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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
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What should be the hemoglobin level during pregnancy? Could you please tell me also how to improve that so that normal delivery get happen.
I am a female aged 61 with diabetes. I have prolapse of the bladder and in a recent gynaec examination I was told that the uterus has also descended slightly. My uterus has also not shrunk. There is a white discharge. My pap smear was negative. Menopause was at age 49. Please let me know if I should have the uterus removed and have the bladder pushed back into position with 'stitches' or a mesh?
Hello Dr, She is my friend. Before few month her husband tried to do sex her back side. From that time she feel pain and bleeding when she goes to get fresh. What should wo do Dr. please help us.
1. Protein: lean meats, chicken, seafood, legumes, eggs and dairy products
2. Omega fatty acids: tuna, salmon and sardines and for vegetarians please supplement yourselves with omega fatty acids
3. Iron & vitamin c: legume, red meat, citrus fruits, capsicum
4. Nuts: for essential fatty acids
5. Beta carotene: carrot, watermelon, tomatoes.
6. Vitamin d: cheese, beef, mushrooms and plenty of sunlight.
Beauty is surely from within. Don't look for quick fixes look for long term solutions.
Eat healthy! stay healthy!
Im in relationships with stone, we have just engaged and early going to marrying, problem is both side, we have tried to intercourse many time but im unable to do properly, im unable to put my organ into her, every time the same problem, she aged 23 but having faced so much pain at the time, why, I have used many positions but nothing works, even when she become exited she tried it herself but can't. Im so afraid to do forcedly. Please suggest. I know that first its so painful but we have to do it, its all about our future, please suggest.
Hello Dr, i am 23 yrs old female I am 4 months pregnant, and I want to do abortion because my husband expired, so I cant manage with this baby And I intake 3 misoprostol-200 tablet, but still their is no reaction, please help me for safe abortion.
My period is due on 28th July. My bf is planning to meet me in this weekend. Can we do sex without condom this time. We will be living together for these 2 days and we are very excited. Please suggest if I can have one time ipill/unwanted on Monday if we have sex without protection on Saturday and Sunday both days. Please suggest asap.
I want to ask that is breast pressing very tightly and harshly for long time can cause any severe damage to breast? Or not;! Please tell! What r the risk it can cause! As during foreplay my bf presses my breast very tightly and harshly with both hands for long time. I am worry becoz I had listen that breast pressing can cause cancer and it can also damage my mammary glands and breast muscles please tell;! Please tell in detail all risk and damages! So that I can remove this worry!
Obesity is the state of being overweight. When excess fat accumulates in different parts of the body, it can lead to such a condition. Simply put, when the intake of calories exceeds the amount of calories burned, the extra calories get stored in the body in the form of fat. As per a recent study published in the British medical journal, the Lancet, there were 20 million obese women in India in 2014 as compared to 9.8 million obese men.
Causes of obesity: Accumulated fat leads to excessive weight gain which may occur due to a coalition of many factors such as a sedentary lifestyle, lack of physical exercise or improper eating habits. Although a host of involuntary causes such as genetics, hormonal and environmental factors can also lead to such. Recent studies have even concluded that endocrine disorders and medications comprising of psychotic drugs, estrogens, insulin and other such are also likely to lead to obesity.
Symptoms of obesity: Apparent symptoms of obesity include excess body fat, occasional shortness of breath, unwarranted sweating with a foul odor and persistent fatigue. These conditions also lead to further complications like diabetes, infertility and hypertension to name a few.
How to manage obesity with Ayurveda?
In Ayurvedic terms, obesity is called Medarog, which is caused when the Kapha is triggered. A dense, sticky, wet, heavy humor which manages all structure and lubrication in both the mind and the body is known as Kapha. Kapha provides nourishment to the various tissues of the body through several micro channels but when aggravated it leads to the production of toxins which are dense and heavy and subsequently block these micro channels. These toxins heap up in the micro channels and cause a drastic increase in the production of fat tissues, consequently causing an increase in weight. By abolishing foods that aggravate the Kapha from one's diet, people may treat obesity.
