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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Patient Review Highlights
Abnormal uterine bleeding, formerly known as dysfunctional uterine bleeding, is vaginal bleeding that cannot be related to pelvic injuries, miscarriage, pregnancy or menstrual cycle.
The cycle changes and the bleeding become heavier.
Bleeding lasts for 7 days or more.
A tender or dry vagina.
Abnormal mood swings.
Excessive body hair, especially on the back, chest and face.
The ovaries do not release an egg.
Changes in the hormone level.
Lower levels of oestrogen or progesterone.
Thickening of the uterine wall in women above 40 years of age.
Certain birth control pills can also cause abnormal bleeding.
Some women also complain of abnormal bleeding in their first few weeks of pregnancy.
The physician first checks the haemoglobin levels of the woman.
An ultrasound of the pelvic region is done to check for physical injuries.
Sometimes, an endometrial biopsy (the doctor checks a sample of the endometrium, which is the lining of the uterus) is also used to test the condition of the uterine lining.
Hysteroscopy, using a hysteroscope, is used to test the insides of the uterus. A hysteroscope is a thin tube that is inserted into the vagina for the examination of cervix as well as the insides of the uterus.
Younger women in the range of 18-23 years of age are usually treated using low doses of birth control pills.
Oestrogen therapy is used.
Painkillers such as ibuprofen are also prescribed before the beginning of the menstrual periods.
The increase of ‘progesterone’ through IUD. An IUD (intrauterine device) is a contraceptive device that is inserted into the uterus.
Cyclic hormone therapy is given to women above 40 years of age (Progesterone is administered in a periodic interval, usually about 4 weeks).
Women considering pregnancy are recommended hormone therapy to increase ovulation.
- Anaemic women are given iron supplements.
The cervix is a part of the female reproductive system. It is the lower part of the woman's uterus, and it connects the vagina with the uterus. This is usually closed and tight, but ends up dilating during occasions like pregnancy and childbirth. The cervix is also known to soften eventually during the course of one's pregnancy and delivery. In case the cervix starts to open up too early, this condition is known as an insufficient cervix or an incompetent cervix. Here is everything you need to know about this condition.
Definition and symptoms: An incompetent or insufficient cervix is one that opens up too early and does not support a normal delivery. The symptoms that may point at this condition include pressure in the pelvic area, pain in the back, light bleeding from the vagina, mild cramps in the abdomen, and a change in the odour and hue of the vaginal discharge that may be experienced by the pregnant woman. Usually, such symptoms and changes are not seen in the early stages of one's pregnancy. Mostly, the symptoms are experienced after the fourth or fifth month of pregnancy, in the second trimester, when there is greater pressure on the area due to the growing fetus.
Risk factors: There are a number of factors that increase the risk of this condition, including congenital conditions like uterine anomalies and other genetic disorders. These disorders may affect the fibrous protein that produces the connective tissue of the body, which is also known as collagen. When there is a decrease in this kind of tissue, the cervix becomes incompetent or insufficient. Also, when there has been overexposure to synthetic estrogen, this kind of condition may be experienced. Further, cervical trauma is another factor that may cause this condition along with dilation and curettage, which is a procedure that corrects uterine conditions.
Treatment: The main form of treatment usually includes the prescription of progesterone supplements in the form of weekly administered injections. Also, serial ultrasounds every fortnight can help in monitoring the situation closely so that the doctor is able to ascertain whether or not you are going to be able to go through a normal delivery or not. Cervical cerclage is also a surgical procedure that can help such a condition. In this procedure, the cervix is stitched up with strong sutures, which will be removed in the last month of pregnancy, or just before the delivery. This is especially helpful if there have been cases of premature delivery in the past. This procedure is usually carried out within the first 14 weeks of the pregnancy to avoid loss of the fetus.
Infertility refers to the inability to conceive after having regular unprotected sex for a period of 12 months or so. The complex process of ovulation and fertilization need to work right in order to become pregnant.
The common reasons that cause infertility in female and male are listed below:
Reasons for female infertility:
- Uterine abnormalities - This includes problems related to the opening of cervix or abnormalities in the shape of the uterus which includes arcuate or septate uterus or any congenital anomalies like bicornuate uterus or uterine didelphys. Fibroids may distort the uterine cavity interfering with implantation of fertilized egg. Adenomyosis or endometriosis of the endometrium is one the common causes of early infertility.
- Thyroid problems - Disorders of the thyroid gland, either too much thyroid hormone or too little can interrupt the menstrual cycle, leading to infertility in the long run.
- Ovulation disorders - This prevents the ovaries from releasing eggs. Examples include hormonal disorder (PCOS, hypothyroidism, hyperprolactinemia), excessive exercise, eating disorders, injuries, cysts be it follicular or endometriotic and ovarian tumors.
Reasons for male infertility:
- Problems with delivery of sperm - This can happen due to sexual problems, such as premature ejaculation, retrograde ejaculation (semen entering bladder instead of emerging through the penis during orgasm), genetic diseases such as cystic fibrosis, structural problems such as blockage of the part of the testicle that contains sperm or injury to reproductive organs.
- Damage related to cancer - This includes radiation and chemotherapy. Cancer treatments can impair sperm production. Removal of one testicle due to cancer may also affect male fertility.
- Abnormal sperm production - This can be due to various problems like undescended testicles, genetic defects, health problems including diabetes, infections such as mumps, chronic urinary tract infection especially e. Coli or surgeries on the testicles. Enlarged veins in the testes increase blood flow and heat, affecting the number and shape of sperm.
