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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
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
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A hysterectomy is the removal of the uterus and is often accompanied by the removal of the ovaries. In such cases, women are said to experience surgical menopause. This is because the ovaries are the main producers of estrogen. Surgical menopause is usually more severe than natural menopause as there is a sudden drop in estrogen levels. Estrogen is responsible for a number of functions that affect the brain, bones, skin, heart and blood vessels.
Hormone therapy is often advised to counteract this loss of estrogen.
There are two main types of Hormonetherapy:
- Hormone therapy with estrogen and progestin
- Hormone therapy with only estrogen
The former is advisable for women suffering from surgical menopause. Like any other form of treatment, it has its pros and cons.
- It protects young women from diseases associated with menopause: A hysterectomy is usually performed on women under the age of 50. In such cases, Hormone replacement therapy can protect the women from heart diseases. Removing ovaries before menopause can also increase the risk of Parkinson's disease and dementia.Hormone replacement therapy can help negate these risks.
- Reverse menopausal symptoms: Menopause is associated with a number of symptoms such as vaginal dryness, hot flashes and insomnia. Hormone replacement therapy can help treat these symptoms and give you a better quality of life.
- Other health benefits: Hormone replacement therapy can also help fight osteoporosis and strengthen bones. It is also known to reduce the risk of colorectal cancer.
- Side effects: Hormone replacement therapy interferes with the natural Hormone production. Thus, it can cause a number of problems such as premenstrual syndrome, swollen breasts, headaches and nausea.
- Increased risk of health issues: Though the odds are low, Hormone replacement therapy can increase your risk of having a stroke or heart attack. It has also been suggestively linked to breast cancer and ovarian cancer.
Thus, the choice of whether to have or not to have Hormone replacement therapy after surgical menopause is not easy to make. You must consider factors such as your age, lifestyle, family medical history and habits while making this decision. Do not rush into a decision and take your time. Talk to your doctor about the amount of medication needed and the delivery method most suited to you. Hormone replacement therapy can be taken in the form of pills, a patch, gel, vaginal cream or a slow releasing suppository. This should also be accompanied by a healthy lifestyle that includes a healthy diet and plenty of exercise.
Hypertension during pregnancy can be a problem for both baby and the mother. Thus it is of utmost importance that during pregnancy a good health should be maintained along with controlled blood pressure and cholesterol levels. With an increase in multiple births and women of older age the risk of hypertension during pregnancy has increased. But if proper care is taken it can be avoided.
Types of Pregnancy Hypertension:
There are three prominent forms of hypertension that can be seen during pregnancy. The pregnant ladies should be aware of the same. These are:
- Preeclampsia: This is the most common and serious hypertension during pregnancy. This hypertension can only be controlled by delivering the fetus, which usually involves complications like death of the mother or child. This occurs 20 weeks after pregnancy.
- Gestational Hypertension: This form is only prevalent during pregnancy and is not a problem for the mother or baby after delivery. This usually occurs in the last leg of the pregnancy
- Chronic Hypertension: This form forms either prior to the pregnancy or before 20 weeks of the pregnancy.
Management of Pregnancy Hypertension:
Hypertension during pregnancy can be handled by the following:
- In case of severe hypertension, blood pressure medication should be continued during pregnancy.
- If you are on ACE inhibitor type medication, then the medication is changed to one that is even safe for the baby.
- Your doctor might like to monitor you daily and can advise hospitalization for a few days
- If medication is missed, it might lead to uncontrolled life threatening hypertension. Thus the medication should not be missed at any time.
- In case of mild hypertension and absence of other diseases like diabetes and kidney disorders, the doctor might stop the medication or reduce the dose. Also, being off medicine does not cause any problem in mild hypertension.
- Irrespective of the hypertension being mild or severe, the prenatal appointments should not be missed, so that the doctor can monitor you and the baby. So that problems, like rise in blood pressure, poor fetal growth, and signs of preeclampsia can be spotted and steps can be taken for the same.
