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Hegde Maternity And Nursing Home, Hyderabad

Hegde Maternity And Nursing Home

Gynaecologist Clinic

No-16-11-310/8/B, Moosarambagh, Landmark: Mosarambagh Bus Stand, Moosarambagh, Hyderabad
1 Doctor · ₹500 · 8 Reviews
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Hegde Maternity And Nursing Home Gynaecologist Clinic No-16-11-310/8/B, Moosarambagh, Landmark: Mosarambagh Bus Stand, Moosarambagh, Hyderabad
1 Doctor · ₹500 · 8 Reviews
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A team of Andrology & Embryology technicians & assistants trained under infertility specialist Dr. Vandana giving you the best in class treatment for all infertility issues....more
A team of Andrology & Embryology technicians & assistants trained under infertility specialist Dr. Vandana giving you the best in class treatment for all infertility issues.
More about Hegde Maternity And Nursing Home
Hegde Maternity And Nursing Home is known for housing experienced Gynaecologists. Dr. Vandana Hegde, a well-reputed Gynaecologist, practices in Hyderabad. Visit this medical health centre for Gynaecologists recommended by 76 patients.

Timings

MON-SAT
05:00 PM - 09:00 PM

Location

No-16-11-310/8/B, Moosarambagh, Landmark: Mosarambagh Bus Stand, Moosarambagh,
Hyderabad, Andhra Pradesh - 500081
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<br/><br/>Hello to everybody. I am Dr Vandana Hegde. I am practising reproductive medicines in th...

Hello to everybody. I am Dr Vandana Hegde. I am practising reproductive medicines in the Hegde Medical Centre from the last 10 years.

As I had explained the entire cycle. Two important things are there for the couple to plan pregnancy

One is the Ovulation time. When the ovulation happens, the female eggs that releases out. Its life is approximately 24 hours. And the male's sperm, once the ejaculation happens, its life span is 3-5 days upto the maximum of 7 days. So for couples to plan fertility naturally, it is important to conceive during the period of female ovulation time. And now ideally the female ovulation happen around the 14th day, it is best for the couple to plan intercourse atlreast 3days prior to the ovulation time. So, if they are ovualating on 14th day, so they can start planning the intercourse on around 10th day and upto a period of 16th day. Ideally, intercourse beyonf the period of Ovulation does not help the couples in conceiving. So, it is always better to plan before the ovulation time. Alternate intercourse is much better than having a daily intercourse during the ovulation time.

Now, coming to the Evaluation of Fertility.

When a couple comes to us when they are unable to conceive a child naturally even after one year. Then we do certain basic things as I have mentioned that it is very important to fid out that how the egg is finally to form an embryo. Yu need egg from the female partner and sperm from the male partner which are diffused internally. So what is important is the normal sperm and a normal tube in the uterus. So we do assessment in that order. So ideally we get the male partner 7 testing time to see the sperm count, the sperm motality and the sperm morphology. The sperms should be genetically fit to give a healthy child. So this is assist by doing semen analysis where the male partner will give the semen sample for about 3-4 days. And this semen sample is examined under the micrscope where the assessment is done on the basis of count, mortality and Morphology. If the semen criteria is normal then we evaluate the female partner.

Now the female partner, if she has regular cycle, we assume that the ovulation is happening normally. But there are certain girls who has irregular periods. Some have early periods and sme have quite delayed cycle. Now, what is the main issue here is Ovulation. Probably they are not ovulating around the 14th day. But there are 2 disfunctions.

  • One is anovulatory, there are certain girls whoch are not ovulating at all. There is no egg formation, there is no ovulation. Now this criteria of girls manage in a different way.
  • Now there are other type of girls, who are probably having a shorter cycle, they are ovulating very early.

Now, we need to differentiate between these two types. The whole management depends upon correcting these abnormality.

Now, coming to the other part of the tubes. Once the sperm is there and the egg is there, one should have patent fallopian tube for them to meet. So, ideally what we do is, when the couple comes to us, we evaluate the spem parameters, the female ovum parameters and then we do a time intercourse for them.

We start basic tracking of the follicle growth. The best thing is the follicle is seen in the ultrasound reports. So the basic ultrasound is done initially to diagnose. If the female uterus, the ovaries are normal then they should not be ahving any fiberoids and ovarian cyst. So Fiberoids are basically tumours in the uterus which can prevent implantation of the embryo and there may be some ovarian cyst which may be preventing normal ovulation and there are other cyst which require surgical removal. We do basic ultrasound scan to roll out all other major thing and then proceed to Folliculat tracking.

