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Management of Abortion
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Treatment Of Female Sexual Problems
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The woman is at risk if:
Her father or brother below age 55 or her mother or sister below age 65 have had a heart attack, stroke, angioplasty or bypass surgery.
She is over 55 years old. (After age 65, the death rate increases sharply for women)
She smokes or is exposed to second-hand smoke every day.
Her blood pressure is over 135/85 mm Hg. Optimal blood pressure is 120/80 mm Hg. Drug therapy is indicated when blood pressure is >140/90 mm Hg, or an even lower blood pressure in the setting of chronic kidney disease or diabetes (> 130/90 mm Hg).
She does not exercise for at least 30 minutes that includes moderate?intensity physical activity, like taking a brisk walk, on most days. For weight control, women need to exercise for 60?90 minutes with moderate?intensity activity on most days.
She has diabetes. After age 45, diabetes affects many more women than men. If diabetic, aim to achieve glycosylated hemoglobin (HbA1c) level less than 7%.
Her HDL (High Density Lipoprotein or "good" cholesterol) is less than 50mg/dL.
LDL goals are dependent upon risk. The following levels of lipids and lipoproteins in women should be encouraged through lifestyle approaches: LDL?C <100mg/dL; HDL?C >50mg/dL; triglycerides <150mg/dL and non?HDL?C (total cholesterol minus HDL cholesterol) <130 mg/dL. If a woman is at high risk or has hypercholesterolemia, intake of saturated fat should be <7% and cholesterol intake <200 mg/d. For diabetic women, LDL should be <100. For vascular disease and very high risk women, LDL should be<70. HDL of 60 mg/dL is considered cardioprotective. One can raise HDL by taking in 2?3 tbsps of olive oil daily, quitting smoking, getting regular aerobic exercise and maintaining a healthy weight.
She is overweight by 20 pounds or more (More than one?third of women are more than 20 pounds overweight.)
Either natural or through surgery, early menopause, before the age of 40 is associated with increased risk for cardiovascular disease.
Taking birth control pills greatly increases risk of heart attack and stroke, especially after age 35.
She has a high demand/low control job with sustained high levels of stress. Stress is a normal part of life.
A healthy diet consists of eating fruits, vegetables and whole grain high?fiber foods (aim for 5 servings of vegetables and 2 servings of whole fruit daily); eating fish, especially oily fish, at least twice a week; limiting saturated fat to < 10% of energy, and if possible to <7%, cholesterol to <300 mg/dL. Limiting alcohol intake to no more than 1 drink per day; limiting sodium intake to <2.3 g/d (approximately 1 tsp salt) and avoiding all trans?fatty acids
Pregnant and lactating women should avoid eating fish potentially high in methylmercury.
Having at least three of a cluster of symptoms that are listed below put her at risk:
High blood sugar >100 mg/dL after fasting
High triglycerides, at least 150 mg/dL
Low HDL (<50 mg/dL in women)
Blood pressure of 130/85 or higher
Waist >35 inches (Waist measurement of 35 inches or more or waist?to?hip ratio greater than 0.80 is a predictor of high triglycerides and low HDL levels).
Hi dr I am not getting my period on time even it stay for only 1 day when its come .I hv hypothyroid not losing weight .my major problem is that I m not getting my period from last year .m in relationship please help
Hello, my mother is 48 years old. Yesterday night she experienced pain between her thigh, she was fainting, vomiting sensation .I want to know is it because of menopause or any other thing.
Am thirty years old. Got married 2 years ago. Facing pcod. And infertility. So that I need a treatment. I want to know that can I get pregnant? And how much time it takes. Pls let know.
Before a few months blood was coming with my urine and I was feeling pain in abdomen. I consult with doctor and doctor treated me with alkasol (urinal infection. Yesterday I was feeling trouble at the time of urine. And suddenly I discovered a stone in my urine but there was no blood. From then I am facing problem whenever I go to toilet I feel pain and urine is not coming freely. What should I do now. Advise me.
Contrary to most old wives tale, you do not need to eat for two when pregnant. On the other hand, some women may also be completely put off food in their first trimester. However, going to either extreme is unhealthy and should be avoided. Eating nutritious food is the key to good health of your baby.
Here are some of the things you must include in your diet during your first trimester:
Spinach: Spinach is high in folic acid that is necessary for your baby’s development. Spinach can be frozen and stored so that it is accessible at all times. Spinach can be incorporated easily into meals by tossing a handful in with eggs or any other vegetables or by adding a few leaves of baby spinach into salads. You could also add spinach to your smoothies.
Lentils: Lentils are rich sources of proteins that aid in the muscle growth and bone development of a baby. Dals are the easiest way to incorporate lentils into your diet. You could also boil lentils and add them to salads or other dishes.
Broccoli: Broccoli is an excellent source of iron. Iron is essential not only to form red blood cells in your baby but also to maintain your own haemoglobin levels. Broccoli can be steamed, sautéed, tossed or fried and eaten as a side dish or as part of a salad.
