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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Dr. Nishita Shah provides answers that are very helpful. Thank you Mam....i continue tha tablet
In most diseases, early detection of the disease is the key to control the symptoms, cure, reduce progression and improve prognosis. This holds true for sexually transmitted diseases too. As soon as there is a mild degree of suspicious of having contracted a sexually transmitted disease, it is advisable to go for a test. Most of the STDs can develop into serious complications over a period of time, ranging from infertility to even death.
Complications: Why early diagnosis is important: When left undiagnosed and untreated, most STDs progress to cause severe damage from sterility to cancer to even death. Listed below are some complications associated with each of the common STDs.
- Chlamydia: If left untreated, can lead to epididymitis and testicles shrinking and infertility in males. This is a condition where there is pus formation in the scrotum. In women, it can lead to pelvic inflammatory disease which is deep-seated and unable to cure completely. This brings with it symptoms ranging from abdominal pain to uterine infections to sterility.
- Syphillis: Undiagnosed syphilis can lead to blindness and deafness. It can also be passed onto the newborn and lead to severe disabilities.
- Gonorrhea: If diagnosed early, it can be cured completely with antibiotics. However, if left untreated, it can lead to infertility.
- HIV/AIDS: Early diagnosis can help in curtailing the disease. If detected late, then the damage is quite extensive and treatment is both expensive and cannot help restore a lot of functions.
Symptoms of Sexually transmitted diseases: If there is a doubt of having contracted an STD, then it is very important to get tested for the same. Some of the most common symptoms are listed below.
- Women: The most common symptoms in women including painful urination, burning sensation, abnormal vaginal discharge (sometimes bleeding), warts, and abdominal pain.
- Men: Testicular pain, urethral pain, painful urination, pain and inflammation in the prostate, sores, fever, and abdominal pain.
Prevention: Always practice safe sexual practices. When in doubt, refrain from sex until diagnosis and treatment is complete.
Testing for STDs: Some of the standard tests include:
- 1. Herpes- HSV I & II -
2. Testing HIV-- Kits and ELISA available for testing
3. Blood test for syphilis antibodies
4. Chlamydia and Gonorrhoea - from urine as well as swabs for culture
It is understandable that getting tested for STDs is an embarrassing situation. However, there are options available where anonymity can be maintained when getting tested for STDs. This is a wise choice to make as the risk is not just for the person affected but for the partner and in some cases even for the fetus. Early testing can help prevent complications like infertility and cancer.
Breast cancer is one of the most common cancers in women about 1 in 8 women in the USA develop invasive breast cancer. The incidence of breast cancer has increased with changes in lifestyle including smoking, drinking and loss of physical activity. The risk factors are age, ethnicity and family history cannot be changed. However, there are some risk factors that can definitely be acted upon to reduce the chances of developing breast cancer.
- Weight management: Obesity is one of the major risk factors for breast cancer and managing weight and a good body mass index will help reduce the risk of developing breast cancer. This is especially important in women undergoing menopause.
- Reducing smoking: The benefits of quitting it are manifold and reducing the risk for breast cancer is one of them. This will, as a byproduct, also result in a host of other benefits including improved quality of life, reduced chances of heart disease, stroke, and other cancers.
- Physical activity: In addition to helping in weight management, this also helps reduce the risk of breast cancer. Ideal recommendation is 30 minutes of physical activity per day, plus strength training.
- Breastfeeding: This helps in reducing the risk of breast cancer. Prolonged feeding is shown to have a greater protective benefit.
- Hormone replacement therapy: When possible, limit the use of hormone replacement therapy for prolonged periods of time. Explore options of non-hormonal substitutes or use the least permissible or required dose. Be sure to get periodic check-ups when on hormone therapy.
- Reduce exposure to environmental pollution: Higher levels of pollutants are linked to a higher incidence of breast cancer. When possible, avoid getting exposure to environmental pollutants.
- Screening: If there is a strong family history or other risk factors, then screening can help detect breast cancer very early in the process. Recommended ages for mammography are as follows:
- If you are age 40 – 44: Go for annual mammograms after discussing risks and benefits with the doctor.
