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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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Excellent experience ......Dr Madhu is a mature and job oriented person.
Hi my age is 21. I am a female. Actually yesterday I has some kind of vaginal spotting .I thought that my periods have started because my date in the previous month was 14th but I am only having drop drop yesterday only three drops I do not know what has happened .Do I need to visit a doctor? Plus I do some exercise daily I do rope skipping upto 100 repetitions yesterday I did 200 is that a reason or is there ny other reason. I am really worried.
Smoking can cause irreparable damage to your mind and body. Chemicals in the tobacco travel to all parts of the body, leaving no area unaffected. According to available data, smoking causes 30% of all cancer deaths and about 80% deaths from emphysema and bronchitis. In addition to adversely affecting yourself, smoking also has a severe impact on your near and dear ones. According to WHO, about 600,000 people die every year from passive smoking. Out of the deaths that occur due to this, 1/3rd is that of children.
The Indian situation
While 85% of tobacco users worldwide consume it in the form of cigarettes, in India only 13% use it in that form. Additionally, 54% use it in the form of beedis. A study conducted on Indian smokers has revealed that an average of 8.2 cigarettes is smoked by an individual daily.
The study also revealed that the number of cigarettes smoked every year had grown to over 6 trillion. While 1 out of 10 adults dies from tobacco use worldwide, 5% of deaths in women and 20% of deaths in men in India are caused by cigarette and beedi smoking.
What happens when you smoke?
Cigarette smoke is made up of 4000 chemicals that are present either as tiny particles or gases and about 50 are known to lead to cancer, the toxin nicotine being one of them. In addition to nicotine, the chemicals that make up cigarette smoke also include tar and carbon monoxide. Prolonged exposure to these toxins can hamper your body's ability to filter air and clean the lungs. The smoke not only irritates the lungs but also causes excess production of mucus.
It also causes a paralysis of the tiny hair-like structures like cilia that line the airways and are responsible for removing dust and dirt from the organ. Paralysis of these hair-like structures also causes a buildup of mucus and toxic substances, leading to lung congestion. The extra mucus that is produced causes smokers to suffer from the very ubiquitous smoker's cough and chronic bronchitis.
It's also one of the many triggers of asthma, which brings about the narrowing and inflammation of the airways. Long-term exposure to tobacco smoke causes the destruction of the structure of the lung, walls of the airways as well as lung tissue. The result is a condition known as emphysema. Additionally, smoking also leads to cancer of the lung and over 80% lung cancer cases occur due to this habit.
Related Tip: 7 Dangerous Changes that Smoking Causes to Your SKIN
I am 30 years old. I have two sons 8 year, and 5 year. Bache hone ke bad meri health bhut down ho gyi h. Breast ka size bi bhut chhota ho gya h. M apni health ki recovery kaise kru?
Most women suffer from gynaecological infection at least once in their life while some may suffer from them multiple times. The most common infections that affect women’s reproductive tracts are vulvitis, vaginitis, cervicitis and pelvic inflammatory disease or the dreaded PID. What’s even worse is the fact that these dangerous infections are often missed in women due to lack of information and the absence of health services, especially in rural parts of the country.
Let’s take a quick look at each one of the above four gynaecological infections:
Vulvitis is an inflammation of the vulva, the tender folds of skin outside the vagina.
Common symptoms include-
- Redness and swelling on the lips of the vulva
- Clear, fluid-filled blisters
- White, sore and thick patches on the vulva
Causes can include anything from the use of toilet paper, swimming in pools, synthetic underwear, rubbing against a bike seat, bubble baths to shampoos and deodorants…
Usually, urine tests, blood tests and tests for sexually transmitted diseases are used to diagnose this infection. Vulvitis can be caused due to a number of reasons and it’s also a symptom of other more dangerous diseases, hence its treatment is done taking all these factors into mind.
Treatment can include-
- Avoiding irritants like swimming in pools
- Sitz baths with soothing compounds for itch control
Vaginitis refers to any inflammation of the vagina. Usually, the inflammation strikes the walls of the vagina. It can be infectious or non-infectious. This infection is common in women of all ages with one-third of women reporting suffering from the infection at some time during their lives.
These can be many like infection with bacteria, yeast, viruses etc. Chemicals in creams or sprays, and even clothing can cause the condition. It can be sexually transmitted too. Your hormones, overall health and other diseases you may have – all of these also determine whether you’ll get vaginitis.
