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Dr. Sudarshan Ghosh Dastidar

Gynaecologist, Kolkata

500 at clinic
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Dr. Sudarshan Ghosh Dastidar Gynaecologist, Kolkata
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sudarshan Ghosh Dastidar
Dr. Sudarshan Ghosh Dastidar is a popular Gynaecologist in Gariahat, Kolkata. You can visit him at Ghosh Dastidar Institute for Fertility Research (P) Ltd in Gariahat, Kolkata. Save your time and book an appointment online with Dr. Sudarshan Ghosh Dastidar on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. You can find Gynaecologists online in Kolkata 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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Ghosh Dastidar Institute for Fertility Research (P) Ltd

208 Rashbehari Avenue, at Gariahat Kolkata- 700029, West Bengal, India, KolkataKolkata Get Directions
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I feel itching and also light burning sensation in my Labia majora area (skin around my vagina). Please tell me y is this irritation and what is the remedy.

Advanced Aesthetics
Ayurveda, Gulbarga
use these medicenes 1. zole-f ointment apply externally and 2. tab-nuforce 150mg 1tab daily for 7days...
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I am 24 years old male, yesterday I had unprotected sex with my girlfriend and we were a bit rough in that. Now I am experiencing severe abdominal pain. The pain lasts for sometimes and it disappears and again it starts paining. May I know the reason for that. Am I suffering from STD's. please help.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
an infection by STD doesnt start symptoms that early, and is generally itching, swelling or discharge. The abdominal pain may be due to some intestinal infection which is frequent in summer, pls show a physician.
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IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples

Introduction

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina. 

 In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm. 

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires

  1. Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes
  2. Transport of these sperms through the sperm conducting ducts from testes to penis
  3. Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina
  4. Transport of these sperms from vagina through cervix to the uterus and the tubes
  5. Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries
  6. Pick up of the eggs by the tubes 
  7. Approximation of eggs and the sperms to form the embryo
  8. Transport of embryo from the tubes into the uterus
  9. Acceptance of the embryo by the uterus and its growth

What is Infertility?

 

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor. 

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%. 

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage. 

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned. 

Thus the common causes may be

  1. Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.
  2. Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.
  3. Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.  

In general, what are the treatment options for infertility?

To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress. 

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

What is insemination?

Insemination literally means putting semen in a particular place. Various forms of insemination exist in fertility treatment. First one is “Intravaginal Insemination (IVI)”, where the raw semen, collected by the husband can be put inside the vagina, taking precautions (to prevent infection) by the husband himself or by the wife. Rarely, it needs medical assistance from a doctor. It’s usually advised to couples having sexual disorders where full penetrative intercourse is not possible (erectile dysfunction of the husband or very painful intercourse experienced by the wife) or where ejaculation cannot happen during intercourse (a very unusual problem). Thus, the success rate of IVI is no better than natural intercourse (success rate 15% per cycle), for those couples who can manage successful intercourse. 

“Intrauterine Insemination (IUI)” is the treatment where “prepared” semen is put inside the cavity of the uterus, near the Fallopian tubes. Thus, IUI bypasses some hurdles that can cause problems during natural intercourse. The vagina, cervix and the whole length of the uterus are bypassed, putting the sperms near the eggs. Thus it increases the success rate compared to natural intercourse or IVI.

However, to achieve pregnancy after IUI, the female partner must have open tubes, adequate number of eggs produced by ovaries, eggs must be released by the ovaries and sperms must meet the eggs. And, thus nature plays important role, as in natural intercourse.

Please note, we used the word “prepared” semen. In natural intercourse, as mentioned earlier, the dead sperms and bacteria cannot enter the uterus, because cervix prevents their entry. If they are put artificially by IUI inside the uterus, severe reaction can happen. So, after collection, the husband’s semen is processed in the laboratory to remove all those impurities and to select only the best number of healthy and movable sperms and it definitely increases success rates of IUI

When IUI is generally advised?

