Doctor in Mahavir Hospital
Management of Abortion
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
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Any bodily discharge can be embarrassing. If you don't know how to hygienically cope with vaginal discharge, you may have issues with odor and/or staining that can lead to additional embarrassment. While many discharges are normal and help keep the pH balance of your vagina intact, other discharges can be the sign of real issues that need to be addressed either with over-the-counter medication or by seeing a qualified doctor.
See if your discharge is normal. Normal vaginal secretions will be clear or milky in appearance. This natural lubricant helps clean your vagina, keeping it free from unhealthy germs. Normal secretions are odor-free. Secretions may be thin, stringy or have white spots. If this sounds like your discharge, leave it alone. Natural discharge is very important in keeping your vagina healthy.
Learn the types of vaginal discharge. There are several different types of vaginal discharge. These types are categorized based on their color and consistency. Some are normal, while others may indicate an underlying condition that requires treatment.
- Thick, white, cheesy discharge – This is usually a sign of a yeast infection. May also be accompanied itching or swelling around the vulva.
- White, yellow or grey discharge – Especially if accompanied by a fishy odor, this type of discharge is likely a sign of bacterial vaginosis. May also be accompanied by itching and swelling.
- Yellow or green discharge – A yellow or green discharge, especially when it is thick, chunky, or accompanied by a bad smell, is not normal. This type of discharge may be a sign of the infection trichomoniasis, which is commonly spread through sexual intercourse.
- Brown or bloody discharge – Brown or bloody discharge may be a product of irregular menstruation, but can also be a sign of more serious illness such as cervical cancer if accompanied by pelvic pain or vaginal bleeding.
- Cloudy yellow discharge – This type of discharge, especially if accompanied by pelvic pain, may be a sign of gonorrhea.
Consider the state of your body. Factors that affect vaginal discharge include what you eat, your menstrual cycle, whether or not you're on the pill, if you are breast-feeding, what medications you are taking, whether or not you are pregnant, and whether or not you are under stress.
- You can also be at risk of throwing off your vagina's natural pH balance if you are on antibiotics or if you use vaginal douches, feminine hygiene products or perfumed soaps. While anti-biotics cannot be avoided, douching and scented feminine products should always be avoided as these are bad for your body.
- Other things that can put you at risk include pregnancy, diabetes or other infections that are near or around that area of the body.
Look for foreign objects. Leaving in a tampon for too long can cause unusual discharge. Some women forget they even had a tampon up there! You can also end up with other objects in your vagina which can cause a discharge (as your body tries to expel it). A common example is a piece of a broken condom.
Know the difference between colors and odors of vaginal discharge. Off-color or foul odors in the vaginal region can be the sign of a pelvic infection after you've had a surgery, pelvic inflammatory disease (PID), vaginal atrophy during menopause, trichomoniasis or vaginitis, and several other vaginal infections, all of which should be diagnosed by a doctor and treated as advised by your doctor.
- Vaginal discharge with bacterial vaginosis will be gray, white or yellow. It will also have a fishy odor.
- If you have gonorrhea, you might have a cloudy or yellow discharge.
- Yeast infections can be apparent if you have a thick, white discharge. This discharge is often described as having a cottage cheese consistency. Cottage cheese discharge is also characteristic of chlamydia, a common STI.
- If you have an irregular period or endometrial or cervical cancer, you may notice a bloody or brown discharge.
- If you have trichomoniasis, yellow/green frothy discharge that has a bad odor may affect you.
- If you don't have health insurance, there are clinics (like Planned Parenthood) which offer gynecological exams and treatment that are inexpensive or free.
- Avoid taking medication until you know what the cause is. There is medication for things like yeast infections, but you should not self-diagnose a yeast infection if this is your first time getting one. Taking yeast infection medication without a yeast infection can lead to future problems.
IVF is one of the most common ways to treat infertility. This procedure can be described as one where the woman’s eggs and the man’s sperm are harvested and combined in a laboratory to form an embryo. Two or more embryos are then inserted into the woman’s womb where they will develop during the pregnancy. IVF has a high success rate but there are a number of factors that could interfere with this. Issues with the woman’s uterus such as the presence of scar tissue or polyps could be one such factor. Thankfully, this issue can be identified and treated before undergoing IVF so as to increase the chances of its success.