- If you are age 45 – 54: Go for annual mammogram.
- If you are age 55 or over: Mammograms are recommended every other year. You can choose to continue to have them every year. Self-breast exams are not sufficient. However, if being done, they can also be an input to an abnormality.
- Cautious use of birth control pills: Birth control pill usage to be discussed with your gynaecologist if you are above 35 years of age and smoke. The good news is that the risk associated with it disappears slowly after the pill is stopped.
These will help reduce the risk of developing breast cancer, early detection, and improved prognosis.
Pregnancy brings with it a whole lot of changes for the mother-to-be, such as emotional, psychological, social and of course physical. The body goes through many changes and there are some side effects that are typical of pregnancy, the most common ones are listed below.
- Morning sickness: Morning sickness can occur any time of the day. It can start as early as 4th week of pregnancy and continue until the first trimester. The altered level of hormones are believed to be the cause for this.
- Anemia: The increased demand on the woman’s body for iron leads to anemia in a majority of people. This is more common in the third trimester and increases fatigue and tiredness. Good amount of iron in the food and supplements need to be included as iron is also required in the breastfeeding phase.
- Backache: With the baby’s growth, there is extra pressure on the spine and the low back, thereby causing low back pain. There is also an increase progesterone level which stretch the spinal ligaments to expand to accommodate the baby. This is increased with standing for prolonged periods and sleeping in awkward positions.
- Constipation: The increased levels of progesterone relax the body and thereby making digestion sluggish and more reabsorption of water. This leads to dry, hard feces. Many women take iron supplements which also increases constipation. Drinking plenty of water helps manage this.
- Heartburn/reflux: The relaxed stomach muscles cause regurgitation of acid into the esophagus. The pressure of the growing fetus also adds to this acid movement. This can be managed with small, frequent meals; low-fat diet; and avoiding spicy foods.
- Leg cramps: The calves, thighs and feet may experience a sharp pain followed by a constant ache. They are more common at night, usually in the third trimester. This is due to decreased levels of calcium and magnesium in the mother, which the baby needs in significant amounts after 20 weeks. A good massage, sleeping with legs elevated, calcium supplements, and mild exercise can all help with these cramps.
- Dizziness/faintness: When standing up suddenly after prolonged periods, there could be reduced blood supply to the brain leading to dizzy sensation. This pooling of blood in the legs can be avoided by avoiding standing for long periods, sufficient hydration, and adequate rest and sleep.
- Breathlessness: As the weight of the growing baby increases, breathlessness sets in, especially in the second trimester onwards. The progesterone also plays a role in this, by relaxing the body. Mild exercise can be useful.
Other common side effects are fluid retention, hemorrhoids/piles, insomnia, tender/sore breasts, and vaginal yeast infections.
I have pcod problem. Treatment start last one year I have tha tablet cycloment and ovjen dsr but not pregnancy. Y?Am loss tha wait 10 kg how what I do. So sad.
Which position is better for getting pregnant and how much time to stay in specific position to help swimmers.
I'm a working woman. Married .we are trying for a baby. Had 1 abortion on 45th day because of unknown issue. Did hormone test. Think progstr s little low. How to improve that. Which day is perfect for the happening pregnancy. I know my ovulation days. Is there any treatment for that hormone? When will I take that hcg injection. I'm under diet too.
Hello doc, Me and my girlfriend had unprotected intercourse at 21st day after her period. I.e she had period at 6th of Jan and we had intercourse at 26th of Jan. As we followed the period cycle it is mentioned that it is a safe period to have intercourse. Is there a chance that she might get pregnant? Even though I dint ejaculate inside her, after ejaculated outside for the first time, I again inserted for second time and that time also I dint ejaculate inside her. So here do we have a chance of suspecting a pregnancy? Tat previous sperm In remains can cause pregnancy.
Hi my wife loss two pregnancies at 7th month doctor's are told there is no big problem. What is the solution to this problem.
