Doctor in Aakansha Clinic
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
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
I found the answers provided by the Dr. Mridul Gehlot to be very helpful. Thank u doctor.. but my gyn has not reffered me for TVS.. should i insist??
Dr. Mridul Gehlot provides answers that are caring and knowledgeable. Thank You Dr Mam
Dr. Mridul Gehlot provides answers that are very helpful. Yes all my doubts are clear
I have pco multiple small cyst found in my left ovary my right ovary is normal. I have regular menstrual cycle of 35 days. I really want to conceive and my tsh 1.34 and my weight is 40 height is 5.2 and prolactin is 9.36 haemoglobin is 13.2 last month my period is on 20 Dec. Can I be pregnant in this month please am very curious about.
Labour and delivery are demarcated by the end of the pregnancy when a woman delivers the child or more than one child and it leaves the uterus. Normally, the gestation period for humans is somewhere around 37 weeks to 42 weeks. In most developed countries, the deliveries happen in hospitals, where as in developing as well as under developed countries, births happen at home under the supervision of traditional birth attendant, called the midwife.
Stages of Labour:
Vaginal delivery is the most common form of childbirth. Labour consists of three stages
- The opening and shortening of the cervix: Lasts from 12 to 19 hours
- Coming down of the baby and its birth: 20 minutes to 2 hours
- Expulsion of the placenta: Varies from 5 to 30 minutes
In the first stage, your abdominal muscles will begin to cramp associated with back pain. These cramps can be of durations of half a minute, about 10 minutes apart. These contractions start coming closer and become more intense as the second stage starts closing in. During the second stage, you may have to push along with the contractions to help give birth to your baby. Most babies are born head-first, although there are cases, when the baby is born buttocks first or legs first. This is commonly called “breeching”. In the third stage, it recommended to cut the umbilical cord and ensure that the placenta is entirely removed from the uterus or it may cause complications later.
The onset of labour is marked by the expulsion of the amniotic fluid and then the contractions begin to set in. Most women can walk around and eat food during labour, but when the contractions start to get too painful, it is suggested to get help and have someone around during that time. It is not recommended to push during the first phase, but then it becomes essential to push from the second stage onwards. Your gynaecologist will be able to tell you which stage of labour you are in by looking at the dilation of your cervix. As soon as you start to feel your contractions kicking in, you must contact a gynaecologist or your birthing attendant.
Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.
Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:
- Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
- Mammogram and breast ultrasound: You will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
- Biopsy: In this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.
Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding.
Cervical cancer (a malignant tumor of the cervix, the lowermost part of the uterus) is one of the most preventable types of cancer. Because of the Pap smear test, the number of cervical cancer cases has actually dropped over the past 20 years. However, many women still develop cervical cancer.
While some cases of cervical cancer cannot be prevented, there are many things a woman can do to reduce her risk of developing cervical cancer.
Reduce Your Risk of Cervical Cancer:
- Get a regular Pap smear. A Pap smear can be the greatest defense against cervical cancer. It can detect cervical changes early on, before they have a chance to turn into cancer.
- Limit the number of sexual partners you have. Studies have shown that women who have many sexual partners increase their risk for cervical cancer. You also increase your risk of developing HPV, which has been shown to lead to cervical cancer.
- Quit smoking or avoid secondhand smoke. Smoking cigarettes increases your risk of developing many cancers, including cervical cancer.
- If you are sexually active, use a condom. Having unprotected sex puts you at risk for HIV and other sexually transmitted infections (STIs), which can increase your risk factor for developing cervical cancer.
- Follow up on abnormal Pap smears. If you have had an abnormal Pap smear, it is important to follow up with regular Pap smears or colposcopies, and whatever else your doctor has recommended for you. If you have been treated for cervical dysplasia, you still need to follow up with Pap smears or colposcopies.
- Get the HPV vaccine. If you are under 27, you may be eligible to receive the HPV vaccine, which prevents high risk strains of HPV in women. The vaccine is most effective when given to young women before they become sexually active.
Again, cervical cancer prevention should be a top priority for all women. Small lifestyle adjustments, combined with regular medical care, can go a long way in preventing cervical cancer. If you wish to discuss about any specific problem, you can consult a oncologist and ask a free question.
Pls suggest my wife got pregnant from 4 months which food items or fruits any others Pls suggest me when we have to take TT injection, now we have to make scanning or not.
Are you experiencing swelling, bump and lesions in your vaginal area? These might be an indication of female vaginal sores. They may be itchy, quite painful, are usually tender and may also produce discharge. The sores usually develop because of skin disorders. Most cases of genital sores are symptoms of some kind sexually transmitted infection (STI).
Diagnosis of female genital sores
A physical examination is undertaken for finding out the exact cause of genital sores and swelling in women. A pelvic test may also be carried out and you will be required to provide your doctor with your medical history reports. Blood tests, including blood work and a culture of the sore are also used for diagnosis. A culture is referred to as the method of taking a sample from your genital sore and testing it for the detection of bacteria. An ideal treatment method is suggested by your doctor after proper diagnosis.