As you can understand, to perform IUI, there must be minimum number of sperms in the semen, the tubes must be opened, the ovaries must be releasing eggs. If these are present, IUI is usually advised 

  • Less than adequate number of sperm counts, morphology or motility
  • Couples who cannot perform full penetrative intercourse but refuse or unable to conceive by IVI
  • Unexplained infertility- although IVF is better than IUI, but considering the cost, many couples in our country opt for 2-3 cycles of IUI before IVF
  • PCOS and Mild Endometriosis- where natural intercourse or ovulation induction failed
  • Couples in whom only one partner is positive for HIV or Hepatitis B or C- where transmission from one partner to another by unprotected sexual intercourse is not preferable.

What are the tests done before IUI?

The basic infertility evaluation is done before IUI include husband’s semen analysis, assessment of ovarian function (blood tests, ultrasound) and uterus (ultrasound). In some cases, laparoscopy (putting camera to see inside the abdomen by operation) or hysteroscopy (putting camera through vagina inside the uterus, by operation) may be required. Now, if the tubes are blocked, IUI is of no use. So, testing the tubes is advisable before IUI. But some women, who are at low risk of tubal disease (no history of pelvic pain, infection or surgery), one or two cycles of IUI can be done, failing which tubes must be checked by tests like HSG or SSG or in some cases by laparoscopy. 

What IUI actually involves?

In the cycle, in which IUI is planned, the woman is asked to take some medicines (or injections) in particular days of the periods as a part of “ovulation induction”. She is then advised to have ultrasound monitoring (TVS- transvaginal sonogram- where ultrasound probe is placed inside the vagina for better accuracy) to see if eggs are growing in response to the medicines or not. If eggs are growing, IUI is planned in a particular time when the egg(s) is more likely to rupture, so that the tie interval between sperm entry and egg release can be kept as minimum as possible. 

Is ovulation Induction necessary for IUI?

Frankly speaking, IUI can be done without any medicines (as in case of natural intercourse or IVI), which is called “Natural Cycle IUI”, where only TVS monitoring is done to see how the eggs are growing. This may avoid some side effects of ovulation induction (see below) but is associated with low success rate than IUI done along with ovulation induction.

Is TVS necessary before IUI?

TVS is, undoubtedly, uncomfortable for the woman. But it gives better picture than ultrasound done conventionally. Now, the question is, whether ultrasound monitoring is at all needed or not. TVS directs the doctor how eggs are growing and at what number and size and when they are likely to rupture. Moreover, the rupture can also be confirmed by TVS. Again, the uncommon side effect of ovulation induction can be detected by TVS. That is called OHSS (“Ovarian Hyperstimulation Syndrome”) where excessive eggs can grow inside the ovaries and this can lead to collection of fluid inside abdomen and lungs and can turn very serious. Although very rare, it can be detected by TVS and early actions can be taken to prevent the progress of this condition. 

In rare cases, where TVS cannot be done or patient declines, only option is to check urine by LH kit to predict the likely timing of ovulation and at that time IUI is planned. However, it is less accurate than TVS monitoring and is associated with less success.

What, if eggs are not growing in the ovaries?

In some women, particularly those who are overweight, aged or some cases of PCOS, eggs may not respond initially to one medicine. There are various forms of ovulation induction medicines (tablets, injection). If one is not working, your doctor can try increasing the dose of that medicine or add or replace it with other medicines. Please remember, it’s difficult to predict what medicine will be best suited for a particular patient. So, it’s basically a trial and error process.

What is done on the day of IUI?

As timing is important, the couples are requested to stick to the timing, advised by the doctor. The husband will be asked to collect the semen by masturbation, using clean technique (to avoid contamination by germs in the semen container). The semen is then prepared by the embryologist and will be checked to see the final number of sperms and their motility and morphology.

The wife is asked to lie down in the IUI table. After cleaning, a sterile speculum (instruments to separate walls of the vagina to see the cervix) is introduced inside the vagina and then 0.4-0.6 ml of the prepared semen is inserted inside the uterus with the help of a small catheter (fine tube). IUI done, under ultrasound guidance, gives better result than IUI done without it. The patient is asked to lie down few minutes after taking out the catheter and the speculum. The medicines are advised and then they can go home.  