Follicular tracking is seen on the scan. Though the egg can not be seen on the scan so follicles can be seen. So, when the couple ccomes to us in initial part, we track the follicle growth and this is the time, the female is ovulating and we give them the dates to meet. This is done on the monthly basis for atleast 2-3 cycles. Now, inspite of tracking natural cycle follicular growth and at the time intercourse if the couple is not able to conceive then we go for other evaluations. Like, is the tube open? Is the uterine cavity normal?

So there are tests to check if the fallopian tubes are open. Now it is very important for the tube to open because all the activities are happening inside the tube. so there is a test called "Hysterosalpingographie", where the die is pushed through the uterine end. This die is travelling around the cavity and coming into the tubes and then comes out.

All this is recorded in teh X-ay film. This film records this passage of the dia nd we find out the tubal blocks. If the tube is blocked then the egg and the sperm do not meet. So there comes fertility issues.

We do other assessments also like Diagnosis hysteroscopy and laparoscopy for infertility. So this is a surgical process which we do when couples are not able to conceive even after 6 months of fertility planning.

There are small tumours in the cavity which can prevent embryo from Implanting and these are absolutely necessary to be removed if the couple is not conceiving with these.

And the other things we diagnose is the laparoscopy in which we put the camera inside to record if te tube and ovary are in normal position and HYsteroscopy is a process done under the anesthesia only. Then we proceed with further treatment with fertility planning.

 

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Good morning everybody. I am Dr Vandana Hegde. I am practising reproductive medicine, the departm...

Good morning everybody. I am Dr Vandana Hegde. I am practising reproductive medicine, the department of Hegde fertility centre for the last 10 years. Today I would be speaking about the various aspects of fertility. So I will start from the basics to know what happens exactly and what are the problems that arise.

So here is a normal menstrual cycle of the female. There are certain things you need to know. What happens is during the onset of the periods, when the menstrual cycle starts, the eggs start maturing. Now, this egg grows in a wall filled substance which is called Follicle. So normally when the egg starts maturing, it reaches the complete maturity level on the 14th day of the cycle, an average of 12-16 days. As the egg starts maturing, the follicle size increases. Now when the maximum diameter of an egg is reached, the follicle burst and egg comes out. This process is called Ovulation.

If this ovulation happens on the correct 14th day of our cycle, over the next 14th day if there is no pregnancy then a girl will resume her menses which is a failure to conceive. If it happens regularly then the girl will have a regular menstruation cycle of 28-30 days. And if a girl is having the irregular menstrual cycle, then the ovulation is not happening correctly on time. So this is known as Ovulatory disorders. Now, what happens after the ovulation round.

Once the egg is released, it is caught by fallopian tubes. Fallopian tube has finger like projection and the eggs are normally kept on the last part of the tubes. Now when the couples meet, the sperm is released in the vagina. The sperms have basically the head, body and the tale. As I had mentioned earlier, once the ovulation happens, the eggs do not have any tale, so it needs a tube to collect it an d store it in the tube. The sperms will move into the uterine cavity and move into the fallopian tube and have to reach the other part of the tube. So at this point, the sperms will be reaching the egg.

There are certain criteria for normal semen. So when do we know that it is a fertile semen for which there are some criteria like the volume should be atleast more than 1.5 ml ejaculate.And the sperm count should be more than 15 million per ml of sperm. Because of the tale fraction of the mortality, there should be active mortality of the sperm for more than 30%. So when the sperm enters the egg, the process is called Fertilization. And the egg and the sperm will fuse to form an Embryo. The early embryo is called Zygote which is a single cell. So when this forms, the embryo has to divide. In that tube the embryo undergoes division. So in that cell, the embryo will divide into 2 cells, 4 cells, 8 cells. As the embryo is progressively dividing, the tube is going to push the embryo back slowly into the uterine cavity. During this process of egg maturation, the follicle growth, the ovulation, there is another process happening in the uterus.

