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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
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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I have pregnancy of four months. In my first scan. I got I have multiple gallbladder stones. Is there any remedy to remove this stones except operation? Can you tell me some another way?
I have my periods for more than 1 month, still it is continuing. The flow is not heavy. Please help me what to do.
Hello Doctor, Me and my hubby are trying for a kid since 3 months. Now from 2 days I am feeling a bit of itching sensation near my vaginal opening. It's a light itching but uncomfortable. Please suggest me how to get rid of this.
Hi, I have a big worry in my mind, kindly help me about it. So I am 23 years old and my weight is 42 kgs. I have been having brown discharges since the past 2-3 days. I am really worried about why this is happening. I want to clear up that I have a boyfriend and we have a healthy relationship but we have never had sex, to simply say, I am a virgin. Such discharges are making me nervous, and this morning there was a little blood in there too. Kindly suggest what should I do now, I have faced such discharges earlier and had an ultrasound and consulted with doctors but they said nothing major was wrong with me. Kindly suggest what should I do now?
I had sex on 1st april with protection of condom and I had taken unwanted 72 after 3hours. After that I had nausea and body pain and fever. After that I had sex on 4th april with condom. Today 8th april I got light brownish color bleeding. Not like periods. Is I pregnant? I had my periods on 19th march previously and I am not regular on my periods. Is it due to implantation of egg or it is just another side effect. Should I do blood test? Tell me briefly what should I do. Is I pregnant.:(
I and my girlfriend found of anal sex. But we are afraid to do. We are afraid from pain What we do to enjoy anal sex?
Mam yesterday I had. Sex with my bf I took ipill with in 1 hr. I am finding some spotting is it common side effect? Plz.
According to a study conducted by “Psychology Today”, it was found that couples who underwent a pre-marriage counselling have had more mutual understanding and lesser divorce rates. Given the staggering rate of divorce these days, it is wise to go through a pre-marriage counselling before tying the knots. Here are the top 10 benefits of a pre-marriage counselling:
- Discuss the hot topics: The biggest benefit of a pre-marriage counselling is the fact that most of the hot topics such as which religion will the children follow, what happens when the in-laws interfere in the relationship, which car to buy etc. reach an easy consent. This step will help to settle down on some of the most important events of life without having to fight, argue or divorce.
- Wisdom of the counsellor: The wisdom of a marriage counsellor goes a long way in settling some of the initial apprehensions of marriage. Having gone through the process of marriage and counselling many others, a counsellor knows where the shoe pinches and how to address them maturely.
- Set the expectation right: A pre-marriage counsellor helps to set the expectation right for both the bride and the groom. An open discussion helps a couple gauge the kind of adjustments they must do after marriage. This ensures that there are no pretensions with each other.
- Communication: Communication is by far the most important aspect of a relationship. A counselling session helps a couple understand the importance of listening to each other, discussing issues without arguing and not taking each other for granted.
- Review finance: Finance is a big matter of discussion for any couple. Be it the monthly budget, savings, spending everything is related to finance. Although uncomfortable, both the partners might discuss the financial situation at great length to avoid any unnecessary complications going forward. A pre-marriage counselling helps in doing just that.
- Discuss what matters the most: A pre-marriage counselling gives a couple the chance to discuss what matters the most to them. For instance, it can be career, freedom, space or anything. This counselling session will help the partners find out about each other’s passion.
- Discover the unknown: This session gives a unique chance to the partners to find out things that never got discussed before. Stuff like past trauma, hidden talent, untold emotions and so on are included here.
- Prevent the stumble: It has become fairly common among couples to split within months of marriage because of disagreements. A pre-marriage session can greatly help to avoid such a situation by making perspectives clear to each other.
- Lay down the rules: A marriage is the union of two lives. It is, therefore, necessary to understand the do’s and the don’ts. Understanding the liking and the disliking of each other is essential for a marriage to survive.
- Discuss the future: Above all, a pre-marriage counsellor helps couples to understand what they want. Since both of them influence each other a great deal, discussing future such as children, time needed for the family, personal goals etc. can be discussed.
Can precum get a pregnancy. Just married we had sex without condom. I did not inset sperms vingna. Can a pregnancy. We postpone a baby for 1 year.
I had unprotected sex with my gf on 19th of may and the last day of her bleeding was 17th may. She took Emergency contraceptive pill after that. Her regular cycle is of 28 days. The periods are still awaited and it's already been 12 days past of her due date. The home Pregnancy test has been done for once and it shows negative. Is it possible that periods will get delay for this long after taking Plan B? Are there any chance of getting pregnant?
Am 20 years old Now am 4 weeks and 6 days pregnant I have little bit white discharge Is this normal in pregnancy.
What will happen if a person had sex with a married woman and with a virgin without taking any safety precautions? (both women don't have any diseases) Is there any chance for sexually transmitted diseases?
Can we expect the pregnancy even after two periods. And four negative home pregnancy tests. I took ipill a month ago and tge periods in previous month was delayed for 2 weeks and this month my cycle is regular as usual. I did took 4 urine home pregnancy tests each with a weeks gap. Please advice can there be still any chances of pregnancy?
