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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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I faced grade 2 varicocele problem and infertility. Which surgery is best open surgery or laparoscopic surgery.
I am 25 years old my periods are irregular from stat some time 15 days late and some time perfect time or 2 to 3 months I had a baby girl 1. 5 years old she was born 2. 7 kg. Is this affect my second child.
How to improve sex power and if I intercorse with anybody. It create effect my sex power or mantility.
Hello Doctor I have a ques. I do not wanna any baby now. I think she got pregnant because her period not come on time. Her last period came on 2nd feb and finished on 6th feb and be both sex with each other on 7th feb. After that her period not comes till now. I gave her a kit to remove pregnancy but it not work. What can I do I can't understand. please suggest me with your best advice and treatment. Is any treatment is available with any contraceptives. please suggest me.
Last time her period is 14/03/2017 in between I intimate her two tym with safety once in middle of period. Her mc is 28 to 30 days. After this 18/04/2017 I intimate her two tym. I regularly check period from 14/07/2017 but result is negative. I can give her mtp or wait sometime. Please suggest and I test with pregnancy kit but 5 times it shows negative.
I have missed my periods since two months. I'm sexually active but have safe sex. I took urine pregnancy test too to rule out the possibility of pregnancy and test were negative too, so what's wrong with me and y I don't get my periods. I have an history of irregular periods from last 7-8 months but for continuous 2 months is for the first time, pls help?
Dr. Meri period date 20 hai aur is month mujhe hamare god ka imp function attend krna hai. Aur meri date kabhi extend nhi hoti .main hamesha 3 ya 4 din phle hoti hu. I want to ask you k 15 aug ko mujhe thodi bleeding hui uske baad abhi tak koi bleeding nhi hui. To ye kyun hua. Aur kya aise me main primolut n lungi to meri date extend hogi. Ya main tablet lete lete period me na ho jaun. Pls suggest kijiye. I am very tensed.
My wife is 35 now. 1 and half year back she delivered a baby boy. 31 or 34 weeks gestation. It was a c section. The doctor after two days pulled the suture. The would has still not got cured. Kindly advise.
What is recurrent miscarriage?
If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.
Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being.
If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.
Treatment of Recurrent Pregnancy Loss
Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.
A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.
Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures
Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.
Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.
Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid
Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.
Role of IVF
Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.
In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.
I am 29 years female. I have suffered from vaginal fistula during epiostomy. Is it curable thru medicines or operation is a must. Please advice.
Mujhe apni beti ke bare mein puchna h vo 15 years old h usko monthly problem rehti h means periods properly nhi hoti kabhi ho jati h kabhi nhi hoti kabhi kabhi to 2 months tak nhi hoti or hoti h to ek drop ya phir ek din ke liye please tell about it.
If a women want to conceive what kind of diet n supplements should she take n what care she should take till her pregnancy.
I have just delivered a baby 8 days back I have started breastfeeding her but I have cracked and bleeding nipples. They are very painful also. Kindly help.
I am 6 weeks pregnant Yesterday I had vaginal bleeding. Is it normal or should I be more careful. Can you please recommend me precaution I should be taking? And I am having cold all the time that cause my to block and I sneeze a lot. Doctor prescribed me medicine for my cold "Yale Lazine"
Inadequate intake of zinc rich foods like meat, shell fish, liver gelatin, beans, rice, bread, cereals lentils etc.
Incomplete absorption of zinc from the food due to many barrier likes presence of phytic acid in the diet hampers.
- Reduced appetite
- Retarded growth.
- Atrophy (shrinkage) of sexual organs.
- Hair loss
- Keratosis (desquamation) of tongue
- Skin affections.
- Delayed healing of wounds
- Decreased taste acuity