Doctor in Bajpai Polyclinic
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
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Patient Review Highlights
Irregularity in the menstrual cycle is one of the most common issues to be fixed since the hormones responsible for the menstrual cycle is affected by several factors and systems of the body. According to a report published in the Journal of Clinical Endocrinology and Metabolism in 2011, it came to the fore that frequent missing of periods over an extended period is a common problem affecting over 5 percent of women at any given time. But what’s more important is that most women suffer from irregular periods all through the reproductive span of their life.
LH (Luteinizing Hormone) and FSH (Follicle Stimulating Hormone) produced by pituitary gland stimulate the ovaries to produce estrogen and progesterone and will cause the release of the egg. When there are fluctuations in LH, FSH, estrogen, and progesterone, the menstruation cycle gets irregular. For successful treatment of irregular periods, it is crucial to determine the cause. A few predominant causes of irregular periods are:
- High levels of stress: When you are stressed out for a long time, your body learns to save energy by stopping ovulation. If you experience a traumatic event or you undergo excessive day to day stress, it can suddenly cause the adrenals to work hard which can interrupt the production of estrogen, thyroid hormones, and other reproductive hormones. Restrictive eating and over-exercising can also lead to hypothalamic amenorrhea, a condition wherein the menstruation stops for several months altogether.
- Poor diet: If your daily diet lacks antioxidants, vitamins, protein, and minerals, then there could be an adverse effect on the thyroid levels and the adrenal glands. Fried and processed foods along with sugary items can raise the adrenal fatigue and cortisol which, in turn, hinders the functionality of other necessary hormones. If you are suffering from irregular periods, you should take foods rich in antioxidants, proteins, and antioxidants.
- Extreme loss of weight: When the body mass index or BMI reaches below 18, you will start missing your periods due to low body fat. Body fat is crucial for creating estrogen, and lack of this hormone also causes issues such as anorexia and bulimia. But it is important to note here that not all women suffering from irregular periods are underweight.
- Thyroid disorders: The fluctuations of thyroid hormones often cause an irregularity of periods. According to some experts, thyroid problems are one of the leading causes of irregular menstruation. Both hypothyroidism and hyperthyroidism can cause symptoms like alterations in cortisol and estrogen levels.
- Food allergies: If you are sensitive to gluten or have celiac disease which has remained undiagnosed, it can cast an impact on the hormone levels. As these conditions may cause nutrient deficiencies, it can affect the gut health and add stress to the adrenal glands. As a result, all these together disrupt the secretion of sex hormones and cause irregular menstruation.
Several treatments are available to treat the causes that would slowly bring back your menstruation cycle to normal.
Travelling during pregnancy - Is it safe?
Pregnancy places some restrictions on the expectant mother, and one of them is limiting travel so much so that most women do only the required and essential commutes and skip any other travel, including vacations and business travel, completely until delivery. However, with the lifestyle changing for the woman so radically, this is being revisited. The doctor’s current advice is that unless there are potential complications expected or significant concerns, it is completely safe to travel.
The first trimester especially is a little tricky for travel, with the morning sickness. The second trimester is considered more ideal for travel, as the morning sickness and the feeling of being pregnant is sunk in, so the mother is comfortable. The third trimester is fine too, but the chances of fatigue are higher, and so travel is better avoided.
Read on to know some significant things to remember whether you are on a plane, train, or road during your pregnancy.
- Always buckle yourself up as soon as you enter the car. Use both the seat belt and the lap belt.
- Keep the air bags turned on.
- Try to avoid travel time of four hours at a stretch.
- When stopping for breaks, try to walk around a bit and stretch so that you do not feel the strain of sitting for long hours.
- Most airlines allow women to travel during the first eight months of pregnancy.
- Some airlines do allow for travel during the ninth month, if the doctor approves it, or if there is an attendant with the expectant woman.
- It is okay to walk through airport screening during pregnancy. There are some women who are apprehensive about this aspect.
- Similarly the cabin pressure in the commercial planes reduces, but does not bear any significant impact for a pregnant woman.
- Select an aisle seat, as it allows for easy seating and getting up.
- Walking to the restroom and back should be carefully managed. The aisle is quite narrow and care must be taken to avoid hurting yourself.
- Use the seats for providing support when walking through the aisle.
