Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 43 years of experience on Lybrate.com. You can find Gynaecologists online in Jalandhar and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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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During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.
There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.
Risks involved: Things that make you more prone to an ectopic pregnancy are:
- The more you smoke, the higher your danger of an ectopic pregnancy.
- Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea.
- Endometriosis, which can bring about scar tissue in or around the fallopian tubes.
- Exposure to a chemical called DES before you conceived.
Symptoms: The signs of an ectopic pregnancy are:
- Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain
- Vaginal bleeding
Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:
- A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy.
- A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy.
- An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period.
Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.
For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy.
Hi, I am five weeks pregnant and it’s a multiple pregnancy with two or three foetuses. Is it safe and legal to get abortion done in India? Which procedure?
If you are expecting a baby in the next couple of months and are worried about being overweight; don't fret, because you are not alone in the league. Half of the pregnant women across the world are overweight, if not obese. However, having to walk around with more weight than the recommended level is an adversity for your pregnancy and can put you at high health risks. That is why you should consult your doctor and reduce those extra pounds right away.
There are certain health problems you can experience if you are overweight during your pregnancy term:
- Chances of developing urinary tract infections are high
- Obstructive sleep apnoea (a condition in which breathing stops and resumes repeatedly) or problems with breathing while you sleep.
- Venous thromboembolism (a deep blood clot in a vein, primarily in the legs) which then suddenly breaks off and is carried through your blood to your heart or brain, resulting in a stroke or a heart attack.
- You may not have a normal delivery and will take longer than usual to get into labour
- After the delivery, you may have problems with breastfeeding as well.
- Not only you, but your baby may also get affected in the process:
- You may have a premature delivery which can cause health hazards to your child.
- Your child may develop several birth defects such as problems in spinal cord or non-development/under development of certain body parts.
- Over weight people have more chances of diabetes and Hypertension and subsequent complications like birth defects, growh retarded fetus and seizures etc.
Uterine prolapse is a disorder, which occurs when pelvic muscles weaken and thus, fail to support the uterus, causing the uterus to slip into or protrude from the vagina. Postmenopausal women with a history of multiple vaginal deliveries are the most vulnerable to this disorder. The pelvic muscles weaken due to the following reasons:
- Dip in the levels of estrogen
- Excessive strain
- Tissue damage resulting from childbirth and pregnancy
Common symptoms include a pulling sensation in the pelvic region, lower back pain, bowel problems, tissue protruding from the vagina, difficulty in urinating. The symptoms tend to worsen as the day progresses.
- Loss of muscle tone with increasing age
- Trauma during childbirth
- Weakening of the surrounding tissues in case of vaginal delivery
- Drop in the levels of estrogen post menopause
Apart from the cause, there are certain factors that increase the risks of this disorder, they are
- Increasing age
- Multiple pregnancies
- Lifting heavy weights frequently
- Any pelvic surgery
- Conditions such as chronic cough
If the symptoms of uterine prolapse are mild, then you probably will not require any treatment. In case of any complication, the following treatment methods are available:
- Vaginal pessary: In this procedure, a device is inserted into the vagina, the function of which is to hold the uterus in place. This is only useful for moderate symptoms of uterine prolapse.
- Surgery: For severe cases, surgery is carried out to fix the damaged tissues of the vagina. It generally involves grafting of own body tissues, synthetic material or donor tissue on the pelvic muscles to provide support.
Hysterectomy (surgery to remove the uterus) may also be advised by the doctor. However, if one has plans of getting pregnant in the near future, should not go for this surgery as it can nullify its benefits. If future pregnancy is required then repair operation called Manchester repair is done.
The time you missed your period, you may go through a range of emotions. If you have been attempting to get pregnant, your heart may fill with joy and hope. Although, if that is not what you want, you may feel frustrated and stressed out even though it is likely that you are not pregnant. However, pregnancy is not the only cause of missing a period. There can be a great number of possibilities that may lead to missing a period.
Here is a list of common causes of missing a period:
- Pregnancy: Sometimes it is exactly what you are expecting, i.e. you can be pregnant. The early symptoms of pregnancy are relatable to the sensation of getting your periods. The cramping, the bloating of your stomach and tenderness in the breast tissues, are all very similar. If your period has been delayed for over 10 days, it is suggested to get a pregnancy kit at home and check for the result. It is advised to wait till 10 days; otherwise the result may not come out as accurate.
- Illness: In certain ailments, such as a fever or common cold, your body will concentrate on functions that are vital and your periods are not one of them. This can result in missing a period.
- Stress: Stress can create an array of problems in your body, be it excessive weight gain, headache or acne. When you are stressed out, your body produces a hormone called cortisol in excess. Cortisol is produced in the body in small quantities but when you are stressed out, it goes on overdrive and your brains starts to differentiate between the functions that are essential and the ones that are not. The blood supply to various parts of the body can increase like the muscles and the brain. This means the other functions such as metabolism and your reproductive system will be subdued. That is how stress can make you miss your period.
- Change in weight: If you suddenly lose a lot of weight, without maintaining a healthy diet, you deprive your body of the basic nutrition it needs. This under-nourishment can affect the production of oestrogen, which is directly involved in maintaining your uterine lining. On the contrary, if you gain too much weight, your body starts producing excessive amount of oestrogen. This will stop your uterine lining from degrading and will stop your periods. It can also cause heavy and irregular bleeding.
- Excessive workout: This is commonly seen in athletes or ballet dancers who maintain a rigorous workout regime. This over- work out can make your body stop producing oestrogen that causes disruption in your menstrual cycle.
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.
Being able to conceive and give birth to a new life is something that most women dream about. The natural instincts of motherhood give a lot of joy to women after they reach a certain age and this is something that is hormone driven so that they are inspired to get pregnant and give birth, keeping the life cycle of humans regular and growing.
A lot of women may be able to easily conceive and go through a natural pregnancy without any major glitches or problems, but everyone may not be as lucky and there may be those women who may be suffering from health issues that make it difficult for them to conceive.
One problem in women that may lead to difficult in conceiving or infertility may be the problem of endometriosis. This is a health issue that affects the uterus and it is defined as a problem in which the lining of the uterus grows outside of it, disturbing menstrual cycles as well as the ability to conceive and carry a foetus in the uterus.
Is it possible to get pregnant?
There is widespread misconception that women who suffer from endometriosis may never be able to conceive because the uterus lining that is needed for the inception of the embryo in early pregnancy may be missing. However, the truth is that the problem is a treatable one and with the right medical help and guidance, it may be possible to make sure that the problem is brought under control or reversed and that a successful pregnancy may be achieved.
While it is possible to reverse the problem, it is also important for aspiring couples to choose the right gynaecologist for the treatment, because it is a complex issue that can be resolved only with expert and experienced interference. The medical professionals may put you under medication that works on the hormones and creates ways to reverse endometriosis. However, in patients who suffer from severe endometriosis, a surgery may be one of the alternative treatments.
The relation with pregnancy:
As it is suggested by experts in the field of gynaecology, finding difficulty in conceiving may be a real possibility. However, with the help of modern medical practices such as in vitro fertility, it may be possible to conceive when all other forms of treatment fail and in order to achieve such a feat it may be important to trust a doctor that has a perfect backing of knowledge and experience in the field.
The modern world of medicine is no shorter than a marvellous miracle, however, the success or failure of any treatment depends a lot on the kind of medical aide and specialist that you decide to opt for. In case you have a concern or query you can always consult an expert & get answers to your questions!