So here is the uterus and this is the Uterine bed. So, as the follicles are increasing in size, so it produces a hormone called estrogen which is actually acting on the uterine bed. And the uterine bed is ready, there is an increase in thickness for an embryo to come here. And once the ovulation happens, there is a pregnancy favouring hormone called Progesterone which is increasing in the second half of the menstrual cycle. When this comes, there is a lot of blood flow coming to the uterine bed. So this is the time when the embryo is actually reaching the uterine bed. This process, when the embryo reaches the uterine bed and when the embryo sticks to the uterine bed, this process is called Implantation. Basically what is happening here is the blood collection between the uterus and the embryo. That is how the nutrients from the mother's body are transferred to the embryo which grows further and establishes a pregnancy.

So when the couples conceive, these are the things which have to happen in a natural way for them to conceive. Now what happens when they do not conceive when they try for more than a year after the marriage and still unable to conceive, so we evaluate the problems. Evaluation of problem depends on the steps which I have told.

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Doctor

Dr. Vandana Hegde

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist
81%  (10 ratings)
15 Years experience
500 at clinic
₹100 online
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Can Right Diet Prevent Infertility?

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
Can Right Diet Prevent Infertility?

Infertility is a condition that refers to the inability to conceive, even after regularly having unprotected sex for a period of 6 months at least. In most cases, infertility may also refer to the biological inability of a person to contribute to the process of conception; or to a woman who is incapable of carrying a pregnancy to its full term.

There are several causes behind infertility; but taking the current lifestyle of the people into account, stress and a sedentary lifestyle are emerging as major factors behind this condition.

How do stress and a sedentary lifestyle cause infertility?

1. Stress: Stress is turning into a major cause of infertility, esp. in women. A research carried out by Emory University observed 16 women between their mid 20s-30s, with normal weights for a period of 6 months to come to this conclusion. It found out that each of these women did not get their periods for the 6 months under observation due to high amounts of cortisol (stress hormone) in their body. Each of these women had really hectic work lifestyles, which indicated that women with stressful jobs are at a higher risk of experiencing infertility due to stress.

In fact, both the partners, when going through a period of stress, are unable to conceive. However, during periods when they felt good, their chances of having a baby increased dramatically.

2. Sedentary Lifestyle: Again, more of a risk factor for women than men.
Amongst women, a sedentary lifestyle during teenage causes hormonal imbalance and anovulatory cycles more commonly seen in PCOD (polycystic ovarian disorder - the development of multiple small cysts in the ovary) patients, which is a major cause for infertility.

As for men, those with a sedentary lifestyle generally tend to be overweight or obese, which can lead to low sperm quality. This, in turn, can significantly reduce a couple’s chances of conceiving.

What can do you to prevent infertility?

1. Stay Active: Acupressure, regular exercising, daily brisk walking, practicing yoga and meditation are some of the ways by which you can alleviate the problem of infertility. Each of these activities help in improving the flow of blood to your reproductive organs, which helps in the release of toxins from the body. They also help in enhancing the movement of the pelvic region and in reducing any type of inflammation and pain in the area, thereby increasing your chances of conceiving. The added benefit of practicing these is a significant reduction in your stress levels.

2. Eat Right: Diet too plays a major role. Certain foods are known to boost your fertility, while maintaining proper hormonal balance and reducing the chances of miscarriage. Foods like cold water fish, raw dairy, eggs, tomatoes and dark leafy greens among others should be a part of your daily diet. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4175 people found this helpful

What to Eat During First Trimester of Pregnancy?

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
What to Eat During First Trimester of Pregnancy?

The first trimester of pregnancy (i. E. The first three months) is a very crucial time as this the time when your baby grows at a faster rate than at any other stage. Eating right is what you should be doing during such a time in your life as your body can make use of the energy and nutrients to build the body of your baby as well as to keep you strong. During the first trimester of your pregnancy, you should be including these 6 foods in your diet to provide you and your child with all the vital nutrients.

1. Spinach: high in folic acid, also known as folate (a form of vitamin b), consumption of spinach during these first few months (as well as before pregnancy) is extremely vital. It can help in preventing the occurrence of neural tube defects or birth defects pertaining to your baby's brain and spine.

2. Citrus fruits: your first-trimester diet should also consist of an adequate amount of citrus fruits. High in vitamin c, you should have at least 1 citrus fruit every day. If you prefer to take these fruits in juice form, you should restrict it to only 1 cup a day. This is because juices are high in calories and low in fibre, and, therefore, do not deliver on the fibre component.