- Especially, in turbulent stretches, try remaining seated, bearing in mind the safety aspects for yourself and the baby.
- Traveling by bus is safe, but trips to the restroom would be difficult.
- Trains are generally considered safer, as there is a lot of room for movement. Restrooms are available anytime, which is another major advantage.
- Sea travel is also considered safe, but sea sickness could add to the nausea.
- For long-term sailing, check with the cruise provider or the boat facility about availability of a healthcare provider on the ship.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Menstrual cramps that occur during menstruation cycle can impair your regular activities. The menstrual cramps, also called dysmenorrhea, are caused by the uterine contractions. The intensity of the pain that a woman feels can be related to the woman’s prostaglandin glands. Those who are with elevated levels of prostaglandin suffer from intense than those with lesser levels.
Though the menstrual cramps are harmless, they do get unmanageable at times. Like dealing with any other pain, a relief becomes necessary. Several remedies and treatments are available to reduce menstrual cramps, and some of them are listed below.
- An Improved Diet: The easiest way that you can adopt to tackle menstrual cramps is to improve your diet. You must reduce consuming fats and turn to vegetables as your primary food. Low-fat diet always helps to decrease the overall inflammation in your body. Its effects on menstrual cramps have also been noticed. Thus, it is beneficial to stop consuming saturated unhealthy fats and start consuming unsaturated healthy fats.
- A Painkiller is Effective: The most popular remedy for pain has always been a painkiller. Though treating your menstrual cramps with pills is rare, but a safe painkiller with no steroids can seal the deal. However, as it with any medicine, consult your doctor before consuming any.
- Tea: Just plain tea or herbal teas can be helpful to reduce the menstrual cramps. Though the research on this particular relief method is extremely scarce, it is a traditional remedy and has been giving some refuge to women under cramps. Tea with cramp barks and tea with peppermint oil are a few of the most popular home remedies to manage the pain.
- Fish Oil and Vitamin B1: Fish oil supplements and vitamin B1 has been proved to be useful in treating menstruation cramps. A study published in September 2014 in Global Journal of Health Science showed that women who were consuming fish oil supplements or Vitamin B1 or both showed reduced effects on cramps than the women who didn’t take any. Moreover, consumption of fish oil supplements or vitamin B1 or both disappeared the cramps faster than usual.
- Essential Oil Massage: A study published in the Journal of Obstetrics and Gynaecology Research in May 2012, showed that a massage with aromatic essential oil over the abdominal region, both upper and lower, helped to reduce the pain and the cramps. Take a few drops of the oil and massage frequently over the course of your period, and it will provide you with some relief.
- Hot Pad: Perhaps the most followed remedy to menstrual cramps is the hot pad. Curl up with a hot pad over your lower abdomen, and it is sure to give you relief. This is great for minor cramps.
Traditional and home remedies provide relief in most cases. However, if the pain is unbearable and occurs along with vomiting or other problems, visiting your gynecologist is advised.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Vaginal fungal infection, otherwise called candidiasis, is a typical female condition. Fungal infections are brought on by the growth Candida. This growth is connected with extreme itching, swelling, and irritation. Every fungal infection is distinctive. Therefore, your doctor will recommend a treatment that is best for you. Medicines are by and large decided depending upon the seriousness of the infection.
A particular type of yeast called Candida albicans brings about most of the fungal infections. These fungal infections are effectively treatable. In case you are having repeating infections or issues disposing of an infection with ordinary treatment, then an alternate form of Candida may be the cause. A lab test can tell your doctor which sort of Candida you have. Here are a few ways with which you can deal with vaginal fungal infections:
For simple fungal infections, your specialist will mostly recommend the following treatment(s):
- A one to three-day application of an antifungal cream, balm or tablet Normal antifungal medicines is butoconazole (Gynazole), miconazole (Lotrimin), Monistat, and terconazole (Terazol). These medicines can be either prescribed or available over-the-counter.
- A solitary intake of oral medicine, for example, fluconazole (Diflucan).
- Women with simple fungal infections need to follow up with their specialist to make sure whether the medicine worked. A follow-up will likewise be important if your symptoms return within two months.
Certain types of Candida will not react to simple treatment and will require a more forceful strategy. In case you meet one of the following criteria, your specialist will more likely tell you that your fungal infection is an extreme one.
