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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I am so thankful that Dr Ranjana Tibrewal has given me the best advice and I am now finally able to get back to my normal self. In the very first sitting, Dr Ranjana Tibrewal clearly told us the problem and the what the treatment procedure will be in future. I was admitted to the The Apollo Clinic in case of emergency, but not once did any of the nurses panicked. I was amazed that other doctors before him were not able to even diagnose my problem, but Dr Ranjana Tibrewal did it immediately and started the female sexual problems for it. She is so pleasant to talk to and always ready to answer your doubts. I was having very bad thoughts regarding my female sexual problems but I am completely fine now.
Vaginal bleeding stands for blood loss from the vagina (including the vaginal wall) or uterus. Marking the beginning of a new reproductive cycle, normal vaginal bleeding (menstruation) takes place every 21-35 days.
It is regarded abnormal if it takes place.
- Outside of your normal menstruation period
- When you’re pregnant
- After menopause
- Menstrual flow is heavier or lighter than normal
Common Causes of Unexpected Vaginal Bleeding:
1. Polycystic Ovary Syndrome (PCOS)
If your body’s hormone production is out of balance, it brings about a disruption in the normal ovulation (monthly discharge of an egg) cycle, causing abnormal vaginal bleeding.
2. Pelvic Inflammatory Disease (PID)
Infection or inflammation of the female reproductive organs namely, uterus, ovaries or fallopian tubes as a result of sexually transmitted bacteria can lead to abnormal bleeding. The problem occurs when the bacterial infection spreads from the vagina into these parts of the reproductive system. More importantly, inflammation of these areas can also bring about vaginal bleeding particularly after sexual intercourse.
3. Intrauterine Device (IUD)
The use of Intrauterine Device (a birth control tool that is inserted into the uterus to prevent future pregnancy) can also cause vaginal bleeding like spotting (light bleeding between periods) or heavy periods.
Any hormonal medications, containing Estrogen or Progesterone (eg: certain birth control pills), when taken irregularly or indiscriminately, may lead to hormonal imbalance, leading to abnormal bleeding.
5. Early Pregnancy
Another very important cause of abnormal bleeding in women of reproductive age group is - Pregnancy. Any abnormal pregnancy or early pregnancy with certain defects, can lead to abnormal bleeding even though you may not yet be aware of the pregnancy. Usually, it is the first condition to be investigated in a woman with abnormal uterine bleeding, in reproductive age group.
Apart from these common causes, abnormal vaginal bleeding can also happen due to:
6. Thyroid Disorders
Changes in your menstrual cycle as a result of the hormonal imbalance brought on by an underactive thyroid gland (hypothyroidism) or an overactive thyroid (hyperthyroidism) can lead to irregular bleeding patterns.
7. Uterine fibroids
Abnormal growths in the uterus or on its surface can lead to unexpected vaginal bleeding (longer or heavier periods and bleeding between periods).
8. Cancer of the reproductive organs
Cancer of the uterus, ovaries, vagina or cervix is also known to be an uncommon cause of abnormal vaginal bleeding. The blood loss can take place after sexual intercourse or between one menstrual cycle and the next. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Are you experiencing unintentional loss of urine lately? This is an indication of a condition known as urinary incontinence in women. The condition usually arises from pregnancy, childbirth and menopause. In many cases, overactive and weak bladder muscles, and nerve damage may also cause urinary incontinence. This is a common problem in women, which is treatable. There are several types of this condition such as stress incontinence, urge incontinence, functional incontinence, mixed incontinence, transient incontinence and mixed incontinence.
Management of Urinary Incontinence
There are several ways and methods which you can apply to manage urinary incontinence. They are as follows:
- Pelvic floor exercises: Pelvic floor muscles help in holding urine and when these muscles get weakened due to pregnancy or because of being overweight, leakage occurs. You have to carry out several exercises for improving the symptoms. Doing this exercise on a regular basis will prevent leakage and stop the existing leakage. These exercises are useful when you have a sudden urge for urination, and they involve the relaxation and contraction of the pelvic floor muscles.
- Less liquid consumption: Leakages are more likely to occur when the bladder is full and drinking any kind of liquid will make you feel like urinating. You must limit your consumption of alcohol and caffeine as these cause the urine to increase.
- Bathroom schedule: In case you have to visit the bathroom too often or frequently, you must try to increase the time between bathroom visits. You have to practice bladder training along with pelvic floor exercises. Slowly, you will be able to reduce your bathroom visits.
- Wearable devices: You can use wearable devices for placing support in the vagina as these prevent leakage. You may be fitted with a silicon device known as a pessary. Tampons can be used for the prevention of leaks as well. Tampons are recommended for women who leak during activities such as running. For preventing shock syndrome, the tampon should be changed every six hours.
