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Dr. Arpana Jain - Gynaecologist, Delhi

Dr. Arpana Jain

96 (519 ratings)
MBBS, DGO, DNB

Gynaecologist, Delhi

27 Years Experience  ·  800 at clinic  ·  ₹300 online
Dr. Arpana Jain 96% (519 ratings) MBBS, DGO, DNB Gynaecologist, Delhi
27 Years Experience  ·  800 at clinic  ·  ₹300 online
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Symptoms and preventions for Menopause<br/>Symptoms and preventions for Menopause<br/><br/>Hi Goo...

Symptoms and preventions for Menopause

Hi Good morning! I am doctor Aparna Jain, senior consultant obstetrics and gynaecology. Today we are discussing problems related to menopause. Average age of menopause in an average Indian woman is 48 years. 2/3 years beyond that and before that is the period of perimenopause. Lot of women suffer from problems related to menopause first of which is hot flashes, another is urinary problem and sometimes menstrual disorder. Then there can be joint pains as well.


1. Hot Flashes. In hot flashes women usually feel lot of sweating and nervousness. Deficiency of hormones lead to hot flashes, for that we need to supplement the woman with hormones and usually we ask to avoid taking hot drinks and advice to take natural isoflavones to avoid hot flashes.


2. Menstrual Disorder. Menstrual disorder usually happens in the form of either irregular periods or heavy menses and irregular period usually occur in the initial six months to one year time then the period usually stops. If the period continues to be irregular then we need to do investigation to find out whether this woman is having any benign disorder in the uterus or malignant disorder in uterus. For that we need to do an ultrasound of lower abdomen and if required a D&C Hysteroscopy to find out whether there is any growth inside the uterus and we send this tissue for histopathology to rule out malignancy. If the bleeding till persists then the woman may need hysterectomy in that age.


3. Urinary Problem. It is quite common. Usually women do not come out with this problem because they feel shy about disclosing it. The most common problems are either frequency or dysuria which means burning during urination. Another is stress incontinence. Whenever they sneeze or cough they pass small amount of urine. It is all because of hormonal deficiency. Because of which the lining of the urinary bladder as well as the lining of the vagina becomes thin so there is chances of recurrent infection and women suffer from this problem. For this we need to supplement the women with hormones as well as ask them to take natural sources of oestrogens like soya isoflavones.


4. Joint Pain. Usually this is because of the deficiency of Vitamin D and Calcium. For this we need to address and tell them to do lot of exercises and to take Calcium as well as Vitamin D
Usually we subject every woman with health package during menopausal period in which we include a pap smear, and ultrasound routine, blood test like CBC, blood count, as well as lipid profile and kidney function test, sugar, urine routine culture, ultrasound of lower abdomen and if required mammography and if we find any problem one can go for a cardiac check up also. And, usually we tell every post menopausal woman to do some amount of exercise and take calcium and vitamin d and plenty of liquids to avoid any problem related to postmenopausal.

Thank you very much. If you have any problem related to this you can consult me either on Lybrate or you can come down to my clinic.

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<br/>Benefits of Endoscopic Surgery<br/>I m Dr. Aparna Jain, Senior Consultant Obstetrics and Gyn...

 

Benefits of Endoscopic Surgery
I’m Dr. Aparna Jain, Senior Consultant Obstetrics and Gynaecologist.
We are going to discuss about Endoscopic surgery or Laparoscopic surgery in gynaecology. It is basically a pinhole surgery in which doctors don’t open the abdomen. We just put two or three small scar at the abdomen, pet par do ya teen chote scar lagate hain jiske through we can do surgeries.

Various surgeries can be performed laparoscopically or endoscopically like removal of uterus, removal of fibroids from the uterus, removal of ovarian cyst, or ovary me jo gaanth hai uske removal ke lie kar sakte hain, or removal of cyst, any type of cyst like familial cyst or atopic pregnancy i.e, pregnancy inside the fallopian tube. It is outside the uterus and it a is very life threatening condition in which we can do laparoscopic surgery and take out the embryo.

