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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 doc, i'm 25 years old. Two years marriage life till we do not have baby. For my husband we did semen no problem for him. My side pcos biggest problem. I did two follicular study. Four months medication with ubiphene and brelet alternative months for ovulation. And duphaston, biopreg,glymet sr 5oo (from last month. I hav regular cycle, no thyroid or diabetic pblms. After I took the medications while mensuration I had severe abdominal pain, irregular menses. What should be my next for pregnancy?
Hi doctor I am 26 years old I thinking that I am present the symptoms is my body is unessay actually wt is symptoms for pregnancy give me ans.
Hello doc , I had mifepristone 200 mg 2 pills on 18th and misoprostol 200 mp 2pills on 20th orally and 2pills vaginal and I puked after 15 mins if misoprostol ,i had heavy cramps and nauseous feeling ,bt very lil bleeding , now its 21st can I start the process again or should I go for d and c . Shes just 4 weeks and 4 days .now its 22nd and she is bleeding sometimes bt not heavily ,will there be any complications if it is an incomplete abortion.
My wife is having adinomiosis and block and having uncontrol pain in period time but she have to conceive so how can it cure?
I can not sex My spam discharge in kissing period And some time my spam discharge very slow When I talk with girl Paz. Help me.
When should I go for test. M 35 n husband is 38. We got married in July 2016. My LMP came on 1st March. I have 22-23 days regular basis period cycle. M confuse cz no vomit still. N one more thing. What side I should sleep. Left or right.
Do discharge of water in early pregnancy is a good or bad. I'm 20 days pregnant .I'm getting vagina wet and discharge of water .is this good or bad.
I'll eat less but still putting on weight due to periods irregularities. Doctor suggested me to take thyroid test and the report came normal. Medication suggested is happened tablet 2 per day & m2 tone syrup twice a day. please help me.
Dear doctor, I've been married for 1 year and 9 months and I've been facing a condition of spotting after a week of completion of my menstrual cycle. I consulted a gynac and was prescribed Yasmin contraceptive pills for 3 months. However, the problem continued after completion of the 3 months and I was advised to extend for another 3 months. However, this problem continues. The sonography reports have been normal since then. I would request your guidance in curing this problem. You would understand the stress and hormone imbalance in my body.
I am 24 years old female and I am having some serious menstrual problems. I got free from my last period on 13th April and my new cycle was to commence on 6-7th May, but I missed my periods this month. I had intercourse after last month i.e. April after I was free of my periods so I thought it could be pregnancy issues. I waited for 3-4 days and then took a pregnancy kit test. RESULTS WERE NEGATIVE. Again I waited for my periods for few days because I have had this problems earlier even before marriage but this time I was getting very late as 15 days were passed. So I visited a doctor, she also took the kit test but again results were negative. In between this instead of periods I was having a white fluid discharge. She gave me medicines because I was having fever and also after 3-4 days the discharge stopped but now last night i.e. 27th May I got a heavy muddy discharge. Please help. What it could be? I have no earlier pregnancies, no abortion. I am married for 9 months only. Got my Thyroid tests too. There also results were negative. Please help.
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.
- Parents are three types either overinvoved and worried. Or rejection /hostility/partiality /criticism from one of the parent. And third is authortarion means balancing.
- One more thing would like to share that now days no indian moral civilization values are decaying day by day in the parent. As a role model. Therefore parent has to b taught about stress free life and values inculcate during pregnancy time. The period is called prenatal time. Which help you to develop the same personality whatyou expect.