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Management of Abortion
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
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Am too tensed that my menses period date is between 30th -1st. But still I didn't get periods. And frequently am getting menses stomach pain. Even I Had a protected sex for the first time which I have experienced heavy bleeding. How can I get periods? Is there any problem? Any tablet to get menses periods.
The thyroid gland within the body plays an important role in regulating your metabolism among many other functions. This is a butterfly-shaped gland located in your neck and plays an important role within your body. However, a common condition that may afflict it is hypothyroidism or an underactive thyroid gland. It is even more of a problem if you are pregnant as it may affect your baby’s development in the womb. It has also been noticed that pregnancy in itself may cause hypothyroidism.
Symptoms of Hypothyroidism-
Pregnant women may also exhibit symptoms common to other patients who are suffering from hypothyroidism. These may include:
Fatigue along with lethargy.
Mild to significant weight gain.
Feeling cold with severe chills
The thyroid gland produces the T4 hormone responsible for regulating many mechanisms within the body such as metabolism. With hypothyroidism, the production of this hormone decreases or stops altogether. This is important as disruption in the production of the hormone may disrupt the normal development of your baby.
Effects of Hypothyroidism on your baby-
Hypothyroidism during pregnancy can affect your child’s developmental abilities. Many studies in this field have shown that such children tend to have learning difficulties and may even display lower IQ scores during tests. It was noticed that sometimes, hypothyroidism during pregnancy wasn’t diagnosed correctly as the pregnant mother did not show much apparent symptoms. This is also a major issue in the early diagnosis of the problem. Hence, it is absolutely imperative to test for thyroid problems early during pregnancy.
Prevention is the Best Cure-
It is thus very important that mothers be screened properly for thyroid issues even before they are pregnant and while they are pregnant. Some of the medically recommended steps that should be taken are –
Screening before pregnancy as this can help to devise a solution for this condition.
Women with goiter or enlarged thyroid should most certainly be screened.
Women with a family history of hypothyroidism should be screened.
Treatments for Hypothyroidism During Pregnancy-
The doctors may suggest thyroid hormone replacement therapy wherein artificial T4 hormone is introduced into the body. This helps to maintain a constant rate of the thyroid hormone within the body. This can be done even before pregnancy as the developing fetus is completely dependent on the mother for its thyroid hormone until at least 12 weeks when the baby’s body can start producing it on its own. Also, the levels of this hormone should be regularly checked within the body through the TSH or the thyroid stimulating hormone tests to ensure that the levels are at a safe minimum.
Hi doctors, I am 23 yrs female, type 1 diabetes for 10 yrs! My last menstrual period is on 12th august 2015 n still I haven't got my period. Usually I ll have 30 days cycle. I had sex on 5th september. Is der a chance that I could be pregnant? 26th sept V took blood test -HCG n it says 6.39 (normal is 5.3) does this means im pregnant? Meanwhile i am having mild mastalgia for past 10-15 days! Pls advise thanks.
Hi, I am 25 years old. I got an abortion last month 10th in my 8th month pregnancy. Dew 2 long bones shorten in the baby. Diagnosed on scan skeletal dysplasia and polyhydramnios. Now when should I plan for my 2nd pregnancy and is there any chances of same issues for 2nd baby also.
I am 40 years old women and I am missing my periods since last four months I am worried about it, is it time of menopause, while I think menopause will come at age of 45-46.Help me.
I am 28 year old female, on TTC form last one year, Dr. detected ovarian cyst, and advice oral contraceptives pills for 2 months. What should I do? I don't want to take pills.
I m 9 months pregnant my stomach is becoming tight what is a reason? Can it be a chances normal delivery.
I am 27 and having severe body ache. I am not able to sit for more than half an hour as my back aches alot and can not walk for more than half a km. As m getting bad leg ache. I think it is due to pre-menstrual issues. Though, I got my periods today and still getting this issue. Kindly suggest.