Another issue which can be solved through laparoscopy is the case of infertility. Suppose Somebody, Who is not able to conceive. If there is some problem in the fallopian tube which can be opened by Laparoscope. Endometriosis is another very important problem which leads to infertility which can be corrected laparoscopically.

These are the various conditions which can be dealt with laparoscopy without opening the abdomen. What is the advantage? Why is laparoscopic surgery better rather than opening abdomen?
It is very very important to know about it because logo ke dimag me yeh myth hota hai ki abdomen open karenge toh complete surgery hogi aur laparoscopically agar surgery karenge to wo complete nahi hoga but it is not like that. If we are doing laparoscopic surgery we are having ten times magnification in comparison to a normal eye so it will give better vision, better insight to the disease which we will be able to handle better and the scope of recovery in laparoscopic surgery is much faster than open surgery.

There is not a single large scar on the abdomen. There are multiple, two, three or sometime four scar which is 1 cm or 0.5 cm scar at the abdomen which heal so well that post of pain is very very little after laparoscopic surgery. One is very early, one can ambulate very fast after laparoscopic surgery in comparison to open surgeries and post of addition formation. Sometime, after doing a surgery one landed up in another surgery then, after open surgery there is lot of addition formation inside so second surgery become very difficult but in laparoscopic surgery addition formation is very little so the second surgery becomes easier if somebody has laparoscopic surgery initially. Cosmetically, it is also very good because scars are very less, very little. It is almost an invisible scar in comparison to open surgery.

If you want to consult further, want to know more about laparoscopic surgery or you have any problem, for that you want to consult, you can consult us on Lybrate website.

 

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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences......more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.Certificate of Gold Medal, certificate of distinction of merit in Biochemistry - 1985 Certificate of merit & gold medal in physiology - 1985 Certificate of honor in Pathology - 1987
More about Dr. Arpana Jain
Dr Aparna Jain is a reputed gynaecologist based in GTB Nagar in Delhi for the last 26 years. She did her MBBS and DGO (PG Diploma in Obsterics and Gynaecology) from the prestigious Lala Lajpat Rai Memorial Medical College in Meerut and obtained her DNB (Diplomate of National Board) from Sir Ganga Ram Hospital in New Delhi. Her work spanning over two decades has won her a lot of recognition and she has been awarded Certificate of merit & gold medal in physiology and Certificate of honour (Pathology).Dr Aparna Jain has also over the years played an active role and been a member of the Indian Fertility Society (IFS), Indian Association of Gynaecological Endoscopist (IAGE), National Board of Examination, Association of Obstetricians & Gynaecologists of Delhi (AOGD) and Indian Menopause Society (IMS).The precision with which Dr Aparna Jain deals with her patients has earned her a name in the medical community in Delhi. She is a physician renowned for her ethical practices and post treatment patient care. Dr Aparna Jain apart from being an excellent gynaecologist is also an infertility specialist. Her practice is an ever flourishing one and she is available for consultations at Care Medicentre in GTB Nagar located in Delhi.

Info

Education
MBBS - Lala Lajpat Rai Memorial Medical College-Meerut - 1990
DGO - Lala Lajpat Rai Memorial Medical College-Meerut - 1992
DNB - Sir Ganga Ram Hospital, New Delhi - 1995
Past Experience
2011 - 2014 Senior Consultant at Fortis Hospital, Shalimar Bagh
2007 - 2014 Senior Consultant at Sunder Lal Jain Hospital
Languages spoken
English
Hindi
Awards and Recognitions
Certificate of honor in Pathology - 1987
ertificate of Gold Medal, certificate of distinction of merit in Biochemistry - 1985
Certificate of merit & gold medal in physiology - 1985
Professional Memberships
Member of National Board of Examination
Association of Obstetricians & Gynaecologists of Delhi (AOGD)
Indian Menopause Society (IMS)
...more
Indian Fertility Society (IFS)
Indian Association of Gynaecological Endoscopist (IAGE)

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Care Medicentre

7, Hakikat Nagar Gate No 1 Opposite GTB Nagar Metro Station Gate No 2 Kingsway CampDelhi Get Directions
  4.8  (519 ratings)
800 at clinic
...more

Dr. Arpana's OPD Fortis Hospital

A Block, Poorvi Shalimar BaghDelhi Get Directions
  4.8  (519 ratings)
800 at clinic
...more
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6 Symptoms Of Uterine Prolapse!