- Weight loss: Obesity and extra weight cause urinary incontinence as these put extra pressure on the bladder or the urethra, which is the tube which starts from the bladder. This is associated with stress incontinence and leaks due to sneezing, coughing, lifting or laughing. Heavier women are more likely to face this problem and weight loss can help in managing the same.
In case you are experiencing urinary incontinence, you must consult a doctor and discuss your problems. A doctor will provide you the best remedies for dealing with the stressful condition.
6 must-have foods during your first trimester
The first trimester of pregnancy (i. E. The first three months) is a very crucial time as this the time when your baby grows at a faster rate than at any other stage. Eating right is what you should be doing during such a time in your life as your body can make use of the energy and nutrients to build the body of your baby as well as to keep you strong. During the first trimester of your pregnancy, you should be including these 6 foods in your diet to provide you and your child with all the vital nutrients.
1. Spinach: high in folic acid, also known as folate (a form of vitamin b), consumption of spinach during these first few months (as well as before pregnancy) is extremely vital. It can help in preventing the occurrence of neural tube defects or birth defects pertaining to your baby's brain and spine.
2. Citrus fruits: your first-trimester diet should also consist of an adequate amount of citrus fruits. High in vitamin c, you should have at least 1 citrus fruit every day. If you prefer to take these fruits in juice form, you should restrict it to only 1 cup a day. This is because juices are high in calories and low in fibre, and, therefore, do not deliver on the fibre component.
3. Nuts: during this period your protein requirements also increase and it is advised that you have about 60 gm or more of protein every day. Nuts such as walnuts, almonds, cashews and pistachios are known to have healthy amounts of fibre, fats and protein. A study conducted by the Harvard medical school suggests that eating nuts can help in preventing allergies in children.
4. Eggs: in addition to helping you meet your protein requirements, eggs can also be an excellent source of vitamin d and calcium. The last two elements are extremely vital for your baby as they help in developing its bones.
5. Beans: providing you with necessary protein and fibre as well as helping you to deal with constipation, beans are must-haves during this period. Eating this fibre-rich food will ensure your bowel is functioning properly, thereby reducing your likelihood of developing constipation and even haemorrhoids (swollen veins of the anal and rectal region).
6. Yoghurt: a good source of calcium, having a cup of yoghurt every day will provide your baby with the calcium that it needs to grow and that you need to keep your bones strong. More importantly, by doing so, it'll prevent your baby from drawing calcium from your bones, leading to a deterioration of your bone health.
The cancer of the ovaries is known as ovarian cancer. In women there are two ovaries present on each side of the uterus. These ovaries are as big as an almond in size and produce egg also known as ova. They also secrete the hormones progesterone and estrogen.
Ovarian cancer goes undetected until it spreads to the abdomen and pelvis. When detected at this stage then it might be fatal and the treatment gets difficult. An early stage ovarian cancer where the cancer is restricted in the ovaries is much easier to treat with high success rates.
Risk Factors of Ovarian Cancer
1. Age - With increasing age the risk of ovarian cancer is higher and is more common in women who are 60 and above. It is less common in women below 40 years of age and develops often after menopause.
Obesity Women who have a body mass index of 30 are at a risk of developing ovarian cancer.
2. History of Reproduction - It is believed that women who conceive before 26 and carry the full term have a lower risk of ovarian cancer. However, the risk is higher in those women who get pregnant after 35 or who do not have a full term pregnancy. Also, breastfeeding the baby lowers the risk.
3. Gene Mutation - Inherited gene mutation causes some percentage of ovarian cancer. These genes are called breast cancer genes 1 and 2 (BRCA1 and BRCA2). These were initially found in cases with breast cancer but also pose great risk for ovarian cancer. Also, gene mutation leading to Lynch syndrome plays an important role in increasing the risk of ovarian cancer.
4. Family History - If a woman's mother, sister or daughter is suffering from ovarian cancer then she is at a higher risk of developing the same. The risk also increases if someone from the father's side also has ovarian cancer.
5. Fertility Drugs - Drugs like clomiphene citrate, if used for more than a year can increase the risk of the cancer. The risk is even higher if a woman taking the drug does not get pregnant.
6. Hormone Therapy and Estrogen Therapy - Long term use and large doses of estrogen can cause an increased risk. However, if estrogen is used in combination with progesterone then the risk is less.
7. Age of menstruation and menopause - If menstruation starts before 12 and menopause occurs before 52 then there is a higher risk of getting the cancer.
8. Diet - A low fat vegetarian diet has less risk of the disease. Fresh fruit and vegetables should be included in diet along with pulses, rice, pasta, beans, cereals and breads. If you wish to discuss about any specific problem, you can consult a gynaecologist.