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Treatment of No Periods
Management of Pregnancy
Management of Abortion
Birth Control Treatment
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Delayed Periods
Treatment of Vaginal Infection
Management of Fertile Period
Treatment of Uterine Fibroids
White Discharge Treatment
Treatment of Lactation problems
Treatment Of Pregnancy Problems
Antenatal Care Management
Treatment of Sexually-Transmitted Diseases
Women's Health Issues
Treatment of Vaginal Yeast Infection
Intra-Uterine Insemination (IUI) Treatment
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Dr. Mamta Goel provides answers that are knowledgeable. Thanks Doctor, so getting lumps before period does not mean that i am not conceived, i need to wait till period is missing, correct?
Dr. Mamta Goel provides answers that are well-reasoned, knowledgeable and very helpful. Thank you doctor. I got so much of relief. You are awesome
I found the answers provided by the Dr. Mamta Goel to be knowledgeable. Thanks
It is likely for you to know about the importance of your menstrual date. A regular menstrual cycle without disruption ensures that your reproductive system is in good health. Your menstrual date determines whether your periods are regular or not. In case of irregular menstruation, menstrual abnormalities are indicated. Irregular periods means when cycle length varies more than 35 and less than 21 days. Tracking the menstruation date allows you to know about the time of ovulation. It also enables you to notice prominent changes like excessive bleeding and missed periods. Apart from your menstrual date, you should know the other following things associated with your monthly periods:
Regular periods do not mean that you are fertile: A regular, monthly period does not guarantee or indicate your fertility. Periods can occur even without releasing an egg. This is known as an ovulatory cycle. It is basically a cycle where ovulation has not occurred. It is thought that normal periods indicate fertility, which is not true. Instead of only relying upon the dates of your menstrual periods, you should also track your basal body temperature and peek at your cervical fluid on a regular basis. There are certain applications, which can help you with this.
Regular periods do not always mean a fixed 28-day cycle: A menstrual cycle can last for a period of 21 to 35 days. If your cycle falls under this time period, your periods are normal. If your periods do not match with the given time period, abnormalities are indicated. Even if you experience your period within the given time frame, it cannot be termed regular if the days passing in between your periods stay unsteady. In case your cycle lasts for 24 days for one month, 30 for the next, and 26 for the third, irregular periods are indicated. This can also mean that your ovulation is not taking place periodically.
You can become pregnant during your period: Sperm is capable of living in your body for almost five days. This signifies that in case of shorter menstrual cycle, when ovulation starts quickly after your periods, you may get pregnant if you have sex on the last day. It is important for you to be aware of the primary difference between ovulatory bleeding and menstrual bleeding.
In case you mistake ovulatory bleeding for menstrual bleeding, your chances of getting pregnant are higher. It is important for you to talk to your doctor regarding any queries about these patterns of periods so that you know when you are fertile the most. Consult your doctor on experiencing any irregularities or abnormalities in your cycles. In case you have a concern or query you can always consult an expert & get answers to your questions!
A Fibroid is a non cancerous (benign) growth of the womb (uterus). They are also called myomas, fibromyomas or leiomyomas. Their size varies from a size of a pea to as big as a melon. They can increase (like in pregnancy) or decrease with time (like after the menopause) and even go away. It is important to understand that a large number of fibroids are asymptomatic and do not require treatment. Also many times especially in India surgeries like hysterectomies are performed without any valid reason or proof for doing so.
Most women with fibroid are not aware that they have them as they do not have any symptoms. Sometimes one is found during a routine examination or during a scan. Few of the common symptoms are heavy or more painful periods, bloating or swelling, increased frequency of urine, constipation, pain during sexual intercourse.
Fibroid treatments Observation – If your fibroids are not causing any symptoms then treatment is not needed. After menopause they would shrink anyways
Medication to improve symptoms – Medications like Tranexemic acid, combined oral contraceptive pills and progesterones may be used in selected cases.
