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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
Urinary Incontinence (Ui) Treatment
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If I made intercourse 3 times a day than need every time to take a pill or one pill is sufficient for one day.
My wife is suffering from leucoria. Yellowish in color. Is this the reason she is not getting pregnant. Any treatment of it and what are ill effects of leucoria.
1. What is Intrauterine Insemination (IUI)? When is it recommended?
IUI is a procedure where semen is instilled inside the uterus of a woman after it has been processed in the laboratory. IUI is done at the time of ovulation.
It is recommended in cases of male factor infertility like low sperm counts or motility and also in case of unexplained infertility so as to improve the chances of pregnancy.
2. How does IUI increase the chance of pregnancy?
In IUI, the washed sperms are deposited directly into the uterus at the time of ovulation. By this, there are more chances for gametes (eggs and sperms) to fertilise and cause pregnancy.
3. What is the best period to do an IUI?
The best period to do an IUI is immediately after ovulation (egg release).
4. How is it performed? Or Description of IUI procedure in brief?
IUI is a simple, non-painful procedure. Firstly, the husband's semen is collected and then prepared in the laboratory so that we can get the maximum number of good motile sperms. Thereafter the woman (wife) is positioned to lie down and a speculum is inserted in the vagina. Semen wash in loaded in a sterile plastic catheter and introduced through the cervix into the uterine cavity and is then injected slowly.
5. What are the pre-IUI treatment steps?
1) Screening tests for both husband and wife is done.
2) Tubal patency test of a wife is desirable.
3) Ovulation induction with medications
4) Follicular monitoring by ultrasound.
5) Timing of ovulation by giving an HCG trigger injection (for egg release) when the follicles are mature (greater than 20 mm).
6) 36-40 hours later, semen is processed and IUI is done.
6. Are there extra precautions to be taken after IUI procedure?
A woman is asked to lie down for 15-30 minutes after IUI procedure, thereafter she can resume her routine activities. She is asked to take prescribed medications on time as advised.
7. Can the sperm fall out?
No, sperms don't fall out after IUI.
8. Where is the sperm accumulated? How long sperm survive after timed intercourse of IUI?
Sperm accumulate in cervical crevices during intercourse and can survive for 72 hours
9. What is the method for sperm freezing, if a partner is not available at the IUI procedure time?
The semen sample is processed first in the laboratory and the semen wash is then frozen by putting this in liquid nitrogen. Thereafter, this frozen sample can be used anytime, like on the day of IUI even when a husband is not around.
10. How long frozen sperm can be stored?
Frozen sperms can be stored as long as desired.
11. Can using of frozen sperm increase the likelihood having a child with birth defects?
No, using frozen sperms does not increase chances of birth defects.
12. Do I need to take extra precautions after IUI?
No extra precautions are needed after IUI, just take the medicines on time as advised by the doctor.
13. How long does it take for fertilization and for implantation?
Fertilization takes roughly 12-18 hours and implantation occur around the 5th day after ovulation.
14. What kind of examination is usually done for an IUI cycle?
Ultrasound monitoring (transvaginal probe) is usually done in IUI cycles.
15. How long prior to an IUI should the couple abstain from intercourse?
An abstinence period of 2-3 days is advisable before IUI to get the best sperm sample from a partner.
16. What is 'washed' sperm?
'Washed sperm' is actually the processed semen prepared in the laboratory using various media. By this process, toxins and dead sperms are removed from semen so that it can be put directly in the uterine cavity.
17. What is donor IUI?
When husband semen has no sperms (azoospermia) then, sperms can be taken from sperm banks and IUI can be done, this is called a donor IUI.
18. After an IUI, how soon can I have intercourse?
After the IUI, there is no restriction to have intercourse.
19. Can IUI be used for gender selection?
NO, IUI cannot be used for gender selection.
20. Is the process painful?
NO, IUI process is not at all painful. It is equivalent to a gynecological examination.
I am 25 years married woman. Suffering from fibroadenoma in both breast. On nipple something hard thing I don't know what is this its paining.
Over the last couple of decades, there has been a steady increase in the number of intimacy related issues. While there are a variety of reasons attributed to it including more exposure to sex through media forums, the changing lifestyle of people is said to be a bigger reason.
With people connected to their work all through the day and multitasking on the rise, work is never complete. Even when retiring for the night, there are always things running about what next to do. In cases where both couples are working, there is no match of timings either. That being the case, sex has taken a backseat - almost the last seat.
In addition, the altered Indian lifestyle also has led to greater exposure to sex leading to increased cases of abuse (family/friends circle), past unpleasant experiences, relationship failures, etc. All these have changed the equations in relationships. More and more couples are worried about a number of sexual issues, including:
- Loss of desire
- Anxiety about sex
- Erectile dysfunction
- Orgasmic disorder
- Premature or delayed ejaculation
- Conflicting sexual desires
- Past sexual abuse or assault
- Image issues
Sex therapy is on the rise, and 90% of the therapy consists of getting the couples to have a frank, open discussion. As much as it is a private topic, the problem can only be solved when an open discussion happens - both with the doctor and with the partner.
Whether it is past abuse or erectile dysfunction, the first step is to acknowledge the problem and discuss about it. If you are not able to confide in your partner or a good friend, it is advisable to seek a therapist. It is wise to pick a therapist who comes through referral. Some things to keep in mind are:
- Be open - Like any other counseling, sex therapy also involves a frank discussion with complete confidence in the person. The therapist will understand your concerns about anxiety or problem and help you how to communicate your desires and needs with your partner.
- It does not end with one discussion - Starting to work with a sex therapist is just the first step. It might take a while (a few months) to completely resolve the issue and identify the solution.
- Involve your partner - Though it is advisable to start talking alone with the therapist, after a couple of sessions, the partner may also be called in also to see if there is something that needs to be worked upon.
Sex therapy can definitely help to resolve the above noted issues and improve sex life, which is very essential for a healthy body and relationship. If you wish to discuss about any specific problem, you can consult a sexologist.