Jagruti Clinic

Herpes is caused due to the presence of the herpes simplex virus in your body. Herpes can appear on multiple areas of your body, but more commonly manifests in the genitals as well as the mouth. The two types of herpes are HSV-1 (oral herpes) and HSV-2 (responsible primarily for the outbreak of genital herpes). 

Causes of Herpes Simplex:

1. Herpes is contagious in nature and can be passed to you by having sexual intercourse with anyone who has been infected. HSV 2 is the primary form of the virus, which is transmitted in this manner. 
2. Herpes could be transmitted to an infant from their mother if she was infected while pregnant. 
3. It can also get passed through direct contact like using the same plates or spoons or even the sharing of lip balm. Even kissing can spread the virus if the infected person has cold sores.

Symptoms of Herpes Simplex:

1. The presence of blistering sores within the mouth or in the genital area is a telltale sign that you may have contracted genital herpes.
2. If you are having painful urination then you should check with your doctor for the herpes virus.
3. Continuous itching in certain areas such as the genitals.
4. Not wanting to eat, having a fever could also be symptoms of herpes simplex virus in your body.
5. Herpes can spread to your eyes and is known as herpes keratitis. It can cause pain in your eyes.

Diagnosis of Herpes Simplex:

1. The common way to diagnose herpes is with an actual physical exam. Doctors will generally look out for sores on your body and may also check for some similar symptoms which might indicate herpes simplex. 
2. HSV testing (alternately called herpes culture) is done to check the presence of a virus on the genitals. A fluid sample from the genitals is sent to laboratory for tests and will require a visit to the health center.
3. There are blood tests to look for antibodies for both forms of HSV to diagnose the infections. However, this test is done only when there is and absence of sores or visible symptoms.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Trichomoniasis is an infection that is caused by a parasite and is transmitted sexually. This disorder is characterized by symptoms of itching in the genitalia, smelly discharge from the vagina and pain while urinating. This disorder may also result in premature birth in case of pregnant women.

The symptoms of this disorder are:

1. Redness around the genitals, which may cause intense itching

2. You may experience pain during sexual intercourse and urination

3. A smelly colored vaginal discharge

4. You may experience discharge from the penis

5. A burning sensation during ejaculation and urination

6. A constant feeling of irritation in the penis

Causes behind it

The disorder is caused by a parasite known as Trichomonas vaginalis. Certain factors increase your chances of contracting this disorder; them being:

1. Engaging in unprotected sexual intercourse

2. If you have had an episode of Trichomoniasis

3. If you have been affected by STI/STDs before

4. Having multiple sex partners can certainly augment its chances

Prevention

There are certain preventive measures that you can adopt to prevent this infection.

1. Avoid engaging in sexual activities once the condition is diagnosed.

2. If you are, it is always advised to use latex condoms during intercourse to decrease your chances of contracting this disease.

3. Avoid engaging in sexual intercourse with multiple sex partners. If this disorder is not treated, then it may increase your chances of getting affected by HIV as well.

4. It also tends to cause an early rupture of the membranes in pregnant women; resulting in premature delivery. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

Erythroblastosis fetalis is also known as haemolytic anaemia in the newborn. This occurs due to blood incompatibility in the mother and foetus. Due to this incompatibility, the antibodies present in the mother’s blood, will pass through the placental barrier and attack the blood cells of the foetus. This will lead to the destruction of the red blood cells of the foetus and it is likely to cause anaemia in the foetus. This condition varies from mild to very serious. In its moderate or severe stage, the erythroblasts or immature red blood cells are formed in the blood of the foetus and this disease is called erythroblastosis fetalis.

Why does it happen?
The two main causes of erythroblastosis fetalis are Rh incompatibility and ABO incompatibility.

1. Rh Incompatibility: When the mother is Rh –ve and the father is Rh +ve, there is a good chance for the baby to be Rh +ve. The antigens present in the blood of the Rh +ve baby will behave like a foreign agent and the mother will produce antibodies against it. If it is the first pregnancy, then the child may not be at risk, however, if the second child ends up being of +ve blood group again, then the antibodies present in the mother’s blood will attack the baby and may result in a spontaneous abortion.
2. ABO Incompatibility: This usually occurs when the mother’s blood group A, B, O does not match the baby’s. This causes fewer complications in comparison to Rh incompatibility, but it may be severe if the child has a very rare blood group.