Vulvodynia is generally identified as a condition, which causes chronic back pain or vulvar pain, but having no identifiable cause. The causes as well as the nature of the condition are very obscure, and until recent times, it had never been considered to be an actual pain syndrome. What is commonly affected is the vulva, or the external female genital organs, consisting of the clitoris, labia and the vaginal opening.
Generally, there are two types of vulvodynia:
- Generalized Vulvodynia: this can mean pain in any part of the Vulva occurring erratically at different times
- Vulvar vestibulitis syndrome: this is limited to the vestibule, or the vaginal opening. It has similar characteristics of a burn, and pain can be incurred only when contact is made, say during sexual intercourse.
Although not life threatening, signs and symptoms of Vulvodynia can still cause a ton of problems for women. They can create much complication when it comes to daily activities as well as other feelings, like sexual frustration, agitation, depression and low self-esteem.
Symptoms can be very erratic and can occur once in a while or all the time. They may be limited to just one specific area or can affect the entire vulva, interfering with daily activities such as walking, exercising and sexual intercourse.
Here are some common signs and symptoms:
- A burning or stinging sensation
- An aching or throbbing sensation
- May swell and you may experience soreness;
- Severe itching and agitation
Because the causes are not identifiable, extensive research is still going on in order to decipher the nature of the syndrome. A few possible causes may include:
- Nerve irritation or injury
- Genetic abnormalities
- Muscle spasms
- Hormonal changes
- Abnormal responses to infections or traumatic injuries
- Hypersensitivity to yeast infections
- Allergies to certain chemicals or substances
- History of sexual abuse
- Frequent antibiotic use
Hey. I am 8 months pregnant. Sometimes I have back pain n burn like feeling under lower abdomen. please suggest me some back pain relief exercises.
I am five month pregnant. Now I feel some discomfortness in my lower abdomen and my bowel motion is almost nil for the last few days. Is it a serious problem? Kindly advice what should I do.
Here are some treatments and ?symptoms for cervical cancer
Dear doctor We are trying for a baby since last 7 months we tried naturally for 4 months then we soaked help of a gyneco who did gave her meds did follicular study and gave her an egg rupture injection but that too did not help. My wifes blood tests and hormones are all fine. I did my semen analysis in march 2016 and my count was 18 mil/ml and motility 45. We kept trying naturally for 2 3 months again and I started taking QZAI tablet and good healthy diet in june 2016 it was 26 mil/ml and motility 45. I consulted a urologist who asked me to tale maxoza l and I got my scrotal ultrasound done which says I have varicocele grade 3 on left and grade 2 on right. The doctor has advised me a surgery as it may increase with time We have now decided to try with IUI as discussed with the doctor. What is your opinion also please suggest me somw really good IUI facility in north delhi.
Hello sir my name is raju and I belong to india the problem is we are planning for baby but my wife suffering from pcos so can not able to conceive so can you please help me out and suggest any medicine.
I am 26 year married woman I feel so irritation after sex . I am pregnant of 3 month. What can I do ?
My wife is pregnant of 4 months can we do sex in this situation is their any harm to baby and my wife.Please tell.
I'm 25 year old and my weight is 45 kg. I'm getting late periods. 7 months ago I got married. But still I didn't get pregnancy. Is my irregular periods are reason for that. Please tell me the problem for my health and also tell me. The remedially.
Hi, I am 34 weeks pregnant. And diagnosed with mild asymmetrical iugr. With all other things normal. I am suggested to be operated at 35 weeks. Will my baby be ok.
I am trying to conceive for 5 months but there is no results.. I have already done my all medical test. All report are ok. My husband s semen test is ok. Doctor has advice me to do SSG test in this month.. Is this necessary to do this test or we should waiting for few months. please help me.
Hi, My sister in not getting breast milk it's one week over from her delivery. She has taken perinorm for 3 days but still she is not getting sufficient milk. Can she take lactare capsule.
Hi, After having sex I had unwanted 72 is there any chances of pregnancy after talking this pill or not?
After my delivery i'm getting period regularly but flow is more only on 4th 5th day overly with stomach pain, I want to know why it happens.
Bleeding in early pregnancy or during the first trimester may or may not be a serious reason for concern, depending on the cause. But because bleeding can sometimes be a sign of something serious, it's important to know the possible causes, and get checked out by your doctor to make sure you and your baby are healthy. About 20% women have some bleeding during first 12 weeks. The possible reasons are implantation bleeding, miscarriage, ectopic pregnancy, molar pregnancy, cervical changes and infection. So how do you deal with it? Here's a quick list.
- Hygiene: Ensure that hygiene is your first priority, especially during pregnancy.
- Light Bleeding: Light bleeding or spotting that is dull red or brown in colour is a normal occurrence for many pregnant women. This can point to the foetus getting lodged and pressing against your womb's lining, or even the cervical changes that you may be going through due to the implantation and impending trimesters and eventual delivery. The best thing to do in such cases is to not panic.
- Sex: Having sex or intercourse can also sometimes lead to mild spotting. Also, you should avoid using abrasive material and clothing during this time.
- Ultrasound: Go for an ultrasound and ensure that your pregnancy is normally placed and not ectopic. An ectopic pregnancy can lead to bleeding which can later become fatal. It may cause cramps in the lower abdomen region as well.
- Infection: Speak with your gynecologist and ensure that there is no risk of infection. Usually, many women suffer from infection (can be on cervix or vagina) during the early stages of pregnancy. This may give rise to spotting and mild bleeding. Take necessary actions and precautions to ensure that the infection does not get out of hand and is treated right away.