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Dr. Jasneet Kaur

Gynaecologist

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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Things You should Know About PCOS

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Things You should Know About PCOS

Things you should know about Polycystic Ovary Syndrome (PCOS). I am Dr. Jyotsna gupta (Gynecologist/Obstetrician). What is Polycystic Ovarian Disease (PCOD) or Polycystic Ovary Syndrome (PCOS)? Polycystic ovary syndrome (pcos) is a health problem that can affect a woman's menstrual cycle - Ability to have children. Appearance Hormones Blood vessels Heart With PCOS/PCOD, women typically have high levels of'androgens, these are sometimes called male hormones, though females also make them. Many a times,small cysts (fluid-filled sacs) are formed in the ovaries. What causes PCOS? The cause of PCOS is unknown. But most experts think that several factors, including genetics, can play a role. Women with pcos are more likely to have a mother or sister with pcos. A main underlying problem with pcos is a hormonal imbalance. In women with pcos, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.High androgen levels can lead to Acne, excessive hair growth, weight gain problems with ovulation. How many women have pcos? Between 1 in 10 and 1 in 20 women having childbearing age has pcos. It can occur in girls as young as 11 years old. What are the symptoms of pcod or pcos? The symptoms of pcos can vary from woman to woman. Some of the polycystic ovary syndrome symptoms include: infrequent, absent or irregular menstrual periods. Infertility (not able to get pregnant) because of not ovulating. In fact, pcos is the most common cause of female infertility. Increased hair growth on the face, chest, stomach, back, thumbs, or toes, male-pattern baldness or thinning hair. Cysts on the ovaries, acne, oily skin or dandruff, weight gain or obesity, usually with extra weight around the waist. Skin tags excess flaps of skin in the armpits or neck area, pelvic pain, anxiety or depression Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black Sleep apnea when breathing stops for short period of time while asleep. How do I know if I have pcos? There is no single test to diagnose pcos. Your doctor will take the following steps to find out if you have pcos or if something else is causing you symptoms. Medical history - your doctor will ask about your menstrual periods, weight changes, and other symptoms. Physical exam - your doctor will measure your blood pressure, body mass index (bmi), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit. Pelvic exam - your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts. Blood tests - your doctor may check the androgen hormone and glucose (sugar) levels in your blood. Ultrasound (sonogram) - your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (lining of the womb). This lining may become thicker if your periods are not regular. How is pcos treated? Because there is no cure for pcos, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for pcos include: lifestyle modification. Many women with pcos are overweight or obese, which can cause health problems. You can help manage your pcos by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include: limiting processed foods and foods with added sugars, adding more whole-grain products, fruits, vegetables, and lean meats to your diet. This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular. Birth control pills. For women who don't want to get pregnant, birth control pills can control menstrual cycles .Reduce male hormone levels Help to clear acne. Fertility medications - Lack of ovulation is usually the reason for fertility problems in women with pcos. Several medications that stimulate ovulation can help women with pcos become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Another option is in vitro fertilization (ivf). Ivf offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, ivf is very costly. Surgery - ovarian drilling is a surgery that may increase the chance of ovulation. It is sometimes used when a woman does not respond to fertility medicines. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. Medicines for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant. Before taking any medicines tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Other options include: cream to reduce facial hair Laser, hair removal or electrolysis to remove hair. Hormonal treatment to keep new hair from growing. Does pcos change at menopause? Yes and no. Pcos affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman is close to menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from pcos, such as heart attack, stroke, and diabetes, increase as a woman gets older. Polycystic ovary syndrome and pregnancy - how does pcos affect a woman while in pregnancy? Women with pcos appear to have higher rates of miscarriage premature delivery. Pregnancy - induces high blood pressure. Does pcos put women at risk for other health problems? Women with pcos have greater chances of developing several serious health conditions. Recent studies found that women with pcos can have diabetes or pre-diabetes at early age. Women with pcos are at greater risk of having high blood pressure. Women with pcos can develop sleep apnea. This is when breathing stops for short period of time during sleep. Women with pcos may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much. If you have pcos, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your pcos, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include eating right, exercising, not smoking. How can I cope with the emotional effects of pcos? Having pcos can be difficult. You may feel embarrassed by your appearance, worried about being able to get pregnant, depressed. Managing pcos (diet and exercise) - following lifestyle and diet modifications can help manage pcos symptoms to an extent. Frequently have small meals (5-6 times a day) without fail, drink a lot of water (8-10 glasses). Try to consume 2-3 servings of fruits and vegetables every day. Stick to a high fibre diet (wholegrains/fruits/vegetables). Give preference to home cooked meals, add brightly colored and white vegetables to your diet. They have high anti-oxidants food to avoid - Fried/packaged/processed foods. Foods with high glycemic exercises, suggested work out at least 5 times every week for at least 30 minutes Running, swimming, yoga strengthening exercises . Even if you don't lose weight, exercise in pcos helps to improve things like- insulin sensitivity, frequency of ovulation, cholesterol, body composition. Getting treatment for pcos can help with these concerns and help boost your self-esteem. It is advised that you should consult gynecologist who can help you based on your symptoms and requirements to manage pcod/pcos.