MBBS, DGO, DNB
Gynaecologist, Delhi
6 Symptoms Of Uterine Prolapse!

The uterus is a muscular structure held in place inside your pelvis with the help of muscles, ligaments, and tissues. These muscles weaken in women due to pregnancy, childbirth or delivery complications and can lead to severe complications. One such complication is a uterine prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position into the vaginal canal.

The causes of uterine prolapse are varied and include:

  1. Delivering a large baby
  2. Pregnancy
  3. Difficulty in labor and delivery
  4. Reduction in estrogen levels post menopause
  5. Traumatic childbirth
  6. Loss or weakening of the pelvic muscle
  7. Conditions which lead to increased pressure in the abdominal area such as a chronic cough, straining, pelvic tumors or accumulation of fluid in the abdomen
  8. Loss of external support due to major surgery in pelvic area


Uterine prolapse can be complete or incomplete depending on how far the uterus sags into the vagina. Women who have minor uterine prolapse may not have any visible symptoms. However, if the condition worsens, it manifests itself in visible signs.

Symptoms of moderate or severe prolapse are:

  1. A feeling of fullness or pressure in your pelvis when you sit
  2. Seeing the uterus or cervix coming out of the vagina
  3. Vaginal bleeding or increased discharge
  4. Painful sexual intercourse
  5. Recurrent bladder infections
  6. Continuing back pain with difficulty in walking, urinating and moving your bowels

Without proper attention, the condition can cause impairments in the bowel, and can also affect bladder and sexual function.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2910 people found this helpful

Sexual Pain - Is Stress The Cause?

MBBS, DGO, DNB
Gynaecologist, Delhi
Sexual Pain - Is Stress The Cause?

Painful intercourse can occur for a number of reasons – ranging from structural problems to psychological concerns. Women experience painful intercourse atleast once in their entire lifetime. The medical term for painful intercourse is dyspareunia. It is a persistent or recurrent genital pain that occurs just before, during or after intercourse. Physical causes of painful intercourse differ, depending on whether the pain occurs at entry or with deep thrusting. Also, certain emotional factors can also be probable causes of painful sex.

Entry pain: Pain during penetration may be associated with a range of factors:

1. Insufficient lubrication

Insufficient lubrication is caused by a drop in estrogen levels after menopause, after child birth or during breast feeding. Certain medications inhibit desire or arousal, decreasing lubrication and making sex painful. These include antidepressants, high blood pressure medications, sedatives and certain birth control pills.

2. Injury, trauma or irritation

This can be injury from an accident, pelvic surgery, female circumcision or cut made during childbirth.

3. Infection or skin disorder

Infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area can also cause problem.

Deep pain

1.  Certain illness and condition

These include endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, cystitis, hemorrhoids and ovarian cysts.

2. Surgeries or medical treatment

Scarring from pelvic surgery can sometimes cause painful intercourse. Medical treatments for cancer, like radiation and chemotherapy can cause changes that make sex painful.

 

Emotional factors

1. Psychological problems

Anxiety, depression, concerns about physical appearance, fear of intimacy can contribute to a low level of arousal, resulting in discomfort or pain during sexual activity.

2. Stress and tension

You may have a million things to worry about in a day, but taking that tension to bed with you can lead to painful sex. Your pelvic floor muscle tightens in response to stress in your life. This can contribute to pain during intercourse.

