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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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On November, I had my periods on date 22. In December I had sex on date 11th. But I had my periods on date 21st. But this month still my periods are not yet. I think the cycle was was 25 to 30 days know. But by counting, it was 31 days. But still my periods are not occurred. What was the reason may be? please tell me.
I got boy baby exactly two months back by LSCS method. Now I had sex with my wife. Which has any problem? We feel comfort no issue. And stopped before ejaculation. Please tell me this, for this need any precaution?
I am pregnent. 8 weeks. In torch test rubella igg 62 cmv129 hsv27. But igm -'ve. Can my baby healthy?
Am 52 years young lady. April 8 had Bleeding (menstruation) after two years was like any normal periods before my menopause my periods were normal N regular and stopped abruptly two years back no spotting nothing. Near my vagina feel pain very very slight since two weeks pl guide. No intercourse since two months.
Good afternoon, I am Dr. Puneet Kocchar. I am a consultant gynecologist and a fertility specialist at Elixir Fertility Center, New Delhi. Today I will be talking about Recurrent miscarriages and abortions.
A positive pregnancy test is a very exciting news not only for the couple but for the entire family. However, sometimes there is a miscarriage and the chances of miscarriage in the normal pregnancy are about 10-15%. If you have had only one miscarriage, then the chances that you will carry on till term without requiring any medical extensive treatment in your next pregnancy are nearly 80% or more. For women who have had only one miscarriage, we will not recommend going for extensive testing or treatment.
What is recurrent abortion or recurrent miscarriage?
If a lady has had 3 or more repeated abortion, it is called recurrent abortions. Even these days we start doing test and treatment if a lady has had 2 abortions and we do not wait for third one to occur.
So, why does an abortion occur?
In simple terms, either it is a fetus, that is, an embryo is not normal or the womb which is going to carry the pregnancy has some problems in it. What happens to a fetus if you are carrying a genetically abnormal baby, that can lead to miscarriage. It is nature's way to take care of the pregnancy and not letting the abnormal baby come into life. So, we do tests called genetic tests to check the chromosomic make up of a baby. They can be done on the products of conception. We also recommend that we have complete parental care, that is the blood test of both mom and dad to check the both of the chromosomal content.
Sometimes, in2-5%of the cases, there is balanced chromosomal translocation. Now this translocation will not cause any problem to the person who is guiding translocation. But when you produce an egg or the sperm, the embryo can be abnormal and this will lead to a miscarriage.
What happens to a person carrying a translocation?
If you are carrying a translocation which is leading to repeated miscarriages, it is better to plan IVF cycle along with PGD or PGS rather than normal conception.
IVF is where we create an embryo using the eggs from the lady and sperm from the husband. When the embryo is ready, we take a small biopsy and we subject it to test and a complete chromosomal analysis. And once the results are back, the normal embryo is transferred back into the lady's womb resulting in healthy pregnancy. This is one factor that we just addressed.
The second factor that we talked about is abnormalities in the womb. Now, simple test to analyze hormonal balance from the blood taken from the lady will tell us about thyroid status, diabetes, abnormal prolactin. These are all hormones which if are elevated or below the range can lead to abortions. THis can all be treated by giving oral tablets. So, these are important to be tested for any women having recurrent abortions.
- Then we look into other factors such as autoimmune problems which are very common, occurring in about 20% of the patients. During pregnancy, we advise you to take low dose aspirin tablets and low molecular weight hampering injections for the entire duration of pregnancy. And this results in more than 60% successful pregnancies.
- Another important factor that leads to abortion, which is Thrombophilias. THese are inherited problem which increases the tendency of blood to clot. Since the blood flow to the uterus is not occurring properly, you might again need blood gain agents such as aspirin.
- Some of the other common factors are an anatomical factor. So, if the uterus or a womb is carrying a fibroid can also lead to abortions. Now, these can be easily diagnosed by doing an ultrasound either 2-dimensional or 3- dimensional. If such a problem is present, we can treat it by doing a hysteroscopic procedure.
- Another important factor that leads to Abortion, especially in our part of the country, that is North India, is Tuberculosis. This is one of the commonest cause of miscarriages especially in our part of the country. It can be tested by doing Biopsy. Take a small amount of tissue from the uterus and check whether the lady is carrying Tuberculosis or not. It can be treated by giving oral medication of tuberculosis that has to be taken for the period of 6-9 months.