Conceivable medications for extreme or complicated vaginal fungal infections include:
- 14-day cream, balm, tablet, or suppository vaginal treatment
- A few measures of fluconazole (Diflucan)
- Long-term medicine of fluconazole (Diflucan) that is taken once a week for six weeks.
- Treatment of your sexual partner or use of condoms while having intercourse.
You can treat vaginal fungal infections with regular cures in case that you might want to abstain from taking physician-recommended medicine. These are some mainstream normal cures:
- Tea tree oil cream
- Garlic or boric acid vaginal balms
- Plain yoghurt taken orally or applied into the vagina
Here are some normal strategies for counteractive action:
- Abstain from wearing tight jeans, underwear, tights, or stockings
- Abstain from utilising female antiperspirant or antiperspirant tampons or cushions
- Try not to roam around in wet clothes, particularly swimsuits
- Eat an all around adjusted diet
- Eat yoghurt or eat foods with lactobacillus
- Wear soft clothing, for example, cotton, cloth, or silk
- Abstain from sitting in hot tubs
- Wash clothes in warm water
- Abstain from using hot water bags
- Throw away old underwear as often as possible
In case you have a concern or query you can always consult an expert & get answers to your questions!
What is Prenatal care?
It is crucial for a woman who is on her way to becoming a mother to pay special attention to her health. Health care offered to a pregnant woman is also known as prenatal care or antenatal care. It is a very important phase in a woman's life, so go for regular prenatal checkups as they go a long way in reducing risks of complications during pregnancy and child birth. This, in turn, increases the chances of giving birth to a healthy baby.
Contrary to popular belief, prenatal care does not begin when a woman is told that she is pregnant. Prenatal care should ideally be started at least three months before you try to conceive a child. This prepares your body and mind for the changes that pregnancy will bring. Some healthy habits to follow during this period include:
- Quit Drinking alcohol and smoking
- Consult a gynecologist about any existing medical conditions, medication you may be on and what supplements you should start taking
- Avoid contact with chemicals and toxic substances
Once your pregnancy is confirmed, you will need to visit the doctor regularly for checkups.
Prenatal checkups are meant to keep an eye on your health and the health of your baby. In most cases, you will be asked to come in every month for the first two trimesters and every two weeks during the seventh and eighth month of your pregnancy. During the ninth month, your doctor may want to see you once a week until the delivery. In cases where a pregnancy is considered high risk because of existing medical conditions, the age of the mother or any other factors, the doctor may ask a for more frequent checkups.
A prenatal checkup involves a physical examination, tests, screenings and dietary consultations. Some of the common tests include blood tests to check for HIV, the mother’s blood type and anemia. Your blood pressure will also be monitored. When it comes to the baby’s health, determining the rate at which the baby is growing and heart rate are most important. In the later stages of your pregnancy, the position of the baby will also be noted. It is important to not skip these checkups even if you are feeling fine.
Keep your doctor informed about any changes you may notice in your health. Do not take any medication without consulting your doctor even if it is for something as simple as a cold. Do not feel shy about talking to your doctor and ask him or her anything you would like to about your pregnancy and childbirth.
Recurrent pregnancy loss is termed as the occurrence of three or more miscarriages. Recently, the American Society for Reproductive Medicine has altered the definition and limited the number of miscarriages to two. A pregnancy loss can only be termed so if the pregnancy is clinically recognized and is ends involuntarily before 20 weeks. The pregnancy loss must be identified by a registered doctor to term it as pregnancy loss.
What are the major causes of Recurrent Pregnancy Loss?
There could be a lot of reasons behind recurrent pregnancy loss. Most of the pregnancy failure happens from reasons such as abnormalities of the genes, chromosomes and other random events. It is estimated that close to 15 percent of the pregnancies end up in miscarriages. While 30-60 percent of the pregnancies expire within the first 12 weeks, fifty percent of the women are believed to be not aware of the pregnancy in the first place. The risk of miscarriage, however, is less than 50 percent.
An advanced maternity age is another crucial factor towards recurrent 2pregnancy loss. The risk of miscarriage dramatically increases among these women owing to their poor quality of egg, abnormalities in the chromosome etc. At a time, it has been observed that either the father or the mother might have irregularities in the gene leading to early miscarriage.
