Book Clinic Appointment with Dr. Himani Sharma
Treatment Of Female Sexual Problems
Treatment of PCOS
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Normal Vaginal Delivery
Treatment of Infertility in Women
Caesarean Section (C Section)
Management of High-Risk Pregnancy
Treatment of Mirena (Hormonal Iud)
Management & Treatment of High-Risk Pregnancy
Treatment of Menstrual Disorders In Adolescent Gir
Oophorectomy / Ovariectomy / Ovarian Ablation
Laparoscopic Fibroid Removal
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I don't hav enough words to express how grateful I m to hav Dr Himani ma'am as my doctor . She is incredibly knowledgeable and the most perfect gynaecologist. I would strongly recommend her to any family & friends without hesitation. God bless you ma'am ......
Himani mam is polite, can share any problem regarding anything without hesitation... I too hesitated a lot before interaction.. Thanks a lot for ur kind behaviour mam!!
The cyclical change in the uterus and ovaries of the female reproductive system is called the menstrual cycle. It includes changes in the physiology of the uterus along with the change in hormones as well. This cyclical change is what allows a woman to get pregnant. This cycle allows the formation of ovocytes and helps to prepare the uterus for implantation.
The commencement of period is called the menarche. It normally starts from the age of twelve to fifteen years. The time between the first day of the period and the first day of the next one is usually twenty one to forty five days in young adults and twenty one to thirty five in older women. The entire cycle is mainly governed by hormones like oestrogen, progesterone, Luteinizing Hormone etc.
Hormonal changes play a big role in the menstrual cycle. It consists of three phases
- Menstrual stage (1-7 days)
- Proliferative stage
- Secretory stage
In the menstrual stage, the thick endometrial lining of the uterus will start to shed and will come out of the vagina in the form of blood and mucous. This may last from four to seven days. The levels of both progesterone and estrogen remain low in this phase.
In the second stage, i.e, the proliferative stage, the amount of oestrogen gradually rises and the menstrual flow reduces and eventually stops. The Follicle stimulating Hormone (FSH) is produced in the brain that stimulates your ovaries to produce mature eggs. The eggs are present in a follicular bag, which allows the secretion of oestrogen. Hence the amount of oestrogen is the least on the first day and increases gradually. At the same time, the uterine lining starts to thicken. This is the phase in which the egg is produced and in the presence of sperm, gets fertilised.
You may notice a thin slippery discharge around these days that makes it easier for the sperm to travel and survive in the uterus. You are most fertile in this stage, around on the 14th day of the cycle when ovulation occurs. The egg survives for around 24 hrs, whereas sperm can survive for about 2-3 days.
In the secretory phase, if the egg is not fertilised, the levels of oestrogen and progesterone fall. The thick lining that has been produced starts to shed and that commences the menstruation. If the egg is fertilised, then it may implant itself to the uterine wall and produce the pregnancy hormone called human Chorionic Gonadotropin (hCG).
A mother’s milk is said to be the most nutritious food for a new born baby. It contains the perfect balance of carbohydrates, fats, proteins, vitamins and minerals needed for your baby and changes to keep up with your baby’s growing needs. However, the benefits of breastfeeding extend way beyond nutritional value. Breastfeeding is beneficial for both you and your baby. Ideally, a baby should be breastfed for at least the first six months.
Here are 5 major benefits of breastfeeding.
- Stronger immunity: Mother’s milk is rich in antibodies and a number of unique compounds that help the newborn child’s body fight bacterial and viral infections. No other form of baby food is as rich in these antibodies. Babies who have been breastfed have a lower risk of suffering from ailments such as ear infection, stomach upsets and respiratory problems. The first milk expressed by a woman’s breasts after giving birth is known as colostrums. This milk coats the baby’s digestive system and prevents the growth of harmful bacteria.
- Fewer allergies: Breast milk is easier to digest than formula or cow’s milk. This protects the gastrointestinal passages from inflammation and prevents undigested food from triggering allergic reactions. Being breastfed can also reduce the number of allergies a child may suffer from in their later years.
- Healthy body weight: Breastfeeding makes a child less likely to suffer from obesity in their later childhood and adult years. This is because breast milk contains less insulin and more hormones as compared to formula. This helps regulate fat absorption. On an average, babied fed on formula put on weight quickly and are more likely to overeat in their later years.
- Stronger bones: Breastfeeding is beneficial for both the child and the mother. When a woman is breastfeeding her child, her body’s ability to absorb calcium increases. This helps increase bone density, especially as pregnancy can make bones weak.
