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Sonography of Pelvis Health Feed

I am 48 year old female, and had hysterectomy and oophorectomy 5 years ago due to endometrial fibroid. Now I had again pain from 7 months on same side as earlier, nd I had taking neugaba m 75 and etrobax 90 from prescription, but still it is not curing.

MBBS, M.D., Dip.in pelvic surgey,
Gynaecologist, Kottayam
Your pain in the lower abdomen is not related to previous uterine pathology. The present compalint may be due to an inflammatory cause which needs thorough clinical exanination and detaled investigation.
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I have been asked to take clomipure 100+50 mg and come for folica study, but due to lock down I can’t got to Dr. for folica study. What to do now? Shall I continue taking that medicine?

MS - Obstetrics and Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery, Senior residency Obstetrics & Gynaecology
Gynaecologist, Ludhiana
I have been asked to take clomipure 100+50 mg and come for folica study, but due to lock down I can’t got to Dr. for ...
Dear Lybrate user, as I can see you are taking a higher dose of clomiphene. Such doses need to be monitored via serial ultrasounds. If you have already taken a 5 days course and can manage to go to your doctor once, go on day 12-13 of your cycle. If its literally impossible for you to do so, try conception with partner every alternate day from day 11 to 16. If you have not yet started the medicine, it's better to let this cycle go and start from next cycle when lockdown norms will be a bit relaxed.
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My friend is 42 years old with 12 years old daughter and has fibroid problem. She has missed her periods, it's 34 days, symptoms of periods happen but no periods, can she be pregnant?

MD - Homeopathy, BHMS
Homeopathy Doctor, Vadodara
My friend is 42 years old with 12 years old daughter and has fibroid problem. She has missed her periods, it's 34 day...
Hello lybrate-user. If she has sexual intercouse thennthere are chances of pregnancy. Take pregnancy test to know.
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Hi docter, enik ectopic pregnancy aarunnu. So methotrexate injection 2 ennam eduthu. But karyam undayilla. So laproscopy cheythu. March 3 nu aarunnu. Athu kazhinju 3 days kazhinjappol bleeding aayi. 5 days undarunnu. Pinnedu april 20th periods aayi. Innu 7th day of period aanu. Enik ippol pregnancyk try cheyyan pattumo. Consult cheyyunna docter problem illa ennanu paranjath. Engilum oru pedi. Ippol try cheyyunnakond kuzhappam undo.

MBBS, DNB (Obstetrics and Gynecology), Fellowship in Reproductive Medicine & ART
Gynaecologist, Solapur
Hi docter, enik ectopic pregnancy aarunnu. So methotrexate injection 2 ennam eduthu. But karyam undayilla. So laprosc...
Hello lybrate-user, there is no problem in getting pregnant. But in current situation of corona crisis if the healthcare facilities are available in your location you can go ahead and try for pregnancy otherwise you should postpone your plans for 1 or 2 months to be on safer side. It's up to you to decide.
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Hello doctor. M pragnent thi jb sonography kia to pta chla ki 4 cm ka fibroid h uterus m. Uski wjh se mera misscarrige ho gya. Fr 3 mhine fibroease 25 mg tab lene k bd mera fibroids 1.8 cm ho gya tha. Uske 3 mhine isi medicine ko khane k bd check kia to km ni hua or bd gya 2.5 ho gya. Fr Dr. Ne medicine change kr k fibristal 10 mg tab khane ko di 2 mhine usse v kuch ni hua 2mhine bd v 2.5 hi rha. Is br Dr. ne fibroease 25 mg ko 2 br khane ko bola h. Plzz doctor I want to be pragnent. How can reduce my fibroid size please help me. Mera fibroid uterus k posterior wall pe h.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hello doctor. M pragnent thi jb sonography kia to pta chla ki 4 cm ka fibroid h uterus m. Uski wjh se mera misscarrig...
"uski wjh se mera misscarrige ho gya. Ye shoch hai scientifically nakki nahi hai "fr 3 mhine fibroease 25 mg tab lene k bd mera fibroids 1.8 cm ho gya tha. "- ye davai se temporary chota hota hai. Bahut sare medical taklif ke liye khud doctor ko prashna karke detail me medical history leni padti hai, check up karna padta hai aur kabhi kabhi reports dekhna padta hai isliye doctor ko milo/call karo -gynecologist apne area ke.
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I am 34 years old lady married since 2015. Last year I go to gain as I am not conceiving. After all tests my hsg report shows fibroid or polyp in my uterus. Now she asked me to go for dlh operation ie laparoscopic surgery. Suggest me shall I go for this?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 34 years old lady married since 2015.
Last year I go to gain as I am not conceiving. After all
tests my hsg repo...
Any couple desirous of pregnancy and not getting same naturally must meet gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for a long time. However do insist for any treatment giving early result in view of age.
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Infertility In Male And Female - Homeopathic Treatment At Rescue!

