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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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Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.
Vaginismus may be mild, moderate or severe. In some females, even the anticipation of vaginal insertion may result in muscle spasm and prevention of penetration. Desire, pleasure and orgasmic capacity may not be impaired. The condition may disrupt relationship. Unconsummated marriage and infertility have been found to be associated with condition. Diagnosis is made during the routine gynecological examination when the contraction of vaginal outlet is observed. Contraction of the muscles may cause pain.
In some vaginismus cases occurs during sexual activity but not during gynecological examination. This disorder found more in younger women. Vaginismus is a psychosomatic problem. Women can experience orgasm by getting effective sexual stimulation, without penetration. Husband may become ‘impotent’ being persistently unsuccessful in penetration or because of not wanting to hurt his wife. We are treating such cases at WNHO Clinic, Pune. Detail Information help line Mob. No. 9822006427.
She is 2week pregnant now. We want 2 abort it. How can we abort it? I asked this question before, but forgot to tell date of menstrual period. The date was feb 22 or 23. Pls help doctor.
Hello Doctor, My mother (54 years) after her menopause, she was getting bleeding. So she undergone a TAH (Uterus removal) surgery on 28.12. 2015. Doctor had sent her uterus for Testing and report came as like this" Endometrium: Features are suggestive of Endometrioid Endometrial Adenocarcinoma - FIGO Grade 1. Myometrium: Inner 1/2nd of Myometrium InfiltratedLeiomyoma. Cervix: Chronic Cervicitis. Ovaries: Corpora Albicantia. Tubes: Normal HistologyResected (Lateral Soft Tissue) Margins - Free of tumour. Please give me some suggestion and I am so afraid of it.
My girlfriend got her period normally , we had protected sex not for a long too and even now I'm afraid is she pregnant help me!
My girlfriend and me have unprotected sex regularly 4 times on a single day .her period starts on 17-3-17 and we had sex on 1-04-17 .i had given her unwanted 72 after completing 4 time unprotected sex in single day. Is she will get pregnant. Help.
I had a sex with prostitute. She had done blow job to me. And had used condom while having sex. Is this safe or spread infection?
I am 29 year old Un married. My period was not regular. For this I have ben taken some homeopathic medicine. I have been use this medicine for the last 2 month I know feel that my heart beat rate getting slow some most of the time. So there is need to worry for my self.
My wife had cesarean delivery on 30 November 15 with horizontal cut. Now she have to perform a 500km road journey by car after 9 days of surgery. 1-Is it safe for her? 2-Otherwise how many days she should wait for journey?
Hi my sister is suffering from the stomach pain while monthly period happens. please help her doctor?
What is ICSI. How should v know that whether should go. Icsi or ivf. Kindly help. M planning for it. problem is of Pcos n low sperm count.
Hi. I am 23 years old unmarried female, for past 2 years sometime I have late period but not often like its regular for 3 to 4 months then for next month its not regular. Pls suggest me wat I do. Will I have problem in conceiving after marriage because of this.
I am 22 years old. Experiencing a lot of hair fall since a year and it has worsened in last three months. I was having irregular menstruation and doctor recommended some medications and the hair fall started then. What should I take for hair regrowth. Food, supplement, medications etc?
I often think of having anal sex with my partner. Pl guide is it safe and pleasurable.. My penis gets more erected for anal than regular vaginal intercourse. Please advice.
Meri shadi ko 4 saal ho chuke hai koi baby nhi h. Meri tube block thi jiska maine 2013 m laproscopy bhi karaya tha. Or for 9 month ki dots ki medicine bhi li thi or 3 bar tube m dawayi bhi dali.
She delivers a male child before a month by c section. She is feeding mother and to know how many days or month I should not make relation with my husband and by mistake it happen with in month after delivery, how can check that pregnant or not again. Heard by other, periods take time to continue after delivery, so pls advice my cousin. She is very tens. thanks.
I'm 22 years old having skin itching, skin redness. I had tried everything but it happen quite frequently. Also this time I didn't have my periods on time it's 35 days late. Please suggest.
What are some signs or symptoms of swallowing disorders?
Several diseases, conditions, or surgical interventions can result in swallowing problems.
General signs may include:
- Coughing during or right after eating or drinking
- Wet or gurgly sounding voice during or after eating or drinking
- Extra effort or time needed to chew or swallow
- Food or liquid leaking from the mouth or getting stuck in the mouth
- Recurring pneumonia or chest congestion after eating
- Weight loss or dehydration from not being able to eat enough
As a result, adults may have:
- Poor nutrition or dehydration
- Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
- Less enjoyment of eating or drinking
- Embarrassment or isolation in social situations involving eating
Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.
Treatment will depend on whether your swallowing problem&nbsp;is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).
The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.
Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.
High (oropharyngeal) dysphagia
High dysphagia is swallowing difficulties caused by problems with the mouth or throat.
It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.
There are three main treatments for high dysphagia:
- Swallowing therapy
- Dietary changes and
- Feeding tubes
You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.
An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.
Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.
You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.
An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.
Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.
A feeding tube can also make it easier for you to take the medication you may need for other conditions.
There are two types of feeding tubes:
- A nasogastric tube - a tube that is passed down your nose and into your stomach
- A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach
Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.
Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.
Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.
Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.
You should discuss the pros and cons of both types of feeding tubes with your treatment team.
Low (oesophageal) dysphagia
Low dysphagia is swallowing difficulties caused by problems with the oesophagus.
Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat&nbsp;indigestion&nbsp;may improve symptoms caused by narrowing or scarring of the oesophagus.&nbsp;
Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.
It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.
Other cases of low dysphagia can usually be treated with surgery.
Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.
Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.
An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.
Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.
You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.
Find out more about gastroscopy.
Inserting a stent
If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.
A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.
The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.
If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.
Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes.
Cleft lip and palate
Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery.
Narrowing of the oesophagus
Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus.
Gastro-oesophageal reflux disease (gord)
Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.