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Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
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
Management of Fertile Period
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I am 26yrs old & I have irregular menses problem from last 8yrs & more bloody menses occur during MC with more abdomen pain. I married from last 6yrs still I am not being pregnant. So pls give me advise what I want to do to be a pregnant & what the real problem behind this.
Hi, Recently my fiancee move to a new city for job. She has found that from past 2 months her periods are not happening accordingly. It stops within 2 day of starting. Even the blood flow is vey low. Please advice of this is a hormonal issue or something else.
Things you should know about Polycystic Ovary Syndrome (PCOS). I am Dr. Jyotsna gupta (Gynecologist/Obstetrician). What is Polycystic Ovarian Disease (PCOD) or Polycystic Ovary Syndrome (PCOS)? Polycystic ovary syndrome (pcos) is a health problem that can affect a woman's menstrual cycle - Ability to have children. Appearance Hormones Blood vessels Heart With PCOS/PCOD, women typically have high levels of'androgens, these are sometimes called male hormones, though females also make them. Many a times,small cysts (fluid-filled sacs) are formed in the ovaries. What causes PCOS? The cause of PCOS is unknown. But most experts think that several factors, including genetics, can play a role. Women with pcos are more likely to have a mother or sister with pcos. A main underlying problem with pcos is a hormonal imbalance. In women with pcos, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.High androgen levels can lead to Acne, excessive hair growth, weight gain problems with ovulation. How many women have pcos? Between 1 in 10 and 1 in 20 women having childbearing age has pcos. It can occur in girls as young as 11 years old. What are the symptoms of pcod or pcos? The symptoms of pcos can vary from woman to woman. Some of the polycystic ovary syndrome symptoms include: infrequent, absent or irregular menstrual periods. Infertility (not able to get pregnant) because of not ovulating. In fact, pcos is the most common cause of female infertility. Increased hair growth on the face, chest, stomach, back, thumbs, or toes, male-pattern baldness or thinning hair. Cysts on the ovaries, acne, oily skin or dandruff, weight gain or obesity, usually with extra weight around the waist. Skin tags excess flaps of skin in the armpits or neck area, pelvic pain, anxiety or depression Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black Sleep apnea when breathing stops for short period of time while asleep. How do I know if I have pcos? There is no single test to diagnose pcos. Your doctor will take the following steps to find out if you have pcos or if something else is causing you symptoms. Medical history - your doctor will ask about your menstrual periods, weight changes, and other symptoms. Physical exam - your doctor will measure your blood pressure, body mass index (bmi), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit. Pelvic exam - your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts. Blood tests - your doctor may check the androgen hormone and glucose (sugar) levels in your blood. Ultrasound (sonogram) - your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (lining of the womb). This lining may become thicker if your periods are not regular. How is pcos treated? Because there is no cure for pcos, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for pcos include: lifestyle modification. Many women with pcos are overweight or obese, which can cause health problems. You can help manage your pcos by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include: limiting processed foods and foods with added sugars, adding more whole-grain products, fruits, vegetables, and lean meats to your diet. This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular. Birth control pills. For women who don't want to get pregnant, birth control pills can control menstrual cycles .Reduce male hormone levels Help to clear acne. Fertility medications - Lack of ovulation is usually the reason for fertility problems in women with pcos. Several medications that stimulate ovulation can help women with pcos become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Another option is in vitro fertilization (ivf). Ivf offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, ivf is very costly. Surgery - ovarian drilling is a surgery that may increase the chance of ovulation. It is sometimes used when a woman does not respond to fertility medicines. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. Medicines for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant. Before taking any medicines tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Other options include: cream to reduce facial hair Laser, hair removal or electrolysis to remove hair. Hormonal treatment to keep new hair from growing. Does pcos change at menopause? Yes and no. Pcos affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman is close to menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from pcos, such as heart attack, stroke, and diabetes, increase as a woman gets older. Polycystic ovary syndrome and pregnancy - how does pcos affect a woman while in pregnancy? Women with pcos appear to have higher rates of miscarriage premature delivery. Pregnancy - induces high blood pressure. Does pcos put women at risk for other health problems? Women with pcos have greater chances of developing several serious health conditions. Recent studies found that women with pcos can have diabetes or pre-diabetes at early age. Women with pcos are at greater risk of having high blood pressure. Women with pcos can develop sleep apnea. This is when breathing stops for short period of time during sleep. Women with pcos may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much. If you have pcos, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your pcos, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include eating right, exercising, not smoking. How can I cope with the emotional effects of pcos? Having pcos can be difficult. You may feel embarrassed by your appearance, worried about being able to get pregnant, depressed. Managing pcos (diet and exercise) - following lifestyle and diet modifications can help manage pcos symptoms to an extent. Frequently have small meals (5-6 times a day) without fail, drink a lot of water (8-10 glasses). Try to consume 2-3 servings of fruits and vegetables every day. Stick to a high fibre diet (wholegrains/fruits/vegetables). Give preference to home cooked meals, add brightly colored and white vegetables to your diet. They have high anti-oxidants food to avoid - Fried/packaged/processed foods. Foods with high glycemic exercises, suggested work out at least 5 times every week for at least 30 minutes Running, swimming, yoga strengthening exercises . Even if you don't lose weight, exercise in pcos helps to improve things like- insulin sensitivity, frequency of ovulation, cholesterol, body composition. Getting treatment for pcos can help with these concerns and help boost your self-esteem. It is advised that you should consult gynecologist who can help you based on your symptoms and requirements to manage pcod/pcos.
I am married 25 Yr women. I got married in 2015. My vagina got loose. How can I get it back without surgery .only with medicine diet etc.
I am on Saheli, oral contraceptive pills since october and been taking it without missing any pill, I just want to know if I have sex, won't I get pregnant?
Hi, I am 31 years old and in my 1 year marriage. At the tym of intercourse hardly liquid produce in vagina also not get excitement (in starting 1-2 month I got excitement. And in between of sex my lower abdomen also have pain when I start to feel pleasure ,my husband stop because of my pain .what should I do.
Hi mam, i am in 24 years age. I have irregular periods from last 3 4 months and I got thyroid with 25mg. I am trying to get pregnant but I cant because of my irregular periods. How do I get my regular periods back please suggest me for the changes of my diet.
Hello doctor. I am 8 weeks pregnant and did my first ultrasound. Everything is normal including the foods. A small fluid filled sac has been detected in the usg on the left end separated from the g sac of foods. Impression of the usg related to this sac is written as. Possibility of second g sac. Needs rescan after 2 weeks. Only fluid filled sac detected. Can you please tell me what is this another fluid filled sac? Is this any sign of complication? Is this dangerous for baby?
My wife got a miscarriage in last few days of 3rd month of first pregnancy in june 2015. She has not conceived as yet. Suggest.
We are doing sex continuously from 12 th day to 21 days of my wifes mc. All sperm went to vagina. My semen report is normal and wife mc also regular. But my sperm not went to vagina with certain force or particular speed when it discharge. What is the reason behind that . Can my wife get pregnant with same.
I have ovarian cyst in left. Cyst size 4.3?4.2. 1 year ago I know I have cyst. Cyst size not changed. I have sometime pain in inferior abdomen. What should I do.
My pregnancy test is negative. My had one miscarriage before. My period comes always regular but this time 30 days over now. I went for ultrasound but result is bulky uterus. What should I do? Please help me.
I am new to sex .me n my wife want to enjoy without condoms so, let me know the precaution please .don't suggest me to use condoms. We don't know about safe days so please guide me.
My mother is 41+. She is having a problem for past 2 months. She is bleeding in the mid of her periodical cycle. Even she bleeds every time she is having intercourse for 10 to 15 mnts. And then it stops automatically. Am very worried about her. Can it be the problem of cervical cancer. Please help.
I am 32 years old woman, unmarried, no sex life. Had sex twice till today. Once long back when I was 18 and once almost 2 years back. I get irregular periods. Tried allopathy, homeopath, ayurvedic treatment but my problem comes back again and again. I have consulted with more than one gynaecologist but they always have asked me to have contraceptive pills. Initially I was not aware of it that those are contraceptive pills and about their side effects and had those pills for a long time. Now my AMH is 9.93 ng/ml.