3. Nuts: during this period your protein requirements also increase and it is advised that you have about 60 gm or more of protein every day. Nuts such as walnuts, almonds, cashews and pistachios are known to have healthy amounts of fibre, fats and protein. A study conducted by the Harvard medical school suggests that eating nuts can help in preventing allergies in children.

4. Eggs: in addition to helping you meet your protein requirements, eggs can also be an excellent source of vitamin d and calcium. The last two elements are extremely vital for your baby as they help in developing its bones.

5. Beans: providing you with necessary protein and fibre as well as helping you to deal with constipation, beans are must-haves during this period. Eating this fibre-rich food will ensure your bowel is functioning properly, thereby reducing your likelihood of developing constipation and even haemorrhoids (swollen veins of the anal and rectal region).

6. Yoghurt: a good source of calcium, having a cup of yoghurt every day will provide your baby with the calcium that it needs to grow and that you need to keep your bones strong. More importantly, by doing so, it'll prevent your baby from drawing calcium from your bones, leading to a deterioration of your bone health. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4283 people found this helpful

3 Ways to Avoid Ovarian Cancer

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
3 Ways to Avoid Ovarian Cancer

Ovarian cancer is the most common cancer to affect the female reproductive system. The exact cause of ovarian cancer is not yet known and the risk factors involved are numerous, the most prevalent of which are genetic defects and hereditary problems.

The symptoms of ovarian cancer are not always clear and range from pelvic and abdominal pains to irregularities in the menstrual cycle. Women beyond the age of 50 are most at risk of developing this type of cancer and the risk factor increases in case of family history.

Prevention of  Ovarian Cancer

There is no sure shot way of preventing ovarian cancer. Some factors such as genetics cannot be controlled at all. There are, however, ways to take precaution against it through some simple lifestyle choices. A few of those ways are as follows:

Eat a healthy balanced diet which is rich in all the nutrients, vitamins and minerals that the body requires for boosting and maintaining immunity.

Exercise regularly and stay active. Maintaining fitness is an important aspect of preventing the onset of all sorts of diseases and disorders.

Go for frequent health checkups and make regular consultations with your gynaecologist so as to ensure early detection of the problem.

Another notable way of avoiding ovarian cancer is taking birth control pills which are known to reduce the risk levels. However, studies have shown that there are other health risks associated with taking birth control pills and hence you should always consult a gynaecologist for a proper prescription.

4035 people found this helpful

Exercises You Must Follow During Pregnancy

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
Exercises You Must Follow During Pregnancy

Advice for an expectant mother is plentiful to come around from family and friends. While it may be well intentional, it may not be the best advice possible. One of the things most people would advise is to avoid exercising as it may affect the health of the mother and the baby. This is in fact a very wrong advice as expectant mothers like everyone need exercise to stay fit and healthy. The only difference from normal people is that certain types of exercises may not be suitable for pregnant women and the nature of exercises may change from trimester to trimester.

Some of the best exercises during pregnancy

  1. Swimming: This one is in fact recommended by doctors as the best and the safest exercise for pregnant women. Swimming is beneficial because of the following reasons:
    • It has immense cardiovascular benefits
    • Large muscles groups are exercised in the process
    • Helps reduce swelling and inflammation
    • Helps with low back pain and relieves the stress on your spine which is caused due to the extra weight you are carrying around.
  2. Walking: This is one of the safest exercise during any trimester as long as you don’t over exert yourself. Walking promotes blood circulation, improves heart health and is all around a good exercise for pregnant women. The key is to invest in a good pair of shoes for walking so as to prevent the knees and legs from jarring and also to support your upper body properly.
  3. Stretching: In the later trimesters, it may be a little difficult to manage other exercises as your body becomes heavier and movement may bse limited. However, you can do basic stretching exercises to improve mobility and also help with circulation.
  4. Weight training exercises: Certain exercises which utilize the weight of your body rather than external weight can be performed easily. You can also use lighter weights to help keep muscle tone and strength. A few examples of these exercises are:
    • Side leg lifting: Lie on one side and lift one leg up slightly higher than hip height. You can use your forearm for balance in this case. Keep lifting the leg and hold it there for a few seconds and do the same motions a few times for repetitions.
    • Curling and lifting: Sit on a chair with your back straight with 2 to 4 kilo weights in each hand and curl up your hands up to the shoulders. Sit with your legs spread apart but comfortably. Also start the curl with your fore arms at a 90° angle from your elbows.
    • Yoga and meditation: Yoga is possibly one of the most well suited regimens during pregnancy. Pranayama and meditation can definitely help you be more at peace and also manage many of the changes happening in your body in a much better fashion.