I am 26 year old, I was married on 28 march 2015. I got pregnant in October 2016 it was my first pregnancy but ectopic, I was not aware of my pregnancy because I got my periods on 20 October. But I had a history of bleeding and pain on left side. Ectopic pregnancy diagnosis and surgery was done on the same day 6 November. My Fallopian tube ruptures so doctors removed my left Fallopian tube by laparoscopic procedure. After that I had my normal periods on 10 December. Doctor I want to confirm that can I conceive now after this month cycle. Because I am very upset after my first baby loss Thank you.
Semen comes out after intercourse. My wife not getting pregnant. Married for 9 months. Desperate for a baby. Please advice what should we do now?
I am pregnant now in month 4 Last month at week 12 I had a n.t. Scan Doc said there was increased resistance in bilateral uterine artery nd early diastolic notch .doc said it may bring complications in my pregnancy nd I may get b.p. In end months. Nd other doc said me tat the report is wrong nd its nt possible to predict about baby heart at onlh 12 weeks Which ones correct.
Premenstrual syndrome or PMS is a common phenomenon that happens to over 75% of menstruating women. It refers to a set of symptoms that a woman experiences 7 to 10 days within the onset of her monthly period. The symptoms often cause great discomfort to the woman, but disappear soon after the period gets over.
The symptoms include muscle cramps, headache, body ache, nausea, dizziness, fatigue, mood swings and a lot more. This is not a pathogen related disease. It is caused due to hormonal imbalance before the start of menses in women. The level of female hormones i.e. estrogen and progesterone fluctuate inside a woman’s body prior to the menses. They are believed to have an impact on certain chemicals released by the brain. Therefore, women experience these symptoms during this time of their monthly cycle.
You don’t need to depend on strict medication to get rid of these symptoms. They can vanish if you make some changes in your lifestyle. Here are some natural ways to get rid of these symptoms:
- Check your diet: In order to enjoy a healthy period, you need to avoid certain food items. Trans fats and hydrogenated fats can increase these symptoms. Cut down on the sugar content of your meal as high sugar level can give birth to some of these symptoms like mood swings, headache, nausea, etc. It is also important to check the water content in your body. It is advisable to avoid salt as too much water retention can be bad. Too much consumption of caffeine can cause depression and anxiety.
- Go for a holistic and balanced diet: Women must include sufficient amounts of minerals and vitamins in their diet to avoid PMS. Try eating foods that are rich in magnesium such as bananas and leafy green vegetables. Also consume Vitamin A rich foods, mainly yellow and orange vegetables.
- Take up some light exercises: Light aerobic exercises may help you in getting some relief from bloated stomach and pain. But, don’t exert yourself in doing stressful exercises.
- Try some heat: Applying a heat pad can provide relief from muscle cramps and abdominal pain. Heat dilates the blood vessels and improves flow of blood through them. This provides relief from any sort of pain.
- Drink right: It is true that too much retention of water in the body can worsen PMS. But it is advisable that you drink sufficient amount of water during the periods or before it starts. As experts say, water itself can hinder water retention in your body. Besides water, go for herbal drinks like a cup of hot ginger tea. Some herbal drinks can work wonders in preventing PMS.
- Sleep well: Adequate night sleep is a must for menstruating women.
- Oil message: Use lavender oil and cypress oil to avoid muscle cramps and tension. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
My partner released his sperms near my vagina as he was just humping and we didn't had intercourse. As soon as his sperms came out I washed my vagina. This happened on 3rd dec. My last period last dated at 26th nov which means that all this happened after 7 days my periods got over. Is there any chance of getting pregnant considering my period dates and not having intercourse?
Clotting of blood is important for us in case of an injury or wound. It prevents the blood to ooze out of the body from any opening. Our blood releases cells called blood platelets, which initiate the process of clotting. However, the clotting of blood inside the veins is not a good thing to happen. This condition is called thrombosis. Moreover, clotting during pregnancy is a serious condition that poses threat to the health of both the mother and the child. In case of pregnant women, clotting of blood starts in the deep veins. These veins are usually the ones in the legs or the pelvic region. This condition is termed as deep vein thrombosis (DVT).