Is IUI painful?

Most women feel little discomfort during IUI but it should not be painful. If there is technical difficulty while putting catheter inside the uterus, your doctor will discuss it with you and in the next cycle, will plan management to solve this issue.

What happens if husband cannot collect semen?

Collection of semen in unfamiliar environment is understandably a matter of discomfort and seems awkward. Proper counseling and maintenance of privacy can help. Stress-free approach is needed. If it fails, do not hesitate to inform your doctor. Some medicines can help. But in those, who are unable to masturbate, there are some instruments, like ejaculator, can help to solve this problem.

What happens if sperm count is low?

IUI can be successful if sperm count is minimum more than 5 million per ml and there is reasonably good morphology and motility. If not, IVF or ICSI would be the better option. But IUI can serve as trial also. That means before putting the semen, the prepared sperms can be examined and it can be predicted what is the success rate of IUI in this particular case and whether IVF or ICSI would be needed. In rare occasions, where sperm count is extremely low but the couple do not wish for IVF or ICSI, pooled semen IUI can help- where the semen is collected in number of occasions and is preserved and the final pool is used for insemination, to give a reasonable success rate.

When donor sperm is used and how?

If a man does not have any sperms or too few sperms to do IUI, IVF or ICSI is not affordable, donor IUI is an alternative. But it is not done without consent from both husband and wife. The donor is not known to the couple or the doctor and no identity of the donor is revealed. No relative or friend can serve as donor. Donor semen is frozen semen, collected 6 months ago and the donor is tested for diseases like STD, HIV, Hepatitis B or C. Usual attempt is taken to chose donor having blood group and skin colour similar to those of the husband. But remember, it’s only given after discussion and written consent by the couple. 

Can a couple have intercourse in the cycle where IUI is advised?

Intercourse around IUI increases the number of sperms available at the time of ovulation.

When should one check for pregnancy?

Usually if period does not come within 18 days after IUI, pregnancy test is advised. It can be done at home. If negative, then the cause of not having periods is sorted out.

What is the chance of success after IUI?

In one cycle, chance of success is around 20-25%. Most of the couples conceive after 3rd or 4th cycle of IUI. The chance of pregnancy after 6th cycle is low, so, usually IUI beyond 6 cycles is not advised.

The factors where IUI gives better results include unexplained infertility, sexual dysfunction of any of the partner, PCOS and male subfertility (low sperm count or motility)

What happens if IUI fails?

As said earlier, you should think about further treatment, if 3rd or 4th cycle of IUI fails. There is no use of doing IUI beyond 6 cycles, unless natural intercourse is not possible and the age is favourable. IVF gives better result. 

Is there any harmful effect of IUI?

Very few harmful effects have been noted, for examples, hazards of ovulation induction (OHSS< twin pregnancy), pain, infection and discomfort. As mentined, if raw semen is given, unusual allergic reaction can happen.

How IUI is being done in your particular centre by Dr Sujoy Dasgupta?

We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.

We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.

We try to take nominal charges and help couples to collect medicines (particularly injections) at lower prices than MRPs.

After thorough evaluation of both the partners, we plan for ovulation induction drugs, with consent from them and advise them to come for TVS. After each day TVS, we explain the progress and probable timing of IUI.

On the day of IUI, after requesting the couple to maintain punctuality, we advise the husband to collect semen, in comfortable atmosphere, maintaining the privacy. If there is problem in semen collection, we provide support to him and address his issues in sensitive way.

Our expert trained embryologist then prepares the semen. We always encourage the couples to see the condition of raw and prepared semen under microscope to maintain the transparency. 

We advise the woman to fill up the bladder (to take water and not to urinate) to facilitate the passage of IUI catheter. Unlike other places, we perform IUI inside OT to prevent unwanted infection. 

Again we maintain our uniqueness in the sense that we perform it under ultrasound guidance. The ultrasound guidance has been scientifically proved to increase the success rate of IUI. Moreover, we show the woman in the ultrasound (real time) how the catheter has been put inside the uterus (to make sure that we are not doing IVI or have placed it in wrong position). This also helps to reduce patient’s anxiety and uncertainty. After that, our nurse takes care of the patient and observes her when she takes rest. 