BHMS
Homeopathy Doctor, Gwalior
Infertility In Male And Female - Homeopathic Treatment At Rescue!
If you are looking for an effective treatment procedure for infertility, you should consider homeopathy. Infertility refers to the inability to conceive after having sex. The biological inability of a man or a woman to conceive and have a full term pregnancy can also be referred to as infertility. Homeopathy is the most natural cure for infertility and there are several types of homeopathic medicines which treat infertility in both men and women.

Homeopathic Medicines for Infertility in Men-

The top homeopathic medicines used for treating infertility in men are as follows:

1. Homeopathic medicines for infertility in men with erectile dysfunction-
Agnus Castus is used when a man s sexual desire and physical ability are reduced. The genitals stay relaxed, cold and flaccid. Caladium is used when infertility or impotency results because of mental depression. The genitals stay relaxed and weak erections are likely. Selenium is used for erectile dysfunction featured by slow and weak erections. Involuntary semen discharge may also be indicated as a symptom.

2. Homeopathic medicines for infertility in men with low sperm count-
The homeopathic medicine X-Ray is very effective in treating low sperm count in men. Sperm count gets increased, enhancing both the quantity and quality of sperm.

3. Homeopathic medicines for infertility in men with orchitis-
Conium is used for treating infertility in men, which occurs due to orchitis. The testicles get swollen, enlarged and hardened. Conium also helps patients with a history of suppressed sexual desire.

Homeopathic Medicines For Infertility In Women

The top homeopathic medicines for treating infertility in women are as follows:

1. Homeopathic medicines for infertility because of acid vaginal charges-
Borax and Natrum Phos are effective homeopathic medicines used for treating infertility in women, which occurs because of acid vaginal charges. These medicines are prescribed when the vaginal discharges are destructive, acrid and sperm-killing in nature. Borax is used when the discharge is like egg white, copious and warm. Natrum Phos is used in the case of acrid, creamy and honey-colored discharge.

2. Homeopathic medicines for infertility because of prolonged and profuse periods -
Calcarea Carb and Aletris Farionosa are ideal homeopathic medicines which are used in case of prolonged and profuse menstrual periods, and in the case of periods appearing before the usual time. Experiencing early menses is likely. The patient may experience anemia, leucorrhea, fatigue, tiredness and weakness along with menorrhagia.

Homeopathic treatment does not utilize the use of any kind of chemicals, and hence there are no side effects on the body. You should consult a homeopathic practitioner before starting to take homeopathic medicines for infertility.
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Uterine Fibroids - How To Resolve It?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Uterine Fibroids - How To Resolve It?
Also referred to as myomas or leiomyomas, uterine fibroids are the most common form of uterine tumors. In a recent study, it was found that about 70 to 80 percent of women are likely to be affected by uterine fibroids by the age of 50. And the most vulnerable age of developing uterine fibroids is between the age of 40s and early 50s.

What are uterine fibroids?
Fibroids are harmless and noncancerous tumors even though sometimes, they can give way to a rare form of cancer known as uterine sarcoma. But there is no precise way of detecting sarcoma expect when surgery is performed for removing fibroids. If you have uterine fibroids, it is important to discuss your risks for having uterine sarcoma with your doctor. Women who hail from Africa and America are more likely to have uterine fibroids. These fibroids tend to grow at a very young age and lead to more severe symptoms. You may also have an increased risk of uterine fibroids in case you have never been pregnant or are severely obese.

Some women have uterine fibroids, but they don t have any symptom or discomfort, and the number of such women is usually high. It is generally perceived that a woman with uterine fibroids who don't have any symptoms would not require much treatment other than general observation.

What are the most common symptoms of uterine fibroids?
Even though numerous symptoms are associated with having uterine fibroids, the most common of them are having heavy menstrual flow with blood clots. It can also cause bleeding when you are not supposed to have menstruation, urge to pass urine frequently, abdominal bloating, pelvic cramping, and painful sex.

Even though you can still get pregnant while having uterine fibroids, you are likely to face various difficulties since these small lumps can alter the size as well as the shape of the uterus.

What is the most common treatment option for uterine fibroids?
Scores of hysterectomies, which is the medical term given to the surgical removal of the uterus, are performed each year for uterine fibroids. It not only snatches away the power to procreate but also carries its own risks and complications. Doctors suggest this option when uterine fibroids are very painful, or other treatment options have failed to eliminate the symptoms.

But the good news is that hysterectomy is not the only option for treating uterine fibroids. Other treatment options include myomectomy which is the surgical removal of the fibroid, hormone therapy to shrink the fibroid, Uterine Fibroid Embolization that stops the blood supply to the fibroid thus shrinking it, and Ultrasound to destroy the fibroids.