It is best to consult with a specialist or a physiotherapist who can give you a step by step guide as to the exercises you can do and the precautions that you need to take while performing them. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4118 people found this helpful

Ovulation Process

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
Play video

Hello to everybody. I am Dr Vandana Hegde. I am practising reproductive medicines in the Hegde Medical Centre from the last 10 years.

As I had explained the entire cycle. Two important things are there for the couple to plan pregnancy

One is the Ovulation time. When the ovulation happens, the female eggs that releases out. Its life is approximately 24 hours. And the male's sperm, once the ejaculation happens, its life span is 3-5 days upto the maximum of 7 days. So for couples to plan fertility naturally, it is important to conceive during the period of female ovulation time. And now ideally the female ovulation happen around the 14th day, it is best for the couple to plan intercourse atlreast 3days prior to the ovulation time. So, if they are ovualating on 14th day, so they can start planning the intercourse on around 10th day and upto a period of 16th day. Ideally, intercourse beyonf the period of Ovulation does not help the couples in conceiving. So, it is always better to plan before the ovulation time. Alternate intercourse is much better than having a daily intercourse during the ovulation time.

Now, coming to the Evaluation of Fertility.

When a couple comes to us when they are unable to conceive a child naturally even after one year. Then we do certain basic things as I have mentioned that it is very important to fid out that how the egg is finally to form an embryo. Yu need egg from the female partner and sperm from the male partner which are diffused internally. So what is important is the normal sperm and a normal tube in the uterus. So we do assessment in that order. So ideally we get the male partner 7 testing time to see the sperm count, the sperm motality and the sperm morphology. The sperms should be genetically fit to give a healthy child. So this is assist by doing semen analysis where the male partner will give the semen sample for about 3-4 days. And this semen sample is examined under the micrscope where the assessment is done on the basis of count, mortality and Morphology. If the semen criteria is normal then we evaluate the female partner.

Now the female partner, if she has regular cycle, we assume that the ovulation is happening normally. But there are certain girls who has irregular periods. Some have early periods and sme have quite delayed cycle. Now, what is the main issue here is Ovulation. Probably they are not ovulating around the 14th day. But there are 2 disfunctions.

  • One is anovulatory, there are certain girls whoch are not ovulating at all. There is no egg formation, there is no ovulation. Now this criteria of girls manage in a different way.
  • Now there are other type of girls, who are probably having a shorter cycle, they are ovulating very early.

Now, we need to differentiate between these two types. The whole management depends upon correcting these abnormality.

Now, coming to the other part of the tubes. Once the sperm is there and the egg is there, one should have patent fallopian tube for them to meet. So, ideally what we do is, when the couple comes to us, we evaluate the spem parameters, the female ovum parameters and then we do a time intercourse for them.

We start basic tracking of the follicle growth. The best thing is the follicle is seen in the ultrasound reports. So the basic ultrasound is done initially to diagnose. If the female uterus, the ovaries are normal then they should not be ahving any fiberoids and ovarian cyst. So Fiberoids are basically tumours in the uterus which can prevent implantation of the embryo and there may be some ovarian cyst which may be preventing normal ovulation and there are other cyst which require surgical removal. We do basic ultrasound scan to roll out all other major thing and then proceed to Folliculat tracking.

Follicular tracking is seen on the scan. Though the egg can not be seen on the scan so follicles can be seen. So, when the couple ccomes to us in initial part, we track the follicle growth and this is the time, the female is ovulating and we give them the dates to meet. This is done on the monthly basis for atleast 2-3 cycles. Now, inspite of tracking natural cycle follicular growth and at the time intercourse if the couple is not able to conceive then we go for other evaluations. Like, is the tube open? Is the uterine cavity normal?

So there are tests to check if the fallopian tubes are open. Now it is very important for the tube to open because all the activities are happening inside the tube. so there is a test called "Hysterosalpingographie", where the die is pushed through the uterine end. This die is travelling around the cavity and coming into the tubes and then comes out.