Medication to shrink the fibroid – Some women are given a gonadotrophin-releasing hormone (GnRH) analogue. This hormone medicine causes a very low level of oestrogen in your body and thus shrinks the fibroid. However, they are expensive and cause symptoms similar to menopause and increase the risk of thinning the bones (osteoporosis).
Surgery and other operative treatments-
- Hysterectomy: It means removal of the womb. This can be done through a bikini line scar in lower tummy or keyhole (laparoscopic) surgery.
- Myomectomy: In this operation the fibroid is removed and the womb is left. This is done especially in women who wish to have children in future.
- Uterine artery embolization: This procedure is done by a specially trained X ray doctor (radiologist). It is done by putting a substance that blocks the artery that the supplies the fibroid. This procedure can be done in selected case with variable success.
- Myolysis: This means shrinking the fibroid in some way surgically. This is done by endometrial ablation (Removal the lining of the womb by using laser energy or a heated wire loop or a microwave heating).
The normal process is for the fertilized egg to get itself embedded within the uterus. For various reasons, however, it can happen that the fertilized egg gets embedded outside the uterine cavity. This is known as extra-uterine pregnancy or ectopic pregnancy. The incidence of this is 11 per 1000 pregnancies. The most common location (97 % of the times) for these pregnancies is the fallopian tube, and so also known as tubal pregnancies. Rarely (1 in 30,000 pregnancies) an ectopic pregnancy can coexist with an intrauterine pregnancy.
Risk factors: This is not a normal pregnancy, and there are certain risk factors, which increase the chance for ectopic pregnancy.
- Pelvic inflammatory diseases
- Prior tubal surgery
- Prior ectopic pregnancies
- Assisted reproductive techniques such as IVF
- Congenital structural anomalies of uterus
- IUCD use reduces the risk of ectopic pregnancy compared to no contraception that is 1 in 1000. However, where an IUCD fails, the risk of pregnancy being ectopic is high
All causes of ectopic pregnancy have a common factor – the fallopian tube is affected and does now allow for movement of the egg up the uterus. This could be due to infections or adhesions
Symptoms: Ectopic pregnancy would present with symptoms similar to a normal pregnancy like amenorrhea, abdominal pain, pelvic pain, breast tenderness except that the implanted egg puts pressure on the surrounding organs and this causes additional problems like shoulder tip pain, urinary symptoms, rectal pain, diarrhea and vomiting.
Sometimes, the tubes may rupture and bleeding ensues which can bee life-threatening. Treatment is often done on an emergency basis.
There is a sharp stabbing pain in the pelvis and abdomen, which can sometimes go up into the diaphragm.
Bleeding which is often heavier than the normal period
Weakness and fainting
Diagnosis: For an ectopic pregnancy to be confirmed, imaging is necessary. In addition,
The HCG levels can be lower than expected with a normal pregnancy
Confirmation happens with an internal ultrasound, which will also tell where exactly it is situated.
Management: Treatment can involve one of the 3 ways.
Conservative if the serial beta hcg are falling adequately
Methotrexate, which will dissolve the pregnancy tissue and allow for the body to absorb it. The tubes are often spared in this, and they heal over time.
If the tube or tubes are affected, then they will have to be removed. This may even be done as an emergency procedure if the bleeding is severe.
Laparoscopic surgery is often considered to remove the fallopian tube and the ectopic pregnancy. If the same cannot be carried out laparoscopically, then an open surgery needs to be done.
Prognosis: Once an ectopic pregnancy occurs, the chances of recurrence are about 10 to 20 %. HCG levels will have to be monitored periodically. If the levels continue to be high, it is possible that there is still some ectopic tissue left. This may require methotrexate or surgery.