Why there is a clot during pregnancy?
Blood can clot during pregnancy due to multiple reasons. Clotting occurs to prevent too much loss of blood at the time of labour.
How will you know that it’s DVT?
DVT comes along with certain symptoms. Some of these have been listed below:
- The pregnant woman may notice tenderness or swelling in one of her legs. She might feel the pain in one of the legs.
- The skin colour of the woman starts reflecting changes. The skin might turn a little reddish.
- The patient’s skin will be warmer at the site of clot.
- The veins in the affected region might look dilated or larger in size.
What are the dangers linked to this clotting?
Whatever may be the reason, clotting during pregnancy is always attached to some dangerous consequences. If the blood clot is left unattended and untreated for long, it may have some serious consequence. The clot may start shifting from your legs to one or both of your lungs. This condition is called pulmonary embolism (PE). It is acute condition that can cause death of the patient as well. The symptoms of PE are as follows:
- The patient suffers from sudden breathlessness.
- The patient may feel that there is some tightness around the chest.
- The patient may find blood in her cough.
- The patient may show signs of collapse.
Clotting of blood can also prove detrimental to the baby’s health and growth. The blood is supplied through placenta to the baby and a clot in the mother’s vein can decrease the amount of blood supplied to the baby. Sometimes, the blood supply to placenta might be entirely snapped, leading to the death of the child inside the womb. However, blood clotting at the time of pregnancy happens to only a few women. It has been found that one or two in thousand die due to clotting of blood during pregnancy. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Pregnancy brings with it a new set of additional responsibilities. The mother has to be extra vigilant about monitoring and caring for her health. This ensures that sufficient nutrition is being provided to the growing infant, at the same time, ensuring no harm comes through you. Listed below are some simple ways to do the same.
- Prenatal care: As soon as you realize that you are pregnant, it is advisable to talk to a doctor or a midwife about proper prenatal care. This could include anything and everything from prenatal vitamins to food habits to exercise to sleeping habits to periodic scanning – the whole hog.
- Diet: You need to ensure two things: that you are eating enough for two people, and also that everything is healthy and not harmful for the little one that gets all its nutrition through you. The diet should be healthy, nutritious, wholesome, and of course free of junk. Some pointers to a healthy diet include:
- Include a good amount of fruits and vegetables every day; break it into five small portions.
- Sufficient amount of carbohydrates should be the basis of each meal.
- Whole grains are preferred to white grains, which also give good amount of fiber.
- A good amount of proteins including fish, eggs, meat, nuts, pulses, milk, and other dairy products.
- Ensure adequate amount of iron, calcium, and other minerals are included in the diet.
- Avoid eating non-pasteurized dairy products, uncooked or undercooked food, and smoked seafood.
- Folic acid is compulsory for the first trimester as it helps to protect your unborn baby from developing neural tube defects such as spina bifida. Also, it helps to prevent other birth defects, such as a cleft palate .
- Weight gain: If your weight was normal for your age and height before pregnancy, expect to add about 12 to 15 kg during your pregnancy. Consult with your doctor on weight changes and nutritional aspects to monitor weight throughout pregnancy. This could change based on if it is twins, your weight before pregnancy, and body type.
- Exercise: There are specific exercises designed to benefit the pregnant women. Whether it is walking or swimming aimed at improving overall health or Kegel exercises aimed at improving vaginal and perineal muscles, your doctor should be able to draw up a routine. Exercising while pregnancy is being increasingly encouraged for the following reasons:
- Improved energy levels
- Controls back pain
- Improved sleep pattern
- Improves constipation
- Improves muscles strength and endurance
- Lifestyle changes: With pregnancy setting in, it is time to bid goodbye to smoking and drinking alcohol. Continued smoking after onset of pregnancy has many serious complications, including growth retardation, low birth weight. Alcohol can lead to miscarriage, stillbirth, and premature delivery.
These are simple ways to monitor and care for your and of course, the baby’s health throughout pregnancy.