Based on the symptoms you experience and observe, you can cure vaginal sores by using simple self-care methods before consulting a doctor. A sitz bath is effective for getting relief from pain and discomfort. You can prepare a sitz bath at home by filling your bathtub with warm water and adding a saline solution or baking soda to the water in the bathtub. The water should be up to your hips when you get into the bathtub. You may even purchase a small basin meant for a sitz bath, which is available at all drug stores.
There are various ways of treating vaginal sores and the exact treatment depends on the cause of the sores. Here is a list of the most common treatment methods:
- Use certain oral and topical medicines for treating the sores and getting relief from pain.
- Try other medicines which include pain relievers, antibiotics, corticosteroids, antiviral medications, and certain anti-itch medicines for treating vaginal sores.
- Some forms of genital sores do not require treatment, but you can get rid of them if they are bothering you. A noncancerous cyst is such a type of sore.
- The long term outlook for vaginal sores depends on the cause. Sores accompanied by swelling occur due to chronic skin conditions, which are likely to affect you again in the future. You should get an existing STI treated for avoiding the recurrence of vaginal sores.
- The best way to keep away from vaginal sores is to have safe sex using protection, such as condoms. This will prevent the infection from being transmitted to your sexual partners. You must not hide the fact that you are having vaginal sores to avoid harassment, and should always open up and seek proper treatment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Natural therapies are a great option to support your body and prepare it for pregnancy. As with any approach trying to decrease the chance of miscarriage, these steps will help to nourish and support the body, inviting a healthy pregnancy to occur.
Preparing ahead of time for your pregnancy is also important for decreasing the chance of a miscarriage, these steps must be practiced for at least 3 months before you become pregnant again. If you are currently experiencing a miscarriage consult a doctor or midwife right away.
1. Prepare for conception: The first step is to prepare your body with fertility cleansing. Fertility cleansing helps you to support the liver in cleansing the body of old toxins and excess hormones while encouraging the uterus to cleanse itself of ‘old’ contents, increasing uterine circulation and tone.
2. Eat a nutrient dense fertility diet: The next step is to nourish and build up your body to be a healthy, baby friendly body. This can be done through eating a well balanced and nutritious diet. What you eat has a strong impact on:
- The health of your eggs
- Your hormonal balance
- Creating a healthy placenta
- Decreases chance of a miscarriage
- Building nutrient storage for baby
- Creating a healthy reproductive system
3. Build a healthy foundation: One of the major foundational steps to increase your chance of having a healthy pregnancy is to take some basic vitamins, minerals, and EFA’s. There are specific vitamins and minerals that are necessary for a healthy reproductive system, hormonal balance, and ovulation. Essential fatty acids are also extremely important for miscarriage prevention.
4. Apply fertility or abdominal massage: Another important element of promoting a healthy conception is to increase circulation to the uterus. Through applying a simple massage method called self fertility massage you are able to increase the circulation to the uterus, clear adhesions and congestion. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The abnormal growth of the endometrium tissue outside the uterus is known as endometriosis. Ideally, the abnormal tissue is supposed to break down and exit the body. However, in this condition, the tissue is unable to pass out of the body. As a result, the surrounding tissue tends to get irritated and leads to the formation of scar tissues.
The various causes of endometriosis include:
- Immune system disorder: Complications in the immune system might render it incapable of destroying the endometrial tissue that grows outside the uterus.
- Surgical scar implantation: Certain surgeries such as a C-section may result in the attachment of endometrial cells to the incision area.
- Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
- Retrograde menstruation: Instead of passing out of the body, under this condition, the blood flows back into the pelvic region via the fallopian tubes. When these cells attach themselves to the pelvic cavity, it causes endometriosis.
1. Pain during sexual intercourse
2. Pain during periods including pelvic pain, especially during periods, lower back pain and abdominal pain.
3. Excessive bleeding during periods
The major complication that results is fertility problems. Endometriosis may prevent the combination of the egg and the sperm and thus, impairs your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder also tends to increase the risk of ovarian cancer in some women.
How can it be treated?
Endometriosis is usually done using surgery or medications.
- Medication: It usually involves painkillers.
- Hormone therapy: Some of the hormonal therapies include:
- Hormonal contraceptives
- Progestin therapy
- Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
- Conservative surgery: If a patient wants to become pregnant, surgery is done as much as possible without harming the uterus and ovaries. Suggested procedures include laparoscopy and traditional abdominal surgery.
- Assisted reproductive technologies: An example of this form of treatment is In Vitro Fertilization.
- Hysterectomy: Under severe circumstances, total hysterectomy is conducted in order to facilitate the removal of cervix and uterus. If you wish to discuss about any specific problem, you can consult a gynaecologist.