3. History of sexual abuse

If you've had a history of some form of sexual abuse or are scared of sex, pain during intercourse because of your past experience(s) may be a possible cause for an unpleasant sexual experience in the present. Consult an expert & get answers to your questions!

2962 people found this helpful

Urinary Incontinence - 9 Causes Behind It

MBBS, DGO, DNB
Gynaecologist, Delhi
Urinary Incontinence - 9 Causes Behind It

Urinary incontinence is the term used to describe bladder control problems that affect several people. Many think it only occurs among older, menopausal women but it actually isn't uncommon amid young and active women.

Inability to control the bladder accompanied by pain can be symptomatic of various disorders ranging from a minor infection to cancer. Fortunately, bladder cancer is rare, and bladder pain is usually not serious.

The varied causes of urinary incontinence in women are as follows:

  • Urinary tract infection: this is the most common cause of urinary incontinence and it affects women more than men due to anatomical factors. It can also happen at any age.
  • Medicinal side effect: the inability to control one's bladder may be a result of the administration of certain medicinal substances such as alpha-blockers, antidepressants, sleeping pills and various narcotics.
  • Changes in the reproductive system: pregnancy and fluctuations in hormone levels can cause bladder irritation, which leads to urinary incontinence.
  • Impacted stool: when stool gets tightly packed in the lower end of the digestive system and rectum, bladder control is affected. Chronic constipation and constraint strain on the lower intestines leads to the weakening of bladder muscles and hampers the bladder control.
  • Surgical side effects: temporary loss of control of the bladder is often a result of prior surgery and radiation therapy in the pelvic region.
  • Nerve damage and neurological disorders: strokes and spinal cord injuries have a heavy impact on bladder control and amount to urinary incontinence. Diseases such as Alzheimer's disease, Parkinson's disease and multiple sclerosis also lead to the same.
  • Health complications: disorders such as diabetes and obesity directly affect the bladder and the ability to exercise control over it.
  • Disability and impaired mobility: for women who are physically impaired and suffer from problems of arthritis, urinary incontinence is a major problem as they are unable to reach the toilet easily.
  • Bladder cancer: even though it is extremely rare, bladder cancer affects a number of women every year and is treated through surgery and chemotherapy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
2726 people found this helpful

Is Squatting Good During Labour?

MBBS, DGO, DNB
Gynaecologist, Delhi
Is Squatting Good During Labour?

There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:

1. Kegel Exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of  the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-

Slow kegel: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.

Fast kegel: To do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.

2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here’s what you should do:

1. Begin by standing behind a chair for support with your feet wide apart

2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor

3. While inhaling and exhaling deeply, push into your legs and go back into a standing position

3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. Here’s how it’s done:

1. Get down on both your hands and knees while keeping your head in a parallel position with your back

2. While arching your back, pull in your stomach

3. Hold this position for a few seconds before releasing

The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold over your back and stomach.

4. Tailor Pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:

1. While keeping your back straight, sit comfortably on the floor

2. Placing the soles of both the feet together, press your knees gently towards the floor

3. Keep the position for 10-15 seconds. You can repeat the exercise for 5-10 times. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2572 people found this helpful

PID - 5 Associated Risk Factors

MBBS, DGO, DNB
Gynaecologist, Delhi
PID - 5 Associated Risk Factors

Pelvic inflammatory disease (PID) refers to the infection that occurs in the female reproductive organs. It happens when sexually transmitted bacteria infect the uterus, ovaries or fallopian tubes on spreading from the vagina. Generally, the cervix plays the role of preventing the bacteria from entering the vagina and infecting the reproductive organs. But when the cervix becomes exposed to an STD, it loses its power to put a stop to the spread of these microorganisms to the reproductive organs.

What causes this condition?
STDs like gonorrhea and chlamydia have been found to be responsible for about 90% of PID cases.

Some of the other causes include

  • Abortion
  • Childbirth
  • Pelvic procedures

The condition is only detected later in life when you face difficulty in getting pregnant or have chronic pelvic pain complaints. If you experience symptoms like vomiting, high fever, pain in the lower abdomen and instances of fainting, you should immediately seek a doctor.

