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Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
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Hello doctor, I have not got my periods. Last month I got on 18 th Feb. We had our intercourse on 13 March. please Suggest me. What is conceiving period. After intercourse?
I am taking ovashield tablet for pregnancy from day 3 my stomach is always full my period date is 20th of june. I am having stomach pain and back pain it looks like periods pain. Now I am in day 14th. 6 more days to go for my periods is there any chances to get pregnant .had one abortion. Doctor did dnc .post dnc USGis normal but having pain in my left side and right side please advice Can I stop the tablet is it due to tablet I am getting pain.
Choosing a life partner
In my practice, I often see clients on the verge of either divorce or a nervous breakdown due to a failed marriage/relationship. Without exception, each of them tells me they made a mistake in getting married to their respective partner. I find thatone of the absolute biggest mistakes people make when choosing a life partner is not assessing compatibility.
Rather than take adequate time and effort to assess compatibility, many people jump head-first into a relationship based upon items that are not very good indicators of relationship success. Two major reasons couples link up include physical looks & shared interests. “Oh, she likes sports too,” or “We both have an interest in movies/theatre,” are not reasons to link up for a lifetime. While you most certainly want to be physically attracted to your partner, looks are bound to change. And common interests, well…how many of us have all the same interests today as we did as teenagers or early adulthood? Find any couple who has been married 25+ years and see if they tell you that shared interests or physical attraction are what keeps them going in tough times.
Honestly I don’t understand how so many significant issues like “Do you want children? How important is sex to you?,” and “What religions/traditions do you follow and would you expect me to follow them?,” are not discussed prior to getting married or moving in together. Relationships involve investing time and emotions. There is no sense doing all that if you aren’t compatible with someone.
So, what should couples be focusing upon before commitment? Here is a pretty extensive list of Compatibility Checklist that I believe all couples should discuss before agreeing to be life partners (or even just getting too serious with each other).
Lifestyle- What kind of lifestyle do you want to live? How often do you want to travel? What do you think about living with parents/extended family?
Life Goals- what are some of your most important life goals—both long & short term? How do you plan to reach these goals? Do you prefer a partner who helps you meet these goals or just supports you from the sidelines? Do you want to have similar life goals as your partner?
Children- do you want children? If you want children and one partner cannot have them, would you adopt or use alternative methods? How many children are ideal for you? How soon after marriage would you want children? Will one of you stay home full-time to raise them? What is your outlook on childcare & outsiders raising children?
Individuality and space in a relationship- do you view your partner and you as one entity or as different individuals with their own thought process and point of views, interests, social life, professional growth and habits? Are you able to respect each other’s differences and agree to disagree peacefully on certain issues?
Finances- how well do you manage your money? How do you view saving, investing, and retirement? Do you expect to have a dual-income household? Do you expect to combine finances or keep them separate after marriage? Does either partner have any financial liability/loans/debts and what is expected of the other partner in handling these?
Sex- how important is sex to you? How often do you ideally want to have sex? How important is variety in the bedroom to you? Are there other items related to sex that are important for you to discuss?
Family- how important is family to you? Who will take care of your parents/siblings if they need it? How will your parents influence your life together & child rearing? If your parent steps in and meddles in your relationship, how will you handle it? Are both of you willing to draw boundaries with your respective families when it comes to your relationship?
Religious beliefs- how religious are you? Are religious traditions important to you? If so, which ones? If you are from different religious backgrounds, how will you balance this? What religion will you want your future children to be raised?
Interests- while interests are not dealbreakers, they can help you to better know what is important to your partner. How flexible are both of you to learn about the other’s interests and encourage each other to pursue them?
Disagreements- how do you react when you get mad or angry? How will you handle an argument with your partner? Do you have to settle all disputes before going to bed that night or do you prefer to sleep it over and talk when you have cooled down?
Deal-breakers- what are your deal breakers in a partner? What is it that you will absolutely not tolerate from your partner and is he/she able to handle that?
The reasoning behind discussing this Compatibility Checklist is that although humans certainly change over the years, their basic principles and values stay the same. For example, one’s desire to have children, religious practices, and beliefs on caring for elders are more likely to be stable over the years. If you don’t want kids today, you’ll more than likely never want them and if you absolutely can’t handle not marrying a person of a certain religion today it is highly unlikely you will change that opinion several years from now. Mutual trust and respect are the foundations of a lasting and loving relationship. A marriage takes a lot of effort to build and sustain, one needs to see if both the partners are up for it!
Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.
Emergency Contraceptive Pill?
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .
When to take #ECP?
Emergency contraception offers women a last chance to prevent pregnancy after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.
Side effects of emergency contraception:
Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.
Effects on Pregnancy:
There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs
Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.
When to contact a doctor after taking the ECP?
If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.
How long effect of ECP last?
The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.
When to expect periods after taking ECP?
Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.
Does Weight Affect Emergency Contraception effectiveness?
Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.
Dr. Jyotsna Gupta
#gynecologist #pregnancy #emergencycontraceptive #drjyotsnagupta #ECP #gynaecologist