- Another common cause is the imbalance of Th1 or Th2 cytokines. These are the cytokines present in the uterus which may not let the embryo or the pregnancy to grow. And if these are found to be positive, we recommend Immunomodulation.
So, these are the various causes due to which a lady can have an abortion. An important thing here is do not loose hope and do not give up treatment. If you have had 2-3 abortions, you need to get complete panel of tests done and with the help of a treatment, you have 60% of the chance to deliver a baby normally.
If you wish to consult me, please contact me through Lybrate or you can visit my clinic directly.
Hi I am 27 male I got married before 2 years still my wife not conceived her periods was regular and as per doctor advice she done with folical test reports was normal and I did serum analysis test it was 80 millions Doctors please suggest what to do now.
I don't ever feel hungry but I want to eat. I eat every 3 + hours and sometimes I don't even feel hungry but I know I have to feed my body and I do even if I'm not hungry because how else will my body function properly without the food it needs. Will I gain more weight/body fat if I do this?
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Hi doctor, I had unprotected sex with my husband last month and I still did not get any periods for this month. It's delayed almost by 13 days. I don't want early pregnancy. Please suggest me some medicine to get early periods. Will be eagerly waiting for reply.
Hi i am nidhi my age is 30 Years have one two year old baby Though my periods are regular but this month my periods have not started yet my due date was 3 Sept .i have done pregeneincy test and its negative
I am 27 yr old unmarried female with t3 and t4 normal, tsh 4.2 after taking 25mcg thyronorm tablet, containing left ovarian cyst of 22×24 mm in size. I am taking ocp and metformin twice daily still bleeding very less 2 days with scanty flow lh value 6.11, Fsh 5.15 Prolactin 27.92 and hb 13.6 on 2nd day of period. Kindly help me reason of scanty period and what should be done.
I'm 25 years old, i'm trying to conceive in 3 years but no result and my reports are all normal, like FSH, HSG, TSH and my husband reports sperm count is 75%. And what's my problem? I'm so worry about this.
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Is there any contraindication for taking misoprostol for abortion if I have previous history of POST PARTUM haemorrhage. I have two normal deliveries with one history of mtp.
I am having pid problem, since 2011 august. Recently I am suffering from severe nerve pain (l5 s1 region right leg ), severe pain in my right knee, right ankle and foot for last two month.
Why do people/student torture animals- what drives them?
Can we analaysis and find solution: let try to stop this any more in our life
As we all aware that two animals cruelty incidents happened in tamilnadu, one with the dog and another with an monkey.
Case a, 12 yrs old kid hitting cat with broomstick, their parents brought for an counseling that he has not coutesy for animal and he was killing without any guilt.
Case b, 23 yrs adult was burning a rat alive with kerosine and feeling happy to see that rat die with burn.
And there are many cases which were not recorded and submitted for case discussion.
What typically possesses them to inflict such acts of intentional animal torture and cruelty?
These are because of psychological disorders (such as anti-social/psychopathic personality disorders and engage in deliberate acts of zoosadism), and/or because they have sexually paraphilic disorders (such as crush fetishism in which small animals are crushed for sexual pleasure).
This may be common behaviour among murderers and rapists - those with psychopathic traits characterized by impulsivity, selfishness, and lack of remorse.
Animal torture and cruelty is one of the three adolescent behaviours in what is often referred to the homicidal triad , the other two being persistent bedwetting and obsessive fire-setting. The combination of two or more of these three behaviours increases the risk of homicidal behaviour in adult life.
The behaviours in the homicidal triad are often associated with parental abuse, parental brutality (and witnessing domestic violence), and/or parental neglect.
What we can do:
The best way to prevent it is teaching by example. Parents and teachers are the key and plays very important role.
Pro-social behaviour (action/behaviours intended to help others) by parents and other role models towards animals, such as rescuing spiders in the bath, feeding birds/ants, treating pets as a member of the family,
Schools and colleges can have some pet home in the campus.
These activities or act has the potential to make a positive lasting impression on children.
It's a start, lets all have at least one pet in the home make your son/ daughter to take care of them (pet therapy).
Elayaraja m. Sc, m. Phil, pgdgc, pgdha
Kavithalyaa counseling centre, ambattur, chennai-53.