My wife is 25 year and had rubella vaccine 4 months earlier. We are planning to have a baby now. We have done a blood test for rubella IGG & IMG, 90 and 120 days after the vaccination. Report shows IGG-76.50 & IGM-95.40 (after 90 days of vaccination) and IGG-88.90 & IGM-95.60 (after 120 days of vaccination). Both IGG & IGM is showing reactive. She is not having any symptoms of rubella infection then why IGM is coming high and reactive? IGG might be reactivate because of immunization. What is the significance of the report as we are bit confused and can we try for pregnancy now? We need our baby now. Is it safe to plan now?
My ovulation occurs on the 14th day every month but this month, I felt white discharge and rise in temperature (more than usual) with pain on 9th day. Is it possible that I ovulated during that time since I have not changed my lifestyle. Because it always happens on the exact 14th day every month.
Hi sir, My wife got pregnant before a week, can we do sex regularly or do we need to stop it for a while. I'm waiting for the answers. Please help me with this. Thanks.
Sir/mam on 4th of April I Had Unprotected Sex with my gf After 10 minutes of intercourse I give her Ipill Tablet but now she didn't have her periods I Check too time with pregnancy kit it show negative But why she didn't Have her periods please help me out Thank You.
I am a 27 years old female. I have been on contraception pills (Novelon) for about 1.5 years now. I have a steady partner and till date, my withdrawal bleeding would start on Day 4 of my pill free week. However, during this month's pill free week, we had mutual intercourse and he ejaculated inside. I knew I was protected from pregnancy during the pill free week but as we rely on pull out method, I decided to take an iPill. But after that, I didn't get my withdrawal bleeding. 2 more days left before I start a fresh pack of my contraceptive pills. Should I be worried?
Bleeding during pregnancy is relatively common and doesn’t always mean there is a problem. It can be daunting and scary. However contrary to common beliefs, bleeding need not be a necessary harmful to a pregnant woman. However, it is important to take bleeding seriously at any stage of the pregnancy.
What are the possible causes of vaginal bleeding during pregnancy?
Causes of vaginal bleeding during early pregnancy include
- Implantation bleeding: It is a harmless light bleeding that often occurs around the time your period would have been due. It occurs when the developing embryo implants itself in the wall of the womb.
- Cervical changes: Cervical changes due to pregnancy may sometimes cause bleeding specifically after sex.
- Miscarriage: During early pregnancy vaginal bleeding can be a sign of miscarriage. About 1 in 5 pregnancies miscarry and usually, the cause is in the fetus and not the mother or the partner. At the same time, it is important to note that many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies.
- Ectopic pregnancy: An ectopic pregnancy is when fertilized egg implants outside the womb, for example in the fallopian tube. It can cause bleeding and is dangerous.
Early detection and appropriate management is a must in this case, so as to prevent any life-threatening complication. Other less common causes are molar pregnancy (a mass that forms inside the uterus that does not result in a baby) and problems with the cervix such as a cervical growth or cervical or vaginal infections. Vaginal bleeding might also occur during the later second or third trimester of the pregnancy.
Some of the commonly occurring includes
- Placenta praevia (low lying placenta): This is when the placenta is attached in the lower part of the womb, near to or covering the cervix. Bleeding from a low lying placenta can be very heavy and put you and your baby at risk
- Placental abruption: It is a serious condition in which the placenta starts to come away from the womb wall.
- Vasa praevia: A rare condition where baby’s blood vessels run through the membranes covering the cervix. When your water breaks, these vessels are torn and cause vaginal bleeding.
Vaginal bleeding towards the end of the pregnancy is normal. Often bleeding mixed with mucous (which is called show) can be a sign of the starting of the labor.
When to visit a doctor?
It is important to keep the doctor informed about any bleeding that may have occurred at any stage of the pregnancy. A woman should carefully note details such as the type of bleeding, its texture, whether it included any tissue or clots, other symptoms such as pain and dizziness To work out what is the causing the bleeding, you may need to have a vaginal or pelvic examination, an ultrasound scan or blood tests and according to the cause and how many weeks pregnant you are it would be advised whether you need to be admitted to hospital or not and further treatment would be planned and advised.