Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Dilatation And Curettage (D C) Procedure
Proton Therapy Treatment
Preimplantation Genetic Diagnosis (Pgd)
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Ovarian Ablation Procedure
Treatment Of Female Sexual Problems
Egg Donation Procedure
Treatment Of Menstrual Problems
Treatment Of Menopause Related Issues
Treatment of Polycystic Ovary Syndrome In Adolesce
Pre And Post Delivery Care
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A menstrual cup is a flexible cup designed out of medical grade silicone or rubber, which can be inserted inside the vagina. It is not used for absorbing blood; rather it collects the menstrual blood.
Advantages of menstrual cups over tampons
- Tampons are disposable. Menstrual cups can be cleaned, rinsed and reused.
- Need not be changed after every few hours. One can go without changing a menstrual cup for more than 12 hours.
- Easier to use compared to a tampon. The insertion is smoother and it is generally not very uncomfortable if insertion is done correctly.
- The menstrual cups need not be replaced frequently. Tampons however are needed in large numbers every month.
- Tampons absorb almost all the vaginal fluid, leaving it dry and prone to irritation. Menstrual cups on the other hand, leave the beneficial bacteria in place and maintain vaginal pH.
- Menstrual cups help prevent menstrual odours as it is present internally.
Reasons why you should use menstrual cups
Menstrual cups rarely cause allergic reactions, unlike tampons. One menstrual cup lasts an entire day, month and even years. They are also the most environment friendly choice as there is no need to dispose them after every use. They prevent staining, leakage and do not increase muscle cramps. There is no risk of TSS (Toxic Shock Syndrome) from menstrual cups, which is a major risk from leaving tampons inside the body for too many hours. Menstrual cups are also helpful if you are a swimmer. They don’t make things difficult for you at all. Menstrual cups are made from 100% medically approved silicone and not cotton or rayon. If you are unable to use tampons, you may choose menstrual cups as the insertion is generally smoother. However, it completely depends on individual preference. Menstrual cups also reduce the bulk of having to carry like sanitary napkins during travel, and urgent needs to change. Thus it makes a long journey worry free. No matter what protective measures you take, remember to be comfortable. Try and maintain a diet rich in nutrients, that can help regulate the blood flow and prevent painful blood clots. Also, it is important to remain physically active to prevent muscle cramps and back pain. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Spacing pregnancies is an essential part of family planning. Although it rests on individual preferences, there are certain psychological and economical factors associated with it.
Factors That Decide The Spacing Of Pregnancy-
The mother’s childbearing abilities, general health and fertility.
The family’s income and financial condition.
The choice to have more than one child.
Pressure from the family members to go through another pregnancy.
The child’s wish to have sibling/s.
Risk Associated With Close Consecutive Pregnancies-
None of the children receive wholesome attention from parents as both will be very young. This may create resentment in both children.
The second baby may have very low birth weight.
Depletion of nutrients in the mother’s body. This can happen in case the mother has been breastfeeding recently.
There can be genital inflammation during the second childbirth and labour.
There are researches that show the increasing rate of autism in the second born child who the mother delivers within a short span, after the first pregnancy.
Risks Associated With Pregnancies Spaced Too Far Apart-
Sometimes there are risks of premature babies and low birth weight.
Some mothers may be slightly unwilling to go through the entire process of bringing up a child, as it is emotionally and physically very demanding.
It might pose some birth complications if the mother does not have age on her side.
Besides these, spacing out pregnancies may actually be beneficial because it provides the first child enough love and care. Also, at a certain age, the child is mature enough to welcome a new member. He or she may even want to share responsibilities with parents in looking after the young baby. In this way, none of the children are denied attention. Also, once a woman goes through the entire experience of motherhood, she will find it easier to go through the process once more, without panicking. Parents are also able to take up the responsibility of the second child with more maturity as they are better informed. If you wish to discuss about any specific problem, you can consult a gynaecologist.
