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Management of Abortion
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Treatment Of Female Sexual Problems
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Sex during pregnancy - is it safe?
If you're pregnant, you may be curious or worry whether it's safe to have sex and how you can go about it. The good thing is, it's perfectly safe to have sex during pregnancy. You might find that your sex drive is uncontrollable during your pregnancy you may go through phases of being very sex driven, and then phases of not wanting sex at all so it's important to know about sex during pregnancy and what you can expect.
While sex is safe for most couples during pregnancy, the most difficult part may be having sex in a way that's enjoyable and comfortable for you particularly if you're far along with your pregnancy. It can take a little time to explore and experiment together to work out what's comfortable and pleasurable for you both, especially if you have a bump in the way! your breasts might feel tender, and it may be uncomfortable if your partner penetrates too deeply, so it might be better to lie on your sides with your partner behind; this way he won't put any pressure on your bump but can penetrate and stimulate you at the same time.
You can also:
- straddle your partner as he lies on his back. This way, there is no pressure on your belly and you can control the pace.
- lie side by side with your partner facing your back, and entering you from behind.
- support yourself on your knees and elbows, and have your partner kneel and enter you from behind.
Be aware that it's common for women to experience some bleeding during intercourse whilst pregnant, especially in their first trimester. This is cause by the normal swelling of capillaries in the cervix, which can burst when irritated during sex. Spotting (random spots of blood) is generally nothing to worry about, however you should mention it to your midwife just to let her know if this does happen. However, if you are ever losing a lot of blood, you should consult your doctor immediately and get checked out at the hospital.
It's important to talk about sex with your partner. Your partner's desire for sex may equally increase or decrease during your pregnancy, and be aware that he might feel very cautious about having sex with the fear of hurting you or the baby, so be sure to communicate what feels good and positions that you're comfortable with. Try experimenting with different sexual positions to find ones that suit you both. It may take time to get used to it, particularly as your bump grows bigger, however there is no reason why you should stop having sex just because of your pregnancy.
If you have any queries or worries, the best thing to do is consult your midwife or doctor and they can offer guidance and reassurance about sex during your pregnancy.
My wife is suffering from knee pain for last two days, her age is 43 years and last period date 31.12.14. Pl. Help me what is reason or is there any medicine for regular periods and Hemoglobin nearly 9.5
Hello sir, my friend she is 26, she has white discharge from her private part. Since last year she has been taking homeopathic medicine and that discharge disappeared for a while, so she stops medicine, but again she is having that discharge with back ache. Is there any symptoms related to cancer kindly suggest?
I'm disturbed as my wife shows less interest in sex. I want to know if its her physical problems or she is not excited with me. I also want to understand if she has any sexual feelings in her which she is unable to express with me every night she comes to bed and dozzes off. Bug when I pester her she cooperates but does not involve much. What k observed is she is always wet in her pussy. K feel that she might be thinking about sex in mind .but not readily coming to indulge in sex. She rarely says no go sex but every time I have to keep on asking kindly suggest is their a way to understand if she needs sex with man why is she not showing sex interest I am depressed and want sex life for both of us happily. I open even to know if she is having an urge go sleep with other man also Please suggest me.
Hi I missed the lunch for 5 days continues, and I get small pain in my stomach some time, please tell me what is the problem and how to over come.
Good morning doctor! my wife is 40 years old and now she is pregnant. This is our firs child and due date is given on 17/10/2017. What will be the notifications for the delivery that can be identified by a common man like me. Precautions for this last month to be taken. Thanking you sathish kumar dharmalingam.
आज कल हमारी दिनचर्या हमारे खान -पान से गठिया का रोग 45 -50 वर्ष के बाद बहुत से लोगो में पाया जा रहा है । गठिया में हमारे शरीर के जोडों में दर्द होता है, गठिया के पीछे यूरिक एसीड की बड़ी भूमिका रहती है। इसमें हमारे शरीर मे यूरिक एसीड की मात्रा बढ जाती है। यूरिक एसीड के कण घुटनों व अन्य जोडों में जमा हो जाते हैं। जोडों में दर्द से रोगी का बुरा हाल रहता है। इस रोग में रात को जोडों का दर्द बढता है और सुबह अकडन मेहसूस होती है। इसकी पहचान होने पर इसका जल्दी ही इलाज करना चाहिए अन्यथा जोडों को बड़ा नुकसान हो सकता है।हम यहाँ पर गठिया के अचूक घरेलू उपाय बता रहे है.......
*सुबह के समय सूर्य नमस्कार और प्राणायाम करने से भी जोड़ों के दर्द से स्थाई रूप से छुटकारा मिलता है।
*गठिया के रोगी 4-6 लीटर पानी पीने की आदत डालें। इससे ज्यादा पेशाब होगा और अधिक से अधिक विजातीय पदार्थ और यूरिक एसीड बाहर निकलते रहेंगे।
*एक बड़ा चम्मच सरसों के तेल में लहसुन की 3-4 कुली पीसकर डाल दें, इसे इतना गरम करें कि लहसुन भली प्रकार पक जाए, फिर इसे आच से उतारकर मामूली गरम हालत में इससे जोड़ों की मालिश करने से दर्द में तुरंत राहत मिल जाती है।
*प्रतिदिन नारियल की गिरी के सेवन से भी जोड़ो को ताकत मिलती है।
*काली मिर्च को तिल के तेल में जलने तक गर्म करें। उसके बाद ठंडा होने पर उस तेल को मांसपेशियों पर लगाएं, दर्द में तुरंत आराम मिलेगा।
*गाजर को पीस कर इसमें थोड़ा सा नीम्बू का रस मिलाकर रोजाना सेवन करें । यह जोड़ो के लिगामेंट्स का पोषण कर दर्द से राहत दिलाता है।
*गठिया रोगी को अपनी क्षमतानुसार हल्का व्यायाम अवश्य ही करना चाहिए क्योंकि इनके लिये अधिक परिश्रम करना या अधिक बैठे रहना दोनों ही नुकसान दायक हैं।
*सौंठ का एक चम्मच पावडर का नित्य सेवन गठिया में बहुत लाभप्रद है।
*गठिया रोग में हरी साग सब्जी का इस्तेमाल बेहद फ़ायदेमंद रहता है। पत्तेदार सब्जियो का रस भी बहुत लाभदायक रहता है।
What is Polycystic Ovary Syndrome (PCOS)?
Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:
- Menstrual cycle
- Ability to have children
- Blood vessels
With PCOS, women typically have:
- High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
- Missed or irregular periods (monthly bleeding)
- Many small cysts (sists) (fluid-filled sacs) in their ovaries
How many women have PCOS?
Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.
What causes PCOS?
The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.
A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.
Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:
- Excessive hair growth
- Weight gain
- Problems with ovulation
What are the symptoms of PCOS?
The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:
- Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
- Infrequent, absent, and/or irregular menstrual periods
- Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
- Cysts on the ovaries
- Acne, oily skin, or dandruff
- Weight gain or obesity, usually with extra weight around the waist
- Male-pattern baldness or thinning hair
- Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
- Skin tags — excess flaps of skin in the armpits or neck area
- Pelvic pain
- Anxiety or depression
- Sleep apnea — when breathing stops for short periods of time while asleep
Why do women with PCOS have trouble with their menstrual cycle and fertility?
The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.
In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
Does PCOS change at menopause?
Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.
There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.
Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.
Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.
Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.
Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.
Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.
Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:
Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:
- Limiting processed foods and foods with added sugars
- Adding more whole-grain products, fruits, vegetables, and lean meats to your diet
This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.
Birth control pills. For women who don't want to get pregnant, birth control pills can:
- Control menstrual cycles
- Reduce male hormone levels
- Help to clear acne
Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.
Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.
Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets). Treatment options include:
- Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
- Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
- Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.
Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, IVF is very costly.
Surgery. "Ovarian drilling" is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.
Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant.
Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.
Other options include:
- Vaniqa (van-ik-uh) cream to reduce facial hair
- Laser hair removal or electrolysis to remove hair
- Hormonal treatment to keep new hair from growing
Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.
Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.
Women with PCOS appear to have higher rates of:
- Gestational diabetes
- Pregnancy-induced high blood pressure (preeclampsia)
- Premature delivery
Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).
Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.
Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.
Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:
- More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
- The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
- Women with PCOS are at greater risk of having high blood pressure.
- Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
- Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.
Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.
Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.
If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:
- Eating right
- Not smoking
Having PCOS can be difficult. You may feel:
- Embarrassed by your appearance
- Worried about being able to get pregnant
Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.
Before my due is excatly 28 days 2 months back my period came 25 days after last month my period came 20 days and this month came 30 days after I am caluclating 1 day of my period as 1 st day. Why this irregularly happened and now how can I calculate best days for sex getting pragnency.
I'm 29 years old, doctor prescribed me tb duoluton l for irregular periods, initially I was having spotting after wen periods came I was having bleeding for ten days have to take tranexa. Now I am on duoluton l still I am having spotting. Is it bcoz of tablet? USG, TSH pap smear r done. Nothing in reports. please suggest me something.
An STD or sexually transmitted disease is usually an infection which spreads from one person to another during sexual contact. Some STDs can also be transferred through touch, since they spread by skin contact. People hardly like to talk or discuss about STDs, but it is very important to rule out the possibilities of STD. Whether one likes it or not, if STD testing is ignored, then it can lead to long-term consequences.
Why STD Testing is Important?
Often STDs have no signs and symptoms, and the only way to know that are you suffering from an STD is to get tested for it. So it is a good idea to get yourself tested, as you never know if you might have STD even though you don't show symptoms. Also, when STDs are diagnosed, most of them can be cured.
Consequences of not Getting Tested
If one has STD and is not getting tested for the same, then it could lead to health problems which can cause permanent damages or might prove to be fatal. Some of the problems are:
- Undiagnosed and untreated STDs can lead to damaged reproductive system, leading to sterile men and women.
- Chlamydia, if untreated can lead to epididymitis and shrinkage of testicles and infertility in men. It also leads to pelvic inflammatory disease. But, good news is, it can be treated easily.
- Syphilis can make a person blind and deaf, and can also be passed on to babies.
- Gonorrhea, which can also be treated easily with antibiotics, can lead to infertility or death if untreated.
- Even HIV/AIDS if diagnosed in early stages can enable the patient to lead a normal life and does not mean only death, contrary to conventional perceptions.
Symptoms of STD
While, gonorrhea, chlamydia and human papilloma virus (HPV) have no symptoms, the common symptoms of STDs might vary.
- In women, the common symptoms are pain and burning sensation during urination, blood in vaginal discharge as also abnormal vaginal discharge, abdominal pain, blisters, warts, and swollen glands.
- Men often experience inflammation of the testicles, prostate, sores, fever, urethral discharge and pain during urination.
If these symptoms are observed, it is vital to get tested for STDs. Also, the best way to protect your partner is not to practice unsafe sex and to refrain from the same until diagnosed and treatment is complete.
Getting yourself tested for STD is also beneficial, as it can prevent against complications like cancers and infertility. The standard STD panel of tests consists of Herpes IgG antibody and HIV antibody blood tests, along with a blood test for syphilis antibody and DNA urine test for gonorrhea and Chlamydia. If you wish to discuss about any specific problem, you can consult a Gynaecologist.