Citrus: Citrus fruits are rich sources of vitamins and folic acid. Both of these are essential for a baby’s health development. Citrus fruits can be easily incorporated by juicing them and drinking it or by adding the juice to salad dressings. You could also eat fruits like oranges as it is or add the pods to salads.
Cottage cheese: Cottage cheese is a rich source of proteins especially for vegetarians. It is also very rich in calcium. Both calcium and proteins are essential for muscle and bone development. Cottage cheese can be grilled or eaten raw. You can also eat it with pancakes or use it to replace ricotta in pasta and quiches.
Eggs: Eggs are a rich source of protein, calcium and vitamin D all of which are crucial to your baby’s development. Having an egg for breakfast is a great way to start the day. Additionally, you could add boiled eggs to your salads or make a curry with boiled eggs.
Chicken: Chicken is a rich source of proteins and iron. This helps create red blood cells in your baby and in the development of muscles and tissues. Chicken can be prepared in many ways though frying it may not be a very good idea if you want to avoid excessive weight gain.
Protein is the key for muscle building; this will help you gain weight. Help yourself to nuts and dairy products.
I am 27 years old fem Suffering frm pcod and thyroid I want to knw abt flaxseed shud you include them in my diet or nt thanks.
Hi all, hope everyone is well. I'm 4.5 weeks post op, all gone ok stopped bleeding at 2.5 weeks, just yellow discharge now. Pain almost stopped when bleeding did but the last 3 days I've been really sore and think it's from the vaginal cuff but not certain. Any ideas why I would be getting pain at.
My weight is 94 and I have thyroid 0.8 in tsh. Periods was regular so it is possible to get pregnant to me. For get as soon as possible cn you give a advice which medicine to us get pregnant please kindly requesting.
I had protected sex with my girlfriend. But from her vagina something brown brown coming. I don't know what to do. If any chances for pregnancy Her periods is not regular bcoz of sum issues. Is there any chances of pregnancy?
My gf having period last time is on 29 Dec and as of now she is not having period till today is may cause any issue?
I am 17 year old boy. There is little bit of swelling in my left breast and on touching it is quite hard. please help.
Hi, I am 32 years old, I am working in Gulf countries form past 5 yrs. 4-moths ago I got married, continuously for 2 months I stayed with her and we had daily sex. But still she is getting periods. As she is hiding some internal things with me and telling some stories of her friends for Eg: one her friend is getting only 2 days periods for a month or some times even nothing, as her friends doctor told/confirmed her that she will never going to get pregnancy. With her friends story moral, she will say if something wrong with me what will you do to me like that kind of questions my wife is asking to me. So I got doubt and I had checked with her and I am sure that, she is the story character. Kindly can any one help me exactly how can I know what kind of test shall be done to get her periods are getting in normally and whether have chance to get pregnancy or not. As I described I am working in gulf as my job type only yearly once 30-45 days I can able to spend with my wife. And I don't have any bad habits only what I have is masturbation 2-3 times once in 15-days to relive stress by watching porn other than that I don't have any kind of bad habits. I am maintaining a healthier diet. I need a child to have a complete family. I am always positive towards her but she is all the time hiding, not for any shy, but something it is what I want to know. Thanks in advance for kind your help.
I have a lump in my left breast since 3years but the mammography doesn't show anything and the report also says that everything is normal. What it can be?
A panic attack can start suddenly and may be caused due a variety of reasons. A patient of depression and anxiety usually goes through such attacks. The symptoms of these attacks include sudden and persistent fear, the feeling of losing control, the feeling of having a heart attack, palpitations problem, sweating, dizzy spells and more. It has been medically proven that most adults go through at least one or more panic attacks in their lifetime.
Here are a few ways in which one can stop a panic attack:
- Recognise the Signs: Take note of the symptoms. From a feeling of choking to detachment, losing control, surreal experiences, dizzy spells, nausea, pain in the abdomen and chills, to tremors, and a fear of facing death, there are many symptoms that can put your body in a fight or flight response where things may suddenly seem terrifying, and without any reason at that.
- Breath Control: Learn to control your breathing as soon as you begin to experience the symptoms. This will help in distraction even as it soothes and calms you down, thus forcing you to think rationally about the fear and helplessness that you are suddenly experiencing. Sit down with your knees bent and let your shoulders relax.
- Relaxation Techniques: Learn and practice a few relaxation techniques during times like these. This may include simple things like rubbing your neck and more focused activities like talking to yourself and meditating.
- Continuation: Remember to hold your breath, let it out, and then carry on with the activity that you had set out to do. If you stop what you were doing, then the message going to your brain is loud and clear and you will panic even further. But if you relax and zone out before letting yourself go about the chore, however robotically, then it will have a positive effect on the messages that are sent to your brain.
- Medication: In the event that you are not able to fully control and relax yourself and your thoughts, then you may want to see a psychiatrist who can prescribe specific medication that will help in relaxing you. Sedatives and antidepressants may also be prescribed for patients who are going through severe episodes of panic with debilitating symptoms.