Hello doctor I am 26 years old. Me and my husband is ttc for past 1 year and 9 months. When I was 19 I was diagnosed with PCOS (no blood test only through scan) doc told me it is a minor one and nothing to worry. By the beginning of 2014 I started to gain weight (family hereditary) and missed periods for months (usually I used to have period on every month but not so regular). Then I consulted a gyno she did my blood test on 19Jun 2014 showing tsh 2.59 UIU/mL and prolactin 14.6 ng/mL. She gave me clomiphene citrate 50mg. And started a follicular study. I had a dominant follicle on my right ovary and she was ready to give an hcg shot. But since some personal problem I couldn't complete that. And an year later on September you consulted an ART doc. Again did a blood test (during my periods) shows FSH 4.69 mIU/ml LH 6.10 mIU/ml prolactin 26.21ng/no tsh 3.00uUI/ml. She did an SSG found a septum of 2cm and removed by hysterolap on 10oct15. She gave progynova tablets and I had periods using progesterone 400. My LMP was on 18th dec. I started cellophane citrate 100mg. On my 11th day a pelvic scan shows a dominant follicle in my right ovary sizing 11mm. On my 14th day it was 18mm. So doc suggested an hcg shot and I took it on my 15th day ie 1st Jan 16. The very next day she scanned again an said the follicle is in the process of ovulation and I had IUI. (my husband's results are good). Now I am 4 days late for my period. Yesterday (3rd day after missed period) I did a urine test (not a fresh morning sample) the result came negative. As of now I haven't checked pregnancy yet. Doctor gave me dydrogesterone 10mg. Why even if I ovulated I'm not pregnant and delaying period.
I'm 8 th week pregnant I have taken one dose of hcg injection next how many doses I will need to take.
Symptoms, causes, and medications for PCOS
Hi! I’m Dr. Ravi from Kukatpally, Endocrinologist. Today we are going to learn about PCOS, it is Polycystic Ovarian Syndrome. In Polycystic Ovarian Syndrome, a woman will have irregular periods and acne, unwanted facial hair and also hair loss from the head. There will be difficulty in conceiving. And usually there will be overweight and obesity with this Polycystic Ovarian Syndrome. So what causes this Polycystic Ovarian syndrome? In PCOS patients, their ovaries won’t work normally. Every month one follicle will enlarge and mature and it will rupture releasing an egg. In PCOS multiple follicles will enlarge and they won’t rupture. And over a period of time, these follicles will accumulate. Now if you do a scan, a number of follicles will be there.
So what are the symptoms of this Polycystic Ovarian Syndrome? It contains as I told you, irregular menstruation periods, acne and androgen features just like facial hair and hair fall and the third one is irregular menses in the background of insulin resistance. These PCOS patients will have health related issues-hormonal and other problems. So they need to be evaluated, if they have high cholesterol, high blood sugar, high BP, other things, they need to get monitored and get treated accordingly.
Now we learn about what lab tests they need, okay, they need hormonal tests, blood sugars, cholesterol and they need to undergo some ultrasound scans, abdomen with the ovaries. Okay, these are the lab tests they need, and what is the treatment for PCOS? First thing is weight loss, if you lose weight around 5%, around 4-5 kgs, 50% of people, this Polycystic Syndrome will resolve. So, weight loss with diet and exercise is an important thing along with lifestyle modification and weight loss, some medications like birth control pills, they won’t acute the PCOS but the thing is they will ameliorate all problems with the…..so if you use birth control pills, your cycles will be regular, your unwanted facial hair will reduce. So these birth control pills are good, and they will protect the uterus from cancer if you use those birth control pills. Another drug is Anti-Androgens so they will block hormonal action
Side effects of these Anti-androgens like aldosterone, the thing is you will need to monitor the lever enzymes and also there is weight gain. That means water retention in the body. Okay, these are the two side effects for anti-androgens. Another drug we use is Metformin. Usually, we use that for controlling high blood sugar. But the thing is those who use this Metformin their insulin resistance will get controlled reduced and leading to normal…..cycles and other things in PCOS patients. So this can also be useful. Another one is individualizing problems; the thing is if an elderly person will come with this PCOS if their concern is they don’t want excess facial hair, so the best thing is anti-androgens. If a married person comes with PCOS, their main problem is to get a reproduction, to conceive, to get children. For them, we will use ovulation-inducing drugs. And if another married woman comes with PCOS and her complaint is hair fall and unwanted facial hair, we use another drug or local ointment to reduce facial hair or laser, these things. So, individualizing treatment depending on their problem is an issue in the treatment of PCOS.
Now, lastly, can a PCOS woman lead a normal life? Yes. The thing is whatever problem they are having there are good medicines and everything. They can lead a normal life with regular medication and regular doctor visit. So, don’t worry about PCOS.