What puts you at risk for PID?
Certain factors may put you at a higher risk for PID and these are:

  • Instances of sexually transmitted diseases like Chlamydia (an STD that can occur from anal, oral or vaginal sex) and gonorrhea (a condition that causes discharge from the vagina or urethra) can make you prone to developing PID.
  • Douching on a regular basis can increase your risk of PID as it disrupts the equilibrium of good and bad bacteria in your vagina, and may hide the symptoms of the condition as well.
  • Even a previous history of PID can increase your chances of having another episode of PID.
  • Compared to older women, teenagers who are sexually active are more prone to developing PID.
  • Having multiple sexual partners can also put you at a greater risk for PID and STDs. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
2794 people found this helpful

Smoking - Does It Impact The Fetus?

MBBS, DGO, DNB
Gynaecologist, Delhi
Smoking - Does It Impact The Fetus?

Smoking during pregnancy can adversely affect not only your health but that of your unborn too. Kicking this habit can help you to have a safer pregnancy as well as a healthier baby. If not, it can lead to a number of serious pregnancy complications including the death of your baby. According to various findings, smoking during this period can double your prospects of having a baby with low birth weight as well as your chance for stillbirth.

What happens when you smoke while pregnant?

The cigarette smoke is made up of about 4000 chemicals, which includes about 60 cancer causing substances, lead, and cyanide. Of these toxins in cigarette smoke, carbon monoxide and nicotine are the two toxins that make up much of smoking-related pregnancy complication. The toxins go directly to your baby through the bloodstream, the only source of nutrients and oxygen for your offspring. By working in tandem, the nicotine and carbon monoxide toxins bring about a decrease in the supply of oxygen for your baby. While nicotine cuts off oxygen supply by constricting the blood vessels, the red blood cells responsible for carrying oxygen also pick up carbon monoxide molecules and take them directly to your baby.

What effects does it have on your little one?

When you smoke, you put your baby on harm's way and here's what happens to your baby:

- In terms of weight, it has been revealed that while smoking one pack daily can bring about a 226 gm decrease in the baby's weight, smoking two packs every day can affect your baby's weight by about 453 gm. A stunted growth during this period can negatively affect your child later in life.

- Due to the negative effects of the toxins, the development of your baby's lung and body gets hampered. It may also make your baby prone to Sudden Infant Death Syndrome (SID) and asthma.

- It can also increase your baby's chance of suffering from a heart defect. Research shows that babies whose mothers smoke during the first three months of pregnancy have 20-70% chance of developing congenital heart problems compared to babies whose mothers didn't smoke.

- Smoking can affect the development of his brain functions and cause him or her to suffer from low IQ, learning disabilities as well as behavioral issues. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2310 people found this helpful

Gynaecological Cancer - Signs You Must Be Aware of!

MBBS, DGO, DNB
Gynaecologist, Delhi
Gynaecological Cancer - Signs You Must Be Aware of!

Gynecological cancer is any tumor that begins in a woman’s reproductive organs. Cancer is usually named after the part of the body where it begins. Gynecologic cancer starts in different areas within a woman’s pelvis, which is the territory beneath the stomach and in the middle of the hipbones. There are different types of gynecological cancers and these are as follows:

  • Cervical cancer starts in the cervix, which is the lower, narrower end of the uterus. The uterus is also called the womb.
  • Ovarian cancer starts in the ovaries, which are situated on each side of the uterus.
  • Uterine cancer starts in the uterus, the pear-shaped organ in a woman's pelvis where the child develops when a lady is pregnant.
  • Vaginal cancer starts in the vagina, which is the empty, tube-like channel between the base of the uterus and ends as the vaginal opening.
  • Vulvar cancer starts in the vulva, the external part of the female genital organs.

