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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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She's suffering from irregular periods. And today she is feeling like anxiety headache vomiting nd all.Please help.
Thank you so much all of you ek doubt or clear kr dijiye mujhe irregular periods hote hain to tb safe time kya hoga sex ka jisse pregnant na ho please tell me and help me last month 15th August ko periods hue the sex 6th September ko kiya periods ki sahi date ka pata nahi hota hai please tell me.
My friend is only 5 weeks pregnant and aged 20 years old. So if she visits any government hospital, will the abortion be done under one roof, or for other check ups she will have to visit somewhere else? And do keep everything confidential?
Hello to everybody. I am Dr Vandana Hegde. I am practising reproductive medicines in the Hegde Medical Centre from the last 10 years.
As I had explained the entire cycle. Two important things are there for the couple to plan pregnancy
One is the Ovulation time. When the ovulation happens, the female eggs that releases out. Its life is approximately 24 hours. And the male's sperm, once the ejaculation happens, its life span is 3-5 days upto the maximum of 7 days. So for couples to plan fertility naturally, it is important to conceive during the period of female ovulation time. And now ideally the female ovulation happen around the 14th day, it is best for the couple to plan intercourse atlreast 3days prior to the ovulation time. So, if they are ovualating on 14th day, so they can start planning the intercourse on around 10th day and upto a period of 16th day. Ideally, intercourse beyonf the period of Ovulation does not help the couples in conceiving. So, it is always better to plan before the ovulation time. Alternate intercourse is much better than having a daily intercourse during the ovulation time.
Now, coming to the Evaluation of Fertility.
When a couple comes to us when they are unable to conceive a child naturally even after one year. Then we do certain basic things as I have mentioned that it is very important to fid out that how the egg is finally to form an embryo. Yu need egg from the female partner and sperm from the male partner which are diffused internally. So what is important is the normal sperm and a normal tube in the uterus. So we do assessment in that order. So ideally we get the male partner 7 testing time to see the sperm count, the sperm motality and the sperm morphology. The sperms should be genetically fit to give a healthy child. So this is assist by doing semen analysis where the male partner will give the semen sample for about 3-4 days. And this semen sample is examined under the micrscope where the assessment is done on the basis of count, mortality and Morphology. If the semen criteria is normal then we evaluate the female partner.
Now the female partner, if she has regular cycle, we assume that the ovulation is happening normally. But there are certain girls who has irregular periods. Some have early periods and sme have quite delayed cycle. Now, what is the main issue here is Ovulation. Probably they are not ovulating around the 14th day. But there are 2 disfunctions.
- One is anovulatory, there are certain girls whoch are not ovulating at all. There is no egg formation, there is no ovulation. Now this criteria of girls manage in a different way.
- Now there are other type of girls, who are probably having a shorter cycle, they are ovulating very early.
Now, we need to differentiate between these two types. The whole management depends upon correcting these abnormality.
Now, coming to the other part of the tubes. Once the sperm is there and the egg is there, one should have patent fallopian tube for them to meet. So, ideally what we do is, when the couple comes to us, we evaluate the spem parameters, the female ovum parameters and then we do a time intercourse for them.
We start basic tracking of the follicle growth. The best thing is the follicle is seen in the ultrasound reports. So the basic ultrasound is done initially to diagnose. If the female uterus, the ovaries are normal then they should not be ahving any fiberoids and ovarian cyst. So Fiberoids are basically tumours in the uterus which can prevent implantation of the embryo and there may be some ovarian cyst which may be preventing normal ovulation and there are other cyst which require surgical removal. We do basic ultrasound scan to roll out all other major thing and then proceed to Folliculat tracking.
Follicular tracking is seen on the scan. Though the egg can not be seen on the scan so follicles can be seen. So, when the couple ccomes to us in initial part, we track the follicle growth and this is the time, the female is ovulating and we give them the dates to meet. This is done on the monthly basis for atleast 2-3 cycles. Now, inspite of tracking natural cycle follicular growth and at the time intercourse if the couple is not able to conceive then we go for other evaluations. Like, is the tube open? Is the uterine cavity normal?