Then we advise the post-IUI medicines and advise them what to expect and when they can go home. Again, this time we try to answer all questions the couples can ask.

 

Conclusion

Infertility is a peculiar thing. Very few men or women are absolutely infertile. That means they do not have ability to achieve pregnancy naturally. Majority of them are subfertile. That means most of them have lower than normal chance (compared to healthy couples) to achieve pregnancy in a normal menstrual cycle. Often we find that patients planning for treatment and in the mean time, they conceive naturally. That means even without treatment, there is some chance of pregnancy. Of course, it’s stressful situation for both the partners. Stress affects conjugal relationships and lead to many couples avoiding conjugal life. Indeed stress can affect the hormone levels in females and affects sexual performances in males. It’s easier for us to advise you to stay stress-free but is difficult to practice. Nevertheless, try relaxation as much as possible. Think that majority of the couples ultimately conceive by some form of treatment. Have faith in yourself and have faith in your doctor.

29 people found this helpful

Hi Dr, Please let me know its OK to delivery after 36 week of pregnancy becoz My family Dr. said baby head in up middle stomach not moving to words down side and this will risky to wait till 9 months hence please sugest.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Hi Dr,
Please let me know its OK to delivery after 36 week of pregnancy becoz My family Dr. said baby head in up midd...
NO IDEALLY THE BABY MOVES DOWN AFTER 37 WEEKS IN PRIMIGRAVIDA AND DURING LABOUR IN MULTI GRAVIDA. YOU CAN DEFINATELY WIAT TILL THAT TIME
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Sir problem is that he is enjoying foreplay & fully comfort with that. & even no need of lubricants. I try so many times even she tried so many times but at the time of inter course she got so tensed. We have completed 1 yr of our marriage but after every try we don't get any result & from all these she is mentally upset. Now I don't understand where is the problem & what should I do now to solve all these?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Sir problem is that he is enjoying foreplay & fully comfort with that. & even no need of lubricants. I try so many ti...
That means there is some problem. We need to diagnose the cause and treat it. One year is enough time. So, please don't waste time further and consult doctor. It is not a rare problem, but easily treatable.
1 person found this helpful
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My last periods were on 15 december and I got married on 23 december from that time no periods came and I did upt but result negative what should I do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My last periods were on 15 december and I got married on 23 december from that time no periods came and I did upt but...
Hello, You can ideally wait for at least 15 days post missed periods and if they still don't resume then you can opt for a withdrawal bleed with progesterones.
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Hi I have an a problem of swelling in body. Many times my body parts get swelled. How should I solve this disease?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi  I have an a problem of swelling in body. Many times my body parts get swelled. How should I solve this disease?
Take salt less,drink coconut water and banana to remove water from the body.stop outside food take lemon water and more salad and fruits,check your blood pressure
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Please advice me what type of precaution I need to take during first time sex .As its very difficult for me to insert my penis in vagina because its too much tight and bleeding also occur to my wife.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Please advice me what type of precaution I need to take during first time sex .As its very difficult for me to insert...
Hi Vidush, it would be better if you use condom, so that it will prevent sexually transmitted diseases and if contraceptive as well. Make your partner comfortable, so that lower part should be relaxed, bleeding after first sex is not very heavy, it depends upon thickness of hymen.
1 person found this helpful
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The Link between Posture and Technology - How Your Gadgets May Lead to Injuries

MS - Orthopaedics, MBBS
Orthopedist, Delhi
The Link between Posture and Technology - How Your Gadgets May Lead to Injuries

In today’s world, which is technologically advanced, we don’t even realize that the whole day has passed by looking at or using our electronic devices. Our life sways between checking the social media on smart phones to using the computer in office, which just makes it easy for us to spend the whole day locked up with a screen. Though this could be fun at times, but it has some definitive effects on our body.