How to avoid it?
It is a highly preventive condition. Firstly, you have not tested your blood group; it is advised to get it tested along with the blood group of the father. If you already know your blood group, then you must mention it to your doctor. If the father has negative blood group, then there will be no problem. However if the father is Rh positive, then it is advised to get routine tests done by the doctor.
The other preventive measure to take is a treatment called RhoGAM or the Rh immunoglobulin. It reduces the reaction of the mother to the baby’s blood cells. This shot is administered around the 28th week of the pregnancy. It is also administered 72 hours after the birth of the baby with the positive blood group.

In case you have a concern or query you can always consult an expert & get answers to your questions!

One of the things that Shannen Doherty and Rita Wilson, the wife of Tom Hanks, have in common, apart from their fame is that both were affected by breast cancer. No matter how normal a person may seem, breast cancer can strike anyone. In fact, it usually strikes one in eight women. So, it makes good sense to know what it can appear as!

Breast cancer makes up a rather big amount of the general cancer cases as 15% of the cancer cases which are reported on a yearly basis are usually breast cancer cases. That being said, there are quite a few things which can be done in order to reduce a person’s risk to breast cancer.

Effective ways to prevent breast cancer-

As with any other types of cancer, breast cancer is a condition characterized by uncontrolled and rapid cell proliferation and division in the breast, resulting in the formation of a malignant tumor. While breast cancer is known to be one of the most common types of cancer affecting women, men are also susceptible to the condition.

An early diagnosis of the condition gives a mercurial boost to the treatment for breast cancer, often ensuring a full recovery. Unfortunately, in most cases, breast cancer gets diagnosed at a later stage. Some of the symptoms commonly associated with breast cancer include:

• A change in the breast shape, size, or even the contour.
• The appearance of a lump in the breast, often pea sized.
• There may be a fluid discharge (can be clear or blood-stained) from the nipples. In addition to this, the skin around the nipples or the breast may undergo some change. It may appear red, inflamed, scaly or even puckered and dimpled.

In addition to the medications and treatment, a person with breast cancer can benefit by practicing the following tips diligently:

1. Self-awareness: Nobody can know your body better than yourself. The associated complications of breast cancer can be averted if only people stop overlooking the early signs and symptoms. There are many government sponsored campaigns and programs to create awareness about breast cancer. Once a while, self-examine your breasts. Feel your breasts for any lumps or thickenings. If you notice any abnormalities, waste no time and consult a doctor at the earliest.
2. BRCA1 and BRCA2 human genes: The BRCA1 and BRCA2 genes are important with regards to the breast cancer. These genes are responsible for the production of tumor suppressor proteins, which play a pivotal role in the repair of DNA damage (often resulting from mutations or diseases). A mutation (often genetically triggered or hereditary trait) in BRCA1 and BRCA2 genes can wreak havoc, elevating the instances of breast cancer and many other types of cancer (ovarian cancer, prostate cancer, acute myeloid leukemia, and pancreatic cancer, to name a few). Thus, people who have a family history of breast cancer triggered by a mutation in BRCA1 and BRCA2 genes should get themselves tested as a precautionary measure.
3. Obesity is a big No: Maintaining a healthy body weight is the need of the hour. Various research has found a link between obesity and increased risk of breast cancer. According to the American Cancer Society Cancer Prevention Study-II, women who put on extra weight (60 pounds or more) after the age of 18, are at a greater risk of developing breast cancer post-menopause as compared to their healthy counterparts. Thus, it is important to keep the body weight within healthy limits. Take care of your diet. Indulge in physical activities and exercise.
4. Avoid excessive alcohol consumption: People, particularly women who consume alcohol in excess (2-6 drinks daily) are at an increased risk of breast cancer. Limit your daily dose of alcohol (1 drink or less per day).

