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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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Hallo doctor. I would like to know. Is it possible to get pregnant in the first try after 2 weeks of Ovulation.
I delivered 2 and a half months back. We haven't had sex for almost my entire pregnancy. Now while trying to have sex. I find very uncomfortable. Pain, and also tight, burning sensation.
Miscarriage is the early loss of foetus within 20 weeks of pregnancy. It is also known as ‘spontaneous abortion’. According to research, about 8-20% of the pregnancies end in miscarriage. Out of the total number of miscarriages, 80% of them end within 12 weeks of pregnancy.
Types of Miscarriages and their Symptoms
- Threatened Miscarriage – As the term suggests, in this condition the process of miscarriage might have begun. This is the initial stage of the process. In threatened miscarriage, there is slight bleeding accompanied by cramps and pain in the lower back, which is usually mild. The cervix (the lower part of the uterus) remains closed.
- Inevitable and Incomplete Miscarriage – In these conditions, there is bleeding along with an open cervix. When there is dilatation and thinning of the cervix, miscarriage is inevitable. In incomplete miscarriage, part of the tissue comes out and a part remains inside the uterus. In inevitable and incomplete abortions, the bleeding and cramps are more severe.
- Complete Miscarriage – Complete miscarriage is when the embryo has completely emptied from the uterus. The pain and bleeding reduce once the foetus is expelled. This can be confirmed through ultrasound.
- Missed Miscarriage – In Missed miscarriage, there is no sign of the life of the embryo and there is no expulsion of the embryo. It can be detected from the absence of heartbeat of the embryo found on ultrasound.
- Recurrent Miscarriage – It happens when there are two or three miscarriages one after the other. It affects about 1% of the pregnancies.
- Increased maternal age i.e., women above 35 years.
- Excess or insufficient chromosome in embryo.
- Placenta is the organ which links mother and the baby for blood supply. Problem in the development of placenta can cause miscarriage.
- Excessive smoking and drinking during pregnancy.
- Obese women have higher risk of miscarriage.
- Long-term health conditions like high blood sugar, high blood pressure, liver disease etc.
- Infections like rubella, malaria etc.
- Weakened cervix, which is the result of previous injury or surgery, can also result in miscarriage.
What are the symptoms of a miscarriage?
- Bleeding or spotting can be one of the symptoms of miscarriage. It should be kept in mind that not all pregnant women who suffer from spotting or bleeding, end in miscarriage.
- Lower backache starts before or right after bleeding, which can be persistent or you could have cramps which may be mild or sharp and can feel like more of pelvic pressure.
- Missed miscarriages are detected through ultrasound when the doctor finds that there is no heartbeat of the embryo or when the uterus is not growing.
What are the treatment options in miscarriage?
- Medical – In most of the cases, there are no specific drugs to stop a miscarriage from occurring. In some cases, certain hormonal preparations help. There is no point in prescribing medicines for prevention of miscarriage if there is heavy bleeding.
- Surgery – Dilatation and evacuation (D&E) is a simple operation which is done under general/local anaesthesia. In this operation, the cervical canal is dilated and contents present in the uterus are evacuated. There is no cutting involved as it happens through the vagina. The process needs only five to ten minutes, but the patient has to stay in the hospital for about 3-4 hours.
This process is opted when:
- There is heavy bleeding.
- The patient suffers from missed miscarriage.
What can you do to prevent miscarriage?
Nothing much can be done to prevent miscarriage in most of the cases. However, following supportive measures may help:
- There should not be overexertion during pregnancy. Moderate amount of physical activity is permissible.
- One should have a well-balanced diet. Studies have shown that a diet loaded with fruits and veggies helps in overall well-being during pregnancy. One should limit the consumption of caffeine.
- Avoid smoking, alcohol and certain drugs to prevent miscarriage.
- Avoid stress and anxiety.
Report to a Doctor as soon as any symptom related to miscarriage appears.
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Hi, My girlfriend is feeling a bit tired after having sex and has pain in her body. She was giving me oral sex and her mouth was full with saliva. With the flow, she took the saliva and rubbed it on her vagina. I started fingering her and realised that is it safe to do so. I am pretty sure I did not ejaculate in her mouth but there was definitely some pre cum. So we were thinking of taking a unwanted 72 medicine Will this be right to do so. Extra info: I am 20 she is 19 Her periods are due this coming thursday We want to avoid any chances of her getting pregnant but I do not want that she should harm herself in any way. Please respond.
Hello doctor, my wife using ASPIRIN and tablet more than 3 years for blood clotting problem. We both r trying for baby. Bt still the baby s not forming. Is there any side effect of that tablet. Pls give some advice for conceive a baby. Pls pls pls.
I have bilateral tubal block. Now I wan pregnancy then what are the home remedies for this. Pls help me.
Mere girlfriend ko 2 july ko period aya tha. Mai 9 july ko protection use ker ke sex kiya tha. Fir 21 july ko bina protection ka sex kiya. Aaj 2nd august ho gya per period nhi hai. Kya meri girlfriend pregnent ho gyi hai. Kya kru please give me advice & help.
What is the best way to take MT Pills medicines? I'm 23 years old And I need this pills? What instructions I should follow to take this medicines? Is there any side effect of this pills?
I am 25 years pregnant with my first baby. currently I am 31 weeks I had an emergent cerclage placed at 23 weeks due to short cervix with funneling. I had no complications so far through out my pregnancy. I'll be meeting my husband after 2 months and we mutually decided there will be no intercourse but causing each other. Is this ok with cerclage and what if I get WET during his caressing Please advice me. Does getting wet cause any infection or irritation to cerclage .
