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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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What are the tips for a healthy lifestyle? being healthy these days is a tough task. I would like to know some tips for the same.
Dear Doc Hi m 70 born hv pcos operated once cn I conceive a healthy baby as of nw m single nvr married nvr been physical so is it k to gt marry n conceive a baby hv thyroid bp, b12 def rgds.
I had a sex tonight but I have doubt to get pregnant. My partner also hv doubt. For my periods 13 days left. please suggest me what should I do. I don't want to use i'pill. Is there any method. Kiya khata khata khane se pregnant hone ki sambhavna kom ho jayegi.
Me and my girlfriend was having some good time together. Suddenly I ejaculated. I didn't actually penetrated her. But her periods are turning to be late this month. We are tensed. Can you suggest some ways to prevent pregnancy. If in case.
Dates are known to boost the immune system they are loaded with nutrients so eat them as a snack and also for instant energy.
She is pregnant now just completed 2 months which food is better to eat for growing baby & baby when get heartbeat. Please suggest Thanks,
Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.It may not always be possible to identify a cause for recurrent miscarriage in a couple, even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:
- Chromosomal Abnormalities: Incompatible chromosomes can result into pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting into chromosomal abnormality. Such conditions lead to miscarriages.
- Uterine Abnormalities or Incompetent Cervixes: Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.
- Immunologic Disorders: Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are those, which attack self tissues, such as embryos and prevent them from building up. This leads to recurrent miscarriage.
- Untreated Thyroid Problems: Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.
- Polycystic Ovary Syndrome: Women with polycystic ovary syndrome tend to have high levels of male hormones which, result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.
- Bacterial Infections: There may be presence of a number of microorganisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract, which can prevent development of embryo, thus leading to miscarriages.
- Lifestyle: Smoking and drinking are harmful lifestyle habits, which may increase the chance of miscarriage to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
I do not feel like to have sex. If I do den I can only do at once at a time. After dat I use to feel pain, dryness and injury. Please suggest me solution.
Sir my gf having irregular periods after we have started doing sex can you say any solution for regular periods.
What is the cause for my back/neck pain?
The most common cause of back/neck pain is strain or injury due to bad posture during the daily routine activities like sitting, bending forwards and lifting weights etc. Lack of regular exercise to the back and abdominal muscles, age related wear and tear changes in the discs and bones in the spine, obesity are other contributory factors. Severe wear and tear changes (degenerative changes) in the spine can lead to instability and pain that is worse on certain activities. Mechanical back pain usually gets better with bed rest.
A small percentage of patients have a serious problem like a fracture, infection or tumour in the spine causing the back pain. Any pain that is not relieved by rest or is worse at rest, pain that wakes you up from sleep should be considered serious and that needs a consultation with your doctor.
What should I do when I have significant back/neck pain?
If the back/neck pain is not very severe and is of a short duration, then complete bed rest for two to three days will help reduce the pain significantly. Applying ice packs and light massage with a pain balm/gel is helpful. Consult your doctor if the pain is severe, running down in to the legs/arms, not getting better with rest, night pain, if there is numbness/tingling sensation or weakness in the limbs, is associated with fever, or if the pain started after a significant injury/fall. Thorough clinical evaluation by the doctor will help identify those with possible serious causes of back pain and further investigations are advised accordingly.
Is my back pain due to a kidney stone/problem?
Possible. But not always.
Kidney problems, especially renal or ureteric stones can lead to pain in the mid and lower back, usually limited to one side, often pain radiating down to the groin or lower abdomen. There are certain indicators to differentiate pain coming from kidney or other organs in the abdomen from the pain originating in the spinal structures. In general, spine related pain is mechanical i. E, it is worse in positions where the spine is loaded like while in upright posture, walking or bending or getting up from reclined position and generally gets relieved by resting in reclined position.
Pain from the kidneys can start suddenly in any position, can be waxing and waning and may not change related to a particular posture. It may not get relieved by rest and can be severe even while reclined. These are only general indicators and it is always better to check with your doctor and get the right treatment advise.
I have back/neck pain even though my mri says my spine is normal! why?
A very common cause of back or neck pain is bad posture related stress to the spinal structures that happens during the daily routine activities. Sitting/standing posture, especially at work, has a major role in producing significant pain and disability even though the x rays/mri of the spine may be normal.
Bad sleeping posture can lead to pain in the neck/back. Sleep is important to allow the spine to recover from the daily stresses it undergoes while we are awake. Reduced sleeping time and lack of proper sleep can lead to accumulated stress in the spine and result in pain. Lack of adequate exercises to keep the spine flexible and muscles strong is another important factor leading to pain.
So, right posture and regular exercises are the two most important treatments to prevent such pain from troubling you.
Other structures close to the spine can also lead to back pain. So if the mri of spine is normal, further evaluation might be ordered by your doctor depending on the clinical picture.
Is my back pain due to the spinal/epidural injection that was given in my back many years ago for an abdominal or leg surgery?
No. It is a common perception that the spinal / epidural injection that was given in the past for anaesthesia purpose is the cause for back pain. Many patients associate their back pain to that injection as they remember it as painful event and think that the present pain is related to that procedure. Spinal anaesthesia related back pain doesn't usually last more than 3 to 4 days and almost never beyond one week. So the back pain that continues beyond one week or that starts much later after the spinal anaesthesia is not because of that injection and it needs evaluation by your doctor to find the right cause and treat appropriately.
Is my back pain due to my body weight / pot belly?
