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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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Hi, I am rajesh. My wife having issue with her low AMH level which is very low as 0.02.So we are facing problem in conceiving. She is 27 year old. Doctor advise us for IVF with donor egg. But I want IVF with my wife egg. So is it possible to improve her AMH level and then we can opt for IVF. Thanks Rajesh.
Hi I am taking Novelon 21 day pill from june. Missed second last doubled with the last, break of 6 days from 2-7 july. Menses from 5-7july. New pack from 8th july. Protected intercourse but condom used thrice on 9th july (first timw intercourse) Next fully protected on 14th july (last intercourse) Missed 21st july pill doubled 22nd july night. Light bleeding on 22nd july morning (breakthrough bleed or implantation bleed?) Pill ended on 28th july menses from 1-6 aug. Negative hpt at 4,5,6,7,8,11,12 weeks all negative hpt done with first morning urine with different brands. No pills or intercourse after 1-6aug. Periods due on 1st sept as it dint came did a usg and hcg beta on 8th sept (10 weeks from first and 9 weeks from last intercourse) Hcg was 0.11 and usg shows pcod (no mention of pregnancy) Dr. Prescribed deviry 2 tab for 5 days for withdrawal bleed. But after taking just a single dose bleeding started from 11-16th sept. It was heavy. On 21st sept morning when I woke up I can feel my pelvic bone in the front Scared went for usg on 21st sept (12 weeks ftom first and 11 weeks from lasr intercourse) Usg only showed bulky ovaries with pcod. I asked him if my uterus was normal he said its absolutely normal. Usg was transabdominal I did not have any intercourse after 14th july. Moreover have done hpt with first morning urine with two different brand both says negative. It is 16 weeks from intercourse. I t was negative within the time frame and it remained until after 12 hours when I was about fo to discharge the kit. It showed a grey line on one brand. Did a usg again on 20th october almost 4 months after last intercourse it showed only pcod. menses did not occur till now. Before 20th cm was stretchy n egg white but after 28th it has turned into thick and non stretchy Is their still any risk of pregnancy? Do I need to repeat BHCg? Or hpt?
Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.
There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.
Common Treatments for pulmonary hypertension:
- Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
- Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
- Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
- Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
- Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
- High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
- Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
- Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
- Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
- Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
- Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.
- Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
- Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.
- The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
- Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
I am a 24 year old female. Planning for a kid and trying to conceive. During the period of conceiving, if I am caught up with cold and cough can I take medicine for getting well.
I had unprotected sex a week ago. The following day I remembered I had taken my pill about 10 hours late about two weeks into my pack of pill. So I took the morning after pill 24 hours after unprotected sex just incase. I am due my period this Friday and I usually have a pretty normal 28 day cycle. Is there a high chance of pregnancy?
I am 45 plus. I have my period started on 12th june at night but the heavy bleeding is continued till today without any pain. Last time my period was on 5th of may and it was normal. What should I do?
My wife is 2 months pregnant. Shall I have sexual intercourse with her? Or not? Whether, It may spoil her pregnancy or it affects the baby growth inside her. It's okay not to have sexual intercourse on which month I should stop having intercourse?
Hi i Am 25 years old I have nipple discharge since 2011 have taken so many medications but all to no avail please I need help.
Respected Doctors. My wife is pregnant with 11 weeks pregnancy and also, suffering from ovarian cyst in right ovary. She has pain in her lower abdominal and stiffness in right leg. Is it curable through medicines or what treatment is best for her at the moment. Kindly advice the best course of action to cure her and pregnancy. Thanks and Regards.
I am 22 year old female. I am suffering from vaginal discharge and itching from last 2 months. What could be the reason behind this. before 1 years I had taken control pills for 5 months for treatment of cyst.
My wife is suffering from breast cancer tumer size 2.5 cm lymph nodes 18 involved and removed can it be cured chemotherapy was administed 8 cycles complesed suregery completed radiation thearapy will be advised and thereafter er and pr i. E, harmonal treatment will be given after all these treatment breast cancer will be completely wiped out.
The physiotherapy treatment is very effective for maintaining neck with isometric exercise for neck.