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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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Hello doctor my wife has ovarian cyst 4.5 inches we have consulted gynecologist she has done all the test whatever doctor said now they have told us to do laparoscopic surgery to remove so we still want best suggestion from medical fraternity please help us we will be very thankful.
Sir mera period 10 ko ani thi pr aaj tak nahi aur aaj mujhe toilet karne me problem ho rahi hai dard ho raha aur baar baar mujhe toilet jana pad raha h kya karu 2 din pahle sex bhi kya h hamne.
Problem with my partner she can't comfortable during sex. Pain in vagina during and after sex when doing sex every time.
I had unprotected sex with my gf on 9th of 2016 and my sperm has gone in its vagina What should I dose is still in running help me out of that, And periods last date is on 3rd Jan 2016.
Hello. I want to know that is there any chances of getting pregnant without intercourse & by daily doing oral sex.
Clotting of blood is important for us in case of an injury or wound. It prevents the blood to ooze out of the body from any opening. Our blood releases cells called blood platelets, which initiate the process of clotting. However, the clotting of blood inside the veins is not a good thing to happen. This condition is called thrombosis. Moreover, clotting during pregnancy is a serious condition that poses threat to the health of both the mother and the child. In case of pregnant women, clotting of blood starts in the deep veins. These veins are usually the ones in the legs or the pelvic region. This condition is termed as deep vein thrombosis (DVT).
Why there is a clot during pregnancy?
Blood can clot during pregnancy due to multiple reasons. Clotting occurs to prevent too much loss of blood at the time of labour.
How will you know that it’s DVT?
DVT comes along with certain symptoms. Some of these have been listed below:
- The pregnant woman may notice tenderness or swelling in one of her legs. She might feel the pain in one of the legs.
- The skin colour of the woman starts reflecting changes. The skin might turn a little reddish.
- The patient’s skin will be warmer at the site of clot.
- The veins in the affected region might look dilated or larger in size.
What are the dangers linked to this clotting?
Whatever may be the reason, clotting during pregnancy is always attached to some dangerous consequences. If the blood clot is left unattended and untreated for long, it may have some serious consequence. The clot may start shifting from your legs to one or both of your lungs. This condition is called pulmonary embolism (PE). It is acute condition that can cause death of the patient as well. The symptoms of PE are as follows:
- The patient suffers from sudden breathlessness.
- The patient may feel that there is some tightness around the chest.
- The patient may find blood in her cough.
- The patient may show signs of collapse.
Clotting of blood can also prove detrimental to the baby’s health and growth. The blood is supplied through placenta to the baby and a clot in the mother’s vein can decrease the amount of blood supplied to the baby. Sometimes, the blood supply to placenta might be entirely snapped, leading to the death of the child inside the womb. However, blood clotting at the time of pregnancy happens to only a few women. It has been found that one or two in thousand die due to clotting of blood during pregnancy. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Yesterday I had post coital bleeding my period is due by 3 days bleed was very minimal mixed brownish and reddish but no period flow is it period or is there anything to worry?
Surgical Sperm Retrieval (TESA/PESA/MESA)
The main methods of surgical sperm retrieval available include:
PESA: percutaneous epididymal sperm aspiration.
MESA: microsurgical epididymal sperm aspiration.
TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).
TESE: testicular sperm extraction.
Perc biopsy: percutaneous biopsy of the testis.
Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.
Tests required before surgical sperm retrieval
A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.
Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.
If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead
Surgical sperm retrieval techniques used when obstruction is the problem
When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.
Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.
MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.
Surgical sperm retrieval techniques when there is no obstruction
Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive
TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.
Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.
Is getting menstrual periods after 3 months safe? what can be wrong in my body that I didnt get my periods for 3 months?
Hello Mujhe periods ki problem hai. Mere periods irregular hain mostly delay ho jate hain is baar bhii 3 months ho gyeee aa nhii rhe hain kafi Kuch try kiya bt koi results nhi nikle. Mere sare test ho chuke hai sb Normal hain or baby ka bhi plan kr rhe hain to usme bhi koi process nhi hai please suggest me some thing.
Doctor. I'm 24 age old man, me and my girlfriend mates tomorrow. After that we have a confusion about pregnancy. Her last periods is 25th. Is there is any possibility for pregnancy doctor.
A healthy and nutritious breakfast can make a good morning even better. Myths and misconceptions are galore when it comes to a healthy breakfast. Many of the lip smacking breakfasts come with zero nutritional value, but they look so tempting that we fall for such delicacies. A healthy breakfast is not always healthy. Some of the assumed healthy and nutritious foodstuff can do your health more harm than good. Thus, one needs to get their facts right before zeroing upon a particular breakfast.