The 3 types of vaginitis are-
Vaginitis should always be taken seriously. If left untreated, vaginitis can cause PID which can lead to infertility. If you get a discharge- a frothy white discharge or a colourless discharge with a fishy disorder and see redness around your vagina and pain during urination or sex- don’t take it lightly, but fix an appointment with your gynaecologist ASAP. He or she will mostly treat you using antibiotics.
This is an irritation or infection of the cervix. It is caused by a number of different organisms and it can be either acute or chronic. Common causes are sexually transmitted diseases or STDs like-
Pelvic exam and tests for STDs are used for diagnosing this infection. Treatment includes the use of antibiotics for the victim and her sexual partner to prevent re-infection.
Pelvic inflammatory disease
Pelvic inflammatory disease or PID is an infection that affects the woman’s entire reproductive tract like the uterus, fallopian tubes, and the ovaries. It causes scar tissue formation which grows between internal organs leading to chronic pelvic pain. PID can also lead to ectopic pregnancy or a pregnancy which happens when the fertilized egg grows outside the uterus. Untreated PIDs can lead to chronic infection and infertility.
The main cause of PID is bacteria. Intra uterine device use is also linked to PIDs.
At the time of first pregnancy delivery l had been suffering for heavy bleeding. Took 5 bottle blood and 35 saline. So can l take 2nd issue. Please inform me.
Bringing a baby in this world, is the most exhilarating moment in most women's lives. Yet, post pregnancy days are filled with insecurities and uncertainties. Sleepless nights, stretch marks, healing uterus and an unappealing body. So unless you are shilpa shetty or malaika arora khan, most new mothers suffer from figure issues after giving birth to their child.
In fact the issue of maintaining the personality, is quite real regardless of what men say to their women. According to a yummy mummy survey over 90 percent of new and expecting fathers agree that they want their wives to look the way she used to look before the pregnancy.
This article talks in detail about the body and mind issues of new mothers and ways to deal with them, based on knowledge shared by expert indian gynaecologists on popular daily newspapers.
1) what's the fuss about yummy mummy?
A yummy mummy is someone who is confident of herself, is comfortable with her body and her personality. A yummy mummy is a mother who takes care of her body and her mind. She exercises regularly, is particular about her fitness level and exudes confidence.
2) body issues that a new mother needs to accept:
A woman will gain a certain amount of weight during pregnancy to include the weight of the baby, the placenta, the amniotic fluid, the enlarged womb, an increased blood volume, plus enlarged breasts and other fluid retention, commonly noticed as swollen ankles. Additionally a pregnant woman will store a certain amount of fat to help nourish her child during breast feeding. Women are expected to gain between 11-15 kgs during a normal pregnancy. Approximately 2-3kgs of this weight is designed to remain after the birth, to provide a fat source for breast milk. The remaining weight gain will either disappear immediately, the baby, placenta etc. Or resolve over time as the uterus contracts and the body returns to normal fluid levels. The concept of" eating for two" can however cause some women to gain more weight than just normal pregnancy weight. You may well look down at your body in the months after having a baby and wonder if it's ever going to look the same again.
Another worry that every pregnant woman has is about stretch marks and wondering if they are ever going to go. For this, it is advisable to try and minimize stretch marks during pregnancy by regularly applying moisturizers and oils which contain vitamin e, lavender, calendula and rosemary. The same can be used after pregnancy also on the abdomen and breast to reduce stretch marks.
3) diet essentials for a pregnant and new mother:
Eating healthy is of utmost importance for a pregnant and a new mother. A good balance of proteins, fats and carbohydrates is a must in a pregnant and new mother's diet. Extra milk and curd should be had to increase the intake of calcium. Women should avoid excessive intake of salty, spicy and deep fried foods. It is advisable that they avoid cake, sweets and ice creams altogether as the women are in a state of semi diabetes because the placental hormones are anti -insulin. In addition, women should have a lot of fruits, vegetables and nuts in their diets.
4) what are the ways a new mother can ensure her pre-pregnancy shape after delivery?
Exercising is important to get back to shape but what is more, is doing the right kind of exercise.
-- the pelvic floor (the hammock-like layer of muscles that support the bladder, uterus, and bowel). If you were good, you'll have done your pelvic floor exercises during pregnancy. If not, don't let that stop you from starting now - they're all-important in the battle to keep leaky bladders at bay and, as an added bonus, can help to improve satisfaction during sex!