- A hysteroscopy is a procedure through which the doctor can take a look inside the woman’s uterus. This is an invasive procedure that is performed while the woman is under general anesthesia. It involves inserting a narrow tube with a telescope at one end into the uterine cavity.
- The cavity may or may not be filled with a gas or a fluid. The telescope then captures and transmits images of the uterus to a screen where it can be viewed by the doctor. Any malformations such as polyps, scar tissue, fibroids etc. will be made visible through this procedure. If any such issues are seen, the doctor will then proceed to remove them. In this case, the procedure is not only diagnostic but operative as well.
- The fertilized embryos are then inserted into the woman’s uterus. Since all the scar tissue and uterine abnormalities have been addressed, the embryos then have a higher chance of being successfully implanted. This boosts the chances of a successful IVF pregnancy.
- A hysteroscopy may not be very effective for a patient with recurrent IVF failures but for a woman who is undergoing IVF treatment for the first time, this could be quite helpful. It is rare for a hysteroscopy to have side effects. Infection caused by this procedure is very rare. In some cases, women may experience temporary bloating or cramps after the procedure. This does not affect her fertility in any way. A hysteroscopy is not a typical part of the IVF procedure and hence there are additional costs associated with it. However, in the long run, by increasing the chances of having a successful pregnancy, these costs may be offset by negating the need for a second round of IVF treatment. In the end, the choice is a personal one.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The main pigment responsible for the hair and skin color is melanin. Melanocytes are the cells involved in the formation of melanin. Vitiligo is a dermatological condition (depigmentation) characterized by white spots or patches that appear in the body. Lack or absence of melanin is often responsible for the appearance of the white patches. Improper functioning or destruction of the melanocytes may interfere with the cell's ability to produce melanin. The condition can also affect your hair, scalp, eyebrows, and eyelashes, resulting in their premature graying or whitening.
Vitiligo can be localized (only one or very few body parts are affected), generalized (affecting many body parts) or segmented (the condition affects only one side of the body). An autoimmune condition such as Diabetes (Type-1) or Hashimoto's thyroiditis may trigger the destruction of the melanocytes. Vitiligo may also be a hereditary condition. In some cases, stress or exposure to harmful chemicals may be responsible for the destruction of the melanocytes.
While many people confuse vitiligo with leucoderma, there is a small difference between the two. Like vitiligo, the white watches in leucoderma appear due to the destruction of the melanocytes. However, the destruction of the melanocytes in the case of leucoderma may result from an accident, a cut, burn or tear.
When it comes to the treatment, many people prefer homeopathy over conventional treatments and medications. Being natural with negligible or no side effects are the main USP of homeopathic treatment. People with vitiligo and leucoderma have benefitted immensely from the treatment. The treatment may not provide you with immediate results, but it is worth your time and patience. Most of the homeopathic medicines activate the melanocytes. This activation triggers the formation of the melanin, thereby resulting in re-pigmentation.
The following homeopathic medicines are very effective against vitiligo and leucoderma.
- Silicea 30: Silicea 30 is helpful for people with a sensitive skin that appears waxy and pale. In such patients, the patches or spots are not typically white but slightly rose-colored. There is extensive sweating of the hands and feet. The fingertips also appear cracked with brittle nails.
- Arsenic Album: In some patients with vitiligo or leucoderma, the skin may appear dry and rough. In addition to the white patches, a person may complain of exhaustion and asthma (not in all patients). The person may show signs of extreme restlessness and anxiety. They freak out over cleanliness and neatness. Such patients benefit immensely from Arsenic Album.
- Calcarea Carb is used to treat vitiligo where the patches appear milky white in color. There may be a weakness in the bones as well.
- Sepia: Sepia is used when people with vitiligo distant themselves from their families and loved ones.
- Nitric Acid 30 is used in the case of the white spots appearing at the mouth, nipples, nose, eyes, penis, vulva (mucous junctions).
Also, Sulfur, Psoralea Coryl 3X, Staphysagria, Borax, are equally helpful in treating vitiligo and leucoderma. To play it safe, use the medicines only after consulting a specialist. Self-medication may not be a wise idea. In case you have a concern or query you can always consult an expert & get answers to your questions!