Prevention is Prudent-

1. Get Fit: The first thing which should be done is that a reasonable level of fitness should be maintained. Many studies have found that if a person is significantly heavier than her recommended weight, she is at a far great risk to develop all sorts of cancer and breast cancer, in particular, than a person who is able to keep her weight in check. The difference in cancer risk rates is about 40%. This is because a greater amount of fat leads to more estrogen being produced, which increases the risk of breast cancer.

2. Quit Smoking: While most people associate smoking as something which increases the risk of cancer to the lungs and are not aware that it increases the risk of breast cancer, too. So, the best solution is to kick the habit!

3. Get Off the Pill: Once a woman crosses past her mid-thirties, she should try to avoid relying on birth control pills to reduce the risk of pregnancy. This is because these pills have an effect which increases the risk of breast cancer, which heightens as a woman gets older. As long as the woman cuts out the use of the pill, the risk quickly gets cut, as well.

4. Get Regular Check Ups: While screening for breast cancer by making use of mammograms does not cut the risk of it, the screening helps detect breast cancer early if it does exist. As a result, a woman has a much better chance of fighting breast cancer. So, a woman who is past the age of forty should try to have a mammogram on an annual basis with the frequency of the same increasing as she gets older. However, it is to be kept in mind that going for a mammogram too often is also not a good idea as the tests themselves pose risks of DNA changes.

Women all around the world are susceptible to breast cancer. While there isn’t a 100% chance of avoiding it, taking care of yourself and leading a fit and active lifestyle can significantly cut down your risk of contracting this condition. Remember, your health is in your hands, so the earlier you start, the better!

In case you have a concern or query you can always consult an expert & get answers to your questions!

The perineum is the area between the vagina and the anus. This fragile area plays a significant role in the female reproductive system. This is often intentionally or accidentally torn open to allow for the normal delivery of the baby. This needs to be repaired meticulously to ensure that the pelvic floor is safeguarded from further damage.

The pelvic floor contains multiple muscles and supporting tissues which help in keeping the vagina, rectum, uterus and supporting structures in their places. When these muscles become weak due to childbirth, ageing, perineal injury etc, the uterus, bladder and rectum loosen up and prolapse down.The most common problem that is encountered is urine and fecal incontinence, where the woman has difficulty holding urine and feces. Though not often discussed openly given the private nature of the topic, many women suffer from a weak pelvic floor. Read on to know some of the common causes, symptoms, and management measures.

Causes:

1. Chronic cough: The next time you cough for prolonged periods, notice how much pressure it puts on the pelvic area. This goes unnoticed, but chronic cough can weaken the pelvic floor muscles. It is not common for women to lose some urine during these long-drawn coughing spells.
2. Chronic constipation: The pressure exerted during constipation weakens the pelvic floor, often leading to incontinence.
3. Pregnancy and delivery: Most common cause of perineal injury, where the perineum is torn (accidentally or intentionally) to allow for easy passage of the baby. If it is not repaired meticulously, the pelvic floor is weakened.

Symptoms:

Urinary incontinence is the most common symptom that women present to doctors with. However, there are minor symptoms which a woman would experience prior to reaching this stage. Most often, these are ignored, and only brought to doctor’s notice when symptoms become quite severe. If left unattended, there could be more severe repercussions too.

1. A heavy feeling in the pelvic area, commonly referring to as a bearing down sensation, a feeling that the internal organs are going to pop out through the vagina
2. A small lump that can be felt and/or seen at the vaginal opening
3. Feeling of incomplete emptying of the bladder and/or bowel
4. Constipation
5. Pain or bleeding from the vagina or the rectum
6. Recurrent pelvic and/or urinary tract infections

Management:

1. Kegel exercises are often used to strengthen the pelvic floor. This is very effective if the problem is identified quite early.
2. In more progressive cases, surgical repair is the most effective option. This not only corrects the prolapses but also helps boost confidence of the person, by correcting the incontinence problems and improving sexual experiences. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

Hello Everyone.

I am Dr. Prabhjot Manchanda, Consultant Obstetrician and Gynecologists, Jagruti Clinic Ghatkopar East, Mumbai and Cofounder of Blessed Beginnings.

