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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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Mujhe pcod hai. Saadi ko 3 years ho gaye hai. Bacha chahti hun But nahi ho arha. Face par hair aa rahe hai.please help
I had taken 2 unwanted 72 within a month in august and September. I got my periods for the month September and October which lasted for 3-4 days. I haven't had sex since the last time I took the pill. But I haven't got my menses for the month of November and December till date. I am really worried. I took unwanted 72 within 24 hrs.
Please tell me there can be chance of pregnancy if pregnancy test kit shows negative results on 28th day of last period start date.
We just had sex 4 days ago but now she is bleeding my gf had been taking ipill just after we had sex. Is she pregnant or not? Please advise
My wife period comes ten day early. I have not done any surgery. I had an infection om my private part related to skin but now ok.
We had sex last Sat. The next day n the day after I got the test done at home. It showed negative. Bt I haven't got my periods yet. Im really worried. Can someone please help n tell me if im pregnant or not. I need to confirm it. It's very serious. Need to know the exact reason. Why the periods are delayed. Please reply. Please.
I have taken mifepristone yesterday night and expecting for bleeding. Shall I take papaya to get bleeding soon.
I am suffering from white discharge sometimes. Whether it is a matter to worry for an unmarried girl at tge age of 26.
Preconception planning and health care focus on things you can do before and between pregnancies to increase your odds of having a healthy child. For a few women, preparing their body for pregnancy takes a couple of months. For others, it may take longer. Here are a few things you should consider in your preconception planning:
- See your doctor: Before getting pregnant, consult a doctor and talk to them about the preconception healthcare needs. The doctor will need to examine your family history and any other medical conditions you may have at present that could influence your future pregnancy.
- Medical conditions: In case you have any medicinal conditions, make sure they are under control and being dealt with properly. Some of these conditions include: STDs (sexually transmitted diseases), diabetes, thyroid, phenylketonuria (PKU), seizures, hypertension, joint inflammation, dietary issues and other chronic diseases.
- Lifestyle and behavior: Consult a doctor or a specialist in case you smoke, drink liquor or use drugs; live in an unpleasant or oppressive environment; or work with or live around harmful substances.
- Medication: Consuming certain medicines during pregnancy can bring about genuine birth defects. These include some remedy and over-the-counter pharmaceuticals and dietary or home grown supplements. In case you are planning a pregnancy, you need to examine the requirement for any medicine with your specialist before becoming pregnant and ensure you are taking just those medicines that are vital.
- Take 400 micrograms of folic acid every day: Folic acid is a vital nutrient that the body requires, especially during pregnancy. If a woman has enough folic acid in her body at least one month before and during pregnancy, it can prevent some birth defects of the infant's brain and spine.
- Quit drinking alcohol, smoking, and using drugs: Smoking, drinking liquor and consuming drugs can bring about numerous issues during pregnancy for a woman and her child which may include untimely birth, birth imperfections, and newborn death.
- Dodge toxic substances and environmental contaminants: Dodge lethal substances and other ecological contaminants and destructive materials at work or at home. For example, engineered chemicals, metals, bug sprays, fertilizers and animal faeces.
- Maintain a healthy weight: Women who are overweight have a higher risk for some serious conditions, including complications during pregnancy, coronary disease, type-2 diabetes and certain other diseases (endometrial, bosom, and colon). Women who are underweight are likewise at risk for other medical issues. The way to accomplish and keep up a sound weight is not about short-term dietary changes. One should maintain it throughout in order to stay healthy and fit.
- Family history: Gathering your family's health history can be critical for your child’s well-being. Depending upon your family history, you might be recommended to genetic counselling by your doctor. Women go for genetic counselling owing to different reasons such as having had premature deliveries in the past, an infant’s death, infertility, or even a hereditary condition or birth defect that happened during a past pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.
Low reserves are caused by
- Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
- Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:
- Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
- Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
- Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
- Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
- Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results. If you wish to discuss about any specific problem, you can consult a gynaecologist.