Link between posture and technology
When looking at people at office gives you a good idea of how they sit while they use their devices. Average person waiting in a doctor’s office usually sits with a hunched back, shoulders slumped and a bent down neck. In office these people might lean on their desks, push their neck forward in order to see what is on their screen and their hand is constantly scrunched over the mouse. The human body is not really designed to sit in this way and can have serious life impending issues.

The biggest problem with technology posture is position of the head. When the head is evenly balanced between the shoulders it weighs between 10 and 12 lbs. But with a slight tilt even 15 degrees, the weight on the spine spikes to 27 lbs. Another 15 degrees and it weighs 40 pounds. At 60 degrees, the position where the chin touches the chest weighs 60 pounds on the spine. The extended weight on the spine causes the lower spine to collapse along with a low back pain. Low back pain can further cause knee pain and a referred ankle pain and further leading to much more damage.

How to prevent technology posture?
There are many ways in which the damaging effects of the technology posture can be reduced. At office you can elevate the monitor so that top of the screen is at the eye level. The height of the chair should be such that the feet are firmly placed on the ground. The desk should be in such a manner that the forearms are parallel to the floor when the shoulders are relaxed.

While using the smart phone, avoid bending and slouching and use arms to place the phone in front of the face. The phone should be at eye level when browsing and should not be balanced by the neck when talking on the phone. The head should be kept straight and these easily avoid the damaes of technology posture.

4045 people found this helpful

I have menstrual problem and every month it will be only for 2days so that gradually I am increasing my weight can you suggest me periods having for 5 days every month?

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
I have menstrual problem and every month it will be only for 2days so that gradually I am increasing my weight can yo...
Since you are increasing weight so hormones have disturbed that's why you have less flow during periods. Decrease weight first. And few blood tests also required with it to see cause of weight gain.
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Hlw Doctor. I want to ask a question for my Mom. She is 39years old and recently (1 month ago) she had the operation of uretus i. E. Hysterectomy. So I want to know that what types of foods she can take and also what type of exercises she can do? Many people says that after operation the body becomes fat so tell me the things that help us to make my mom slim and Fit. And till how many months she should not do heavy works?

MBBS
Sexologist, Panchkula
Hlw Doctor. I want to ask a question for my Mom. She is 39years old and recently (1 month ago) she had the operation ...
Your mother underwent hystrectomy operation. I advise her to take fruits like apple, guava, papaya, water melon, pineapple, orange, moussami. These fruits will help to reduce weight. She should avoid cheese, desi ghee, cream and milk. She can take milk but not too much. She can do brisk walking and avoid heavy exercises.
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I had sex with my wife 3 days just before her periods date. So is it possible to get pregnant? Her date was 1st of September and I had it around 28th august but its 4th sept and she didn't have her periods till now. So is she pregnant.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I had sex with my wife 3 days just before her periods date. So is it possible to get pregnant? Her date was 1st of Se...
Normally very low chance but next period is always judgement and not fact so there is small possibility. In any case any sexually active who misses period has to get urine pregnancy test.
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If after taking abortion pill at home and pregnancy not clear after 5 days of bleeding then what shall I do?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It, may take 7-14 days for the bleeding to stop. If during this time bleeding does not stop means pregnancy is not aborted completely, which needs to be removed with d&c to prevent infection. But you have to wait for at least 7-14 days after the vaginal insertion of the tablets.
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What is ovulation period in females? Are there ways to find out the exact ovulation day? And having sex on that day results in 100 % pregnancy? Please give me proper solution.

MBBS
General Physician, Chandigarh
You can not be 100%sure about ovulation day unless you get it checked in the ultrasound by getting follicular study done and again having sex even on the ovulation day is not 100% confirmatory to get pregnant.
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International Women's Health Day - Common Gynaecological Problems & Ways to Prevent Them!

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
International Women's Health Day - Common Gynaecological Problems & Ways to Prevent Them!

Women’s anatomy is different from men’s anatomy and so are the problems that they face. Women’s anatomy is special, complicated, and unique, they face several gynaecological problems at different stages. Getting to know your body, possible health problems, their causes, and preventive measures will help you stay away from such health issues.