An abnormality in the uterus might also be a reason for a miscarriage. Poor blood supply and inflammation of the uterus are two of the topmost reason for miscarriages among many women. While some women born with a defective uterus, some develop uterus anomalies due to lifestyle and unhealthy life practices.
Last but not the least, a woman’s immune system might also play a pivotal role towards a miscarriage. Certain hormonal irregularities, diabetes and thyroid diseases might lead to a miscarriage. Then there are the environmental factors such as stress, occupational factors, lifestyle practices etc that contributes towards a miscarriage.
What are the tests conducted?
To evaluate the exact reason for repeated miscarriages, a doctor performs a detailed physical and surgical examination. Some other areas where a doctor sneaks into include family history, genetic history etc. A karyotype test might also be prescribed in case a doctor feels the need of doing so. The uterus cavity and the uterus are closely monitored to understand any potential lack in the anatomy. This is followed by a list of imaging tests that a doctor might prescribe. These include MRI, X-ray, hysteroscopy etc.
What are the treatment options?
The treatment options are decided based on the finding of the tests. Sometimes plain medicines along with antibiotics can cure the condition, while sometimes surgery might be required to fix any potential threat within the uterus. In any case, the probability of future pregnancy after treatment goes as high as 77 percent.
PCOS is a disorder characterized by enlarged ovaries and the formation of tiny cysts on the outer sides of the ovaries. Polycystic Ovary is a hormonal condition that stimulates surplus production of androgen in women. Androgen being a “male hormone,” causes development of muscle mass and hair in men, and it has similar effects on women as well when present in high amount. They trigger acne and excessive growth of body hair in women accompanied by irregular or lack of ovulation in the form of absent or erratic menstrual cycle. Hence, owing to troubles in ovulation (discharge of ovules from the ovaries), one may experience difficulties in getting pregnant.
Many women suffering from PCOS are unaffected by the influence of the hormone ‘insulin’, which indicates, that it requires a larger amount of insulin to sustain a normal blood sugar level. High levels of insulin as a result of insulin resistance, in turn drastically boosts androgen production.
Symptoms of PCOS include:
Irregular Menstrual Cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.
Excessive hair. Excessive hair on the face, chin, or parts of the body where men usually have hair. This is called "hirsutism." Hirsutism affects up to 70% of women with PCOS.3
Acne. Acne on the face, chest, and upper back
Weight Gain. Weight gain or difficulty losing weight
Skin Darkening. Darkening of skin, particularly along neck creases, in the groin, and underneath breasts
Skin tags. Skin tags, which are small excess flaps of skin in the armpits or neck area
Treatment for PCOS:
There is apparently no procedure to cure PCOS and improve fertility; but the treatment is tailored as per the symptoms of the condition:
A lack of ovulation and menstrual cycles hinders the secretion of progesterone (a hormone preparing the uterus for pregnancy), thus hampering conception. In this case, the treatment is directed at maintaining a regular ovulation and menstrual cycle which can be fixed by consuming birth control pills. These pills comprise of both progestin and estrogen which aid to bring down androgen production.
PCOS along with insulin resistance warrants the use of certain medications such as metformin which are prescribed to enhance insulin sensitivity. In case you have a concern or query you can always consult an expert & get answers to your questions!
Vulvodynia is a medical condition in which women suffer from chronic pain in the vaginal area without any cause. Even today, women don’t often go for proper diagnosis for vulvodynia because of the societal pressure due to which doctors and researchers are still not able to find out the exact cause of vulvodynia.
Types of vulvodynia
1. Generalized vulvodynia: This occurs when there is immense pain in different areas of the vagina. It can occur once in a while or the pain can be constant. Slight pressure or touch on the vagina can make it worse.
2. Vulvar Vestibulitis syndrome: Pain generally occurs in the entrance of the vagina. A burning sensation is felt when pressure is applied on the vagina or during sexual intercourse.