Signs and symptoms of the above-mentioned gynecologic cancers can be very vague; however, there are a few issues each lady needs to know about and look for. The following are some of the common symptoms of different gynecological cancer:

  1. Swollen leg (ordinarily happens in one leg and comes with pain or discharge)
  2. Irregular vaginal bleeding (particularly in a lady who has experienced menopause)
  3. Unexplained weight loss
  4. Consistent bladder weight or increased urination
  5. Loss of appetite, while always feeling full
  6. Pelvic or stomach pain
  7. Bloated stomach
  8. Consistent weakness
  9. Compelling, sudden onset bloating
  10. Trouble eating or feeling full rapidly
  11. Urinary indications (urge or recurrence)
  12. Vaginal draining or spotting after menopause
  13. New onset of heavy flow during periods or bleeding between two-period cycles
  14. A watery pink or white discharge from the vagina
  15. Two or more weeks of steady pain in the lower abdomen or pelvic region
  16. Pain during sex
  17. A red, pink or white bump that has a crude or wart-like surface
  18. A white area that feels unpleasant and rough
  19. Continuous itching
  20. Pain or a smoldering feeling while urinating
  21. Bleeding and discharge not connected with monthly cycle
  22. An open sore or ulcer that lasts over a month

A large portion of the symptoms connected with gynecologic cancers may occur due to other reasons every once in a while, which may make us ignore them. It is vital to be tuned into your body and pay consideration on any progressions. In case you see new side effects that are happening every day for more than a couple of weeks, this can be an indication of gynecological cancer. Try not to worry. Make sure to go for regular check-ups at your gynecologist. If you feel that the aforementioned symptoms are persistent, seek medical attention.

2937 people found this helpful

Trichomoniasis - Treatment Options and Prevention

MBBS, DGO, DNB
Gynaecologist, Delhi
Trichomoniasis - Treatment Options and Prevention

Trichomoniasis is one of the most commonly occurring sexually transmitted infections. It generally happens on account of having multiple sexual partners or not using condoms and other protective measures during sexual intercourse (vaginal or anal).

Trichomoniasis leads to a foul smelling vaginal discharge and other symptoms that include spotting/bleeding, painful urination, itching in the vaginal region, all of them resulting in painful sexual intercourse. The single- celled protozoa (pathogen) causing this infection is Trichomonas vaginalis.

Symptoms-

The most common symptoms among women are:

  1. vaginal discharge, which can be white, gray, yellow, or green, and usually frothy with an unpleasant smell
  2. vaginal spotting or bleeding
  3. genital burning or itching
  4. genital redness or swelling
  5. frequent urge to urinate
  6. pain during urination or sexual intercourse

The most common symptoms in men are:

  1. discharge from the urethra
  2. burning during urination or after ejaculation
  3. an urge to urinate frequently

Treatment Options for Trichomoniasis-

The treatment options for Trichomoniasis can be categorized as follows:

  1. Antibiotics such as ‘Tinidazole’ or metronidazole can be administered.

  2. It is advisable not to consume alcohol within the first 24 hours of being administered ‘metronidazole’ and the first 72 hours of being administered tinidazole as it can lead to severe vomiting and nausea.

  3. Metronidazole is strictly advised against during pregnancy as it can harm the baby.

How to Prevent Trichomoniasis?

The preventive measures include:

  1. Indulging in safe sex is the best way to prevent Trichomoniasis.

  2. Condoms should be used by both the male and the female partners during a sexual intercourse (anal or vaginal).

  3. Sharing sex toys is another big ‘NO’ as the carriers of various STDs may spread through their common usage.

  4. If a person has already been infected by Trichomoniasis then abstaining from sex is the safest option to prevent it from spreading. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2784 people found this helpful

Know more about Menopause

MBBS, DGO, DNB
Gynaecologist, Delhi
Play video

Symptoms and preventions for Menopause

Hi Good morning! I am doctor Aparna Jain, senior consultant obstetrics and gynaecology. Today we are discussing problems related to menopause. Average age of menopause in an average Indian woman is 48 years. 2/3 years beyond that and before that is the period of perimenopause. Lot of women suffer from problems related to menopause first of which is hot flashes, another is urinary problem and sometimes menstrual disorder. Then there can be joint pains as well.