Before your bundle of joy arrives, it’s your responsibility to keep him or her in a healthy environment. This list of dos and don’ts in pregnancy will help you in that and provide answers to what you should worry about and what you should not really fed over. So let’s get started. First: sex during pregnancy, pregnancy is a crucial time for couples as their one mistake can risk the life of their unborn baby. Sex done during wrong time can lead to abortions also, so what is the right time to do sex during pregnancy? Sex if done during first three months of pregnancy can lead to abortions and during seventh and eighth month of pregnancy can lead to premature delivery. So sex during fourth, fifth, sixth and ninth month of pregnancy is safe. In fact if sex done during ninth month of pregnancy actually helps you in getting a normal delivery by enhancing natural labor pains. Of course sex position has to be chosen wisely. Second: travelling during pregnancy, for the same reasons travelling during first and last three months of pregnancy is not advisable. Travelling during ninth month is also not advisable as after eight month of pregnancy airlines themselves do not give permission to pregnant lady to travel and also if you are travelling in the ninth month and you start getting labor pain you don’t want to deliver in train or bus, right? Similarly heavy work and lifting heavy weights is not advisable during first and last three months of pregnancy. Third: food Habits during pregnancy, pregnancy is a time for pregnant females when there is a lot of bombardment of unwanted advice about what you should eat and what you should not eat and some of them are exactly opposite to each other. Confused. So whom you should listen to? Listen to your doctor. You can eat whatever you want to eat. For the first three months of pregnancy, because of pregnancy induced vomiting, either ways you are unable to eat half of the stuff. So observe in this period that what is suiting you and have that stuff often. Drink a lot of water and keep yourself hydrated. Some people say that papaya causes abortion but the less known fact is that raw papaya and papaya seed causes abortion and ripened papaya should not be blamed for. In fact you should limit on the ghee and butter laden Ladoo, which your daddi, nanni says it increases baby weight, but it does not increase baby weight. It increases your weight and risk your risk of getting diabetes during pregnancy. Protein is what is required to increase the baby weight. Of course you should avoid oily and spicy food as it may cause gastritis and iron and calcium supplements what you are taking makes you prone to gastritis. You have to choose either of them. Be wise and choose either of them. Fourth: exercise during pregnancy. Light exercises, yoga, meditation are actually good in pregnancy. They keep you mood elevated and also keep a check on you weight. Heavy exercises and lifting heavy weight is not advisable as I told you before. Light exercises and of course squatting can actually help you on delivering normally. Long walk especially with your partner is advisable with an errand benefit of bonding. Fifth: ultrasound during pregnancy, ultrasound and sonography are extremely safe during pregnancy. Sonography is the bone of motherhood as the doctor can actually see what is going inside the womb what is happening inside the womb, what is happening to the baby, and can make a decision so as to how the pregnancy should be carried for. Ultrasound during pregnancy can be done in numbers for time. X-rays although avoided in pregnancy, but can be done in unavoidable circumstances once or twice depending upon the site of x-ray and of course wearing abdominal sheet. Sixth: dental extractions during pregnancy, if you are having a decaying tooth, you cannot wait a month to get it removed, in fact get rid of tooth before it changes into pus or aphis. So by this I want to say, yes, dental treatment, root canal treatment and other dental conditions are extremely safe during pregnancy. You just have to visit your gynecologist for antibiotics. Seventh: medication during pregnancy your gynecologist must know what you are taking and what for you are taking. Certain medicines are really life threatening for the baby. It can also cause miscarriages or serious birth defects also medicines can also get secreted in the breast milk. So before taking any medicine ask your gynecologist about taking it, be it for a headache, a fever, a dental extraction or whatever you gynecologist should know what you are talking and when you are taking and also don’t hide anything from your gynecologist. Be it a history of tuberculosis, epilepsy, thyroid, cancer or whatever. Your gynecologist has the right to know about your medical conditions. Eighth: do not eat raw meat or eggs. Raw or undercooked meat or eggs can actually cause like threatening food poisoning like listeriosis or toxoplasmosis which can cause serious birth defects in the baby and also can lead to miscarriages. So make sure what you are eating and make sure all your eggs and meat is well cooked.

I hope with this small video you can carry your pregnancy with ease and less confusion. If you like the video please like it and if you have any doubt or query, fell free to contact me directly or through lybrate.

Thanks for watching the video.