An effective parent to child conversation can shape the child’s listening, speaking and understanding capabilities whereas an inefficient communication can lead to numerous issues in later years likes like–not listening to their parents, emotional and psychological distancing from parents, teenage problems etc. The way parents speak to their kids and to the people around them show the kids how they should talk back to their parents.
Psychologist Shivani Misri Sadhoo in her practice has found parents generally use three different ways to communicate with their kids. The first one is in an aggressive way. These parents frequently yell and convey punishments. Their children respond in many different ways, mainly they feel fearful, yell back and ignore their parents’ constant orders. The second form of parent and child communication commonly seen is a passive form. These parents mutter soft, cautious words and tones to their kids. Unfortunately these parents are so passive that sometimes when they are pushed to their limits, they suddenly turn their communication into an aggressive tone.
The third way parents can communicate with their kids is in an assertive way, which is the most effective way to communicate with kids at all levels. An assertive way of communicating is firm, consistent, clear, positive, warm and confident. Communicating with kids in an assertive way is a real skill yet it shows your kids that mum and dad know what they’re going on about and to listen.
Psychologist Shivani shares today some of the tips of how parents can talk assertively with their kids so they listen to them and build a healthy listening and understanding capabilities.
1. Try to use positive language– avoid saying “no” or “don’t” to your child, as much as possible. There is no doubt that if we say “Don’t drop your glass of milk” or “Don’t drop the flower vase, I will slap you” your child has that image and thought imbedded in their mind and more times than not, they will drop the glass!
Instead of telling bad circumstances and their bad consequences, try to use words that you want them to do, like “Hold onto milk glass carefully, your glass is very special”. This requires some thought and practice but it will help your child to become thoughtful and more aware about his surroundings
Also never use words that ridicule the child like “you make me feel so ashamed in front of the relatives”, or “you were a bad boy today”. Such language achieves very little rather they develop a feeling of worthless in the child. Positive and kind words help the children to develop confidence, happy feeling and behave better, encourages them to try hard and achieve success.
2. Raise your volume carefully and appropriately – remember when you use volume of your voice appropriately for the majority of the time, raising your voice in an urgent situation will not be ignored. The child will sit up and take notice of his/her mother or father because it doesn’t happen all of the time. How to use volume of your voice appropriately? Here is the check list:-
a. In situations when your child turns emotionally charged, yell at you, never compete with them. Wait till your child calms down and then talk to him/her clearly and express your points firmly with confidence.
b. Never yell from another room, like telling your child to switch off TV from kitchen. This gives the impression that you’re busy and not too serious. Rather walk into the room, join your child for a minute or two and waiting for the commercial break and then ask them to switch off the TV. This will model respectful behaviour in your child and your child will more likely to listen to you as they will know that you really mean to switch off the TV (without your yelling).
3. Express reasons – generally, children activities that parents perceive dangerous or wrong may be perceived as amazing or innovative by the child. Telling your child not to do this or that may subconsciously raise question in their mind that my mother always say ‘NO’ to things that I enjoy doing. Hence it is advisable to express the importance of following an instruction to the child. Like instead of telling your child, “don’t jump on the sofa” you can tell them, “people fall from sofa if they jump on it and if you fall on the floor you will hurt yourself”. Communicating with kids in an assertive way is a real skill yet it shows your kids that mum and dad know what they’re going on about and to listen
I want child after 2 years. What's kind of precaution is suitable for this long time. Now my wife no eat any kind of medicine for family planning. Please advice me which planning is suitable for us.
There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.
There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:
Abdominal Adhesions and Infertility
Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body.
Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.
Secretions from implants
Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.
Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy.
This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.
Just like the endometrium, the implants also secrete these hormones. And the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.
A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.
If you too are fearing of getting this disease, it's better to visit your Gynecologist soon. If you wish to discuss about any specific problem, you can consult a Gynaecologist.