The next step would include cleansing the fat tissues using different herbs. Avoiding oily, fried and processed food is highly advisable. Avoiding foods rich in carbohydrates such as potato and polished rice also helps. Increased consumption of greens and fruits helps restore stability and when coupled with exercise, it can be a relatively quick fix to overcome obesity.
I and my partner had unprotected sex. Can she get pregnant from my pre-ejaculation? I didn't ejaculate into her. It is her 18th day of menstrual cycle.
With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.
Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.
Types of contraceptives:
* percentages mentioned within brackets are failure rates
It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.
Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts
Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.
It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Increased blood loss and duration of menses, increased dysmenorrhea
Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.
Indicated for: multiparous women greater than 35 years who smoke.
Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.
It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.
Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.
This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.
Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.
Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).
A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.
I have heavy bleeding during three days of my periods and I even can not manage to take pads. I mean I have to use cloth for frst 3 days. Its heavy. What can I do so that I can use pads and my bleeding is reduced.
Age 39 years nine months marriage, not able to conceive. From last six months visited several gynae, my all reports are normal. There is little pcod detected. doctor suggested metformin and ovagrace sachets to take daily for three months. Kindly guide me will this medication will help me to conceive? I am very tensed since all my hormones as per doctor are normal. Thyroid is 3.
I have given birth to twins 15 days ago. As my feeding is not sufficient for both am confused between opting for cows milk or lactogen 1 powder as doctors give different suggestions. Kindly support your suggestion with reason.
I am of 29 female. My period lasts 2 days since last year. Normal bleeding not heavy bleed. Not any pain in wastes. Maybe any problem in future in my pregnancy due to less days period?
I'm 20. Pregnancy test gives a positive. It's been 2 weeks 4 days after I have sex. 18th my period date nd it miss not it 22nd. I don't want to be pregnant now. Suggest me how to miscarriage it. Please I'm getting tension.
What is it?
A dysfunction is often described as the difficulty exhibited by a couple or an individual during ant stage of the physical activity. It might include pleasure, preference, desire, arousal and orgasm. As per the diagnostic and statistical manual of mental disorders, a person with sexual dysfunction shows extreme stress along with interpersonal strain. This disorder is believed to have an impact on the sexual life of the people experiencing it.
Types of Sexual Dysfunction:
1. Sexual desire disorders: This is often characterized with decreased libido or an absence or lack of sexual desire, activity or fantasies. The condition usually ranges from a general lack to a lack of the sexual desire and activity for the partner. This condition might be present from the very beginning or might start after normal sexual functioning. Whatever the cause may be it leads to decrease in the production of estrogen in women and testosterone in both women and men. Other causes are believed to be fatigue, pregnancy, aging, medications like SSRIs and psychiatric conditions like anxiety and depression.
2. Sexual arousal disorders: These are commonly as impotence in men and frigidity in women, though now the terms have been replaced. Impotence is now termed as erectile dysfunction and frigidity has been defined by many terms describing the problem. As per the, American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders the term is described in 4 categories. These are lack of arousal, lack of desire, lack of orgasm and pain during intercourse.
In both men and women the condition can be exhibited as an aversion or avoidance of sexual activity with their partner. Men might show a complete failure to maintain erection, excitement and pleasure during sexual activity.
3. Sexual pain disorders: This is often prominent in women and is also known as painful intercourse (dyspareunia) or vaginismus (involuntary spasm of the vaginal wall muscles often interfering with intercourse).
Dyspareunia is caused by the dryness of vagina in women. This poor lubrication might be due to lowered stimulation and excitement and hormonal changes caused due to pregnancy, breast feeding and menopause. In some case contraceptive foams and creams can also cause dryness. Anxiety and fear towards sex can also lead to dryness.
Vaginismus is often thought to occur through a sexual trauma like abuse or sex. Another condition vulvodynia might occur in women. In this a woman experiences burning pain while sexual activity. This is often thought to be related to the skin problems of the vaginal and vulvar region.
4. Post-orgasmic diseases: The symptoms of these occur after ejaculation or orgasm. This is often accompanied with headaches in the neck and skull during sexual activity which might include orgasm or masturbation.
If you wish to discuss about any specific sexual problem, you can consult a specilized sexologist and ask a free question.