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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
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Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.
There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.
Common Treatments for pulmonary hypertension:
- Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
- Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
- Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
- Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
- Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
- High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
- Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
- Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
- Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
- Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
- Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.
- Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
- Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.
- The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
- Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
My mother is 44 and she's pregnant she told me that she's experience for the first time a kicking and motion of the fetal only in the left side. She's in 6th trimester of pregnancy. And this the 6th baby. So she's not pregnant for the first time. No motion in right side? She's healthy but was going on hard times and stressed too much. Help plz?
Spine surgeries are complicated and have serious repercussions if the procedure is not planned well. A thorough communication with your doctor is therefore very critical to ensure a safe operation and early post-op recovery. Questions can range from the type of treatment chosen for a speedy recovery to side effects. Here is a list of questions that you need to ask your spine surgeon:
1. Why is the surgery recommended?
Typically, there is more than one treatment option for a particular problem. Your doctor should be able to tell you very precisely as to why the surgery is recommended and how it is going to address the problem. He should also discuss the alternative treatments available with their respective advantages and pitfalls.
2. Is there any non-surgical option?
Many spine related issues can be treated with rest, medicines and physiotherapy. Ask your doctor if such conservative options exist.
3. Explain the surgical procedure in detail.
Your doctor should explain the whole surgical procedure, in as much detail as you think is required for you to understand what is going to be done to your body. This helps you to have a practical idea and realistic expectations regarding your treatment.
4. What is the duration of the surgery?
Duration of a spine surgery depends on the procedure that is being performed and individual complexities. A lumbar microdiscectomy may take barely an hour, while a complex spinal fusion may take half a day! Do inquire about the duration expected by your spine surgeon.
5. How will the surgery address the pain or other symptoms?
It is important to know the source of the pain or other symptoms in a spinal pathology. Not all back pain benefit from surgery. Ask your doctor how he intends to address the pain, weakness etc. through the surgery.
6. What are the risks involved?
Risks and side effects vary from patient to patient. For instance, a person with obesity, diabetes and smoking has greater chances of complications associated with any surgery.
7. Do you need to change your regular medications?
Medicines like blood thinners can increase chance of hemorrhagic complications. These need to be stopped before surgery. Do discuss ALL your medical issues no matter how irrelevant they may seem to you.
8. Whether a back brace is necessary after surgery?
Limiting the spine movement is necessary for the process of healing. Most Doctors suggest braces or collars after a spine surgery.
9. What is the time required for recovery?
The recovery greatly varies with patients and conditions. What you should ask your Doctor is the expected time required for you to join your job/school.
10. Will there be any physical limitation after the operations?
Many spine surgeries require you to refrain from strenuous jobs for a while. For instance, certain surgeries require you to stay away from driving for a while. Address all these apprehensions from your doctor. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
Doctor advised me to take deviry tablet for 5days. Can you help me in telling mg of the tablet to get menses. Deviry tablet mg and tablet full name? And how many times should I take the take 1time or 2times a day?
I am 24 years old and I have got married before 3 months and my periods are not regular its not on same date as it was before marriage.
At the age of 40 I get menopause is that worried can you give me some guidance. I always grumpy don't feel do sex sometime my husband get angry I don't know what to do is there any medicine to get back the period isn't too early to get manoposs?
Doctor I got my periods on 13th august and it ended on 16th august. Me and my bf had unprotected sex on 17th august. And that day only I mean on 17th august I again started bleeding just after the sex and it ended on 18th august. On 17th august itself I took an ipill within 5-6 hours after the sex then again I started bleeding on 23rd august. But I ws not bleeding like always. Blood coming out was extremely less and more of sticky red thick lining was coming out and it ended on 25th august. And now after one month I got my periods on 16th september and ended on 19th or 20th september and now on my right side breast 4-5 light red spots are there I do not know it is due to some insect bite or because of some allergy or what doctor im really confused. Is there any chance of pregnancy now? I wish I will not be pregnant. Im worried please help me.
After ejaculation of semen into my wife vagina, semen is coming out of vagina not entering into her vagina. What to do.
Hello doctor last month my sister has taken abortion pills. She is not pregnant now. She gets her periods in this month. But no more bleeding was appeared. Will her next period be proper. Pls advice. What to do? Any extra tablets should be taken or not for bleeding.
Hiii. I'm 25 year old. Now im 8 month pregnant. I have problem for breathing. And at night sleeping. Light pain in lower area. There is any chances to early pregnancy. Because edd is 28 aug.
Unwanted kit use kiye huye 28 day ho gye pregnency test krne pr ek line dark or ek line lite aayi kya kre aap hi btaye.
Is it normal to have 16*13 mm follicle on day 11 and if ovulation occur on this size is there a chance to get pregnant?
I am 19 years old and I am suffering from PCOS. I was given femilon for 3 months in august 2014. Now this year I did not get my periods for 3 months. Now I got my periods but I am gaining weight, I feel depressed and I get too many mood swings. What should I do?
I did sex without condom am sure I didn't come ,but I am confused so I give I pill to my girl its 24 hrs she didn't get periods, we again did sex but this time with protection is it ok ?but she didn't get periods yet I am worried.
Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.
Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.
The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.
Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.
The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.
Ways to Increase Fertility
If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-
- The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
- Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
- Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.
Talk to a Doctor
If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.
If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.
The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.
Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.
The decision to try again is not an easy one. However, fertility won't typically be an issue.