8 people found this helpful

Health Tip!

GAMS-Ayurveda, MD-TCM
Sexologist, Faridabad
Health Tip!

Take two bananas every day with milk and honey.

3 people found this helpful

Sugar Vs Honey

PG Diploma in Clinical Nutrition, Diploma in Dietetics and Health Nutrition, Health Coach
Dietitian/Nutritionist, Bangalore
Sugar Vs Honey

For people who think replacing sugar with honey in all ways is a healthier option!

Do not use honey in hot beverages or heat it by using it in baked recipes. When honey is exposed to heat, it releases a toxin called hydroxymethyl furfuraldehyde. Heating honey makes it harder to digest, it also hinders detoxification and produces toxins.

Stay Healthy... Stay Blessed!

4 people found this helpful

I am 18 I have did sex with my girl friend with out safety but sperm Didn't get so pregnancy will not get? And I clearly didn't entered my penis into her vagina so pregnancy will happen or not.

BHMS
Homeopath, Hooghly
I am 18 I have did sex with my girl friend with out safety but sperm Didn't get so pregnancy will not get? And I clea...
Precum also contain sperm,,soo without protection that can cause pregnancy also,,soo there is a chance of pregnancy
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How To Treat Vaginal Dryness?

MBBS, DNB (Obstetrics & Gynecology), (MRCOG)
Gynaecologist, Chennai
How To Treat Vaginal Dryness?

How to treat vaginal dryness
Production of estrogen slows down and eventually stops during menopause. Quite a few changes take place when this happens. Often these changes are unwelcome. Irregular menstruation happens and finally stops. Mood swings, hot flashes, increased facial hair and deepening of the voice may happen as well. Another common menopause symptom is vaginal dryness, as it affects one third of all women. Any age group can experience vaginal dryness due to various factors. It may initially appear to be just an irritation, but reduced vaginal moisture may adversely affect sexual performance. Thankfully, multiple treatment options are available for relieving vaginal dryness.

Vaginal dryness caused by reduced estrogen levels can be easily treated by applying topical estrogen. It compensates for the body’s reduced estrogen production.
Three common vaginal estrogen types used by most women are:

  1. Estrogen tablet: Disposable applicators can be used for inserting a tablet inside the vagina, once daily during the initial two weeks or so of treatment. The dosage is reduced to twice weekly till it is no longer needed.
  2. Estrogen Cream: An applicator can be used to apply the cream inside the vagina. Usually the cream is used daily for up to two weeks and then the frequency is reduced to thrice weekly or as recommended by the doctor.
  3. Estrogen Ring: It can be inserted by your doctor or you in the vagina. It is a flexible and soft ring that steadily releases an estrogen stream directly into the vaginal tissues. The ring has to be discarded and replaced with a new one after three months.

To keep the lubrication in the vagina constant, one can use vaginal moisturizers. These can be bought from a supermarket or at a drugstore, however, bubble baths, douches, lotions and scented soaps should be avoided. Such products may increase vaginal dryness.

However, topical estrogen should be avoided by women:
1. Who have been diagnosed with breast cancer, more so when they are using aromatase inhibitors.
2. Who have had/have endometrial cancer
3. Who suffer from vaginal bleeding, the cause of which cannot be identified
4. Who are breastfeeding or are pregnant

In case you have a concern or query you can always consult an expert & get answers to your questions!

2428 people found this helpful

I'm observing blood during defecation since two days. Though I experienced no pain or any kind of inflammation. It feels like bowel movement is causing those few drops of blood to come out. I never experienced this before. Can you please help me to get rid of it and do let me know the reasons why am I experiencing this,

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Delhi
Get your stool examination and complete blood count also. Stop hot, spicy food can take cold milk, isogol husk with curd. If not relieved see surgeon.
1 person found this helpful
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Difficulty In Swallowing Your Food - Can You Be Suffering From Achalasia?

MBBS, M.S. (Gold Medalist), MCh - Surgical Gastroenterology/G.I. Surgery
Gastroenterologist, Agra
Difficulty In Swallowing Your Food - Can You Be Suffering From Achalasia?

The tube that carries food to your stomach from your throat is called the oesophagus. When the muscular valve (lower oesophagus sphincter) in the oesophagus fails to relax and carry the food to the stomach, the condition is termed as achalasia.