All this is recorded in teh X-ay film. This film records this passage of the dia nd we find out the tubal blocks. If the tube is blocked then the egg and the sperm do not meet. So there comes fertility issues.

We do other assessments also like Diagnosis hysteroscopy and laparoscopy for infertility. So this is a surgical process which we do when couples are not able to conceive even after 6 months of fertility planning.

There are small tumours in the cavity which can prevent embryo from Implanting and these are absolutely necessary to be removed if the couple is not conceiving with these.

And the other things we diagnose is the laparoscopy in which we put the camera inside to record if te tube and ovary are in normal position and HYsteroscopy is a process done under the anesthesia only. Then we proceed with further treatment with fertility planning.

 

3414 people found this helpful

First Menses - Important Things You Must Know!

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
First Menses - Important Things You Must Know!

Getting your periods for the very first time can be daunting. Especially if you have never been educated about it and you are far away from home and you have no clue about what is going on. The overbearing pain from stomach cramping does not make it any better. It is always good to be on the safe side and keep yourself educated about it.

What is your first period?
Periods are a very natural part of your life as a woman. It happens when the body of a girl undergoes changes and starts maturing into a woman. It happens when blood is expelled out of your uterus to set up your body for maturation and pregnancy. Since your body is transforming, you can get pregnant (and just before your first period as well).

Your period happens once per month and as a rule, lasts between 2-7 days, however, it might take a couple of months for your period to be consistent; the initial few might be light and sporadic. You may think that it is helpful to monitor your period every month, to see when it is expected and when it arrives.

Indications of period
Around the season of your first period, your body shape will get to be distinctly curvier, your hips and bosoms will enhance. You will likewise see more hair developing in new places, under your arms and around your vagina. These are all typical changes and a part of growing up.

What can be the questions which are frequently asked?
Q1 When will you get them?
A. A women hits puberty the age of 12. So you may expect it anytime between 12-16 years of age. Sometimes it is likely for you to get it prior to this age as well.

Q2 How long can it last?
A. Initially your periods may not be regular and it lasts from 5-12 days. But with age, your cycle is likely to get regular and it can get over within 3 days.

Q3 What to do when I get it?
A. Firstly, you must not panic. Go tell a teacher or a parent or any elderly and they will surely help you.

Q4 How do I manage it?
A. There are several options. You can either use sanitary napkins, menstrual cups or tampons.

Q5 Is it possible to exercise or go swimming?
A. Yes, absolutely. If you use hygiene products such as tampons or menstrual cups, you can normally do your activities.

Q6 Does it hurt?
A. Unfortunately, sometimes it does. This happens because the muscles in your uterus are cramping. It usually gets better from the 2nd day of your period. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4122 people found this helpful

PCOD - Causes, Symptoms and Treatment

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
PCOD - Causes, Symptoms and Treatment

Are you experiencing problems with your periods because of hormonal imbalance? This condition, known as PCOD and PCOS, or polycystic ovary syndrome, may make it difficult for you to get pregnant, and unwanted changes in your appearance are also indicated. In most cases, women with PCOD develop small cysts in their ovaries. These cysts may not be harmful or cancerous, but they cause hormone imbalance in your body.

Causes

The specific causes of PCOD are yet to be determined. In PCOS patients, the ovaries produce excess androgens or male sex hormones, which result in an imbalance in ovulation, acne breakout and development of excess body hair. Your body faces problems using insulin and develops insulin resistance. Genetics are considered to be a key factor that determines a woman’s chance of getting PCOD.

Symptoms

The symptoms of PCOD are mild in the beginning. The most common symptoms are as follows:

  1. Weight and difficulty in weight loss.

  2. Acne breakout.

  3. Development of excess hair on the face and body, which is not a feminine feature. Thicker and darker facial hair and unusually excessive hair on the belly, chest and back are also indicated in some women.

  4. Thinning of hair on the scalp.

  5. Irregularity with menstrual periods. Commonly, women with PCOD experience less than 9 periods during a year. Some women may have no periods at all, while others experience heavy, abnormal bleeding.

  6. Fertility problems are likely in women with PCOD.

  7. Depression.

Treatment

The treatment of PCOD aims at relieving the symptoms and preventing long-term health problems associated with the condition. PCOD can be treated and managed by using the following measures:

  1. You should keep fit and undertake regular exercise and work out. Walking is an ideal exercise which you can opt for.

  2. You should eat heart healthy food which includes vegetables, nuts, fruits, whole grains and beans. Avoid foods which contain saturated fats and these include fried food, meat and cheese.

