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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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
Urinary Incontinence (Ui) Treatment
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I had raised a query regarding my delayed menses. I had an abortion in the first week of December after which I had my period on Jan 10 and later on 6th Feb. This month I have still not got my period. When I took a pregnancy test on 7th of March it showed negative. I am confused regarding whether I have taken the test too early to believe it or the menstrual period is irregular after abortion?
I had an intercourse with a stranger with protection (condom). When it was over I pulled out my genital safely. However while pulling off the condom, some vaginal discharge on it spilled on my genital. Some touched my glans. I am worried if that women was infected with HIV can I get it too?
Sex, which gives pleasure to most, can be painful for some. There are a lot of reasons such as allergic reactions or psychological reasons so as to why one may feel pain from sexual intercourse.
Symptoms of pain affect both and women equally.
Pain from sex in men can be caused due to following reasons:
- One of the most common cause of pain during sex is a tight foreskin.
- Inflammation of the prostate may cause difficulties such as pain during sex.
- Infections in the penile area such as thrush which results in the irritated skin cause pain during sex.
- Damage to the foreskin covering the penis may cause a sharp and stinging pain during sexual intercourse.
If the symptoms are exaggerated and persist then it is recommended to consult a medical professional. In the case of itchiness and unusual discharges from the genitals, an STI (sexually transmitted infection) test is carried out. Another common treatment is using lubricants during sex to get rid of the dryness that is causing the pain. In the case of allergic reactions, it is recommended to test the products before using them.
Pain from sex in women can be caused due to the following reasons:
- Infections such as genital herpes (a viral disorder) or gonorrhea (a bacterial disorder in the vaginal skin) can cause pain during sex.
- If the passage in the vagina is narrow then it can cause pain during sex.
- If the women have reached menopause it makes the vagina dry. This can cause modifications in hormones that restrict the vagina from being wet during sex and causes pain.
- Allergic reactions from latex used in condoms can cause irritation in the genital region that may cause pain.
I had ectopic pregnancy last September 2015. Hsg show my both tube open. We have been trying for baby last 6 month. N 2 iui cycle not succeed. Doctor advise me for laparoscopic surgery for seeing is there any infection in tubes. Pls suggest me other alternative except ivf n laparoscopy.
Good morning, I’m Dr Nidhi Agarwal, I am a consultant gynaecologist, based in Gurgaon. Now today I’ll speak on Polycystic Ovarian Disease that is PCOD which is very common in women in recent years.
PCOD actually occurs in young women. They usually present to us with irregularity with their periods. The ovaries in PCOD patients actually become bigger and denser. As the name suggests, ‘poly’ means many that is many cysts are formed in the ovaries. This lady usually presents with a disruption in the normal menstrual cycle.
Now, what happens in a normal lady who menstruates every month?
There is one egg which is selected by nature which increases in size, and when it becomes bigger and appropriate in size, it is ruptured in the ovary which is then taken up by the Fallopian tube. And if it doesn’t meet the sperm and pregnancy doesn’t occur, then the lady menstruates. This should happen monthly up to 35 days. In PCOD patients, this natural selection of the egg every month doesn’t occur. Instead, many small cysts are formed in the ovaries. So that is why there are many cysts formed in the ovaries, and then the patient does not have normal periods. That is why we say it a Polycystic Ovarian Disease.
Now how does a patient of PCOD present to us?
A patient of PCOD, if she is a young girl in her teens or in the early twenties, she usually comes to us saying that she is not having her monthly periods. She menstruates at one and a half months, two months, two and a half months, and when she menstruates, she usually has excessive bleeding with clots. If a lady is in her late twenties and has got married, and she is not able to conceive, then also the patient presents with the problem in conceiving. Also, there is usually an excess of hormones produced by the ovaries, that is an excess of estrogen as well as androgen which is the male hormones. The lady usually presents with male like pattern of hair growth that is hair growth on her chin on her face, around the nipples of her breasts, in her lower abdomen, especially over her thighs and she says that along with excessive hair growth, she has developed excessive acne and things also appear all over her scalp. These are basically because of an excess of androgens, which are the male hormones. This change in the hormonal value occurs because of Polycystic Ovarian Disease. Also, very often, patients come to us saying that she is gaining weight excessively. A patient comes and says that in the last 5 months, I have gained 10 kgs of weight. So patients usually present to us with symptoms of insulin resistance, in which there is overweight. Now, PCOD has actually become very common and patients who are as small as 11-12 years of age come to me, young girls presenting with PCOD. And the incidence is very very very high; 1 out of 10 women are now having PCOD.
How do tackle this PCOD?
See, there are three criteria which are very important. As I have told you, first is a presentation, that the lady is not ovulating, that is the egg which is formed every month is not released. Instead, multiple eggs multiple cysts form which we call in their ovaries. So, if the ultrasound shows that they are polycystic ovaries if the patient presents to us with less ovulation, or anovulation which we say which occurs when the patient is not having her regular periods, or there are signs of excess androgen that is male hormone with features of hirsutism. Then, out of these three, if two criteria are there in the lady someone is having PCOD.
Very often patients ask me, ‘Why do we, why am I suffering from PCOD?’ So if you ask me, there is no one particular cause which I can see, that this is the reason you have got. There are so many factors, it could be just genetic- your mother or sister has been suffering from PCOD, then your chances of having PCOD are always higher. There could just be low-grade information in her ovaries, which has disturbed the ovaries to an extent that it is releasing more of male hormones, making them bigger in size and that is causing the ovaries not to ovulate. Or it could just be because of obesity and high insulin levels. Again, because of high insulin in the body, it puts stress on the ovaries and they don’t ovulate.
So there are so many causes, you have to investigate the patient, there are a lot of investigations that have to be done and we can come to a diagnosis, it is possible. So, I’ll just conclude by saying that PCOD is very very common nowadays.
If you are having problems with your menstrual cycle, if you are gaining weight abnormally, if you have excessive hair growth anywhere which is not expected in females, face acne or hair loss, please do see us, see your local gynecologist, so if there is any problem, it can be sorted out in time. I’m Dr Nidhi as I already told you, I am based in Gurgaon, and you can contact me for any queries for PCOD or its treatment at LivWell clinic which is at Galleria Market and also you can contact me through Lybrate.