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Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
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In a normal pregnancy, the baby develops with its head pointed down, and the head is usually the part which comes out first during normal delivery. However, in many cases, the baby could have its legs, feet, or buttocks pointing to the cervix. In a majority of cases, the baby may have this position, but rotates to have its head pointing down before the third trimester. However, this may not happen, and this is referred to as breech.
In a lot of cases, the doctor would try to move the baby’s head downwards usually around the 37th week, and this is referred to as external cephalic version (ECV) or even as version. The process is done externally by manipulation and hence the name external. It is done before labor and may allow for a vaginal birth. In very rare cases, it may be done during labor, but before the amniotic sac has ruptured. As a backup, there should be a provision for the patient to undergo C-section, if ECV is not successful.
- Single pregnancy, into 36 weeks of pregnancy, with no complications, and preferably not the first pregnancy
- No engagement of the fetus (any part) in the uterus
- Adequate amniotic fluid, which will provide a good environment to move the baby with minimal injury
- Suspected/known birth defects
- Multiple pregnancies (twins/triplets)
- Ruptured amniotic sac
- Fetus with a hyperextended neck
- Mother’s health is not optimal and is on cardiac medications
- Condition that mandates a cesarean section (placental separation from the uterus, placenta covering the cervix, etc.)
The fetal position is first estimated using an ultrasound. The position of the placenta and the amount of amniotic fluid are also closely monitored. Under constant monitoring, the uterus is relaxed through medications. With one hand on the fetal head and another on the buttocks, the doctor tries to rotate the fetus. Depending on how much pressure the mother is able to tolerate and how flexible the uterus is, version may be successful (success rate is about 60%).
A second attempt under epidural anesthesia may be done, if the first one did not succeed. However, the chances of success with subsequent attempts is very doubtful. The fetus is constantly monitored through ultrasound and fetal heart rate monitoring. A fetus is considered healthy if the heart rate moves up during this procedure. However, if the heart rate seems abnormally high, the procedure would be abandoned.
After the procedure, the mother and the fetus would be monitored for a while before being sent home. As the fetus is constantly monitored throughout pregnancy, the doctor would be able to tell if this procedure is required.
What is Bacterial Vaginosis?
Bacterial Vaginosis is an infection that occurs in and around the female genitalia. It does not usually pose a major health threat and is a mild infection that can be controlled and cured with timely medical intervention. Although it is believed to be sexually transmitted, it can also affect women who are not sexually active.
In some cases, pelvic surgeries, which include caesarean, hysterectomy, abortion or other abdominal surgery, bacterial vaginosis can be contracted during the surgical procedure. This can further complicate the condition of the patient.
Bacterial Vaginosis is a common complaint among women who have physically reached the child bearing age and symptoms of this physical problem can become prominent at any time of the menstrual cycle.
Causes of Bacterial Vaginosis
Dirty, unwashed underwear
Multiple sexual partners
Change in the vaginal pH, causing the reduction in the protective acidic secretion that prevents the growth of other harmful bacteria
It can also arise from the placement of Intrauterine device (IUD), a contraceptive device placed to prevent the eggs released by the ovaries, from reaching the uterus.
Symptoms of Bacterial Vaginosis
The most common sign of bacterial vaginosis is a foul smelling vaginal discharge.
The discharge increases after sexual activities.
Discomfort during urination
In some rare cases, there is itching and dryness
In most cases, bacterial vaginosis does not reveal too many symptoms and does not even cause intense irritation.
Bacterial Vaginosis can be treated with antibiotics that are generally to be continued for a course of 7 days.
Symptoms and discomfort of bacterial vaginosis generally recede within 2-3 days. However, it is recommended that the medicine should not be stopped even after the symptoms disappear.
- Only in rare cases, certain antibiotics may lead to a vaginal yeast infection. In case of redness, inflammation, irritation and undesirable discharge, you must seek medical attention immediately.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Love making is generally portrayed as a way to great pleasure. However, what most may not know is that intercouse can be painful, very painful, so much so that you at times don’t want it. In fact, an alarming 75% of women have had pain during sex at some point in their lives. There are physical and psychological components to this, both of which can be managed easily if identified. While some may be frank and talk about it, a lot of them go unspoken and therefore endure the pain in silence.
Painful intercourse, which is a major deterrent for a happy intimate life, has a lot to do with the mindset and emotions than actual physical or physiological problems. Fear of being hurt, performance anxiety, sexual inhibitions, past history of abuse, etc. are major contributors for painful intercourse.
Physical causes for the pain include temporary reasons like the ones listed below.
- Vaginal Infections: Fungal infections of the vagina and surrounding organs are very common and there could be sores or lesions, which can turn painful with sex.
- Vaginismus: Another common condition leading to painful sex, these are involuntary contractions, which often happens as a defense mechanism. The woman has the fear of being hurt and so these spasms happen.
- Gynaecological Issues: Ectopic pregnancy, ovarian cysts, menstrual disorders, endometriosis, cervical problems and vulvar injuries are other causes which can lead to painful intercourse.
With any of these, the remedy lies in acknowledging the problem.