Overweight is an important factor contributing to back pain, especially in the lower back. Excess weight and a large belly lead to some changes in posture. The pelvis tilts forwards and the lumbar spine is also pulled forward and this posture can lead to back pain due to additional stress on the spinal joints and muscles. Lack of exercises weakens the back and pelvic muscles and contributes to the problem. Back pain due to other problems in the spine can get worse if overweight is associated. Weight reduction and core strengthening exercises in obese people are helpful in reducing the back pain.
I have back pain. Is it due to slipped disc/disc prolapse?
Not necessarily. Although disc is a predominant source of back pain, all back pains are not because of a disc prolapse. The other structures in the spine like the facet joints, ligaments, vertebrae (bones) or the muscles of the back can be the cause of pain in the back. Less commonly, pain related to abdominal organs like kidneys or pelvic organs can be perceived as back pain.
Does the disc bulge/prolapse seen on my mri get reversed again naturally?
No. The changes that happen in the disc that lead to the prolapse or bulge are not reversible. They are due to age related wear and tear changes and we all know that ageing doesn't get reversed. But usually, the symptoms and signs that are related to a disc prolapse get relieved with appropriate treatment, although the mri picture may continue to be the same. So the treatment decisions are mostly dependent on patient’s symptoms and signs rather than in mri picture alone. Only if the prolapsed disc is causing persistent symptoms and significant neurological deficits, a surgical intervention is considered.
Is lumbar disc prolapse a cause of erectile dysfunction/impotency?
Rarely a large lumbar disc prolapse can result in severe compression of lumbar spinal nerves causing numbness and weakness in both lower limbs and loss of urine and bowel control - a condition called “cauda equina syndrome”. It is only in this condition that a disc prolapse can affect the erectile function. An erectile dysfunction in isolation, without other neurological symptoms and signs, cannot be caused by a disc prolapse.
Does the disc problem affect the ability to become pregnant in future?
No. A disc prolapse/bulge doesn’t affect the ability to get pregnant. But, there is a possibility that the back pain due to a preexisting spinal problem may get worse during pregnancy due to the extra weight that is carried and the relaxation of ligaments of pelvis and spine that occurs as a result of pregnancy related changes.
Does it help to sleep on the floor/hard surface without a bed to cure back pain?
No. It is not advisable to sleep on the floor when there is a back problem. Sleeping on the floor when there is significant back pain can actually make it worse as you need to put an extra strain on the spine while getting up from the floor. Sleeping on the regular cot with a firm mattress is alright. It is advisable not to sleep on a very soft mattress that doesn’t support the spine well and can aggravate the back pain. Do not use a thick pillow or multiple pillows while sleeping as it can cause or aggravate neck/upper back pain. A thin pillow or a rolled sheet supporting the neck is an ideal kind of head rest.
I exercise only when I get back/neck pain!
Many patients say this when asked about any exercise they do. It is not advisable to start exercise when there is significant back or neck pain. But it is essential to start exercises after the pain subsides, to prevent the pain from coming back again. Exercises can help strengthen your spinal muscles, increase flexibility and protect you from recurrent episodes of pain. So it is important to keep exercising when there is no pain, to keep the pain from coming back and troubling you. So do not start exercising when there is pain.
My wife has got menopause stage (age 49) from the last two years. Hence feels vaginal pain during sex and always try to avoid sex.
I am 26 years old n 28 weeks pregnant. I was 45 kgs and my height is 4'11 before conceiving and now gradually my weight has increased to 70 kgs. My legs and full body has swollen. please let me know if it is normal because I am very cautious about my diet from the very beginning.
I am 4 months pregnant and during night time I have breathing problem and Running nose. Which disturb my sleep.
Mera aaj 5th day tha periods ka or meine sex kiya with double protection bilkul light bleeding bhi hui toh isese m khi pregnant toh nhi hongi na please help .
Hello doctor, I have unicornuate uterus n two ovaries uterus size is 7.9x3.6x2.8 n is it proper size for getting pregnant. Please guide me.
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Aetiology- “The assignment of a cause”
Here, a prescription is based primarily on some past trauma, illness or event rather than on the presenting symptoms. The stronger the cause-and-effect relationship between the trauma and the presenting state, the more is the etiological prescription is indicated.
In cases with a direct aetiology, there is a clear and direct relationship between the presenting problem and the trauma which preceded it, no matter how long the problem has persisted. For example, when a patient say ( I have had recurrent headaches ever since a head injury three years ago”) that is a direct etiology. In such a case, a ‘head injury’ remedy first is to be looked for, using the symptoms of the case to differentiate between the remedies in that group. Kent’s repertory contains many etiological rubrics showing those remedies, which from clinical experience have an established reputation in curing ailments following a particular trauma, be it grief, fright, bad news, vaccination, injury, poisoning etc. the appropriate rubric is a good starting place in a case displaying a direct etiology.
Sometimes when the cause and effect relationship is very clear, particularly if there are no outstanding symptoms in the case, the etiology can completely over-rule symptomatology as the basis for the prescription. Thus it is that our ‘trauma’ remedies such as Aconite, Arnica and Hypericum have cured many symptoms and conditions, which never appeared in their respective proving.
In a case having a direct etiology there are three choices for the prescriber: the prescription may be based on the etiology alone, on the symptoms alone or on combination of the two. It is seen that wherever possible the third option is the most reliable one, but the etiology should be used as a starting point provided there are remedies known to have that etiology as a confirmed indication.