-- you can also make a start on the long, slow process of getting your tummy muscles back in shape by softly pulling them in whenever you get the chance. (if you're not sure how, imagine drawing your tummy in towards your spine.) hold for a few seconds, breathing all the while, and then release. Do this as many times a day as you can fit in. (it's also a good idea to hold in your tummy this way when you bend over or lift anything: it will help to support your back and so help to ease or prevent back pain, a common problem after birth.) you could also squeeze in a few pelvic tilts when you find yourself with a free moment: stand with your back to a wall, slide a hand into the gap between your lower back and the wall and use your tummy muscles to tilt your pelvis backwards. Hold for a little while before releasing. You'll know you're doing it right if you can feel your lower back pushing against your hand.
-- gentle walking is also okay in the early weeks
-- power walking: an ideal way for new mums to exercise as it can be fitted into a normal day.
-- pilates or yoga: these are great for improving strength and flexibility, but you'll still need to raise your heartbeat with some sort of aerobic exercise couple of times a week.
- swimming, or aquarobics: a perfect all-round exercise - it will increase your heart rate but as the water offers you support, has minimal risk of injury. It's also good for firming up post-baby breasts
5) how much should a mother wait after a c-sec before resuming workout?
Whether it's a c- sec or normal delivery, no strenuous workout should be done for at least 40 days or 6 weeks after delivery. It takes 40 days for the large uterus to involute back to its small pre pregnant state. Exercise during this period would strain the ligaments and cause back ache. It may also predispose the uterus to prolapse after menopause during weakened ligaments that support the uterus. In addition, after a c-sec, the abdominal muscles and ligaments need to heal well, so active workout is recommended only after 3 months.
6) what are the dos and don'ts of the first 3-6 months after delivery for workout/diet?
After 3-6 months, all forms of exercise are permissible, however, during breast feeding, lifting weights and push- ups should be restricted. Breast feeding mothers require extra calories and nutritious food and diet. Diet foods or low calories diets are recommended. A good balance of protein, carbohydrates and fats along with extra milk and fruits are a must. Breast feeding itself is a great calorie burner and helps the mother to lose weight and regain her pre pregnant figure within 6 months of delivery.
7) how many post-partum depression cases do you get on an average?
70 % of women experience mild baby blues for about 1-2 weeks due to placental hormones leaving the body. The post- partum depression is a bit rarer. The signs and symptoms are more severe and last longer.
The symptoms may include:
Depressed mood/ severe mood swings
Difficulty in bonding with the baby
Withdrawing from family and friends
Loss of appetite or eating too much
Inability to sleep/ insomnia
Fatigue and loss of energy
Intense irritability and anger
Feelings of worthlessness and inadequacy
Severe anxiety and panic attacks
Thoughts of suicide ad harming the baby
Very severe post -partum depression may lead to psychosis. These patients do require help in the form of counseling and medication.
8) how can a mother avoid succumbing to depression?
Women should attend pre-natal classes, which prepare them for labor delivery and breast feeding during pregnancy. After birth, the mother should
Accept help from family and friends
Connect with new mothers
Always take time to take care of themselves
Avoid alcohol and medicines that cause depression
All said and done, it is very important that dads support new mothers to regain their lost shape, without hampering their confidence.
Post pregnancy, a woman is very stressed- she is worried about the baby and herself and is very busy taking care of the two. Being a mother can be very taxing and there are a few simple things that fathers can do.
Things dads can do with the baby:
Take baby out for a walk so mum can have some quiet time.
Feed the baby in the middle of the night or bring the baby to mum if breastfeeding. He could also help the baby feed if there is expressed breastmilk or feed the baby in the morning so mum can get some extra sleep.
Help to look after older children so that mum can adjust to life with a newborn again.
Make sure you learn how to bathe the baby and change nappies.
Things dads can do for mum:
Make mum any meals, e. G. Breakfast in the morning before going to work.
Tell her she's doing a great job and that you are proud of her and how much you love her.
No pressure for sexual acts - intimacy will return again soon.
Let her de-brief / talk about the labour and birth as many times as necessary, without getting annoyed. Being a good listener is important.
Tell her that it doesn't matter if the home is messier than usual and help to do a bit of tidying.
Let her cry or be emotional without trying to'fix' her - simply comfort her.
Husband's support makes a huge difference in the new mother experience of every woman and only makes him happier in return!
If you have any gynae / pregnancy concerns, feel free to consult me privately by clicking on'consult' button below.
Dr sangita malhotra