  3. Losing weight is beneficial for your health if you have PCOD. Losing even a small amount of weight will help in balancing your hormones and regulating your menstrual cycle.

  4. Quit smoking as smoking increases the levels of androgen in your body.

  5. Birth control pills are also prescribed for reducing your symptoms, and fertility medicines are prescribed in case of infertility issues because of PCOD.

It is recommended for you to consult a gynaecologist on experiencing any symptom of PCOD. This will enable early diagnosis so that you can start with the treatment measures before the condition worsens.

4416 people found this helpful

Process of Fertility

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
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Good morning everybody. I am Dr Vandana Hegde. I am practising reproductive medicine, the department of Hegde fertility centre for the last 10 years. Today I would be speaking about the various aspects of fertility. So I will start from the basics to know what happens exactly and what are the problems that arise.

So here is a normal menstrual cycle of the female. There are certain things you need to know. What happens is during the onset of the periods, when the menstrual cycle starts, the eggs start maturing. Now, this egg grows in a wall filled substance which is called Follicle. So normally when the egg starts maturing, it reaches the complete maturity level on the 14th day of the cycle, an average of 12-16 days. As the egg starts maturing, the follicle size increases. Now when the maximum diameter of an egg is reached, the follicle burst and egg comes out. This process is called Ovulation.

If this ovulation happens on the correct 14th day of our cycle, over the next 14th day if there is no pregnancy then a girl will resume her menses which is a failure to conceive. If it happens regularly then the girl will have a regular menstruation cycle of 28-30 days. And if a girl is having the irregular menstrual cycle, then the ovulation is not happening correctly on time. So this is known as Ovulatory disorders. Now, what happens after the ovulation round.

Once the egg is released, it is caught by fallopian tubes. Fallopian tube has finger like projection and the eggs are normally kept on the last part of the tubes. Now when the couples meet, the sperm is released in the vagina. The sperms have basically the head, body and the tale. As I had mentioned earlier, once the ovulation happens, the eggs do not have any tale, so it needs a tube to collect it an d store it in the tube. The sperms will move into the uterine cavity and move into the fallopian tube and have to reach the other part of the tube. So at this point, the sperms will be reaching the egg.

There are certain criteria for normal semen. So when do we know that it is a fertile semen for which there are some criteria like the volume should be atleast more than 1.5 ml ejaculate.And the sperm count should be more than 15 million per ml of sperm. Because of the tale fraction of the mortality, there should be active mortality of the sperm for more than 30%. So when the sperm enters the egg, the process is called Fertilization. And the egg and the sperm will fuse to form an Embryo. The early embryo is called Zygote which is a single cell. So when this forms, the embryo has to divide. In that tube the embryo undergoes division. So in that cell, the embryo will divide into 2 cells, 4 cells, 8 cells. As the embryo is progressively dividing, the tube is going to push the embryo back slowly into the uterine cavity. During this process of egg maturation, the follicle growth, the ovulation, there is another process happening in the uterus.

So here is the uterus and this is the Uterine bed. So, as the follicles are increasing in size, so it produces a hormone called estrogen which is actually acting on the uterine bed. And the uterine bed is ready, there is an increase in thickness for an embryo to come here. And once the ovulation happens, there is a pregnancy favouring hormone called Progesterone which is increasing in the second half of the menstrual cycle. When this comes, there is a lot of blood flow coming to the uterine bed. So this is the time when the embryo is actually reaching the uterine bed. This process, when the embryo reaches the uterine bed and when the embryo sticks to the uterine bed, this process is called Implantation. Basically what is happening here is the blood collection between the uterus and the embryo. That is how the nutrients from the mother's body are transferred to the embryo which grows further and establishes a pregnancy.

So when the couples conceive, these are the things which have to happen in a natural way for them to conceive. Now what happens when they do not conceive when they try for more than a year after the marriage and still unable to conceive, so we evaluate the problems. Evaluation of problem depends on the steps which I have told.

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Vaginal Bleeding Between Periods - Are There Ways to Prevent it?

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
Vaginal Bleeding Between Periods - Are There Ways to Prevent it?