Living with a renal transplant constantly exposes you to the risk of organ rejection. Although it might sound scary, it usually happens because the medication needs to be tuned according to the requirements of your body. A change in medication usually solves the problem of a possible rejection, and a rejection becomes less likely if it doesn't happen within a year of the transplant. Some obvious signs of rejection are a pain on the region of transplant, fever, change in weight or low urine discharge.
The causes behind a renal rejection vary on the basis of the type of rejection that takes place. Here are three different types of renal rejection and their causes:
- Hyperacute Rejection - Hyperacute rejection occurs within 24 hours of the transplant. It can have an immediate effect and occurs as the existing antibodies act against the grafted material, causing irreversible destruction. The immune system may recognize it as a foreign body and destroy it. Hyperacute rejection is common for patients who have received multiple blood transfusions or have suffered from transplant rejection earlier. The tissue must be removed immediately before it becomes fatal for the recipient. This type of rejection can generally be avoided if the doctors type or match both the receiver and the organ donor. The organ is less likely to be rejected if there are similar antigens between donor and receiver.
- Acute Rejection - Acute rejection generally occurs after the first week of transplantation. Acute rejection is common in most recipients. Since a perfect match of antigens is rare to find, except in the case of identical twins, some amount acute rejection occurs in the case of all recipients. It can cause complications like bleeding and inflammation. The risk of acute rejection is highest in the first three months of the transplant.
- Chronic Rejection - Chronic rejection occurs months later after the transplantation. This happens over time when the immune system of the body reacts against the transplanted tissue and slowly damages the organ. In such a case, the kidneys can suffer from scarring or fibrosis and damaged blood vessels.
Hi doctor, my friend is having irregular periods (every 20 days) from last 5 years and also as per her she never had sex. I am getting worried, if this can cause any problem in future?
A kidney transplant is a surgical procedure that patients of kidney disease go through in order to replace a non functioning kidney with a live one that is healthy and functions well. Other methods to treat this disease also include dialysis, which basically is an artificial way of doing what our kidneys are designed to do. When dialysis does not work, many doctors recommend a kidney transplant. A replacement or donated kidney can come from a living donor or a non-living donor. This new kidney will mostly work towards keeping the blood clean, which is a function that stops when the old and diseased kidneys fail.
So, here's a list of five essential facts that you need to keep in mind if you are looking at a kidney transplant:
- Donors: While there are living and non-living donors, the doctor will have to ensure that your donor is someone who has no medical history of complications, kidney disease or any other medical condition like diabetes or hypertension. Also, the donor would have to have two proper functioning kidneys. Further, one of the most important factors is the blood group. The blood group of the donor and the patient must match for the transplant to be possible.
- Procedure: During the surgery, the patient will be under general anesthesia. The surgeon will make an incision in the lower abdomen area and the blood vessels of the new kidney will be connected surgically with the vein and iliac artery of the patient. Thereafter, any excess fluid will be drained before wrapping up the surgery.
- Rejection: The patient's body may also reject the kidney. The immune system of the patient may mistake the new kidney as an attacking body and its natural defenses may work against it, which will lead to complications. For this, doctors usually prescribe immunosuppressant medicines that will help in preventing such an eventuality.
- Longevity: While a living donor's kidney may last longer, a non-living donor's kidney will not enjoy such a long life. In such cases, a second transplant can be conducted.
- Diet: After the transplant, the patient will be required to go through a number of measures like coughing to show that the lungs are clear, as well as administration of fluids and some amount of examination and dialysis. Also, the patient will have to have a special diet that includes raw fruits and vegetables, and plenty of non-fat dairy ingredients.
A kidney transplant is a major operation that can change your lifestyle in the long run.
Surrogacy is the method that is used for reproduction in which a woman other than the woman, who wants to have the baby, agrees to undertake pregnancy and give birth to a child for the couple that appoints her. A couple can opt for surrogacy in the following conditions.
In the case of females who cannot reproduce due to infertility or some other medical conditions that make the process risky for both the mother and the childlike heart diseases, liver infirmities and high blood pressure, surrogacy can opt for so that the couple can experience the bliss of becoming parents.
- If you are a single parent
A single parent can opt for surrogacy in order to fulfil his/her dream of having a child to live for.
- Other factors
There are several other factors when a couple might want to opt for surrogacy. For instance, in couples, where the female is too busy building a stable career for herself and she cannot take the risk of opting for pregnancy, surrogacy can come to their rescue. Also, repeated miscarriages, pelvic disorder, hysterectomy, an impaired uterus or the absence of uterus can act as reasons to opt for surrogacy.
There are a few factors that need to be considered before opting for surrogacy. They are listed below.
Type of surrogacy
Traditional surrogacy and gestational surrogacy are the two options available. In traditional surrogacy, the surrogate mother not only carries the embryo in her womb until childbirth but also donates the egg. However in gestational surrogacy, the egg is taken from the biological mother and impregnated in the womb of the surrogate mother through in vitro fertilization techniques. The intended parents need to take a decision regarding the type of surrogacy that they wish to opt for.
The intended parents must be aware of the surrogacy laws prevalent in their country so as to make sure that they can go through the entire process smoothly. For instance, in India, it is mandatory that the surrogate child should be biologically related to one of the two parents.
Cost of surrogacy
Another important factor that needs to be considered while opting for surrogacy is the cost of the undertaking. It can involve high costs due to the unpredictability of the situations surrounding the process, so the financial stability of the intended parents should be kept in mind. Also, choose the right agency or even if you choose an independent candidate to become the surrogate mother for your child, make a wise choice. If you wish to discuss about any specific problem, you can consult a gynaecologist.