you may consider to manage PCOS and minimise its side effects.
1. Change your diet - Opt for a low carbohydrate, low sugar diet to keep your insulin levels in control, as insulin is responsible for increasing the severity of PCOS symptoms.
2. Try to maintain an ideal body weight - Obesity is known for worsening insulin resistance, and you can prevent this by regularly keeping your weight in check. You can practice some easy at-home exercise to reduce weight besides having a balanced diet.
3. Get yourself checked regularly - Visit a doctor and get yourself checked regularly for potential health risks as PCOS is often associated with increased chances of diabetes, heart diseases, certain forms of cancer, hypertension, and high LDL (bad) cholesterol levels.
4. Join a support group - Joining a PCOS support group will help you cope with your emotional difficulties, while helping you to live a better life by cultivating an optimistic outlook. If you wish to discuss any specific problem, you can consult a gynaecologist.