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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
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My girlfriend is of 19 years, and she suffers from a lot of pain in her lower abdomen and legs during periods. She also goes to loo very frequently (not only at the time of period, but daily). Is there any problem in all these? if there is any, then what should she do?
My wife is 10 weeks pregnant and found bleedings at 8th n 10th weeks got scanned and result was foetus is ok. Is frequent scanning harmful to foods and it makes any after birth problems. Pls reply.
Hello doctor. My period is 20 days late. Normally my cycle is 37 days. I had an unprotected sex with my bf about 6 week ago. He told that he did not ejaculated inside. But for safety I took an emergency contraceptive within 2 hour of the sex. Yesterday I took a home pregnancy test and it was negative 3 times. I am now worried am I pregnant?
My name is ANJALI SHARMA. Age-18 I have irregular mensuration. Every month date shifts upto 15 days. Help.
Sir/madam if pregnant test is positive then which is the best treatment for initial stage (30 days) medical abort is 100% sure or not and how much it cost. Fees and tablets. whether unmarried couples are allowed in hospitals.
Hi Dr. My daughter is of 14+ n during periods she suffer from heaving bleeding plzz give sm suggestion she had bleeding for 7 DayS. please tell me something she can't take medicine also because it affects a lot during periods. So Dr. please help me.
Hello Dr. my wife is 46 days pregnant for second child. What diet she should follows in these days Should she eat cashews and almond or dry fruits?
Iam a 21 year old girl. 3 year before I felt a lump in my breast and consulted a doctor. She told it is fibroid. I hav taken medicines like primesome, evion and all. Now I am not able to write properly with my hands due to some difficulty. I hand pain om the bones near neck. Feeling tired and some pain and itching on vaginal area. The skin of my breast have changed like old womens and scailness of skin is there. please give an advice.
With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.
Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.
Types of contraceptives:
* percentages mentioned within brackets are failure rates
It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.
Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts
Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.
It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Increased blood loss and duration of menses, increased dysmenorrhea
Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.
Indicated for: multiparous women greater than 35 years who smoke.
Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.
It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.
Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.
This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.
Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.
Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).
A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.
Yes first morning sample and I can not blood test nd not take non pregnancy medication. Actually before 3 months I had missed abortion. Now again try for baby but test is negative.
I have regular pain during my periods and it becomes to much so I can't do anything and also can't sit for a while. Please suggest.
You've probably read about kegel exercises a million times before. Perhaps you even clench and release your pelvic floor muscles each time you come across an article like this one. But if you haven't made them a daily habit yet, and aren't sure whether or not you need to--here's some help.
1. They can keep incontinence at bay
As you grow older, your pelvic floor muscles--responsible for giving you control over your bladder and bowels--get weaker. Which means every time you sneeze or laugh or cough on a full bladder, chances are a little urine will leak out. Doing kegel exercises can strengthen these muscles, and make sure you are always in control.
2. They can help your body cope with childbirth
Pregnancy can wreak havoc on your body--especially the pelvic floor muscles, making incontinence a reality much before age catches up. Moreover, many women also complain of lessened sexual arousal after childbirth. Enter: kegels. Practice them before and after you give birth to keep incontinence at bay and well. Enjoy sex much like before.
3. They can give you stronger orgasms
Did you know: kegels can help you get a better grip on your partner's member during intercourse? they can also help you achieve coveted multiple orgasmsm, and tone those much-needed vaginal muscles.
How do I know I am doing them right?
Clenching is not the problem; finding the right muscle to clench, however, is.
So, begin by identifying the muscles in question. The next time you're on the pot, try to stop urinating mid-way. Those muscles that helped you do just that are the ones to work on. (keep in mind that kegels should be done on an empty bladder, and that stopping the urine flow too often can lead to urinary tract infections.)
Now, lie on your back on the floor, knees bent--legs hip-width apart--and flex the muscles for 3 to 5 second, and release them for 3 to 5 seconds. Do 3 reps of 10 seconds each day. Once you're comfortable and confident, you can practice the kegel exercise while sitting at your desk or standing in the metro train.
So what are you waiting for? let the kegels begin!
I am suffering from pcod and thyroid due to which m facing lot of hairfall I want to knw how long I have to take d treatment for same to prevent hair fall problem.
I am 16 years old and during monthly period I sometime suffers from stomach pain. Wt should I do to remove the pain.
Hello doctor I am 28 years old. Had got married in feb 2014. We are planning for baby. But from last 2-3 months we are having not having regular sex. And my husband seems to be losing interest in it as prior he used to have foreplay session and would insest to make love. But now its me who has to start on with the session and the energy is also low. Please advice me as how to bring back the interest. And now a days he is everytime forcing to have anal sex but I am scared and not comfortable. Please help. Also is it normal as when he dicharges the liquid flow back out.
Today ld is prevalent among 12% of school going children and is often left unnoticed. If identified at an early stage it can be remidiated (if not cured).
Unidentified ld can leave a child emotionally scared and academically backward.
What is learning disability?
Learning disability is a disorder in one or more of the basic psychological processes involved in understanding or in using language -spoken or written, which may manifest itself in an imperfect ability to listen, think, speak, read, write, spell or do basic mathematical calculations. It is characterised by
A) disorder of attention and hyperactivity.
B) memory disorders.
C) academic characteristics (dyslexia, dysgraphia, dyscalculcia).
D) disorder of listening.
E) disorder of spoken language.
F) visual, auditory, haptic perception deficits
G) motor deficits in fine and gross motor skills
Some common signs of learning disabilities
1) does your child have a illegible handwriting,
2) mixture of cursive and print writing,
3) unfinished or omitted words in a sentence,
4) difficulty mastering rules of language,
5) remembering facts and numbers,
6) poor handwriting,
7) awkward pencil grip,
8) trouble with word problems in maths,
9) frequent reading and spelling errors (d, b) or (left, felt),
10) difficulty following sequence of directions,
11) trouble with word problem in maths
12, trouble learning maths facts (addition, subtraction, multiplication, division, difficulty measuring things
If you notice at least four of the above signs you need to consult a professional.