- Builds a strong mother-child bond: After 9 months of carrying a child to term, giving birth may lead to post partum depression and a mother may feel the connection between her and the child severed. Breastfeeding helps nurture this connection and provides emotional relief to both the mother and child. For the mother, this experience releases hormones that reduce stress and relax the body. For the baby, close physical contact is very important and this process provides the perfect opportunity to do so.
Pregnancy can put quite a strain on your body. As your body changes to accommodate the growing baby, you may find yourself suffering from a few common discomforts associated with the various stages of pregnancy. Most of these are nothing to worry about. Here are a few of the most common problems faced by pregnant women.
- Backaches: As the body’s ligaments stretch and become softer to prepare for labour, you may feel a strain on your lower back and pelvis. This can cause a chronic backache. The growing weight of the fetus within your body can also add to this discomfort.
- Morning sickness: Despite its name, morning sickness can affect you at any time of the day. Most women begin to experience nausea and an urge to vomit from the 4th or 6th week of pregnancy, but this usually resolves itself by the 16th or 20th week of pregnancy. Some women may even feel sick for the entire day.
- Bleeding gums: Pregnancy hormones can make your gums more vulnerable to the build-up of plaque. This can lead to inflammation and bleeding gums. This condition may also be known as pregnancy gingivitis.
- Cramps: Many pregnant women complain of cramps in their calves and feet. This usually is more common at night, but the cause behind it is not clear.
- Urinary incontinence: Urinary incontinence is a problem experienced by many women during and after pregnancy. They often find themselves involuntarily urinating while coughing, laughing or sneezing. In most cases, this is a temporary problem caused by the relaxation of pelvic floor muscles (to prepare for delivery) and should resolve itself after delivery. Women may also find themselves feeling the urge to urinate frequently. This may be because of the pressure being placed on your bladder by the uterus.
- Skin and hair changes: Pregnancy hormones can make birthmarks, moles and freckles darken. Your nipples may also turn darker. In addition to this, you may notice the bumps around the nipples become more prominent. Pregnant women may also find their skin more prone to sunburns. You may also notice an increased rate of hair growth.
- Feeling hotter than normal: The hormonal changes occurring during pregnancy can make you feel warmer than normal because of increased blood supply to the skin. You may also find yourself sweating more than usual. In addition, you may also feel faint because of decreased blood supply to the brain.
Although most women experience menopause between the age of 45 and 55, but when women experience the menopause before they reach 40, it is termed a premature or early menopause. It is also known as premature ovarian failure.
This may be due to primary ovarian insufficiency in which there is decreased activity in ovaries and the periods spontaneously stops. It may be result of chemotherapy treatment for cancer or it can be surgically induced menopause when the ovaries are removed. Premature menopause can also be caused by treatments for cancer or other conditions that involve chemotherapy or radiation therapy for the pelvis. These treatments can damage the ovaries and result in ovarian failure. The chances of premature menopause depend on the type and amount of chemotherapy as well as the age of the patient
Removal of both ovaries by surgery causes menopause right away. Menstruation stops after this surgery, but the hormones of women facing such condition drop quickly. They experience strong menopausal symptoms such as hot flashes and diminished sexual desire.
Chromosome defects like Turner’s syndrome can lead to premature menopause. In this condition, the female is partly or completely missing an X chromosome due to which the ovaries does not form normally leading to early menopause. Women with a family history of premature menopause are more likely to have the same themselves. Autoimmune diseases like Thyroid disease and rheumatoid arthritis that attack the body's immune system may mistakenly effect the ovaries thus preventing them from making hormones.
One should visit agynaecologist, if the period stops or changes before the age of 40. Menopause is confirmed when a woman does not have her period for 12 months in a row. Blood tests for measurement of oestrogen and related hormones, like follicle-stimulating hormone determines if one has reached premature menopause
Women have premature menopause can be observed as physical problems, emotional disturbances or problems associated with sexual functioning. Women experience sudden waves of mild or intense body heat commonly known as hot flashes and can also experience profuse sweating called as night sweats and have difficulty in sleeping. They experience vaginal dryness and the sexual drive or the libido also decreases. The bone density decreases leading to osteoporosis and fractures. In addition to physical symptoms, there are emotional symptoms like anxiety, mood swings, loss of focus and difficulty in concentration. Women who want to conceive and go through premature menopause may feel extremely upset. The sexual symptoms include dryness and thinning of walls of vagina, thus causing pain or discomfort during sexual intercourse. In case you have a concern or query you can always consult an expert & get answers to your questions!
