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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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Good afternoon... Hmari sadi ko 4 year ho ge h 4 month s pregnancy ki koshish kr reh h pr. .result is 0. Hmne hospital bhi doctor s consult kiya jisme meri misses ki nsg Ovary ultrasound and blood or urine test krway h..All report ok aayi h Only urine test m infection ayaya. Misses k stomach m pain hota h Doctor ne mera semen test krwa jisme Few sperm are active result aya and ph 10-12 Aya aap batye k hum parents bn skte h.
What is the good time for sex if she has menustration just over by one day then is it safe to have a sex with partner?
Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.
Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:
- Milky nipple discharge (galactorrhoea)
- Hair loss
- Vision changes
- Excess facial hair (Hirsuitism)
- Pelvic pain
You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.
Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.
Certain medications can cause menstrual periods to stop, including some types of:
- Psychiatric medications
- Cancer chemotherapy
- Blood pressure drugs
- Allergy medications
- Lifestyle factors
Sometimes lifestyle factors contribute to amenorrhea, for instance:
- Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
- Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
- Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.
Many types of medical problems can cause hormonal imbalance, including:
- Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
- Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
- Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
- Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:
- Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
- Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
- Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.
Clinical examination by the doctor includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine your breasts and genitals to see if you're experiencing the normal changes of puberty.
Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.
A variety of blood tests may be necessary, including:
- Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
- Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
- Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
- Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
- Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.
Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:
- Ultrasound: This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
- Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
- Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.
Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.
Hello Dr. I want to ask you about my report m 18 week pregnant had my triple marker test done dese r my reports. Afp- 65.7 ng/ml Hcg-24126miu/ml Ue3-1.09 ng/ml My Dr. is not present right now I want to ask is my report normal ? Everything is alright my age is 28 n my weight is 59.3.
My wife is suffering from big boobs how to reduce her boobs sometimes she feel akwards what to suggest for her.
Hi, This is my first pregnancy. I am 23 years old. My lmp is 26/3/2016. My hcg level is getting down. Strtd at 127 n reached 651 n then it reduced to 637.5 n finally now 570.5. I have pcod. Am taking tablet also. I went to scan. Dey said there was a sac. And ask me to wait to take another hcg blood test. I don't think so it will raise. Becoz study only I taken hcg. It's still reduced. and also they are not saying very positively. Just there is a sac. Tats it. But am confused now. Is there any possibility that I will have healthy pregnancy. Whether I need to wait tomorrow for another hcg. Please suggest something. I don't have any spotting and all.
I am 23 years old male. I had unprotected sex with my gf, I ejaculate inside her 3 times & after 10 hour I gave her unwanted 72. Will she be pregnant? Please help.
I have my last menses on 29-05-15 I did not get date till now. I have a 2 years boy and we dont wont to commit a one more child now what shall we do please suggest us thankyou.
I fallen down from bike and hurted my upper right rib and I am pregnant for six months could please advice I have done my sonography and the baby is normal bt I have severe pain I'm unable to sleep pain. Please advice.
I am pregnent. 8 weeks. In torch test rubella igg 62 cmv129 hsv27. But igm -'ve. Can my baby healthy?
I am 19 years old I had sex with my bf n immediately I had unwanted 72 but nt yet rcvd my menstrual please help.
I am having clotting during menstrual period, sometime huge ball like clotted blood discharged. Is it normal or something went wrong with me.
I am 28years old, and its 3 years since I got married. All the 3years me and my husband were not together since I was bit career oriented and was staying in Bangalore. Me and my husband used to meet once in 2 or 3 months. Now that I have relocated to Noida where my husband is staying and we are trying for a baby from 3-4 months but no result. Could you help us on this.
What is a dowager's hump?
The term dowager's hump is a more casual term for the medical condition referred to as kyphosis. It is the uncommon curvature of the thoracic vertebrae of the upper part of the back in an outward direction.
It is most commonly seen in women than in men. When the front part of the vertebrae becomes involved and gets compressed due to osteoporosis, it will later on result to the spine bending forward and producing a hump at the upper back portion.
What causes a dowager's hump?
The hump can be caused by other conditions and these should be determined in order to get the correct treatment. Based on the research of the university of maryland medical center, this kyphosis problem can be caused by genetic abnormalities.
The disfiguration in the patient's genes can result to the inappropriate growth of the vertebral column. Other conditions linked with other congenital problems could also cause this hump.
It is also been mentioned in some studies that it can also be due to wedge fractures wherein the front part of a vertebra collapses causing the spine to be misaligned a little. The above part of the fracture tips forwards and creating a slight back curve.
As the vertebra over the wedge fracture is tipped forward, it puts pressure on other vertebrae that could lead to developing a wedge fracture in another vertebra. The more wedge fractures are occurring; the back gets more bowed. In severe cases, a person's back can be extremely bent over.
How is a dowager's hump treated?
There are several ways to treat dowager's hump. The main goal of treatment for this condition is by preventing bone loss, although it can also be utilized as a management which is beneficial for patients who experience pain resulting from vertebral fractures.
The procedure is called vertebroplasty, where bone cement is injected to stabilize the vertebrae. Another procedure for this condition is performing kyphoplasty for individuals with compression fractures in the bottom half of the spine.
Exercises for dowager's hump
Based on some research studies in the medical society, yoga exercises can be a great contribution in treating dowager's hump. The upper spine curvature of individuals who did yoga for six months reduced the back problem by about five percent compared to those who did not.
Here are some 5 easy poses that can be done to straighten the spine:
Sit straight at the front edge of the chair with the butt firm and flat. Secure the feet on the floor by steadying it there. Inhale and stretch out the spine upward. Bring the shoulders down along with the head placed over the spine, then breathe uniformly keeping the posture for about 30 seconds to 1 minute.
Sit in the same seated mountain position then pull the head backward as if making a double chin. Do it again for 6 to 10 times. Do not lift or jut the chin in a forward manner. Focus on the backward movement with the shoulder rolled and lifted when inhaling, then compress the shoulder blades together at the back when exhaling. Do it 6 to 10 times in full circles.
Sit tall. Inhale while clasping the hands behind the back. Hold the arms away from the body when exhaling. Do it all over for 3 to 6 times. Remain in the same pose by continuously breathing if desired.
Sit tall as above. Keep the fit firm on the floor and draw the head back. Stay in this posture, and then bend forward by not rounding the spine. The muscles in the abdomen should remain firm and shoulders should be square. Bend back as far as possible with the feel still planted on the floor. Go through again for 10 to 20 times.
Methods of prevention for dowager's hump
Preventive measures must be taken to avoid this condition. Tips that can prevent dowager's hump include:
Daily doses of vitamins c and d
Work-outs for coordination and balance in order to prevent spine fractures
Eat a healthy and balanced diet
Training for strength and weight.