So there are tests to check if the fallopian tubes are open. Now it is very important for the tube to open because all the activities are happening inside the tube. so there is a test called "Hysterosalpingographie", where the die is pushed through the uterine end. This die is travelling around the cavity and coming into the tubes and then comes out.
All this is recorded in teh X-ay film. This film records this passage of the dia nd we find out the tubal blocks. If the tube is blocked then the egg and the sperm do not meet. So there comes fertility issues.
We do other assessments also like Diagnosis hysteroscopy and laparoscopy for infertility. So this is a surgical process which we do when couples are not able to conceive even after 6 months of fertility planning.
There are small tumours in the cavity which can prevent embryo from Implanting and these are absolutely necessary to be removed if the couple is not conceiving with these.
And the other things we diagnose is the laparoscopy in which we put the camera inside to record if te tube and ovary are in normal position and HYsteroscopy is a process done under the anesthesia only. Then we proceed with further treatment with fertility planning.
Sir mujhe pcod h both ovaries m or abhi mere dwai chal rahi h kab theek honge pregnancy m koi problem to nhi hogi or mujhe hair growth bhi bhuat h body m sir please mujhe jaldi theek hona h.
My friend is not having periods before this she have it till 15th of every month this month it is 18 nd she is saying that she is going over weight.
Hello, I want to ask that I do sex with my girlfriend without condom but I didn't inject sperm in her vagina. After 48 hours of sex I gave her unwanted 72. Is there anything to worry like pregnancy type please clear my doubt. I am in stress with this.
Is level of amh vary from d2 to d7 in menstrual cycle. Last time my amh on day 2 is 1.81 n this time it is. 567. On day 7 Pl suggest.
Panic disorder is a condition that strikes without reason or caution and can be serious. Indications of panic disorder usually include sudden attacks of panic and anxiety, in addition to physical side effects, such as sweating and a pounding heart. During a fit of panic, the reaction is based on the circumstances, which may not be threatening in general, but triggers a feeling of panic. After some time, a person with a panic disorder builds up a consistent fear of having another fit of anxiety, which can influence the every day functioning and lifestyle in general. Panic disorder usually occurs alongside other conditions like depression, liquor abuse, or drug abuse.
You might experience the ill effects of a panic disorder if you:
- Encounter frequent, unforeseen fits of anxiety that are not attached to a particular circumstance or event
- Stress over having another fit of anxiety
- Are trying to avoid the places of your precious panic attacks
The most common symptoms of a panic disorder are as follows:
- Trouble relaxing and feeling uneasy most of the time
- Beating heart or abdominal pain with a feeling of nervousness
- Serious irrational and emotional fear
- Feeling as if you are out of breath
- Feeling as if you are being choked or smothered
- Dizzy spells
- Trembling or shaking
- Sweating constantly
- Feeling nauseous or having a stomach ache
- Shivering or numbness in the fingers and toes
- Sudden chills or hot flashes
- A fear that you are losing control or are about to die
While a single panic attack may just last a couple of minutes, the impact of the experience can leave a long lasting impression and make you susceptible to more such attacks. In case you have this issue, the repetitive fits of panic take an emotional toll. The memory of the fear that you felt during these attacks can affect your self-confidence and cause interruption to your regular day-to-day existence. In the end, this prompts to the following panic disorder effects:
- Expectant uneasiness: Instead of feeling like yourself in the middle of panic attacks, you feel tensed and on edge. This uneasiness originates from a dread of having future attacks of anxiety. This fear is seen more often than not, and can be extremely disabling at times.
- Phobic avoidance: You start to stay away from specific circumstances or situations. This might happen since you are maintaining a strategic distance because of your previous panic attack. On the other hand, you may stay away from areas where escape would be troublesome or help would be inaccessible in case you had a fit of panic.
- Medicines: Medicines can be used to control or decrease a majority of the side effects of panic disorder. Even if medicines do not form a part of the main treatment, when combined with other treatments, medicines are very effective. Eg. therapy and lifestyle changes. If you wish to discuss about any specific problem, you can consult a psychiatrist.
I got inserted a t-coil before 1 year. Recently period completed within 6 days. N 7th day when we intercourse it bleed again for two days n stopped. I have thyroid too. Sometimes I have spotting. Is it something to worry or it happens like that. Or any internal problem. Pls kindly help me.