Nearly 10 percent of the pregnancies have a chance to fail. This is regardless of the fact whether they are induced by IVF or naturally conceived. Numerous reasons do exist for the unsuccessful pregnancies. Ectopic pregnancy is one of the reasons why a pregnancy does not last until full term. Ectopic pregnancy is a life-threatening condition. With all these possibilities, a pregnancy that is IVF induced has to be watched continuously. If you have gone through IVF for pregnancy, you know how many years were behind it.
After multiple treatment options and years of waiting, your ray of hope is IVF. With the odds of the embryo forming in the laboratory and the difficulties in getting it attached to your womb, a woman undergoing IVF has too many worries from day one. Fortunately, your gynecologist trusts in monitoring the IVF pregnancy from the very first step.
Complications of IVF pregnancy: A pregnancy through IVF may need care for various reasons. The mother may be over 35 years of age, too many miscarriages, and several other reasons. When monitoring is consistent, the progress of the pregnancy is known. It will not be too late for any action throughout the period. In many cases, the couples’ only hope to bear a child is through IVF. They cannot afford to take chances when they have got pregnant through IVF. The sensitive doctor will also be focused on the fact that his or her patient gets the optimum care throughout the precious pregnancy period. When a woman in 40’s or above gets pregnant, the pregnancy is delicate, and it is after too much of struggle. In such cases, consistent monitoring is the need of the hour.
What makes IVF pregnancies convoluted?
Apart from the age factor, there is one more concern that makes it important to monitor the pregnancy continuously. The incidence of miscarriage in pregnancies that are not natural is higher. The spontaneous pregnancies are natural, and the body is well prepared. Any sort of artificial reproductive technique (ART) means that one has to prepare the body externally. Nothing can be equal to natural and hence the rate of a miscarriage is higher. Chances of twins are higher when it comes to IVF. In natural pregnancies, one in 80 pregnancies results in twins. In case of IVF, 1 in 5 women can get pregnant with twins. Coupled with the other complications, bearing twins adds to the pressure. A doctor needs to be assured if everything would be smooth enough to continue the 3rd trimester. In case if something has to be done to ensure the children in the womb are safe even before 35 weeks, only continuous monitoring would suggest the best way.
IVF pregnancies also have the higher chances of bleeding in the first trimester, placenta previa, preterm labor, PIH, and IUGR. A C-section is how most of the women who have gone for IVF give birth. Extra vigilance is not an overrated thing in IVF pregnancies but the demand. This also helps in ruling out any type of abnormalities. If you are pregnant through IVF, then do not fret if you have to visit your doctor and scan centers often. This helps you to stay pregnant full term and carry your dream baby in your arms. In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy can wreak havoc in your body; be it your hormones overflowing or the constant crying of your newborn that makes you agitated after a point of time. Your baby will probably be your top priority in times like these but maybe, you can put yourself on the list as well once in a while because carrying a human inside isn’t a very easy task.
On the off chance that you suffered a vaginal tear or an episiotomy while delivering, the injury may sting for a couple of weeks. Broad tears may take more time to heal. Meanwhile, you can promote healing by:
- In case of sitting becoming uncomfortable, try sitting on a cushion or cushioned ring.
- Utilize a squeezer-bottle in order to pour lukewarm water over the vulva while you're urinating. Press a cleansed washcloth immovably against the injury when you hunker down for passing stool.
- Cool the injury using an ice compress, or place a cool witch hazel cushion between the wound and a clean sanitary napkin.
- Take stool softeners or analgesics as prescribed by your healthcare provider.
- For treatment of episiotomy wound in 1st week - betadine wash should be used 3-4 times a day.
While you're recovering, anticipate that the uneasiness will gradually reduce. Contact your doctor if the pain increases; the injury gets swollen, hot and excruciating; or if you notice a discharge with pus.
Vaginal discharge (lochia) might be a problem for several weeks post-delivery. Expect a red, overwhelming stream of blood for the initial few days. The release will continuously decrease, getting to be watery and changing from pink or chestnut to yellow and finally white. Contact your doctor if:
- You have substantial vaginal drying
- The discharge has a foul scent
- You have a temperature of 100.4 F (38 C) or more
You may feel contractions for the initial few days post-delivery. These constrictions, which frequently seem like menstrual cramps help in preventing excess bleeding by compressing the vessels. These contractions have a tendency to get more intense with subsequent deliveries. Your healthcare supplier may suggest an OTC pain reliever as well. Contact your healthcare personnel in the event of fever or if the stomach area is tender to your touch. These symptoms and side effects could show a uterine disease. In case you have a concern or query you can always consult an expert & get answers to your questions!
