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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.
Low reserves are caused by
- Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
- Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:
- Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
- Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
- Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
- Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
- Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Hi Dr. I am 36 years old. My first baby is 6 months old now. Breastfeeding is still going. I want to conceive soon for second baby. Please suggest regarding breastfeeding and how I can know that my body is ready for 2nd baby. I have pcod also.
My lh is 26.47 and fsh 7.07 I am 19 years old. My doc said I have pcos. Can you please explain it to me how based on these levels? Wat is wrong with my hormonal profile. He has started me on krimson 35 but I do not get how it will bring my hormonal profile back to normal. Pleaseeeee helpppppp.
One of the silent diseases in the female population, endometriosis can be symptomless for years and sometimes even decades, but can sometimes manifest itself quickly. The uterus is lined on the inner side by a tissue known as endometrium. When this tissue is found in other parts (fallopian tubes, abdomen, near the ovaries, etc., it is known as endometriosis.
Causes: The exact cause for endometriosis is not clear. There is a possibility that during the regular period, there could be spilling of the tissue back into the fallopian tube, from where it reaches the ovaries or other organs and gets implanted.
There are certain predisposing factors for a woman to develop this condition, including genetic correlation and non-menopausal women. The female hormone estrogen is essential for the development of endometriosis. There are also immunological reasons attributed to the development. It can range from minimal to mild to moderate to severe.
Symptoms: From being completely benign to causing severe pain, endometriosis can present itself in varying ways. The implanted tissue can be minimal like a small lump to large clumps. The symptoms are not dependent on the size of the implanted tissue, however,
- Painful menstruation: One of the most common causes of non-menstrual cramps, the pain is different from usual menstrual pain, starts a few days before the period and can last up to after the period.
- Pelvic pain: One of the most common causes of pelvic pain, this can happen wherever the implanted tissue is. In severe cases, this tissue can also bind different organs, forming what are called adhesions. The bladder or the bowels may adhere to the uterus. These are more painful than individual lumps of tissue outside the uterus.
- Intermenstrual bleeding: There could be spotting to severe bleeding between the regular cycles.
- Painful sex: There is a deep pain within the pelvis and it can lead to losing interest in sex.
- Infertility: The most severe symptom and complication is not being able to become pregnant.
Diagnosis: A detailed patient history, discussion on symptoms followed by ultrasound and laparoscopy can help in diagnosing endometriosis.
Treatment: If there is no symptom and fertility is not an issue, then it is possible that no treatment is required. However, depending on symptoms and complications, the following are done.
- If pain is the only main problem, painkillers are administered
- Surgical treatment may be required if there is severe bleeding and adhesions complicating the situation.
This will also relieve other symptoms:
- Hormone therapy is also an option for treating endometriosis.
- If you are having pelvic pain and irregular bleeding, bring it up with your doctor. Even if it is not endometriosis, a thorough check up will put your mind at rest.
Gastroesophageal reflux disease, or GERD, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. GERD is caused in the muscle that lies between the oesophagus and the stomach, when the acid is produced in the stomach, it starts to flow backwards. For patients suffering from GERD, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, amongst others. So what does one do to deal with GERD? Here's a brief list!
- Obesity: Being overweight and obese are two of the most important factors that contribute to discomfort in GERD patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.
- Alcohol and Smoking: The muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a GERD patient.
- Go Gluten Free: Adopting a gluten free diet can help you cut out ingredients including grains and dairy products that contain more protein than what your digestive tracts can handle.
- Other Dietary Measures: In order to handle GERD effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit so that it can pass through the digestive tract faster.
- Smaller and Well Timed Meals: Eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with GERD to prevent the onset of backward flowing of stomach acids.
- Exercise: Ensuring that you do not take a nap or lie down right after a meal and putting in a small amount of exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.
Making lifestyle changes is one of the best ways to deal with GERD. Yet, it would be best to see a doctor regarding severe cases where the symptoms do not abate and medication may be required.
Causes, symptoms and treatment for PCOS
What reason about baby girl 2 kg weight? And after birth three day can not come feeding and my baby has expired. Why it happen? I can eat very well during pregnancy but I lost my child.
I am 30 years female, I am having irregular periods. I am not having thyroid problem, my scan report is normal. My weight is 62. Please send solution for this problem. I am having this problem from starting itself. When I take meprate only I got periods.
PCOD or Polycystic Ovary disease is one of the most common hormonal disorders faced by women today. The trigger for PCOD varies from person to person, and can range from poor diet and stress to fluctuating insulin and hormonal disturbances. PCOD patients have an enlarged ovary with a number of small follicular cysts. If you or a loved one has PCOD, here are a few things you should know.
Acknowledge the symptoms
PCOD is hard to diagnose. Some of its symptoms are irregular periods, high insulin levels, abnormal hair growth, low thyroid, acne, obesity and high blood pressure. Checkups at regular intervals are needed to confirm a PCOD.
A change in lifestyle is the best form of medication
Medication for PCOD addresses its symptoms. For example, you could take medication to correct Insulin resistance or pills to control acne and hair growth. However, a lifestyle change in the form of a well balanced diet and regular exercise is essential for PCOD patients. In terms of diet, PCOD sufferers should have lesser carbohydrates and sugars, and increased amounts of fiber and protein. Exercise helps control weight and the balance between male and female hormones. PCOD patients also need to find ways to lower their stress levels. Yoga and meditation can be very helpful to this effect. Without this, no medication will be effective.
If left untreated PCOD can lead to many other problems
Diagnosing PCOD is difficult and even when diagnosed, regular checkups are essential for PCOD. When left unchecked, PCOD can lead to many more problems such as diabetes, high cholesterol, high blood pressure and even endometrial cancer. PCOD can also result in difficulties at the time of conception and lead to miscarriages if not treated properly.
You can have a baby even if you have PCOD
A PCOD diagnosis can make it hard to get pregnant, but does not limit your ability to conceive a healthy baby. If the patient has fertility problems because of PCOD, doctors often prescribe treatments to stimulate the ovaries into producing more eggs. Women with PCOD are often recommended to plan an early pregnancy, as advancing age adds to the limited capacity of the ovaries.
Lastly, know that you aren't alone and PCOD should not embarrass you. Instead of bottling up your feelings and thoughts, find supportive friends and family members that you can talk to. You can also find support online through a number of discussion forums.
Sir since 2010 main Blood ki investigation karai thi tab HBsag Positive nikla tha. Meri shaadi 6 month pahle ho gayi hei. Meri biwi pregnant hai. Maine wife ka HBsag test kara liya hei result negative nikla. Iska koi bura prabhav padtha hei to kripya mujhe advice di jiye. Koi medicine iske liye ho to bataiye.
Dip your gentle Nails into warm Olive oil every once in a while for 15-20 minutes to make them hard.