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
Hair Loss. Thinning hair or hair loss on the scalp; male-pattern baldness
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. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Here are screening and treatments of cervical cancer.
Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.
Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.
How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.
Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.
How alcohol can affect your child?
A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.
If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.
Many women develop uterine fibroids by the time they hit the age of 50 years and above. These are non-cancerous growths that may occur in the uterus. Most women go through severe bleeding and pain as well as discomfort as a result of these fibroids. Age, family history of the same condition, obesity or being overweight, eating habits and even ethnicity play a large role in deciding the risk of each individual patient. These fibroids can grow in the submucosal, intramural and subserosal areas.
Following are the common side effects of uterine fibroids:
- Frequent urination: Due to the pressure of the fibroids on the uterus, the patient may experience a constant feeling of fullness in the lower pelvic area of the body, which may lead to frequent filling of the bladder. This gives rise to frequent trips to the washroom for urination.
- Heavy Bleeding: Severe bleeding is one of the most common causes of the presence of these kinds of fibroids. The patient may experience a lot of bleeding during menstrual periods, as well as pain and cramps the rest of the time. The periods will also be very painful when there are fibroids in the uterus or the uterine lining.
- Painful Intercourse: It is a well-known fact that any kind of infection or growth as well as sores and other such ailments can lead to vaginal dryness as well as pain during sexual intercourse. This is true for uterine fibroids as well, which can lead to severe pain during sexual activity. These fibroids can also give rise to pain in the lumbar or lower back region.
- Abdomen Swelling: The abdomen may go through significant swelling in such a condition and the patient may even look like she is pregnant. The growth can push the shape of the abdomen outwards and create a full feeling.
- Pregnancy Complications: The presence of uterine fibroids can give rise to several complications during pregnancy and even after child birth. One of the most common problems in this case is bleeding, followed by more severe outcomes like miscarriage. The women suffering from uterine fibroids are at greater risk of undergoing a caesarean section for the delivery of the baby. The baby may also be born breech and a premature delivery may take place.
- Infertility: This is also a rare side effect of the uterine fibroids and is generally seen only in very severe cases.
- Cancer: Only one in every 1000 cases might transform into malignant tumours. These uterine fibroids are generally known to be non-malignant.
Any symptoms must be reported to a gynaecologist at the earliest to avoid any serious complications.
Blockage in the Fallopian tubes accounts for 40% of infertility in women, which is called Tubal Factor Infertility. Fallopian tubes are two thin tubes on each side of the uterus that aid the movement of mature eggs from the two ovaries to the uterus. Any kind of blockage in these tubes can prohibit the eggs from reaching the uterus and prevent pregnancy.
There are very few symptoms to detect blocked fallopian tubes. Some of the most common are :
- A particular type of blocked fallopian tube is known as Hydrosalpinx, which causes pain in the lower abdominal or pelvic region with abnormal vaginal discharge
- Painful periods can be a warning sign of blockage in the fallopian tubes
- Painful intercourse is also a potent indicator
- Spotting or heavy periods
- Feelings of extreme tiredness
- Pre-menstrual abdominal cramps
Once you know the symptoms, it is imperative to know the cause behind blocked fallopian tubes in order to get proper treatment.
- Pelvic inflammatory disease (PID) is the most popular cause of blockage in the fallopian tubes. It can be sexually transmitted, but not all cases of PID are linked to STDs.
- Prior abdominal surgery
- Earlier ectopic pregnancy
- Previous occurrence of ruptured appendix
- STD infections like gonorrhea and Chlamydia
- Uterine infection due to abortion or miscarriage
There are precautionary measures that can be adopted to prevent blocked fallopian tubes, which can be opened with a laparoscopic surgery or a Hysteroscopic procedure. If you are diagnosed with PID, be sure to start your treatment as soon as possible. The most important advice is to look for symptoms of blockage and get professional help if you find any.