Doctor in BHARDWAJ HOSPITAL
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 taking divacon tablets to avoid pregnancy. But this month I took 12 days but I forgot on 13th day. Can I continue to take? Its any problem take place if I continue?
Hi, My estradiol level is 24.5 on day 2 where normal seems to be greater than 26. Why is estradiol e2 test taken? Is my level is something to be concerned? I have been ttc for few months with no luck. Please advice.
Hello, I am married and have pcos my weight is 80 and I am on metformin. Could you please help me to conceive soon.
I am a lady 29 years and married and have been trying to conceive for 1 years and 4 months with no success have used fertility drugs like fertilion f ,ova care, clomid with no success. I have had tests to check my fallopian tube but the doctors says am ok. Kindly help.
Dear doc, I had an anembryonic pregnancy in oct 2018. Followed to that I have been taking folic acid. Now that we are planning to extend family again. My last period was on 6th feb (last day of my period. My periods are generally on 1st week of every month. Earlier (before miscarriage/ anembryonic pregnancy) my periods date used to be fluctuate. Post that (post october) the dates are on time i.e.1st week of every month. This month I did not get periods till date. We had sex on 2nd of march and then got no periods. Did a home test today but found it to be negative. Kindly suggest what has to be done. Thank you!
Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.
As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc.
- Hormonal imbalance: Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.
- Anatomic problems: One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.
- Clotting irregularities: Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.
- Medications and supplements: There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirin, ibuprofen, estrogen pills, Vitamin E supplements etc.
- Miscellaneous factors: These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancer, ovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stress, obesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding.
Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus.
Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically.
However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.
Success Rates of ICSI:
The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.
1. 35 per cent if you are under 35 years of age
2. 29 per cent if you are between 35 to 37 years of age
3. 21 per cent if you are between 38 to 39 years of age
4. 14 per cent if you are between 40 to 42 years of age
5. 6 per cent if you are between 43 to 44 years of age
6. 5 per cent if you are above 44 years of age
Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.
The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.
Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time.
Some of the benefits of this are listed below-
Smaller incision compared to traditional surgical procedures, where only the injured area is accessed
The surrounding tissues are untouched, unless they are injured and require repair
Lesser bleeding compared to earlier techniques
Lesser painful procedure
Reduced hospitalization period
Quicker recovery and return to normal activities
The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.
Presence of symptoms relating to nerve compression, including pain from the spine down the leg.
Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.
People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.
Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.
Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.
Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever.
Most women suffer from gynaecological infection at least once in their life while some may suffer from them multiple times. The most common infections that affect women’s reproductive tracts are vulvitis, vaginitis, cervicitis and pelvic inflammatory disease or the dreaded PID. What’s even worse is the fact that these dangerous infections are often missed in women due to lack of information and the absence of health services, especially in rural parts of the country.
Let’s take a quick look at each one of the above four gynaecological infections:
Common symptoms include-
- Redness and swelling on the lips of the vulva
- Clear, fluid-filled blisters
- White, sore and thick patches on the vulva
Causes can include anything from the use of toilet paper, swimming in pools, synthetic underwear, rubbing against a bike seat, bubble baths to shampoos and deodorants…
Usually, urine tests, blood tests and tests for sexually transmitted diseases are used to diagnose this infection. Vulvitis can be caused due to a number of reasons and it’s also a symptom of other more dangerous diseases, hence its treatment is done taking all these factors into mind.
Treatment can include-
- Avoiding irritants like swimming in pools
- Sitz baths with soothing compounds for itch control
Vaginitis refers to any inflammation of the vagina. Usually, the inflammation strikes the walls of the vagina. It can be infectious or non-infectious. This infection is common in women of all ages with one-third of women reporting suffering from the infection at some time during their lives.
These can be many like infection with bacteria, yeast, viruses etc. Chemicals in creams or sprays, and even clothing can cause the condition. It can be sexually transmitted too. Your hormones, overall health and other diseases you may have – all of these also determine whether you’ll get vaginitis.
The 3 types of vaginitis are-
Vaginitis should always be taken seriously. If left untreated, vaginitis can cause PID which can lead to infertility. If you get a discharge- a frothy white discharge or a colourless discharge with a fishy disorder and see redness around your vagina and pain during urination or sex- don’t take it lightly, but fix an appointment with your gynaecologist ASAP. He or she will mostly treat you using antibiotics.
This is an irritation or infection of the cervix. It is caused by a number of different organisms and it can be either acute or chronic. Common causes are sexually transmitted diseases or STDs like-
Pelvic exam and tests for STDs are used for diagnosing this infection. Treatment includes the use of antibiotics for the victim and her sexual partner to prevent re-infection.
Pelvic inflammatory disease
Pelvic inflammatory disease or PID is an infection that affects the woman’s entire reproductive tract like the uterus, fallopian tubes, and the ovaries. It causes scar tissue formation which grows between internal organs leading to chronic pelvic pain. PID can also lead to ectopic pregnancy or a pregnancy which happens when the fertilized egg grows outside the uterus. Untreated PIDs can lead to chronic infection and infertility.
The main cause of PID is bacteria. Intra uterine device use is also linked to PIDs.
The structure responsible for production, transportation, storage and excretion of urine form the urinary tract. Kidney, ureters, bladder and urethra are structures involved in urine formation and excretion process. Kidney filters nearly 3 ounces of blood, removes waste materials every minute. When these get infected with entry of any micro organism or any other pathological condition, then the person gets urinary tract infection (UTI).
Causes and symptoms
Urinary tract infections are more common in women than men because of the small size of the urethra (4cms) and also because of the squatting position of voiding. Entry of organisms like bacteria, viruses and fungi are the major cause of UTI. The person may experience burning sensation and pain when voiding, fever is indicated when the infection has reached the kidneys or prostate glands in male. Other symptoms include pain in back, ribs, nausea and vomiting.
Though antibiotics are used to treat the present infection there are increased chance of getting the recurrent infection. So it is best advised to follow the preventive measures to stay away safely from getting infected
- Drink plenty of water nearly 2- 3litres of water per day.
- Urinate when you feel the need , don’t control or resist voiding when you feel the urge as this may give room for the organisms to grow well
- Urinate after sexual intercourse. change the birth control measures if UTI is a recurrent problem
- Wash front to back, wipe off thoroughly after emptying the bladder so as to prevent the entry of organisms into the urethra.
- Avoid wearing tight fitting clothes. Always prefer cotton inner garments and loose fitting clothes so that air entry keeps the area moist and free from bacteria.
- Cranberry juice works best and it is the natural treatment for bladder infections. Cranberries have a special substance that can avoid the entry of E.coli into the bladder, but it does not have much effect on recurrent UTI infections