Me and my girl had an intercourse I made sure I didn't load inside two days prior her period she have to start her cycle on 23rd of Feb but she didn't she felt cramps and tender breast and she is discharging white fluid and sometimes she felt her period started but it actually didn't is she pregnant or is it just an irregular period.
I am 19 years old female with recently discovered pcod and have no symptoms other than missed period for 2 months. Ive heard dairy products are good for pcos. Can I drink milk?
Dear Doctor, Me and my wife had intercourse using condoms as contraception on 24th November. Her expected period date was on 26 november. Her period have not arrived yet. We had tested an home pregnancy test today (1-12-16) and the result was negative. So what could be the possible reason behind this?
Hello, I was thinking about getting a general check up with gynecologist. I have been having comparatively very less period from past three months, with dark clots. I want to consult a doctor before assuming anything. Just want to be mentally prepare for the kind of examinations that it would include. So, could you please let me know how the check up will be. Or is there any specific tests that I should ask my gynaecologist for? What kind of tests it probably should include?
New path to blood sugar control
Most dm drugs make pancrea to increase insulin other act on liver other act on body cell
To date, two of these new drugs have been approved by the u. S. Food and drug administration for treating type 2 diabetes. The first, canagliflozin (invokana®), was cleared last march; the second, dapagliflozin (farxiga®), was approved just this week.
Both drugs are so-called sglt2 inhibitors that act by blocking the kidneys’ reabsorption of sugar, or glucose. The result is that more glucose is released in the urine and the patient’s blood glucose level goes down — a major goal of diabetes treatment.
Most other available drugs for diabetes work by targeting the liver, pancreas or gut to improve insulin sensitivity, reduce insulin resistance or stimulate insulin secretion. In contrast, sglt2 inhibitors work completely independent of insulin.
The two new medications, which are taken by mouth in pill form, are approved for use as stand-alone drug therapy, in addition to changes in diet and increased exercise, or in combination with other drugs for diabetes. Their approvals were based on multiple clinical studies — nine for canagliflozin and 16 for dapagliflozin — showing that they effectively lowered hemoglobin a1c, a measure of average blood sugar level over the previous three months.
A surprise effect on the waistline
An added benefit is that sglt2 inhibitors are associated with modest weight loss. For instance, patients shed from 2.8 percent to 5.7 percent of body weight in clinical studies of canagliflozin.
“The weight loss is an appealing side effect of sglt2 inhibitors, especially in the growing population of obese individuals with type 2 diabetes,” says cleveland clinic endocrinologist mary vouyiouklis, md. “aside from metformin, which occasionally results in modest weight loss, other oral drugs used to treat type 2 diabetes are weight-neutral or can cause weight gain.”
Safety profile: keeping an eye on heart effects
Another potential benefit is also a potential adverse effect: the fact that sglt2 inhibitors have a mild diuretic effect (i. E, tend to increase urination). This results in lowering of blood pressure, which can be good for some patients who have high blood pressure but can also cause lightheadedness, dizziness or even fainting in other individuals. Dr. Vouyiouklis says caution is needed before these drugs are started in any patients at particular risk of the latter effects, such as the elderly or patients taking diuretics or multiple drugs for blood pressure.
The drugs’ other most common side effects in clinical trials — genital yeast infections and urinary tract infections — are also related to the fact that they act via the kidneys. Both drugs posed a low risk of hypoglycemia, the dangerously low blood sugar episodes associated with some diabetes therapies.
However, the new drugs were found to modestly increase levels of ldl (“bad”) cholesterol, which could be a concern because patients with diabetes are already at increased risk of heart disease. The potential for increased rates of heart attack, stroke and other cardiac events is being specifically monitored in large ongoing studies of both canagliflozin and dapagliflozin, but full results are not expected for several years.
Ongoing bladder safety scrutiny with dapagliflozin
Additionally, patients taking dapagliflozin in clinical trials showed a small increase in bladder cancer diagnoses compared with control patients. In fact, dapagliflozin was rejected for approval by the fda two years ago because of concerns over bladder cancer and liver toxicity.
The agency’s concerns about these risks were eased by additional data from dapagliflozin’s manufacturer this time around, but the drug’s approval included a requirement that it be studied for bladder cancer risk in patients in ongoing trials as well as in new animal studies looking specifically at effects on the bladder.
Canagliflozin does not appear to be associated with bladder cancer or liver toxicity, the fda concluded.
More agents in the pipeline
Several other sglt2 inhibitors may soon be available as well. One of them, empagliflozin, is in late-stage studies, and the fda is expected to decide on its approval by the end of march.
Who should get these drugs, and when?
Dr. Vouyiouklis says obese patients with type 2 diabetes and normal kidney function stand to benefit most from sglt2 inhibitors. In general, these drugs seem to be best tolerated by patients with normal kidney function and less well tolerated by those with moderate kidney disease (they should not be used by patients with severe kidney disease). They are not approved for use by pregnant women, patients under 18 or individuals with type 1 diabetes.
“Although sglt2 inhibitors are approved for use as single drug therapy, metformin remains my choice for first-line oral therapy,” says Dr. Vouyiouklis. “Because sglt2 inhibitors are relatively new and their long-term effects are not yet known, I prefer to reserve them for use as add-on therapy. I believe they will be a useful addition, especially in obese patients who are seeking to lose weight.”