If there are no physical issues, talking about the past, discussing her fears and anxiety can help. Many times, the expectations are often unspoken and there is a lot of uncertainty, fear and anxiety between the couple, especially with respect to intimacy. A frank talk can help ease both of them, and that can often help in reducing pain during sex. If required, counselling can be sought,so that she opens up. In most cases, one or two sittings with both couples and a counsellor can help find the problem and work out a lasting solution.
Lubrication is often another problem that leads to pain. When there is not sufficient mental stimulation, the chances of a dry vaginal mucosa are high. Artificial lubricants can be used to help with easy penetration and reducing the pain. Infections can be managed with antibiotics, often topical, unless it is very severe and requires systemic antibiotics. Women who have delivered babies should refrain from sex for complete healing, as it can be painful.
Menopause is another reason for painful sex and this is due to lower hormone level. Using hormones either topically or supplements like birth control pills can improve overall sexual urge and lead to painless sex.
Vaginal yeast infection occurs when too many yeast cells grow in the vagina, causing inflammation. It can spread by sexual contact but is not considered as a sexually transmitted infection. A yeast infection results in soreness or itching in the vagina with a burning sensation while urinating.
Causes of yeast infections in the vagina:
- If antibiotics are used more than usual, they can decrease the level of lactobacillus bacteria present in the vagina, changing the pH of vagina
- Having high estrogen levels during pregnancy by using high dose birth control pills and hormone therapy can lead to the overgrowth of yeasts.
- Having diabetes, especially when the blood sugar level is not checked and tends to be high
- Having a weak or impaired immune system
- Being overweight and having poor eating habits, including foods high in sugar level
Risk factors associated with the condition:
A number of factors can increase your risk of getting a vaginal yeast infection.
- Using antibiotics heightens your risk of developing vaginal yeast infection as it disrupts the balance between yeast and bacteria. Excessive intake of antibiotics can kill healthy bacteria, leading to overgrowth of yeast organisms.
- Having a weak immune system with conditions such as poorly controlled diabetes and HIV can lead to an overgrowth of yeast in the vagina. Corticosteroid medicines also weaken the immune system.
- Wearing pants that are tight-fitting, nonabsorbent and undergarments that trap warmth and moisture
- Having high estrogen levels due to an imbalance of hormone levels during pregnancy or menstrual cycle can also lead to vaginal yeast infection.
Hysterectomy is a procedure that is used to treat a wide variety of conditions. A partial hysterectomy is performed for the removal of the uterus whereas a myomectomy is performed for the removal of the fibroids. A complete hysterectomy is performed in order to remove the uterus and the cervix. With hysterectomy, there comes some critical and sensitive topic that needs to be discussed with the surgeon. Here is a list of top 10 things that need to be known about hysterectomy:
- The sex life concern: Unlike common apprehension, hysterectomy doesn’t necessarily mean the end of sex life. In the worst case scenario where the cervix is removed, it takes around 6 weeks before one can resume the sex life.
- Hysterectomy can’t cure endometriosis: Endometriosis is a condition that is characterised by menstrual cramp, painful intercourse and chronic pain. Hysterectomy is not the first line of treatment for a condition like this. If any doctor has suggested it, it makes sense to take a second opinion.
- Hysterectomy doesn’t mean menopause: This procedure doesn’t mean a menopause or an inability to get pregnant. There are certain other misconceptions such as getting night sweats, hot flashes and menstrual cramp etc. On the contrary, a well-performed procedure will ensure that a person doesn’t feel a thing after the surgery.
- The loss in ovaries: Depending on the condition of a patient, a doctor might remove the fallopian tube, uterus and ovaries. It necessarily means a sudden loss of oestrogen and progesterone hormone abruptly. Both this hormone are critical for bone and sexual health. It might also lead to menopause, decreased urge in sex and hot flashes during the night. It is therefore very important to discuss each and every aspect of the procedure before the surgery begins.
- Hormonal therapy: Since the removal of ovaries is likely to cause physical discomfort to the body, hormonal therapy can come to the rescue of an individual. Hormonal therapy can curtail the risk of blood clot formation, heart diseases, stroke etc.
- Explore other non-surgical options: Hysterectomy is not the last word for any uterus or ovary related problems. The goal is to keep the uterus intact. There are certain less evasive procedures to save ovaries and uterus. This is where multiple opinions come handy.
- Less invasive options: There exist less invasive surgeries for treatment related to uterus and ovaries. For instance, a robotic hysterectomy causes far less pain as compared to traditional procedure. It also ensures less loss of blood from the system resulting in less weakness.
- The morcellation technique: In case a uterus has to be removed, doctors these days use a process known as morcellation. The latter involves making small cuts into various places of the uterus in order to bring it out. The false apprehension of this process causing cancer cells in the body is not true. Only if a patient is suffering from a particular kind of cancer, it might spread to other parts of the body. A doctor has to be consulted to assure such a thing doesn’t happen.
- Cancer apprehension: For people facing a gene defect such as BRAC1 and BRAC2 hysterectomy can reduce the chance of ovarian cancer by a good 80 percent.
- Physiological healing post hysterectomy: Although physical healing takes no more than 6 weeks after the procedure, the emotional healing might take some time. It makes sense to seek professional help for postoperative depression.