Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 32 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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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My wife got pregnant. But we don't want a child now. Its the first month of her pregnancy. What I have to do to prevent it? Is will fall in danger ? Please reply. She is not much strong physically.
Me and my partner were together. He had his boxers on but I was naked in bed. He was on top of me. I just felt his penis inside my vagina for a few seconds with his boxers on but he did not ejaculate. But there was a drop or two of pre ejaculate on his penis. My period got over just 3 days ago. There was no ejaculation and we didn't have sexual intercourse I could just feel it for a second. Is there any reason to be worried for pregnancy? I trust this site way too much and I thank you guys for being so accurate and supportive.
I have 5 week pregnancy and last 4 days I have spotting today I did sonography and 1 Dr. told me that the no heart beats but its natural in some cases it takes time to growth and 2 Dr. told me that clean it and from yesterday evening I have no spotting. So what will I do?
I got my BHCG test result, in that it came sample highly lipemic, what does it mean and does it affect my result?
Pregnancy can have a number of complications. One of these is known as placental abruption. This is a serious yet uncommon complication. The placenta is a structure in the uterus that nourishes the growing baby. In rare cases, this placenta can get peeled off- partially or completely, before delivery. This is known as placenta abruption and deprives the baby of oxygen and essential nutrients and can cause the mother to experience heavy bleeding. If left untreated, this condition can put the life of both the baby and mother in jeopardy.
The cause of placental abruption has is still not known, but there are a number of conditions that can increase the risk of suffering from this condition. This includes:
- A prior placental abruption
- High blood pressure
- Abdominal trauma such as a fall or blow to the abdomen
- Substance abuse or smoking
- Premature rupturing of the amniotic sac that surrounds the baby
- Any condition that reduces your blood’s ability to clot
- Multiple pregnancies
- Pregnancy after the age of 40
A placental abruption can be diagnosed through blood tests, an ultrasound and a non stress test to check the baby’s heart rate. Placental abruption affects the life the mother and baby in many ways. For the mother, it can result in excessive bleeding that triggers shock, blood clotting problems and the need for a blood transfusion. It can also cause kidney, liver and pituitary gland failure. Even after delivery, the mother may still experience vaginal bleeding. If this cannot be controlled, an emergency hysterectomy may also be required. The uterus may also not contract properly after delivery and the mother may need medication to help the uterus contract back to its original position.
Placental abruption deprives the baby of essential nutrients and can lead to premature birth or stillbirth. After delivery the baby may suffer from breathing and feeding difficulties. The baby may also be born with low levels of oxygen in the blood. Low blood pressure and low blood count can also be triggered by this condition. In severe cases, it can also lead to brain damage and death shortly after delivery.
Placental abruption can be prevented by following a healthy diet that helps regulate blood pressure. Get plenty of rest and take multivitamins regularly to reduce the risk of suffering from this condition. Lastly, if you experience any contractions or vaginal bleeding, consult your gynaecologist immediately.
I am 23 years old female. I have a history of pcos problem. Now I got to know that I have a cyst in my left ovary near adnexa with 46*40 mm size. I would like to know whether it is curable by medication or is there any need of undergoing surgery?
My wife is carrying. And currently 8th month started. She is not getting sleep in the night from last two days. I just want to know the precautions to get good sleep.
With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.
Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.
Types of contraceptives:
* percentages mentioned within brackets are failure rates
It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.
Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts
Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.
It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Increased blood loss and duration of menses, increased dysmenorrhea
Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.
Indicated for: multiparous women greater than 35 years who smoke.
Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.
It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.
Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.
This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.
Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.
Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).
A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.