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
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
Talla Bhuvana Vaibhav Reddy
Dr. Priyanka Bansal provides answers that are well-reasoned, caring, prompt, helped me improve my health and professional. How mam can u please explain
I found the answers provided by the Dr. Priyanka Bansal to be very helpful. Thank you so much madam for your response.
I found the answers provided by the Dr. Priyanka Bansal to be very helpful. Thnks a lot for reply . it is safe?
Dr. Priyanka Bansal provides answers that are very helpful. Thanks yours answers were very helpful.
I found the answers provided by the Dr. Priyanka Bansal to be knowledgeable. Thank you doctor.
Dr. Priyanka Bansal provides answers that are very helpful. Thank you so much ma'am
On crisanta oral contraceptive for dis month I had blow job 2 days back wit my boyfriend. His sperms wer on my brest. I went to take bath. But I think it might have ran into my vagina. So do I need to take unwanted 72. On continue wit my crisanta pill till the pack finish and wait till my periods come in 7 days gap?
My penis is 3 inch's long when erected and it enters only halfway the vagina. I fear if I am able to make my wife pregnant because my semen is discharged in the midway. Most of the semen come out when my wife stands up. I am very scared kindly guide me.
Hello I'm 24 years female. When I was sleeping last night. My cousin brother he is still young around 10 years. Without his knowledge penetrated his penis inside my vagina when I was in deep sleep. He almost had around 10-15 mins of intercourse. Is there any chance of me getting pregnant.
Last period 25th April. Had sex after 29th April and before 8th may. No ejaculation was done inside me. Today is 1st June, any chances of pregnancy? PLEASE HELP. I'm getting white discharge a lot. I'm confused.
Total Laparoscopic Hysterectomy
What is a total laparoscopic hysterectomy?
Is the removal of the uterus and cervix through four small (1/2 Abdominal incisions. Removal of the ovaries and tubes depends on the patient).
Why is this surgery used?
To treat disease of the uterus
• Infection in the ovaries or tubes
• Pelvic pain
• Overgrowth of tissue in the lining of the uterus
• Abnormal vaginal bleeding
How do I prepare for surgery?
The lab work for your surgery must be done at least 3 days beforesurgery. Some medications need to be stopped before the surgery. Smoking can affect your surgery and recovery. Smokers may have difficulty breathing during the surgery and tend to heal more slowly after surgery. If you are a smoker, it is best to quit 6-8 weeks before surgery. You will be told at your pre-op visit whether you will need a bowel prepfor your surgery and if you do, what type you will use. The prep to clean your bowel will have to be completed the night before your surgery.
• You will need to shower at home before surgery.
• Do not wear makeup, nail polish, lotion, deodorant, or antiperspirant on the day of surgery.
• Remove all body piercings and acrylic nails.
Most women recover and are back to most activities in 4-6 weeks. Youmay need a family member or a friend to help with your day-to-day activities for a few days after surgery.
What can I expect during the surgery?
Once in the operating room, you will receive general anesthesia before the surgery to keep you from feeling pain. A tube to help you breathe will be placed in your throat. Another tube will be placed in your stomach to remove any gas or other contents to reduce the likelihood of injury during the surgery. The tube is usually removed before you wake up. A catheter will be inserted into your bladder to drain urine and to monitor the amount of urine coming out during surgery. Compression stockings will be placed on your legs to prevent blood clots in your legs and lungs during surgery. After you are asleep the laparoscope is inserted into the abdomen and carbon dioxide gas is blown into the abdomen to inflate the belly wall away from the internal organs. After you are asleep the doctor will remove the uterus, cervix, and possibly the ovaries and tubes through the 4 small abdominal incisions.
What are possible risks from this surgery?
Although there can be problems that result from surgery, we work very hard to make sure it is as safe as possible. However, problems can occur, even when things go as planned. You should be aware of these possible problems, how often they happen, and what will be done to correct them.
Possible risks during surgery include:
Bleeding: If there is excessive bleeding, you will receive a blood transfusion. Conversion to an open surgery requiring an up and down or Bikini incision: If a bigger open incision is needed during your surgery, you may need to stay in the hospital for one or two nights.
• Damage to the bladder, ureters (the tubes that drain the kidneys into the bladder), and to the bowel: Damage occurs in less than 1% of surgeries. If there is damage to the bladder, urete rs, or to the bowel they will be repaired while you are in surgery.
• Death: All surgeries have a risk of death. Some surgeries have a higher risk than others. Possible risks that can occur days to weeks after surgery:
• Hernia:Weakness in the muscle at the incision that causes a lump under the skin.
• Incision opens: The abdominal or vaginal incision.
•Scar tissue: Tissue thicker than normal skin forms at the site of surgery
What happens after the surgery?
