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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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Hi I am 30 and weigh 53 kgs. We got married in 2010 and started trying in 2012. After trying for 2 years, I conceived in 2014. During these two years, both of us had undergone fertility tests and they came out all good. But I had a miscarriage at 12 weeks. We did genetic testing to rule out the reason but there was no such issue. We started trying again and I had been put on Clomid 50 and 100 several times and closely monitored. I ovulate mostly when triggered. The lining is fine. Have undergone all tests including HSG, Endometrial biopsy and they have all come out well. Have done 2 iui cycles with injections with no result. Now I want to know is it the right time to move to ivf? And what do you think are my chances of becoming a mother. Please guide.
Melasma is one of the most common forms of hyperpigmentation .It commonly appears as brow or gray -brown patches on the face . These patches are usually symmetrical and visible on cheeks,forehead,bridges of nose,above the uper lip and chin .
CAUSES OF MELASMA
Melasma is more common in women than men.
2) A change of hormonal level ( pregnancy)
TREATMENT OF MELASMA
1} Sunprotection -is the key factor for decreasing melasma.
2} Depigmenting agents
a} Hydroquinone- the most common used agent ,works to inhibit a melanin -producing enzyme . It has potent antioxidant abilities.Topical hydroquinone creams comes in 2% and 4% concentrations alone or with tretinoin.Creams containing hydroquinone is intended for short-term use. A dermatologist recommendation is very important .
b} Arbutin -natural source of hydroquinone ,is considered to be much safer . It is dervided from the leaves of bearberry,cranberry,mulberry or blueberry shrubs .It too has the ability to ihibit melanin production.
To enhance skin-lightening ,the following ingredients may also help .
- Retinoic acid
- Azelaic acid
- Kojic acid
- Glycolic acid
- Low mid-potency steroids
Pocedures fr Melasma
Chemical peels - eg. glycolic acid ,tricholroacetic acid )work well in treatment of melasma . These exfoliate the superfical layers of the skin and increase the cell turnover,which triggers the fading of unwanted pigmentation . The number of sessions depend on the level of pigmentation and skin sensitvity.
Lasers- escpecially the Q-switched Nd:YAG laser ,have a positive effect on early melasma . These are also relatively safe o Indian skin.The laser light beam acts on the pigment(melanin) clumps within the skin and fragments them.Once fragmented ,these are easily cleared by body's immune system . It is done in a gap f 15 to 20 days for a minimum of 8 to 10 sessions.
Hi. My periods get delayed by 12 days last time and this time it has to com on 12 th this month but not getting yet. My periods are regular before marriage. What is the reason ? Thankyou.
Hello mam sir. Me and my boyfriend had sex on 4 th day of my period. Through I have taken unwanted 72 same day. But it's been more than a week my periods are still onn. I don't want to see a gynecologist. As m really scared is it possible to get pregnant on period. And I just took unwanted 72 just to be sure. Please help me out. Some doctor has suggested me to have pause 500 as am my periods are still onn. I'hv even been to pregnancy test it's negative. So it's been 10 days my periods are not over. What should I do. Or it's just a side effect of taking pill.
Nipple discharge is a common part of breast functioning, which normally occurs during breast-feeding or pregnancy. It is often associated with the changes of menstrual hormone. The milky discharge post breast-feeding usually continues for up to two years after stopping nursing. The condition normally gets resolved on its own but if the situation persists for a long time resort to medical assistance.
The following are some of the causes of normal nipple discharge:
- Stimulation: Normal nipple discharge can arise due to stimulation; chafing of your breast skin due to tight bras or vigorous exercises.
- Pregnancy: Most women tend to witness clear nipple discharge in the early stages of their pregnancy. Towards the later stages, this discharge usually turns watery and becomes milky in color
- Stopped Breast-feeding: In some cases, nipple discharge continues for some time after the mother has stopped breast-feeding her newborn
- Hormonal Imbalance: Some women notice tenderness in breasts and nipple discharge during their menstrual cycle
What is an abnormal nipple discharge?
An abnormal nipple discharge is usually bloody in color and is accompanied with tenderness of the breast. Papilloma is a non-cancerous tumor that is often responsible for bloody nipple discharge. Continuous nipple discharge from one of the breasts or nipple discharge that arises without any stimulation or external irritation is abnormal in nature.
The possible causes of abnormal nipple discharge include:
1. Abscess- It is an assortment of pus that get accumulated within the tissues of your body. It is usually accompanied by redness, pain and swelling. Boils and carbuncles are types of abscess. Formation of abscess in breasts may result in nipple discharge.
2. Breast cancer- Breast cancer often results in bloody nipple discharge and is often found with a presence of lump in one of the breasts.
4. Ductal carcinoma in situ (DCIS)- Normally characterized by the growth of cancerous cells in the milk ducts of your breasts, it is generally identified through mammography screening.
5. Fibroadenoma- In this situation most young women witness an appearance of solid, tumor like structure
6.Galactorrhea- Galactorrhea is nipple discharge of milk when not pregnant or breastfeeding. The discharge can vary in color and can be expressed from either or both breasts.
What Causes Galactorrhea?
Galactorrhea is commonly caused by hyperprolactinemia, especially when it is associated with amenorrhea. Hyperprolactinemia is most often induced by medication or associated with pituitary adenomas or other sellar or suprasellar lesions.
The release of prolactin from the pituitary is held in check by dopamine from the hypothalamus. Prolactin release is encouraged by serotonin and thyrotropin-releasing hormone. This balance can be disrupted by medication (ie. antipsychotics), underactive thyroid function, pituitary tumors, hypothalamic tumors, damage to the pituitary stalk, nipple stimulation, chest trauma, herpes zoster, and emotional stress as well as a variety of other factors. If you wish to discuss about any specific problem, you can consult a Gynaecologist.