"Our business is to get out of business"
The old comfortable baroque sofa is out. In are the new modern or contemporary chairs. The hanging intricate chandeliers are replaced with sleek standing lamps. Not a wooden carved table, but a glass table with transparency is at the center of design in healing. The pen and paper has changed hands from the therapist to the client. The therapist no more plays the role of a god but a fallible human being in the therapy. A lot has changed in last 50 years. Except for the perception of psychologist or a psychotherapist. They are no more I listen to everything like a soundboard. A psychologist now expresses, collaborate, question and also interrupt. Let's look at some new things that happen behind those sound proof glass doors today.
1) Make you, your own therapist
"Teach man fishing, and you feed him for life"
Clients ask" will this resolve all my problems? or will therapy work" frankly, therapies don't work. You have to make them work. You have to put energy and effort for it to work. It's like entropy. The new job of a psychologist or a psychotherapist is not only to get you out of your issues and current problems. The task now extends also to prepare you if another similar problem arises. There are no throw away solutions, now they get dicovered with guidence. Therapy now is making a new therapist. As padesky puts it" our goal as therapists is to teach our clients a process of evaluating their goals, thoughts, behaviors, and moods so that they can learn methods for improving their lives for many years to come. Yes, many years to come. So next time look for a teaching therapist. The one who teaches you to fish.
2) New therapy doesn't end in 45 minutes.
"The great aim of education is not knowledge but action"
You will be out of the therapist's office in an hour, but the rest of the time you carry therapy with you. The new therapy is complimented with an action plan. You have to work on some things that might be thoughts, feelings, people or some action. You do exercises, work on worksheets or become your own therapist for the rest of the week. This is more like a homework, but fun and interesting. A good action plan will make you contemplate a little bit, but also courageous enough to do it. Working on your action plan is a new way to get out of your cluttered thoughts and manage feelings. You achieve goals and come with new goals to achieve more next time.
3) New therapist doesn't buy everything you say.
"Interruption causes learning"
The new therapist is not on a shopping spree with her bag to buy everything you say. She/ he is direct, has a certain kind of empathic compassion not sympathetic understanding. She interrupts skillfully. A modern day stoic socrates to be precise. Concretises abstractions and abstracts the rigid. Makes you measure your own judgments and thinking. The new therapist not only listen and take notes. She questions. Thinking is driven by questions. They rather makes you think and write about it. They experiment inside and outside of the session. They collaborate with you and support to reach the goal of the session as well as therapy. Bottom line, they stop the cycle that keeps you there. They interrupt your old process that's giving you old results.
These are only some process that happens in the new therapy. Every therapist has customized his her own style, language and stance. You might be grasped with a disorder, or short term distress. Mostly you have reached a point by developing yourself and need to go higher. It's no more difficult to get a therapist, she/ he might just be available in your own office. They may be in that building around the corner or a click away on your phone app. This cycle of distress can be stopped with a minor effort. Stop it. And give yourself a chance.
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Menstruation is a physically painful affair for many women. Abdominal cramps accompanied by painful thighs and calves are commonly faced by many women just before the onset of their periods. In some cases, this situation can continue for the whole week, making it difficult to get any work done. This pain is also known as dysmenorrhea. Instead of popping a painkiller, here are a few homeopathic medications that can effectively cure this problem.
- Pulsatilla: Made from windflower, this is one of the oldest forms of homeopathic medication. Pulsatilla is suited to sensitive women and can be used to treat both irregular and painful menses. It also helps deal with over sensitivity and mood changes. Pulsatilla is most useful when taken between periods.
- Belladonna: Belladonna acts on the nervous system to treat sudden intense abdominal cramps and congested dysmenorrhea. If the blood in your periods is bright red and flows at a high rate, belladonna may be the solution to your problems. Other associated symptoms belladonna can help treat are red, flushed skin and temperature spikes.
- Magnesium Phosphoricum: Every woman has a different type of menstrual pain. If the pain you feel is soothed by heat packs and application of pressure but aggravated by any type of movement, you could try to treat it with Magnesium Phosphoricum. This is also effective for period pains that increase in the night and early menses.
- Nux Vomica: Nux Vomica is made from the seed of a plant. This is particularly effective in cases of menstruation accompanied by diarrhea. Nux Vomica also helps treat irregular and prolonged menses. It also helps deal with abdominal cramps and heartburn. Nux vomica should ideally be taken in low potency doses as it can have a number of side effects when taken regularly in high potency doses.
- Cimicifuga: Cimicifuga is very effective when it comes to treating painful muscular cramps. Women who need cimicifuga will find that as the flow increases, so do the cramps. These women also suffer from headaches, severe abdominal pain and shooting pains in the thighs. Along with pain, it also helps treat nervousness that may be a result of the menstrual discomfort.
- Chamomilla: Every woman deals with her pain in a different way. For some women, passive movement like driving a car can help alleviate pain. In such cases, the use of chamomilla can be very beneficial. It also helps with clotted bleeding and bleeding between periods.
Mostly, menstrual pain during menses is due to hormonal irregularities and cysts of ovaries or uterus. So, in case of complaints, we need to access these also while selecting remedies. Constitutionally and symptomatically selected medicine in Homeopathy will help the patients get relief. If you wish to discuss about any specific problem, you can consult a Homeopath.
Sleep is an important part of our biological cycle and disruption to a good night's sleep especially after working in night shifts may affect women's brains more than men's say researchers. The findings revealed that the circadian effects the 24 hours biological cycle on brain performance was significantly stronger in women than in men such that women were more cognitively impaired after the end of doing night shifts