• You will be taken to the recovery room and monitored for a short time before going to the observation unit.
• Depending on the length of your surgery, you may not be able to eat or drink anything until the next morning or you will be started on a liquid diet. When you are feeling better you may return to a regular diet.
• You may have a scratchy or sore throat from the tube used for youranesthesia.
• You will be given medications for pain and nausea if needed.
Have the tube in your bladder removed in recovery room.
Have the compression stockings on your legs to improve circulation.
Be restarted on your routine medications.
Be given a small plastic device at your bedside to help expand your lungs after surgery.
Start walking as soon as possible after the surgery to help healingand recovery.
Stay in the hospital for 24 hours.
When will I go home after surgery?
Most women spend one night in the hospital and are ready to go home around noon -time the day after surgery. You should plan for someone to be at the hospital by noon to drive you home.
At home after surgery : If you use a bowel prep before surgery, it is common not to have a bowel movement for several days.
Call your doctor right away if you:
• develop a fever over 100.4°F (38°C)
• start bleeding like a menstrual period or (and) are changing a pad every hour
• have severe pain in your abdomen or pelvis that the pain medication is not helping
• have heavy vaginal discharge with a bad odor
• have nausea and vomiting
• have chest pain or difficulty breathing
• leak fluid or blood from the incision or if the incision opens
• develop swelling, redness, or pain in your legs develop a rash
• have pain with urination
• Your in cision will be closed with dissolvable stitches.
• Spotting is normal. Discharge will change to a brownish color followed by yellow cream color that will continue for up to four to eight weeks. It is common for the brownish discharge to have a slight odor because it is old blood. Department of Obstetrics and Gynecology
You will continue with your regular diet.
• Pain: Medication for pain will be prescribed for you after surgery. Do not take it more frequently than instructed.
• Stool softener: Narcotic pain medications may cause constipation. A stool softener may be needed while taking these medications.
• Nausea: Anti -nausea medication is not typically prescribed.
• Energy level: It is normal to have a decreased energy level after surgery. During the first week at home, you should minimize any strenuous activity. Once you settle into a normal routine at home, you will slowly begin to feel better. Walking around the house and taking short walks outside can help you get back to your normal energy level more quickly.
• Showers: Showers are allowed within 24 hours after your surgery.
• Climbing: Climbing stairs is permitted, but you may require some assistance when you first return home.
• Lifting: For 4-6 weeks after your surgery you should not lift anything heavier than a gallon of milk. This includes pushing objects such as a vacuum cleaner and vigorous exercise.
• Driving: The reason you are asked not to drive after surgery is because you may be prescribed pain medications. Even after you stop taking pain medication; driving is restricted because you may not be able to make sudden movements due to discomforts from surgery.
• Exercise: Exercise is important for a healthy lifestyle. You may begin normal physical activity within hours of surgery. Start with short walks and gradually increase the distance a nd length of time that you walk. To allow your body time to heal, you should not return to a more difficult exercise routine for 4 -6 weeks after your surgery. Please talk to your doctor about when you can start exercising again.
• Intercourse: No sexual activity for 8 weeks after surgery.
• Work: Most patients ca n return to work between 4 -6 weeks after surgery.
Right up until recently, most gynecologists have shied from carrying out total laparoscopic hysterectomy (TLH) due to the technical challenges and prolonged operating times which are related to it. Instead, they have preferred to do laparoscopically assisted vaginal hysterectomy (LAVH), a comparatively inefficient three-part technique made up of a preliminary laparoscopic phase, then a vaginal phase, and, finally, another laparoscopic phase.
Now it is believed that it has the possibility being the method of choice for any great proportion of hysterectomy cases, specifically in those situations - for example once the pubic angle is narrow, the vagina small, or the uterus high and immobile - in which LAVH includes a reduced chance of success. Simultaneously, however, it is realized that wider adoption of TLH would depend about the growth and development of new tools to facilitate the colpotomy part of the operation, and on the development of a simplified technique that could reduce complications and operative time period.
I have 34 week pregnancy, on 19th April 2017 I will complete my 9 month. And this will b my 2nd baby my first delivery was cesarean and now my Dr. Had my ultrasound of Thickness of scare which is my 4-5 mm And the head of baby is lower side, please tell me what it means and when should I do delivery and is it possible for normal delivery.
Dear doc. Me and my boyfriend were having a moment and we were wearing our underpants. His pre cum may have touched my underpants and I am way too worried and anxious now. I am a hypochondriac and I am afraid. Is there a possibility of getting pregnant. My period is due on 24th.
What is it?
Medical abortion is an abortion caused by medicine rather than surgery. In Canada, two medications are used in medical abortions: methotrexate and misoprostol. Methotrexate is given first, followed in a few days by misoprostol.