- In case there is some form of hypertension present the prenatal visits and lab tests will be more.
- Apart from the usual second trimester ultrasound, there will be periodic ultrasounds in the third trimester to monitor the baby's growth and the amniotic fluid.
- Also regular fetal tests and Doppler ultrasounds will be done to track the baby's growth.
- Lifestyle changes should be made. Salt intake should be limited, fresh food instead of processed food should be consumed.
- If blood pressure is high then doctor might ask you to avoid exercise especially if you never did before pregnancy.
The usage of “9 months” with pregnancy is almost universal. However, it is not always that all women go through the entire 9 months with the baby. Most often, delivery happens during the 37th to 40th weeks. This allows for the complete growth of the baby within the mother’s womb. When delivery happens before the 37th week, it is known as preterm delivery or premature labour. These babies may not be completely formed and may have temporary or long-term difficulties after birth.
There are many reasons which can induce premature labour, and while some are preventable, some may be inevitable.
- Smoking: One of the first things to do when planning a pregnancy or as soon as you realise you are pregnant is to quit smoking. It is way too damaging for the mother and the baby within.
- Alcohol consumption or street drug usage: These again can cause not just premature labour but also developmental abnormalities.
- Multiple pregnancy: Women pregnant with twins or multiples often have premature labour.
- Health problems: Medical conditions like hypertension, diabetes, infections, etc.
- Abnormalities: Developmental abnormalities in the newborn like Down’s syndrome, chromosomal abnormalities, etc.
- Weight: Being either obese or underweight can cause premature labour.
- Prenatal care: While preparing for pregnancy or as soon as you confirm it, ensure you put yourself in the hands of a good gynaecologist. This will ensure you (and your baby) get the required care.
- Less gap: Reduced gap between subsequent pregnancies can also induce premature labour.
Warning signs of premature labour
In some women, the doctor might be able to predict the chances of a premature labour and give enough suggestions to look out for warning signs. This will help the woman to be mentally prepared when it is time.
A low backache, which is constant and does not go with usual relief measures.
- Frequent pelvic contractions (about every 10 minutes)
- Vaginal leaking (fluid or bleeding)
- General ill-feeling with symptoms of nausea, cramps, and vomiting/diarrhoea.
- Inability to hold down fluids for a full day
- Abdominal cramps, similar to a period
- Pelvic pressure, a feeling of the baby descending down
What to do?
As mentioned earlier, if your doctor had warned you of the chances of a preterm labour, watch out for them after 35 weeks.
- With any of the above symptom, do not indulge in any activity and rest on the left side for a while.
- Drink about 2 to 3 glasses of juice or plain water.
- If the symptoms get better, continue to rest for the day.
- If they do not, call the doctor. Usually, the doctor will ask you to come to the clinic.
- In some cases, the baby might be delivered and require neonatal care for some days (to weeks) depending on development and symptoms. If you wish to discuss about any specific problem, you can consult a gynaecologist.
I have pcod problem. How could I have a baby. Is it possible. I tried a baby about 3yrs. But I failed. Doctor advice me to do laproscopy for a baby. What should I do. Please help me.
1. Regulates blood sugar.
2. Stimulates appetite and improves digestive system.
3. Prevent from any infection if its paste is applied over wound because of presence of vitamin c.
4. Cleans the body by flushing out the toxins, clean out the colon and hasten waste movement.
5. Protects teeth and gum from plaque.
6. Vitamin k in carrot helps in blood clotting.
7. It increases hair growth faster.
8. Protects skin from sun damage, acne, dry skin etc. By removing toxins from body it gives glow to skin.
9. Prevents from devastating diseases like liver failure, cancer, stroke, heart failure, diabetes etc.
10. Rich in calcium so it is beneficial for patients suffering from arthritis, inflammation of joints, calcium deficient patients etc.
You can have carrot in the form of juice, raw eating, sweet dish, cooked as a vegetable, paste for wound, mask for skin etc. So what are you waiting for. Enjoy winter vegetable" carrot" in your diet and be healthy and disease free.