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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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Hello to everybody. I am Dr Vandana Hegde. I am practising reproductive medicines in the Hegde Medical Centre from the last 10 years.
As I had explained the entire cycle. Two important things are there for the couple to plan pregnancy
One is the Ovulation time. When the ovulation happens, the female eggs that releases out. Its life is approximately 24 hours. And the male's sperm, once the ejaculation happens, its life span is 3-5 days upto the maximum of 7 days. So for couples to plan fertility naturally, it is important to conceive during the period of female ovulation time. And now ideally the female ovulation happen around the 14th day, it is best for the couple to plan intercourse atlreast 3days prior to the ovulation time. So, if they are ovualating on 14th day, so they can start planning the intercourse on around 10th day and upto a period of 16th day. Ideally, intercourse beyonf the period of Ovulation does not help the couples in conceiving. So, it is always better to plan before the ovulation time. Alternate intercourse is much better than having a daily intercourse during the ovulation time.
Now, coming to the Evaluation of Fertility.
When a couple comes to us when they are unable to conceive a child naturally even after one year. Then we do certain basic things as I have mentioned that it is very important to fid out that how the egg is finally to form an embryo. Yu need egg from the female partner and sperm from the male partner which are diffused internally. So what is important is the normal sperm and a normal tube in the uterus. So we do assessment in that order. So ideally we get the male partner 7 testing time to see the sperm count, the sperm motality and the sperm morphology. The sperms should be genetically fit to give a healthy child. So this is assist by doing semen analysis where the male partner will give the semen sample for about 3-4 days. And this semen sample is examined under the micrscope where the assessment is done on the basis of count, mortality and Morphology. If the semen criteria is normal then we evaluate the female partner.
Now the female partner, if she has regular cycle, we assume that the ovulation is happening normally. But there are certain girls who has irregular periods. Some have early periods and sme have quite delayed cycle. Now, what is the main issue here is Ovulation. Probably they are not ovulating around the 14th day. But there are 2 disfunctions.
- One is anovulatory, there are certain girls whoch are not ovulating at all. There is no egg formation, there is no ovulation. Now this criteria of girls manage in a different way.
- Now there are other type of girls, who are probably having a shorter cycle, they are ovulating very early.
Now, we need to differentiate between these two types. The whole management depends upon correcting these abnormality.
Now, coming to the other part of the tubes. Once the sperm is there and the egg is there, one should have patent fallopian tube for them to meet. So, ideally what we do is, when the couple comes to us, we evaluate the spem parameters, the female ovum parameters and then we do a time intercourse for them.
We start basic tracking of the follicle growth. The best thing is the follicle is seen in the ultrasound reports. So the basic ultrasound is done initially to diagnose. If the female uterus, the ovaries are normal then they should not be ahving any fiberoids and ovarian cyst. So Fiberoids are basically tumours in the uterus which can prevent implantation of the embryo and there may be some ovarian cyst which may be preventing normal ovulation and there are other cyst which require surgical removal. We do basic ultrasound scan to roll out all other major thing and then proceed to Folliculat tracking.
Follicular tracking is seen on the scan. Though the egg can not be seen on the scan so follicles can be seen. So, when the couple ccomes to us in initial part, we track the follicle growth and this is the time, the female is ovulating and we give them the dates to meet. This is done on the monthly basis for atleast 2-3 cycles. Now, inspite of tracking natural cycle follicular growth and at the time intercourse if the couple is not able to conceive then we go for other evaluations. Like, is the tube open? Is the uterine cavity normal?
So there are tests to check if the fallopian tubes are open. Now it is very important for the tube to open because all the activities are happening inside the tube. so there is a test called "Hysterosalpingographie", where the die is pushed through the uterine end. This die is travelling around the cavity and coming into the tubes and then comes out.
All this is recorded in teh X-ay film. This film records this passage of the dia nd we find out the tubal blocks. If the tube is blocked then the egg and the sperm do not meet. So there comes fertility issues.
We do other assessments also like Diagnosis hysteroscopy and laparoscopy for infertility. So this is a surgical process which we do when couples are not able to conceive even after 6 months of fertility planning.