- French toast - a perfect toast to unhealthy life: Ideally, a healthy breakfast should give you energy and keep you fit and active throughout the day. French toast is anything, but healthy and nutritious. It has negligible nutritional value. With this breakfast, all those rigorous exercises will prove to be futile. Some people go a step further. They team this already unhealthy breakfast with French fries and sausages. This palatable breakfast can give your waistline nightmares, not to forget the associated health complications. Bread toast with boiled or scrambled eggs is a much healthier and nutritious alternative.
- Cake and pastry - the sweet devil: Cakes and pastries for breakfast are sure to throw your health in jeopardy. Pastries and cakes are both simple carbohydrates. When taken in, these are immediately broken down to glucose. An elevated glucose level often results in an abnormal rise in insulin level. This can lead to serious health problems, with diabetes and obesity being the most common complications. There will inflammation affecting the whole body. Your skin will be the worst affected. It will lose its radiance and appear wrinkled and saggy.
- Donut for breakfast - a complete evil: It is the best way to welcome the unwanted calories and fats into your body. Donuts mostly contain trans- fats that can result in serious healthy complications. You will feel lethargic throughout the day. Obesity and donuts are like two faces of the same coin.
- The sugary juice - a road to obesity: For some people, the breakfast is incomplete without fruit juices. While fruit juices appear as a good, healthy option, the facts are just the opposite. Freshly prepared juices can still be accepted, but the packaged fruit juices are a big no. The packaged juices are loaded with sugar that can never do your health any good. Whole fruit is a much better and recommended option for your health.
- Bagels - a big no: When loaded with cream or cheese are no longer considered healthy. Flavoured yoghurts are equally unhealthy and should be avoided. Before going for packaged cereals, the nutritional contents should be well read and understood.
Your health is important. The sooner you realise this, the better it is. If you wish to discuss about any specific problem, you can consult a General Physician.
Hello I want to have sex with my wife but I do not want to use condom will it be possible of pregnancy.
PCOS or polycystic ovary syndrome is an endocrine disorder in women, in which the female hormones, progesterone and estrogen, are imbalanced. This imbalance leads to the formation of cysts (benign masses) in the ovaries. PCOS tends to affect your heart functions, fertility, menstrual cycle and appearance.
PCOS is a complex condition because it is not entirely clear why some women have such high androgen levels. What is clear is that many women with PCOS also have issues relating to obesity, insulin resistance (a condition where insulin is not effective in lowering blood sugars) and diabetes.
The complexity of PCOS is compounded by the fact that some women with PCOS do not have visible cysts on their ovaries, and some women with cysts in their ovaries do necessarily have PCOS.
How Does PCOS Affect Fertility?
If you’re living with PCOS, the excessive male hormones that your body is creating can interfere with the production of the female hormones that your body needs in order to ovulate. Because your body is not ovulating, progesterone (the hormone that causes the lining of the uterus to thicken) is not being produced. This results in an absence of periods or irregular menstruation. When there is a lack of ovulation and menstruation, conception just isn’t possible.
There are certain symptoms, which can be indicative of PCOS; these symptoms tend to begin as a woman's menstrual cycle starts. In certain cases, however, PCOS may also affect a woman in her mid age. PCOS can also cause excessive hair growth in unwanted places like above the upper lip, chin, arms and chest like a male.
The symptoms are:
- Increase in the production of male hormone, leads to development of male characteristics
- The size of the breasts may reduce
- The tone and the texture of the voice may change and become similar to a man's voice
- Hair may start to fall
- You may suffer from acne and pimple breakouts on your face
- It can lead to sudden weight gain
- It may affect a woman's fertility
- It may lead to pain in the pelvis
Other symptoms: Apart from these symptoms, a woman may also experience other health complications such as high levels of bad cholesterol, high blood pressure and diabetes.
Causes: The causes of PCOS are not well known, however, the likely causes are genetics and hormonal complications. If someone in the family has PCOS, then the risk of being affected by PCOS rises significantly. The other likely cause is the overproduction of the male hormone androgen in the female body. Although androgen is a male hormone, the female body also produces it in trace amounts. However, in some cases, when it is overproduced, it might impair the ovulation process.
Diagnosis and Treatment: Once the condition is diagnosed, there are certain treatments, which are recommended for the patient. The condition in itself does not have a cure, but the symptoms can only be controlled.
There are a number of options available, depending on the main issue you are experiencing.
- Weight loss can be more difficult because of the higher levels of testosterone, but it has a very beneficial effect on balancing hormones and restoring regular periods in obese women. So exercise and a change of diet could have a significant impact.
- Insulin sensitizers, such as Metformin, reduce the impact of insulin resistance and can also assist in weight loss.
- Ovulation-inducing drugs such as Clomiphene (Serophene or Clomid) can stimulate the ovaries.
- If you do not respond to Clomiphene, injectable drugs (FSH) can be used, but these require specialist facilities and close monitoring of the response to avoid severe side effects and multiple pregnancies.
- IVF treatment may be necessary for very difficult situations.
In case you have a concern or query you can always consult an expert & get answers to your questions!