- Differentiate between Stress and Panic: Many times, we may feel like we are panicking, yet this may simply be a way of going through stress. It is important to focus on recognising events and reactions as stress or panic.
Not allowing yourself run away from a situation is a sure shot way of dealing with panic as this condition the brain to be more accepting and resilient. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
महिलाओं और पुरूषो में बांझपन या अनुवंसिक्ता
बांझपन या अनुवंसिक्ता क्या है?
एक वर्ष तक प्रयास करते रहने के बाद अगर गर्भधारण नहीं होता तो उसे बन्ध्यता या अनुर्वरता कहते हैं।
बांझपन, प्रजनन प्रणाली की एक बीमारी है जिसके कारण किसी महिला के गर्भधारण में विकृति आ जाती है। गर्भधारण एक जटिल प्रक्रिया है जो कई बातों पर निर्भर करती है- पुरुष द्वारा स्वस्थ शुक्राणु तथा महिला द्वारा स्वस्थ अंडों का उत्पादन,
अबाधित गर्भ नलिकाएं ताकि शुक्राणु बिना किसी रुकावट के अंडों तक पहुंच सके, मिलने के बाद अंडों को निषेचित करने की शुक्राणु की क्षमता, निषेचित अंडे की महिला के गर्भाशय में स्थापित होने की क्षमता तथा गर्भाशय की स्थिति।
अंत में गर्भ के पूरी अवधि तक जारी रखने के लिए गर्भाशय का स्वस्थ होना और भ्रूण के विकास के लिए महिला के हारमोन का अनुकूल होना जरूरी है। इनमें से किसी एक में विकृति आने का परिणाम बांझपन हो सकता है।
बांझपन क्यों होता है ?
पुरुषों में प्रजनन क्षमता में कमी का सबसे सामान्य कारण शुक्राणु का कम या नहीं होना है। कभी-कभी शुक्राणु का गड़बड़ होना या अंडों तक पहुंचने से पहले ही उसका मर जाना भी एक कारण होता है। महिलाओं में बांझपन का सबसे सामान्य कारण मासिक-चक्र में गड़बड़ी है। इसके अलावा गर्भ-नलिकाओं का बंद होना, गर्भाशय में विकृति या जननांग में गड़बड़ी के कारण भी अक्सर गर्भपात हो सकता है।
क्या अनुर्वरता केवल औरतों के कारण होती है?
नहीं, यह केवल औरत के कारण नहीं होती। केवल एक तिहाई सन्दर्भों में अनुर्वरता औरत के कारण होती है। दूसरे एक तिहाई में पुरूष के कारण होती है। शेष एक तिहाई में औरत और मर्द के मिले जुले कारणों से या अज्ञात कारणों से होती है।
पुरूषों में अनुर्वरता के क्या कारण होते हैं?
पुरूषों में अनुर्वरता के कारण हैं
(1) शुक्राणु बनने की समस्य - बहुत कम शुक्राणू या बिलकुल नहीं।
(2) अण्डे तक पहुंच कर उसे उर्वर बनाने में शुक्राणु की असमर्थता - शुक्राणु की असामान्य आकृति या बनावट उसे सही ढंग से आगे बढ़ पाने में रोकती है।
(3) कई बार पुरूषों में जन्मजात ऐसी समस्या होती है जो कि उनके शुक्राणुओं को प्रभावित करती है।
(4) अन्य सन्दर्भों में किसी बीमारी या चोट के परिणाम स्वरूप समस्या शुरू हो जाती है।
पुरूष में अनुर्वरता का खतरा किन चीज़ों से बढ़ जाता है?
पुरूष के सम्पूर्ण स्वास्थ्य एवं जीवन शैली का प्रभाव शुक्राणुओं की संख्या और गुणवत्ता पर प्रभाव पड़ता है। जिन चीज़ों से शुक्राणुओं की संख्या और गुणवत्ता घटती है उस में शामिल हैं।
- मदिरा एवं ड्रग्स
- वातावरण का विषैलापन जैसे कीटनाशक दवाएं
- सिगरेट पीना
- मम्पस का इतिहास
- विशिष्ट दवाँ।
- कैंसर के कारण रेडिएशन।
औरतों में अनुर्वरता के क्या कारण होते हैं?
औरतों में अनुर्वरता के कारण हैं -
(1) अण्डा देने में कठिनाई
(2) बन्द अण्डवाही ट्यूबें
(3) गर्भाशय की स्थिति की समस्या
(4) युटरीन फाइवरॉयड कहलाने वाले गर्भाशय के लम्पस।
किन चीज़ों से महिला में अनुर्वरकता का खतरा बढ़ जाता है?
बच्चें को जन्म देने में बहुत सी चीजें प्रभाव डाल सकती हैं। इनमें शामिल हैं -
(1) बढ़ती उम्र
(3) पोषण की कमी
(4) अधिक वजन या कम वजन
(7) यौन संक्रमिक रोग
(8) हॉरमोन्स में बदलाव लाने वाली स्वास्थ्य सम्बन्धी समस्याएं।