Hello doctor can you suggest me the diet chart for pcod patient to regulate periods and conceive fast.
I am getting married soon. It's going to be a first time for both of us. What precautions/preparations/contraceptives should we take for the first time.
Hi doc. My last LMP was on 5th august 2016. And the earlier was on 15th july 2016. I took a home pregnancy test on 28th day of cycle and it came positive with one slightly faint line. I took a home pregnancy test again on 30th day of cycle but with different brand and it showed one dark c line and one t very faint line. What does it indicate? Am I am pregnant or not? I am worried because I had a miscarriage of 23 weeks fetus 6 months back.
Dear doctor, I am 6 months pregnant, my placenta is 3.5cm from cervix, is it still low, do I really need bed rest, please advise.
I ve been feeling a mild burning sensation in my vagina and vulva area and I have no idea what it is. It burns when I urinate. I went to 2 different docs and they tested me for yeast and fro bacterial infections and everything came back normal. This just started out of nowhere. I don; t have any discharge and everything LOOKS normal but I still have the burning. I feel it sometimes in my anus area as well but mostly in the vulva. Does anyone have any idea what this could be?
My husband is 32 yrs old and last year he had seizures and is taking epilex 500 for a year now, we r planning for a baby but I m concerned if the medication would have any adverse effects on the pregnancy or the baby?
Hello sir please help me plzzzz. M telling in hindi so I can communicate well. Me and meri gf fun ker rhe the so meine apne sexual part uske part se rubb kre uske periods strt hone se 4-5 din pehle (expected date was 2 aug). Meine naa uske uper ejaculate kra na uske baher bus jst rubb hi kre thy Bt uske period late aaye 9 augst ko.. Or 1st day to shi rhe bt 2nd day bikul blood nai aaya n 3rd day bus thoda sa aaya.. To kya vo pragnet h ya kuch or prblm h.. Pragnacy k koi symptoms bhi nzr nai aa rhe jaise morning tiredness, breast pain etc.. please sir help me.
If you are thinking of adopting one of the effective birth control measures, you can try an intrauterine device (IUD). An IUD is a small plastic device which is placed in the uterus and it helps in preventing the pregnancy. A plastic string is attached to one end for ensuring proper placement and for removal. An IUD can be removed easily and is a reversible birth control method. There are several advantages and disadvantages of using IUDs.
There are two types of IUDs which are commonly used. They are as follows:
- Hormonal IUDs: In case of hormonal IUDs, a small amount of progestin is released into the lining of the uterus. This hormone is similar to the progesterone hormone. This hormone helps in thickening the cervical mucus, thereby, making it difficult for the entry of sperm into the cervix. The growth of the uterine lining is slowed down, which makes fertilised eggs inhospitable.
- Copper IUDs: In this form of IUD, a tiny amount of copper gets released into the uterus. Sperm is prevented from entering the egg as they get immobilised on the way to the fallopian tubes.
- Most women who have used this contraceptive device are satisfied with them, according to surveys.
- A woman using an IUD is protected from pregnancy totally and no other preventive measures such as taking a pill every day is required.
- These devices start working as soon as they are fitted and can easily be removed.
- They can be implanted in the uterus four weeks after giving birth to a baby or after an abortion.
- Breastfeeding is safe for women using copper IUDs.
- Using IUDs enables a woman to smoke cigarettes and high blood pressure is prevented.
- Women who use hormonal IUDs experience less blood loss during menstruation and less pain.
- IUDs can be used for several years.
- IUDs are quite expensive.
- IUDs can only be removed by a health professional.
- These devices do not provide protection from any sexually transmitted disease or HIV.
- The insertion of IUDs can cause a genital infection in the uterus and lead to pelvic inflammatory diseases.
- There are chances of an IUD getting misplaced in the uterus, which may lead to pregnancy and injuries as well. The wall of the uterus may get punctured upon insertion of this device, leading to cramping, backache and excessive uterine bleeding accompanied by pain.
It is important that you must consult a doctor before thinking of getting an IUD fitted. Several screenings and tests need to be carried out before deciding upon the IUD that would work best for you.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.