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Management of Abortion
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Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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
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Polycystic 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 These are sometimes called male hormones, though females also make them.
• Many small cysts (fluid-filled sacs) in their ovaries
• Missed or irregular periods (monthly bleeding)
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.
High androgen levels can lead to:
• Excessive hair growth
• Weight gain
• Problems with ovulation
How many women have PCOS?
Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. It can occur in girls as young as 11 years old.
What are the symptoms of PCOD or PCOS?
The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:
• Infrequent, absent, and/or irregular menstrual periods
• Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
• Increased hair growth on the face, chest, stomach, back, thumbs, or toes
• Male-pattern baldness or thinning hair
• Cysts on the ovaries
• Acne, oily skin, or dandruff
• Weight gain or obesity, usually with extra weight around the waist
• Skin tags — excess flaps of skin in the armpits or neck area
• Pelvic pain
• Anxiety or depression
• Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
• Sleep apnea — when breathing stops for short periods of time while asleep
How do I know if I have PCOS?
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.
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 (lining of the womb). This lining may become thicker if your periods are not regular.
How is PCOS treated?
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
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.
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. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months.
Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant.
Before taking any Medicines tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine.
Other options include:
• Cream to reduce facial hair
• Laser hair removal or electrolysis to remove hair
• Hormonal treatment to keep new hair from growing
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.
How does PCOS affect a woman while pregnant?
Women with PCOS appear to have higher rates of:
• Premature delivery
• Pregnancy-induced high blood pressure
• Gestational diabetes
Does PCOS put women at risk for other health problems?
Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:
• Women with PCOS can have diabetes or pre-diabetes at early age.
• Women with PCOS are at greater risk of having high blood pressure.
• 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.
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.
I have PCOS. What can I do to prevent complications?
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
How can I cope with the emotional effects of PCOS?
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.
It is advised that you should consult gynecologist who can help you based on your symptoms and requirements to manage PCOD / PCOS.
Hello I am pregnant having 14 weeks now. Recently I have done my combined test (1st trimester blood test+ NT scan). It seems everything normal. Do I need to start any vitamin tablets now. Actually my doctor recommended to have healthy diets and take" Becozym C Forte" if required. I didn't take any medicine except Folic acid tablet, which I have stopped after 12 weeks of my pregnancy. Do I need to start" Becozym C Forte" tablet.
I am 21 years old and my right breast is little smaller than the left one. Is there any thing to worry?
After pregnancy, my wife had put on a lot of fat around my stomach, what diet/exercise should I follow to shed it of my body?
My wife had a period on 23rd of Nov it was for 4 days so when can I have intercourse with my wife to get pregnant please give me advise.
Doctor I am pregnant of two months. My breast size increasing day by day. It's so annoying. Please give me some tips to reduce breast size without affecting my pregnancy.
I and my boyfriend had sex on september 14. After that the next month I got my periods even in november and december but in this month which is january. I don't get my periods is there any chances of pregnancy.
I am using unwanted 21 ocp since last six month since then I have started getting lots of acne grade 2 .plz suggest me some other ocp which can be used during breastfeeding 20 months old baby. Thank you in advance .waiting for reply.
Here are the Sexual Disorders faced by Men and Women.
Making love brings an intimacy between the couple that connects them in all ways, not just physical. Couples who do not have a great love life usually do not have a very fulfilling relationship. Though not openly admitted to, sexual problems are very common. Given the private nature of the issue, not many frankly talk about it though. However, sexual problems are quite common and can be attributed to a combination of physical and emotional reasons.
Sexual problems can be threatening to the health of the relationship and can break relationships too. Read on to know some of the most common sexual problems in men and women and simple but sure ways to deal with them.
Common Sexual Problems in Men
Impotence: This is defined as the inability to attain and/or sustain an erection long enough for a satisfying intercourse. Quite a common problem, it can be due to relationship issues, hormonal problems, or performance anxiety. A frank talk with the partner and if required a counseling session can help identify the cause, and the problem seems to disappear.
Loss of Libido: This is a loss of arousal or reduced sex drive. This again has a strong physical and psychological component to it. Hypertension, diabetes, stress, hormonal issues, performance anxiety, and relationship issues are some of the reasons for loss of drive.
Ejaculation Disorders: Premature ejaculation is the early release of sperm. Retrograde ejaculation is when the sperms are released in the reverse direction back into the bladder. Delayed ejaculation is where there is delayed the release of sperms. There is often an underlying physical reason for this, which if corrected, helps in correcting the issue.
Treatment: For most sexual problems, acknowledging is the first step towards effective treatment. There are medications and hormonal supplements which are quite effective. Sex education, frank communication with the partner, and if required counselling is quite effective. Other therapies include hormone replacements, vacuum devices and penile implants.
Common Sexual Problems In Women:
Decreased Libido: Reduced sexual drive is more common in women than men. This could be due to hormonal issues (menopausal), strained relationships, vaginal and gynecologic infections, pelvic pain, painful sex, uterine disorders, etc.
Dyspareunia: Painful sexual intercourse is very common in females, and as much as 75% of women have experienced this during their sex life. Very commonly caused by vaginal dryness, vaginal infections, uterine disorders, UTIs and menopause. This again contributes to reduced libido. Lubricants, topical antibiotics and hormonal supplements can be used in addition to treating the underlying condition.
Treatment: For most sexual problems, as noted already, acknowledging and admitting is the first step. Treatment involves addressing underlying physical issues like hormonal imbalance, antibiotics, topical lubricants, etc. Counselling and involving the partner are most effective. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.