Possible causes of vulvodynia:
1. Irritation to the nerve or a nerve injury can increase the risk of vulvodynia.
2. An infection or a trauma in the vulvar cells can also give rise to abnormal responses which might cause vulvodynia.
3. The vulva can also respond poorly to inflammation due to genetic factors.
4. Yeast infection and hypersensitivity can also cause vulvodynia.
5. Muscle spasm
7. Hormonal changes like menstruation or menopause can also cause vulvodynia.
8. If you have a history of sexual abuse or rape, you are more likely to develop vulvodynia.
9. Using excessive antibiotic can lead to the weakening of the cells around the vagina.
Symptoms of vulvodynia:
1. Rawness, stinging or burning sensation in the vagina.
2. Soreness or acute aching sensation in and around the vagina.
3. Throbbing can also occur on the vagina if you have vulvodynia.
4. Itchiness in and around the vagina.
5. Pain can either occur once a while or all the time during vulvodynia.
6. Walking, exercising or having sex can also cause immense pain in the vagina.
7. The vagina can also ache while walking, sitting or exercising.
8. Discomfort can be felt on your entire vulva.
Vulvodynia can impact a woman’s life greatly. It can disable her ability to exercise or have sex. Vulvodynia can also make her withdraw from her social life or work. It is of utmost importance to book an appointment with a gynecologist as soon as possible if you have vulvodynia.
The term menopause refers to the dearth of menstrual periods for a stretch of 12 months. Although the average age for women to attend menopause is 51 years, the range varies from 45 years to 55 years. It is this span of 10 years that is defined as perimenopause meaning “around menopause”. During this time, a hormonal shift affects the process of ovulation and menstrual cycle.
Common menstrual cycle changes during perimenopause:
While a normal menstrual cycle has a particular flowing pattern of progesterone and estrogen, perimenopause doesn’t show any such pattern. Spotting and irregular bleeding are often faced by women as a result. Other changes include very long or very short periods. There could be months when periods might not occur at all. Some other changes include sleep disturbances, urinary changes, night sweats, changes in sexual desire etc.
Close to 25 percent of all women reports heavy bleeding during their perimenopause. Sometimes this condition is known as hypermenorrhea or flooding. The blood flow can be so heavy that even pads might not be able to contain it. Heavy bleeding might lead to anemia as well. At times there could be a feeling of faintness. If all these conditions prevail, it only indicates a loss in blood count. Some quick fix to excessive bleeding include intake of soup, thick juice etc. Intake of NSAID thrice a day also decreases the blood flow by a good 30-40 percent.
Prolonged bleeding is a bad sign and should not be ignored at any point. It is wise to visit a doctor or a healthcare professional to know more about the cause of bleeding. Doctors often suggest tests to understand the blood count and level of iron present in the body. Iron pills have been known to replace blood cells and fight anemia.
Other ways of treating heavy bleeding is progesterone therapy. If all else fails, a doctor might suggest hysterectomy. It is wise to explore a less invasive method before deciding to remove the uterus.
A woman going through perimenopause bleeding often experiences hot flashes. This is a symptom where a woman might feel hot and sweaty all of a sudden. It is often followed by cold shivering.
Disturbance in Sleeping
Approximately 20 percent of the women facing perimenopause reports sleep disturbances. Mostly, a woman goes to sleep at the right time but wakes up very early in the morning without getting any sleep throughout the day.
Excessive bleeding in the perimenopause phase can lead to vaginal walls becoming drier and thinner. There are instances where women report of wear and tear in the vagina walls leading to dissatisfaction during intercourse. Consult an expert & get answers to your questions!
Blood pressure is the thrust exerted by the blood against the artery walls or blood vessels. A certain count of blood pressure is necessary for blood circulation, but anything excessive may prove to be trouble. A reading above the count considered normal; 140/90 (mmHg) may induce symptoms, such as short breath, severe headaches, nosebleeds and anxiety.
Any sort of hypertension during pregnancy can take a toll on the baby.
4. The placenta detaches itself from the uterine wall much prior to the delivery.
5. Preeclampsia escalates one’s risks of suffering from heart disorders or other cardiovascular diseases.
6. It restricts the blood flow to the placenta (an organ nourishing the baby), thus cutting off adequate supply of oxygen and nutrients to the fetus.
Signs and symptoms:
1. Excessive protein content in urine
2. Impaired liver functioning
3. Low urine levels
5. Intense pain and tenderness in the upper abdomen
6. Problems in eyesight such as double vision or temporary loss of vision, light sensitivity and blurriness.
7. Abnormal swelling
8. Persistent and a severe headache
Medications do meddle with pregnancy. However, certain medications are considered safe to be used for keeping blood pressure levels under control. These include Angiotensin Converting Enzyme (ACE) inhibitors, Angiotensin Receptor Blockers (ARBs) and Renin Inhibitors.