The urologic system includes all problems related to the urinary system including the kidneys, bladder, ureters, urethra, and the prostate. These problems could range from trauma, injury, inflammation, infections, and muscular problems like overactive bladder, prostate hypertrophy, sexual disorders (candidiasis, erectile dysfunction, etc.), tumors or overgrowths, infections of any part along the entire tract, and even erectile dysfunction.
Let us quickly look at the most common ones kidney stones, urinary tract infections, prostate enlargement, erectile dysfunction, and vaginal candidiasis.
- Kidney stones: These are calcium deposits, which can seat themselves in any part of the kidney and sometimes even in the ureter. These can cause significant sharp, shooting pain in the back of the abdomen. The pain is almost diagnostic, and while small stones may pass on their own, others may require shock wave lithotripsy to break the bigger ones into smaller ones, which can then pass on their own through urine. Dietary modifications may also be required to prevent the formation of stones, as most people tend to have recurrence of stones.
- Prostate hypertrophy: One of the most common problems faced by ageing men is benign prostatic enlargement (BPH). There would be a constant urge to urinate, simultaneous difficulty initiating a stream and a feeling of incomplete emptying. These happen more at night, and diagnosis is very easy, any elderly male who shows these symptoms is almost diagnostic of BPH. This requires a standard surgical procedure known as transurethral resection of the prostate, which is a same-day surgery and quite non-complicated.
- Urinary tract infections: This is one of the most common infections, which can be acquired from the use of public bathrooms and unhygienic bathroom practices. There is chance for infection of the entire tract starting from the urethra to the ureter, the bladder, and the kidney. These run the course of any infection. Treatment is usually with a course of oral antibiotics along with symptomatic treatment of the other symptoms like fever, muscle ache, etc. In very rare cases, systemic antibiotics may be required.
- Erectile dysfunction: One of the most common, but undisclosed male sexual problem is erectile dysfunction. There is inability of the male to achieve and/or sustain an erection, sufficient to have a satisfactory sexual intercourse. This has both physical and psychological reasons, and may also be due to hormonal imbalance. Very often, a discussion with a counselor would be required to treat the couple, as involving the partner is very important.
- Vaginal candidiasis: The normal vaginal flora is very rich with the fungi Candida, and when immunity is low, candidiasis develops. There could be symptoms like foul-smelling discharge, itching, and redness. A course of topical antifungal agents is usually effective in treating this condition.
In case you have a concern or query you can always consult an expert & get answers to your questions!
IVF or In Vitro Fertilization is a very common treatment for infertility. This process of fertilization involves, extracting eggs, retrieve a sperm sample and then get the egg and sperm combined manually in a laboratory dish. The embryo then gets transferred to the uterus. It is an artificial way to conceive and applicable for couples who cannot have children conventionally.
Problems Which Lead To In Vitro Fertilization
Now we will have a look at the problems which ultimately force couples to go for IVF and conceive children through artificial procedures:
Infertility Issues in Female:
Generally for women, they produce the egg and then it’s about moving it to the uterus where the sperm can fertilize it. When everything goes well, the fertilized egg goes on to become an embryo and then it gets implanted on the wall of the uterus and grows accordingly. Any deviation from this normal process can lead to infertility.
One of the most common causes of infertility among females is Endometriosis. Endometriosis causes scar tissue which results in the blockage of fallopian tubes. In some other cases, there may not be any blockage in the fallopian tubes but there might be difficulty in moving the egg along to the uterus where the fertilization can take place. In such a situation, IVF helps to the get the eggs extracted directly from the ovaries, fertilize them in the lab, hence avoid the problems of the fallopian tubes.
Ovulation problems generally occur for women who are aged 35 years or over and can have issues in producing good quality eggs. This is where IVF can come into play. It can get the woman’s ovaries stimulated by fertility drugs, help produce a number of eggs and then allow them to be fertilized in the laboratory. In Vitro Fertilization helps in giving greater control, when there is a possibility of multiple births, rather than using only the fertility drugs. IVF makes sure to use donor eggs from a donor younger woman, which in turn largely improves the possibility of a woman, who is 40 years old or more than that, to get pregnant.