When you are nearing or in menopause, you can monitor the condition as the fibroids tend to shrink due to a drop in the levels of estrogen and progesterone.
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Uterine Fibroids - Have Homeopathy For Them!

BHMS
Homeopathy Doctor, Hyderabad
Uterine Fibroids - Have Homeopathy For Them!
Uterine fibroids can be described as benign tumours that grow on the inner walls of the uterus. Fibroids are a common occurrence among women who are within the childbearing age bracket. These growths are not something to worry about but can disrupt your lifestyle and be uncomfortable. Irregular menses, excessive uterine bleeding, abdominal pain during periods, frequent urination, constipation, anemia and backaches are some of the symptoms associated with this condition.

Homoeopathy has proven to be very effective in treating uterine fibroids. This form of medication has negligible side effects and takes into consideration the symptoms showcased by the patient as well as the overall physical and mental health of the patient.

Some common homoeopathic remedies for uterine fibroids are:

Calcarea Carbonica: This homoeopathic remedy is often used to treat periods that last longer than the normal 5 days and cause excessive bleeding. If not controlled, this excessive bleeding can make a woman infertile. Women who benefit from the use of calcarea carbonia to treat fibroids usually complain of their feet feeling very cold and chills in the extremities. Calcarea carbonia can also be used to treat menstrual irregularities caused by fibroids in overweight women.
Thlaspi Bursa Pastoris: This medicine is the second most common homoeopathic remedy used to treat fibroids. It is usually prescribed in cases where the duration of periods is shortened. In most cases, the patient has barely gotten over one period before the next one starts. Thlaspi Bursa Pastoris also helps relieve abdominal cramps and back pain associated with menses.
Trillium Pendulum: Fibroids that cause excessive uterine bleeding can be treated with this homoeopathic medicine. Very often, this type of excessive bleeding also triggers fainting spells. One of the major criteria to be kept in mind while using this medicine is that the blood flowing from the uterus should be bright red in color.
Fraxinus Americana: Fraxinus Americana is used to treat fibroids that make the patient feel like a weight is bearing down on the pelvic region during menstruation. It is also an effective way of treating severe abdominal cramps that accompany menses.
Calcarea fluorica: Fibroids have a large variation in sizes. The size of a fibroid can be understood by analysing the results of an ultrasound. Fibroids that are very large and hard can be treated effectively with calcarea fluorica. In such cases, the patient may also complain of excessive bleeding during menses.
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Infertility - Why It Is Not Right To Blame Women For It?

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS, Masters in Reproductive Medicine(UK)
Gynaecologist, Faridabad
Infertility -  Why It Is Not Right To Blame Women For It?
Infertility is a medical condition in which the patient fails to conceive after one year of having unprotected sex. It is advisable that women who are above 35 years of age and often experience irregular menstrual cycles should consult a doctor on being unable to conceive within six months.

Is infertility a common issue?
Infertility has become a common problem for the new age women. Sedentary lifestyle and stress are believed to hamper the fertility of women nowadays. According to a report, about 6 percent of women in US in the age group 15-44 years are infertile.

Infertility: It s not just a woman s problem
Infertility is not an issue with only women. Both, men and women can be infertile or are responsible for the condition. The process of reproduction requires mutual co-operation from both sexes. Therefore, they can together contribute towards infertility as well. It is wrong to blame the woman only. According to the 2002 National Survey of Family Growth data, it has been found that about 7.5 % men in the age group of 18-45 years (who have has sexual exposure) visited infertility clinics at least once in their lifetime. Of these men, about 18% were affected by male-related infertility issues.

Infertility in men: Men can suffer from infertility due to various factors. Infertility can be detected by analysis of the semen. A doctor can evaluate the concentration of the semen or determine the sperm count, the mobility of the sperm and its shape or morphology. These are important for fertility. Semen analysis can be hampered due to the following conditions:

1. Varioceles - The veins on the man s testicles are unnaturally large and leads to overheating of the sperms
2. Diseases like diabetes, cystic fibrosis, trauma and infection.
3. Unhealthy lifestyle
4. Environmental toxins

Infertility in women: Women must have proper functioning of the reproductive organs to become fertile. The fallopian tubes, ovaries and uterus must be physically and physiologically fit for getting pregnant. A woman may get infertile due to following reasons:

1. Irregular periods that suggests the woman is not ovulating properly.
2. Polycystic ovary syndrome (PCOS)
3. Functional hypothalamic amenorrhea (FHA) or excessive physical or emotional stress causing missed periods
4. Diminished ovarian reserve (DOR) or inability of the ovary to produce sufficient eggs
5. Premature ovarian insufficiency: The ovary stops functioning properly before 40 years of age
6. Blocked, swollen or open fallopian tubes
7. Menopause
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