1. Hot Flashes. In hot flashes women usually feel lot of sweating and nervousness. Deficiency of hormones lead to hot flashes, for that we need to supplement the woman with hormones and usually we ask to avoid taking hot drinks and advice to take natural isoflavones to avoid hot flashes.


2. Menstrual Disorder. Menstrual disorder usually happens in the form of either irregular periods or heavy menses and irregular period usually occur in the initial six months to one year time then the period usually stops. If the period continues to be irregular then we need to do investigation to find out whether this woman is having any benign disorder in the uterus or malignant disorder in uterus. For that we need to do an ultrasound of lower abdomen and if required a D&C Hysteroscopy to find out whether there is any growth inside the uterus and we send this tissue for histopathology to rule out malignancy. If the bleeding till persists then the woman may need hysterectomy in that age.


3. Urinary Problem. It is quite common. Usually women do not come out with this problem because they feel shy about disclosing it. The most common problems are either frequency or dysuria which means burning during urination. Another is stress incontinence. Whenever they sneeze or cough they pass small amount of urine. It is all because of hormonal deficiency. Because of which the lining of the urinary bladder as well as the lining of the vagina becomes thin so there is chances of recurrent infection and women suffer from this problem. For this we need to supplement the women with hormones as well as ask them to take natural sources of oestrogens like soya isoflavones.


4. Joint Pain. Usually this is because of the deficiency of Vitamin D and Calcium. For this we need to address and tell them to do lot of exercises and to take Calcium as well as Vitamin D
Usually we subject every woman with health package during menopausal period in which we include a pap smear, and ultrasound routine, blood test like CBC, blood count, as well as lipid profile and kidney function test, sugar, urine routine culture, ultrasound of lower abdomen and if required mammography and if we find any problem one can go for a cardiac check up also. And, usually we tell every post menopausal woman to do some amount of exercise and take calcium and vitamin d and plenty of liquids to avoid any problem related to postmenopausal.

Thank you very much. If you have any problem related to this you can consult me either on Lybrate or you can come down to my clinic.

3767 people found this helpful

Can Sensitive Skin Be the Reason Behind Pain in the Opening of Vagina

MBBS, DGO, DNB
Gynaecologist, Delhi
Can Sensitive Skin Be the Reason Behind Pain in the Opening of Vagina

Vulvodynia is a condition which causes severe pain in the opening (vulva) of the vagina without any apparent reason. The pain might be chronic in nature and can go on for years. Vulvodynia might affect your emotional health in the long-term and cause anxiety, depression and disrupted sleep patterns, if not treated immediately.

Doctors are still unsure regarding the exact causes of Vulvodynia. But there are few factors, which can increase your risks of suffering from this disorder:

  1. If you have a sensitive skin or have any past history of previous vaginal infections, you might be susceptible to vulvodynia.
  2. Vulvodynia might also be caused due to past injuries around the vulva.
  3. Sometimes, hormonal changes might also cause Vulvodynia.
  4. This disorder can also occur in women who have previously suffered from recurrent instances of sexual abuse.

The symptoms of Vulvodynia can be acute or chronic in nature with the pain being confined to one particular area or around the entire region.
The treatments for Vulvodynia aim at regulation of the symptoms. The most common treatments for Vulvodynia are:

  1. Your doctor might prescribe a specific dosage of steroids or antidepressants to get rid of the pain. Prescribed dosage of antihistamines might help to cure the itching sensation.
  2. You can apply a regulated amount of ‘Lidocaine’ ointment around the vulvar regions thirty minutes before sexual intercourse.
  3. You can also opt for pelvic floor therapies as they might provide relief from significant pain in the pelvic floor muscles resulting from vulvodynia.
  4. If the pain is centralized around a particular area, you might opt for vestibulectomy to remove the affected tissues and get rid of the pain.




 

2879 people found this helpful
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