Infertility Issues Among Males:
For males, it is about producing healthy sperm and get them inside a woman’s uterus, so that there is a chance of an egg fertilization. Now, infertility problems arise, if anything goes wrong with this particular process. One of the main problems could be, low sperm count, which fails to penetrate the egg, while other issues could be, sperm is unable to survive in the uterus’s mucus, problem with intercourse, tube blockage. Males can get rid of these problems through IVF treatment, where the sperm could get extracted from the testicles, avoiding the blockages and hence used for fertilization of eggs in the lab.
So, this segment has talked of what IVF is all about and what kind of problems among males and females could lead to IVF treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!
Lack of sleep can make you feel tired, worn-out and less productive the next day. However, it might not be your fault entirely because the brain tends to become active when the body is at rest, which could be a reason why you aren’t getting enough sleep at night.
Here are a few tips which might be useful for you to sleep at night:
Keep your room dark: Even the faintest light from your mobile is enough to disrupt your sleep. Thus, try and switch off all your lights and gadgets before going to sleep. If doing that doesn’t help either, use an eye mask to keep the light out.
Carefully select your dinner: Don’t go to bed hungry or overstuffed because either of them might cause discomfort while sleeping and lead to a disruption in your sleep. Also, limit your alcohol consumption at night to refrain from making numerous trips to the washroom. Avoid consuming nicotine and caffeine before going to bed as they take a long time to wear off and can cause havoc in your sleep routine.
Don’t exercise before going to bed: Exercising daily is a necessity as it keeps your body healthy and in shape, but exercising right before going to bed can be disruptive as it might make you more pumped up due to the adrenaline rush. Thus, you should avoid exercising heavily right before going to bed.
Plug out all your devices: Create a technology free zone by plugging out all your devices one hour prior to your usual sleep time. The blue light radiated from your devices can trick your brain into believing that it is daylight and cause a disruption in circadian rhythm (which is an ongoing 24-hour physiological process which is regulated by external factors such as sunlight and temperature).
Consume snooze food: Certain food items can be classified as snooze foods as they ensure better sleep at night. Warm milk contains ‘tryptophan’ which is a precursor to melatonin (hormone that is responsible for the onset of sleep) and ensures better sleep or you could have a spoon of honey which releases ‘orexin’ (a chemical that affects wakefulness and appetite) that reduces alertness levels.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Ending one’s life is terrible. But often, instead of analysing the patient’s mental condition at that time, we tend to judge them. The most common cause for suicides is undoubtedly depression. Adverse social or financial conditions often contribute to the mental condition of patients. However, a recent paper published in the journal Neuropsychopharmacology might change the way we think about suicides. Lena Brundin and her co-workers have come to the conclusion in the paper titled “Role of inflammation in suicide: from mechanism to treatment,” that our immune system can trigger off suicidal thoughts and tendencies. Let us find out how.
- There is proof that certain medicines that are used to treat cancer patients can affect the immune responses. This in turn can trigger off suicidal tendencies.
- Certain injuries can lead to brain disorders which are related to inflammatory responses that might be responsible for some changes in behaviour often leading to suicidal thoughts.
- Just like certain medications trigger of suicidal thoughts, there are some that might diminish them like Lithium. It is used to treat bi-polar disorder. What it does is decrease immune related chemicals. Another drug has proved to be very effective in reducing suicidal thoughts and tendencies – Ketamine. Ketamine, like Lithium, has been found to block certain chemicals that are related to immune response.
- Though the whole topic is still under extensive research, it can perhaps be concluded that certain drugs have the ability to lessen suicidal thoughts and depression because they block some chemicals that are related to immunity.
The suicidal mentality is very complex. It requires not just medicines, but counselling, empathy, love and understanding. Often, many patients cannot come out of their depression, resulting in therapy sessions that are fruitless. In those cases, medicines that might reduce the negative thoughts and moods will come handy. It will help the patient initially to deal with the situation and start with a lot of positivity. Every year, almost one million deaths occur due to suicide. Not only does it leave behind survivors who attempt to kill themselves but also broken families that struggle to get over the death. If this research is successful, several people will benefit from it, all over the world. In case you have a concern or query you can always consult an expert & get answers to your questions!