Causes of gynaecological problems in today’s life:
Today, most women are career focussed and work extensively. The enormous work pressure is a leading cause of many of the gynaecological disorders. A recent study shows that 68% of working women suffer lifestyle diseases like obesity, depression, diabetes, hypertension and backache. Most of them skip meals and often eat junk and processed food. Environment pollution, lack of sleep, less sunlight exposure, lack of exercise, poor nutrition, anxiety, insecurity, excessive intake of alcohol and drug are among the other causes of these diseases. The lifestyle changes and lack of awareness have resulted in problems like breast cancer, infertility, menstrual disorders, high-risk pregnancy, sexually transmitted diseases, etc.

Some common gynaecological problems:

  1. Breast Cancer: One of the leading cause of untimely death in women is breast cancer. Many women irrespective of the race and region are getting affected by breast cancer. Women over forty years are more prone to this cancer. Early diagnosis and general lifestyle changes result in increased survival rate. As a preventive measure for breast cancer, women over 40 years should opt for a mammogram scan once in 2 years. Self-examination of breasts is recommended as well.
  2. Menstrual Disorders: Menstrual disorders include Amenorrhea, Menorrhagia, Irregular bleeding, Dysmenorrhoea, etc. Common causes for menstrual disorders are stress, hormonal imbalance, birth control pills, diet, lack of physical activities, etc. When the menstrual cycle is absent, it is called Amenorrhea, and when the secretion of menstrual fluid is more than the average, it is called Menorrhagia.
  3. Infertility: The inability to conceive a baby is called infertility and the problem seems to be on the rise every year. The major causes of infertility in women are inadequate levels of hormones and problems with ovulation. Many treatments are available to improve the chances of conception. Hormone treatments, drugs to increase fertility, and surgical procedures to name a few. However, regular exercises, balanced diet, and stress-free life are natural ways that may offer a huge relief from this problem.
  4. High-risk pregnancy: When in a pregnancy there are too many complications than the normal pregnancy it is called a High-risk pregnancy. Late marriage, lifestyle disorders, conceiving after 35years may cause a high-risk pregnancy. In a high-risk pregnancy bleeding during the 3rd trimester, RH incompatibility, abnormalities of reproductive tract may happen.

Preventive measures against the gynaecological problems:
Other than the medicinal and clinical support there are some precautions by which a woman can take away the gynaecological problems from herself.

  1. Healthy Diet: Lots of fresh fruits and green vegetables along with a well-balanced diet is imperative for a disease-free life. Avoid junk foods, aerated drinks, and fatty foods. Don’t skip the meal and eat in proper time.
  2. Physical activity every day: Indulge in any kind of physical activity or sport. From swimming to running to yoga and aerobics, choose the one you love and get going, every day. Being active is the key to keep lifestyle diseases away.

I had my periods on 1st Aug and it lasted for 3 days. I had unprotected sex on 8th Aug and took unwanted 72 within 24 hrs. My period again started on 12th Aug and lasted for 2 days (12-13th Aug). I had unprotected sex again on 14th Aug. Is there any chance of pregnancy?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I had my periods on 1st Aug and it lasted for 3 days. I had unprotected sex on 8th Aug and took unwanted 72 within 24...
Second time bleeding is withdrawl bleeding due to pills and second unprotected could cause chances of getting pregnant.
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My age is 25 I have thyroid problem before I took unani medicine for this now my tsh is normal 4.now I'm facing periods problem periods is coming every month but only for 1 and 2 day finish and very less blood and light. I'm taking unani medicine means P, habbe mudir sharbat mudir, mahwari I'm taking all these medicine before 4-5 days of period but it's coming 1 and 2 days. What to do for this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
My age is 25 I have thyroid problem before I took unani medicine for this now my tsh is normal 4.now I'm facing perio...
its due to hormonal imbalance,dont worry, Use warm water for drinking,take healthy ,warm food,fresh fruits,dry fruits,take proper rest,sound sleep,do regular exercise, yoga,pranayam,keep cleanliness of private body parts. avoid chilled water,cold drink, foods kept in fridge,oily,spicy,outside food,water, avoid late night works, travelling ,overexertion during menstruation. best luck..
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