Achalasia has a variety of causes, and can be difficult for your doctor to diagnose the exact cause. Some common causes of achalasia include:
1. Hereditary predispositions
2. Autoimmune disorders (The immune system erroneously destroys healthy cells in the body)
3. Nerve degeneration in the oesophagus
There other medical conditions that often lead to symptoms identical to achalasia, such as oesophageal cancer and Chagas’ disease (an infectious disease caused by a parasite).

Other symptoms of achalasia include:

The most prominent symptom of achalasia is dysphagia, which is characterised by swallowing difficulties or sensations of food stuck in the oesophagus. Dysphagia often triggers coughing and shortness of breath or choking on food.
1. Discomfort or pain in the chest
2. Weight loss
3. Heartburn
4. Intense discomfort or pain after eating

Some of the treatments include:

Most of the methods to treat achalasia focus on the lower oesophageal sphincter (LES). The treatments used can either permanently alter the sphincter’s function, or reduce symptoms.
1. Oral medications such as calcium channel blockers or nitrates are prescribed, which can relax the LES to let food pass through with more ease. Your doctor may also treat the LES with Botox.
2. For a more permanent treatment, the sphincter can be dilated or altered. In dilation, a balloon is inserted into the oesophagus and it is inflated. This will stretch out your oesophagus to improve function.
3. To alter the oesophagus, oesophagomyotomy is performed. It is a kind of surgery where minimal incisions are made to gain access to the LES, and then it is carefully altered to improve flow of food to the stomach.

Unlike dilation, which can cause complications such as tears in the oesophagus, oesophagomyotomy has a greater success rate. However, certain complications may still arise, such as:
1. Acid reflux
2. Respiratory conditions that are caused by food entering your windpipe

In case you have a concern or query you can always consult an expert & get answers to your questions!

3390 people found this helpful

How To Avoid Problems While Doing Natural Penis Enlargement Exercises?

MD - General Medicine
Sexologist, Delhi
How To Avoid Problems While Doing Natural Penis Enlargement Exercises?

How to Avoid Problems While Doing Natural Penis Enlargement Exercises?

Ever since the dawn of time, one of the questions that men have been asking is how they can increase their penis size with ease and speed. With so many advancements in technology, science and medicine since the dawn of time, the good news is that there are actually various ways on how to do so now, such as through natural penis enlargement exercises.

Before starting any natural penis enlargement exercises, though, you should measure your penis properly first before jumping to conclusions. To get the most precise measurement possible, measure your penis when you have an erection. Basically, just measure your penis from its base to its tip. The majority of experts out there agree that normal erect penises should be between 5 and 6 inches long.

Normally, natural penis enlargement exercises are only advisable for men who have abnormal conditions called micro-penises that are less than 3 inches long when erect. Only six out of a thousand men in the world actually suffer from this condition, though, so chances are you don't actually need penis enlargement.

Still, if you want to get a bigger penis, then the best thing to do would be to follow safe methods like natural penis enlargement exercises to get the job done. Any other method tends to come with fake testimonials, skewed data and unreliable information on their procedures or contents.

Of course, it would also be important to know all of the necessary details before embarking on natural penis enlargement exercises, as well. This way, it will be easier for you to avoid unwanted problems in the long run.

It would be very important to do warm-ups before the actual exercises, for example. To warm up your penis, just wrap it in a warm washcloth for five minutes or so before starting your exercises. If you fail to do this, you could end up suffering from unwanted blisters and red sores. Fortunately, these blisters and red sores will disappear if you hold off on the exercises for a few days, though.

It would also be important not to use too much weight for too long or too often because this could result in tissue atrophy in the end. Tissue atrophy basically refers to a condition, wherein the penile nerves begin to swell and then continues for a prolonged amount of time. When this happens, you could end up having trouble getting an erection.

If at any point at all, you start to feel like there is something wrong or a problem is starting to pop up, stop following your exercises for several days first. During this time, take a lot of warm baths and then things should go back to normal before you know it. If the problem seems to be much bigger or if you are significantly bothered by something, however, simply ask your doctor for help.

Do not let this article scare you. Natural penis enlargement exercises are generally very safe methods for you to use to enlarge your manhood. Plus, when followed correctly, they can even make you much healthier overall. In fact, a ton of men follow these exercises on a daily basis without experiencing any trouble whatsoever.

Generally speaking, serious problems are actually very rare when it comes to these exercises, if not unheard of. You just need to make sure that you follow the instructions to a tee at all times. Also, if necessary, take things slow at first and work your way up as time goes by. This would hold especially true for beginners. Plus, this way, you can encourage your penis to grow as time goes by instead of forcing it into things too quickly.

5 people found this helpful
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