In the course of their life, women have to go through a lot of changes and challenges that make them wiser and better at handling the circumstances that they faced. Women go through physical as well as emotional changes when they reach puberty. Also, after the menstrual cycle begins the lady has to struggle through different pre-menstrual symptoms each month. It is because of the menstrual cycle that women are able to conceive and give birth to life, which means that it can be safely said that the source of all human life is owed to the menstrual cycle of women.
It is however, seen that when the menstrual cycle comes to an end in the form of menopause and the uterus takes a retirement, the women going through menopause end up experiencing difficult times and health issues. A lot of women complain of severe mood swings, depression, increased fatigue, hot flashes, dryness in the vaginal region and even problems like osteoporosis in a lot of cases. While these may sound like deadly challenges and a lot of women may lead unhealthy lives by accepting the changes, it should be realized that the problem is treatable.
Hormone replacement therapy:
When the menstrual cycle works regularly, it ensures that the level of hormones in the body are regularised and the body does not face discomfort, but when menopause strikes the body stops making the important hormones and throws the system out of order. In order to make sure that the body remains healthy and the problems related to menopause are kept at bay, it may be important to replenish the body with the hormones and this is how the hormone replacement therapy works.
HRT or hormone replacement therapy is found to be a common medication and type of treatment in the modern times, but this does not mean that the patients may be safe by getting their treatment from just any doctor. It is particularly essential to make sure that the best gynaecologist in the field is chosen and the therapy is started only with the right expertise. The administering of the hormones may be a tricky treatment and if the patient is not in the right hands, they may fall prey to problems such as inadequate or excessive hormones, which may in turn be a source of more health issues.
Choosing your expert:
Running a simple search on the internet about how the treatment for hormone replacement should be taken and the doctors who specialize in the course of treatment may lead you to a number of reliable names. With the help of the search and a thorough study about the background and experience of the specialists so that you are able to put yourself in safe and able hands only.
Hi Sir, I used MTP kit for abortion on 30th June, than bleeding occurred for 6 days. Still pregnancy testing strip is showing double line. Does it means I am still pregnant?
Can we repeat unwanted kit Maine 30-1 July me unwanted kit li thi or 2 July tak bleeding nhi huyi na hi spot laga mere pregnancy 2 week ki h what should I do?
I took primon N norethisterone tablet. 8 days back. 3 pills per day. It is 6th day today I got 2 two drops of blood yesterday and nothing since then. I am worried. Please help me knowing primon N is used for delaying periods or for what is it?
There are several medical conditions that can adversely impact the vulva in females. There can be infections ranging from mild to high as per the skin condition. The vulva is also at the risk of developing cancer in some cases. It is advisable to consult a doctor, whenever you find any bleeding, rash or lump in the vulva. Your doctor will be in a position to tell whether you need immediate treatment or not. Your symptoms will help him to determine the cause behind the changes.
What is the vulva?
Vulva forms the outer (external) sex organs of a woman. It is made up of two pairs of muscular 'lips'. The outer pair is called the labia majora. The outer pair is covered in pubic hair. The inner pair is called the labia minora. The inner pair is thinner and is very delicate and sensitive. You will find two openings in between these lips. These lips lead to uterus and urethra separately. There is a tiny organ called clitoris that lies just in front of the vulva.
What are the symptoms linked to vulva related diseases?
The symptoms will depend obviously on the underlying condition. Ranging from pain, itching, and finding a lump, you may notice several kinds of symptoms. All these changes are related to the appearance of the vulva. The symptoms decide the gravity of the situation. It is advisable to not wait and take prompt medical help in case of lumps in the vulva. A doctor will be able to tell what has happened to tell you by means of physical examination first. Later, you might have to take tests like internal swab test. A swab is nothing, but a small ball of cotton attached to a thin stick. It will be rubbed inside vulva to collect samples for testing. The doctor may also go for a biopsy to confirm the presence of carcinogenic cells in the vulva lump.
What infections can affect vulva?
Vulva can be affected by infections that are caused by germs such as bacteria, viruses and fungi. You may be affected due to the following infections:
1. Thrush: It is a common infection in women. It leads to a whitish discharge. It makes the vulva red and very itchy. It can be treated with anti fungal creams.
2. Genital herpes infection: It is a sexually transmitted infection and spreads by skin-to-skin contact. Many people who are infected might not have symptoms. But they are carriers and can pass on to a healthy person. There is an occurrence of mild soreness or blisters.
3. Genital warts: It is caused by viral infection due to close sexual contact.
4. Other infections: You vulva can be affected by scabies and pubic lice.
In case you have a concern or query you can always consult an expert & get answers to your questions!