There are small tumours in the cavity which can prevent embryo from Implanting and these are absolutely necessary to be removed if the couple is not conceiving with these.
And the other things we diagnose is the laparoscopy in which we put the camera inside to record if te tube and ovary are in normal position and HYsteroscopy is a process done under the anesthesia only. Then we proceed with further treatment with fertility planning.
My daughter 13 years old she got first time menses on 26/8/2017 and second time m ended on 22/9/2017 till today she is suffering with bleeding how we can stop till today 14 days over.
There’s an art to healthy living, and part of that is recognizing our impact on others. Our personal health affects the people and environment around us, so take care of yourself and you’ll help take care of the world. To ensure Healthy Life I had gathered the top five ways to live a healthy, environmentally friendly life!
1. Eat clean
Eating clean means keeping your food as simple and nutritious as possible. In other words, close to the original source! Stick to whole foods, says Dr. Su Fairchild, a specialist in integrative medicine. Avoid or limit simple sugars and processed carbs, including flour products, because they cause your blood sugar to spike, provoking your body’s insulin response and promoting weight gain. You can consume good fats like olive oil and coconut oil in sensible amounts, and don’t forget to eat a rainbow of organic vegetables.
Medical oncologist Dr. Sewa Legha also suggests using the USDA guidelines on ChooseMyPlate.gov. By cutting out processed foods, which are often overly packaged, you reduce your diet’s environmental impact—and you live a healthier life too!
2. Stay hydrated
Hydration is an important part of a balanced lifestyle. Dr. Randy Baker, a specialist in holistic medicine, strongly advises avoiding soft drinks like soda (one of the worst things you can do for your health, he says) and excess juices because of the calories. Water should be your main source of fluids. Internist Dr. Steven Tucker notes that you should also avoid all artificial sweeteners, including beverage mixes, because your body still responds to “fake sugar.” People who drink a soda a day increase their diabetes risk by 50%, and those who drink diet sodas increase their risk by 20%.
Pediatric urologist Dr. George Klauber lists several benefits to drinking water: avoiding unnecessary calorie intake and the effects of caffeine and alcoholism, keeping your kidneys flushed, reducing urinary acidity for people with sensitive bladders, and saving money! Stick to water and you avoid the health risks involved with processed foods.
3. Exercise outside
Take advantage of the great outdoors and go for a run! Besides improving your cardiovascular health, outdoor workouts help your body produce vitamin D. Endocrinologist Dr. Philip Kern says, “During summer, you need about 20 min [of sunlight] at midday, longer at other times of day. In winter, or extreme northern latitudes, it takes longer. This is why there is usually a seasonal winter drop in blood [vitamin D] levels.” To get the full benefit of the sun, make sure you aren’t getting it through window glass!
If running is too aggressive for you, take a walk. It’s an easy, low-impact form of aerobic exercise, and doctors agree: it’s beneficial to your health!
4. Manage your stress
As internist Dr. Lori Wagner says, “Don’t let stress get in the way of taking care of yourself.” Managing your stress can include taking breaks, staying organized, and doing five-minute meditation sessions at your desk. By controlling your stress levels, you control your response to stress: overeating, undereating, overcaffeinating, skipping the gym, etc. Stress impacts your health and your relationship to your environment, so keep a close eye on it.
5. Practice preventive care
Besides updating your shots/immunization records and seeing your doctor for an annual physical, preventive care that you can practice daily involves sun protection and reducing your risk for obesity. Plastic surgeon Dr. Bryan McIntosh says, “UV light is damaging to skin and undoubtedly a cause of skin cancers, so sun protection is always important.” Don’t forget to wear sunscreen, sunglasses, and protective clothing (like a hat!) if you’ll be out in the sun.
Dr. Dean Giannone, a specialist in internal medicine, says, “Obesity can compromise the heart, the lungs, the liver, the knees, the hips, the ankles, the muscles, and the spine. It can affect your sleep, making you tired and inattentive during the day. And oh yes, it can shorten your life expectancy.”Obesity and its risks are incredibly dangerous to your health: the leading causes of death in the world are related to heart health, which is affected by obesity. By establishing a healthy diet and exercise routine, you can prevent obesity and other cardiovascular risks.
Dr, Varinder Singh Chandhok