Many women experience unusual vaginal bleeding between periods at some point in their lives. It is also known as metrorrhagia. Vaginal bleeding is thought to be abnormal in the following cases:
1. When your menstrual period is not expected
2. When your menstrual flow is lighter or heavier than normal
3. At unexpected stages in life. For example, when you are pregnant or after you have attained menopause.

Bleeding during periods is not a normal condition. Usually, the duration of the cycle is about 21 – 35 days. Abnormal vaginal bleeding has numerous conceivable causes. Independently, it doesn't show a genuine condition.

  1. Mid-cycle bleeding can be caused due to ovulation.
  2. Two hormones that regulate the menstrual cycle are progesterone or oestrogen. A condition of hormonal imbalance which is known as Polycystic ovary syndrome (PCOs) causes interference with normal ovulation. This results in problems in thyroid glands as well as causes dysfunctional ovaries.
  3. Medications such as birth control pills are capable of causing abnormal bleeding, especially with the irregular intake of such medications.
  4. Infections or inflammation caused in the pelvic regions such as uterus, vagina, cervix, ovaries or fallopian tubes are capable of causing abnormal bleeding. STIs (Sexually Transmitted Diseases) and PIDs (Pelvic inflammatory disease) are often the cause of such a condition.
  5. Although Cancer is not one of the primary causes, cancer in organs such as the uterus, vagina, cervix and ovaries are capable of causing abnormal bleeding during periods.

How it can prevented

  1. Maintaining a healthy diet. Women who are either underweight or overweight tend to have more problems with abnormal bleeding
  2. Relaxation practices should be followed so that stress is reduced. Stress can cause abnormal bleeding.
  3. Non-steroidal anti-inflammatory drugs (NSAID) should be consumed to reduce menstrual bleeding. Examples are ibuprofen or naproxen.
  4. In case of consumption, birth control pills should be taken as per the prescription only and regularly at the same time.
  5. Hormone therapy (using external hormones in a medical treatment) can be used in order to regulate menstrual cycles, stabilize the endometrium which is the lining of the uterus as well as to rectify hormonal imbalances. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
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10 Ways to Relieve Period Cramps

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
10 Ways to Relieve Period Cramps

Menstrual cramps are a common occurrence in women who are of childbearing age. The pain is mostly felt in the back or lower abdomen. Menstruation is unavoidable and natural, but the cramps associated with it can disrupt your normal lifestyle. You find it hard to focus and concentrate on your work, among other things. Fortunately, there are ways to counter your pain.

So, here are 10 ways to relieve your period cramps-

  1. Over-the-counter pain medications such as ibuprofen and naproxen can provide relief. Ibuprofen is effective in lowering prostaglandins (hormones responsible for menstrual cramps). But you need to take the medicine 3-4 days before your periods start.

  2. This may surprise you, but birth control pills can also reduce pain. Besides regulating your periods, they also maintain a steady hormonal level in your body. When hormones aren’t fluctuating, the severity of pain reduces.

  3. Maintaining a healthy diet can provide long-term relief from menstrual cramps. If you have a healthy weight, you would experience lesser pain. Oestrogen is produced by fat cells and abnormal amounts of fat cells can increase its production, and when you have a healthy weight, you can prevent hormonal imbalances.

  4. Drink plenty of water - it not only keeps you hydrated but also keeps your hormones in balance.

  5. Stay away from beverages that contain caffeine, such as coffees and sodas. Caffeine is inflammatory in nature, and it will only worsen your pain.

  6. Yes, moving too much during periods sounds crazy, but exercising can reduce your pain! If you exercise regularly, your stress levels reduce (too much stress worsens pain) and your body releases endorphins, which will lessen the pain considerably.

  7. Cramps are stubborn, and sometimes all the preventive measures fail. At times like these, heat is your best friend. Whether it is a heating bag on your abdomen or a nice, warm bath, heat can reduce your pain and make you feel comfortable.

  8. Sometimes, magnesium deficiency can trigger pain and make your life difficult. Do consume plenty of magnesium-rich food such as dark leafy vegetables, bananas, yoghurt, nuts, fish, whole grains, etc.

  9. Sweet or salty cravings are common during periods. But you need to stay far away from all kinds of processed food because they will only cause more pain.

  10. Yoga is an excellent remedy for menstrual cramping.

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