When and where is it available?
A medical abortion is available only to women who are less than 7 weeks pregnant from the first day of their last period or 5 weeks from the date of conception. The medication is administered in a clinic or doctor's office.
Is it safe?
Methotrexate has been used for over 50 years to treat certain types of cancer. It has been studied and used as a safe method of medical abortion since the early 1990s. It stops the implantation of the egg that occurs during the first several weeks after conception.
What happens before the abortion?
An ultrasound will be done to confirm the actual date of the pregnancy prior to the procedure.
How is it done?
There are three steps involved in a medical abortion.
You will take the first medication, methotrexate, at the clinic in a shot or by mouth. This is the medication that stops the pregnancy. It isn't unusual to have some bleeding after this medication is given, but the procedure is not complete.
Within the next few days, your clinician will tell you how and when to take the misoprostol. This is the medication that empties your uterus. You will probably start to have strong cramps and bleeding, similar to a heavy period. Pain medicine or a heating pad can help with the cramps. You may also have nausea, vomiting, diarrhoea, fever, chills, or feel tired. If you soak more than two maxipads an hour for two hours in a row, you should call your clinician. Your clinician will tell you what number to call for advice.
It is important that you return to the clinic for a follow up to make sure that the abortion is complete. The clinician will usually do a pelvic examination or ultrasound at this visit. In the rare case that your abortion is incomplete, you may need to take an additional dose of misoprostol or simply wait and return for another visit in a week or two.
How effective is it?
For about 1 to 2% of the women, this procedure will not work. Another 4 to 5% of women choose surgery because they are having delayed reactions to the medications and don't want to wait. Less than 1% have complications such as serious infections or serious bleeding.
What if it doesn't work?
If you are still pregnant when you return for your visit, you will need a surgical abortion. At this point, it is not feasible to continue with the pregnancy, as the medications would have affected the development of the fetus.
Will it affect future pregnancies?
The medications leave your body within one week and do not affect future pregnancies or your general health.
Who shouldn't get a medical abortion?
A medical abortion may not be the best option for women:
with certain physical conditions or women currently using an IUD
who want the abortion over quickly
who cannot return for follow up visits
who cannot understand the instructions because of language or comprehension barriers.
It is very important to tell the abortion provider of any allergies or drug sensitivities you have, any medications or supplements you take, and any health problems or diseases you have.
Pregnancy initiates such rapid changes in your body that it may leave you wondering about the way your body is transforming. You might start thinking more and more about your looks, your body weight, your ever increasing waist, breasts, and even about the size of your clothes! You might just also start wondering about what is going to happen to your figure post pregnancy.
Changes in your body are natural: These changes are normal during pregnancy Accept this fact and also encourage your partner to accept it,. Your weight gain and your body must be a subject of delight for both of you.
Pregnancy is a privilege: You have the privilege and the ability of carrying and bringing a human being to earth. Be proud of this fact and everything associated with it.
Pregnancy affects your looks for good: The changes that your body goes through during pregnancy affects you positively in the long term. In fact, even during pregnancy, you can retain your natural body shape to a certain extent through the combination of a proper exercise regime and a healthy, balanced diet. Though, do consult a doctor before doing so.
Comfortable clothes can make a difference: One of the ways to feel good about your body can be getting into a comfortable maternity wear. It keeps you physically relaxed and even enhances your beauty.
Benefits of the pregnancy diet.
Food can be quite a boost to your feel-well factor. A nutrient-rich diet keeps you physically fit, plus it makes your skin a lot better. One may list down the benefits of a healthy diet during pregnancy as:
Glowing skin: A diet that is rich in nutrients like vitamin A and E improves your skin. Increased fluid intake assures that you don’t get dehydrated and rids your body of toxins, bringing a natural glow to the skin. Vitamin C is an integral part of collagen and antioxidants which have beneficial effects on your skin.
Smoother texture: The essential fatty acids and amino acids, coupled with vitamin A & E from your diet enhance the integrity of the epithelial tissue–which gives smoothness to your skin.
Better, healthier hair: As a result of a diet that is rich in all the essential macro and micro nutrients, your hair becomes thicker, healthier and shinier.
The diet during pregnancy should be adequate to provide for:
a) The maintenance of maternal health
b) The needs of growing foetus
c) The strength and vitality required during labor
d) Successful lactation.
The pregnancy diet should be light, nutritious, easily digestible and rich in proteins, minerals and vitamins.
Follow a proper diet prescribed by your doctor or nutritionist. Generally keep happy, don’t worry. Your body is versatile. Now it is changing to accommodate the baby inside. Post pregnancy, it is going to get back to its earlier form soon enough.