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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
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Treatment Of Pregnancy Problems
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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
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Hello doctor. I am 28 years old female got married before 2 years. Try to conceive but not capable and also I have pcos problem so what should I do.
When it comes to the birth control, most women opt for oral contraceptive pills (mostly containing estrogen or progesterone) or the use intrauterine contraceptive device or IUD to deal with unwanted pregnancies. Most of these, however, provide only temporary freedom from pregnancy. When we talk about the permanent birth control measures, not many people (especially in India and the neighbouring countries) are aware of Essure. Essure is a female sterilization procedure which, when performed, makes a woman infertile for the lifetime. In this article, we will discuss Essure in detail, including its merits and demerits.
What is Essure?
Approved by FDA in 2002, Essure is a relatively new procedure that sterilizes a woman permanently by placing an insert in each of the fallopian tubes. The event serves as a trigger for the formation of a barrier (mainly comprising of scar tissues) around each of the flexible inserts. It is this barrier that prevents the fertilization of the eggs to take place (the sperm fails to cross the barrier to reach the egg) thereby preventing pregnancy.It takes between 2.5-3 months (approx) for the barrier to form. During this period, a woman should continue with the birth control pills and oral contraceptives to negate the chances of her getting pregnant. There is an Essure Confirmation Test performed at the end of 3 months, after which a woman can discontinue the use of the oral contraceptives and pills.
Who should avoid Essure?
In spite of its effectiveness and being minimally invasive, Essure may not be a wise option under the following circumstances.
- A woman who has plans of conceiving in the future.
- There is unusual and unexplained vaginal bleeding.
- A woman who is already pregnant.
- A woman being allergic to metals (silver-tin, titanium, platinum, stainless steel, nickel) or fibres (especially polyester).
- Cancer affecting the ovary, cervix, and other female reproductive organs.
- Women with gynaecological infections (active) or tubal damage should refrain from undergoing Essure.
Merits and demerits of Essure
Essure comes with a myriad of benefits, some of which include:
- Essure is a minimally invasive sterilization procedure that comes with a success rate of almost 99.3% (once there is an Essure Confirmation Test).
- In most cases, the entire procedure of Essure takes a maximum of 40 minutes with the patient getting back to normal life within a day or two.
- Unlike the various birth control pills, Essure does not involve the use of any hormones (especially the sex hormones estrogen and progesterone, which can trigger many complications and side effects including a hormonal imbalance).
Unfortunately, with merits come the demerits. Many medical practitioners are skeptical about the effectiveness and safety of Essure.
- Many women having undergone Essure have complained of moderate to excruciating pain (short-term or chronic).
- Following Essure, there have been uterine and fallopian tube perforations in some women, though the percentage of such women is really low.
I got sex before 2months earlier and only ones the periods occurs just for too days. Now no periods has come 1 month has passed plssss help me plsss aur tell me any type of pill that can help me.
IVF (in vitro fertilisation) and surrogacy are alternative methods of having a baby and can be resorted to when a couple cannot conceive the natural way. There are three things you must keep in mind before making a choice between IVF or surrogacy:
Surrogacy is opted for when the woman is unable to conceive by natural means and when there's no possibility of her getting pregnant whatsoever. Surrogacy can be of two types- full surrogacy and partial surrogacy. On the other hand, IVF works towards the treatment of infertility in one or both the partners, enabling the woman partner to conceive the child. IVF involves the fertilisation of a woman's eggs by the sperm of the intended father in a laboratory dish. The developed embryo (or fertilised egg) is then implanted in the woman's uterus.
Risks of surrogacy include multiple births, ectopic pregnancy (implantation of the fertilised egg in the fallopian tube instead of the uterus, leading to miscarriage) and birth defects in the child, to name a few. As for risks associated with IVF, ovarian hyperstimulation syndrome (swollen and painful ovaries), multiple births, ectopic pregnancy and stress can take place if IVF is opted for.
Surrogacy requires the fulfilment of complex legal processes, such as determining eligibility, matching profiles of surrogates with intended parents, finding of a potential surrogate and more, which require proper legal counselling. Besides the cost of surrogacy in India is higher than IVF.
IVF does not involve any such processes and is easier to carry out. The low cost of IVF in comparison to surrogacy makes it a much more viable option. Based on these factors, you can make the choice of a procedure that is best suited for you.