Doctor in Ladies Clinic & Day Care
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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Patient Review Highlights
Nothing can be more gratifying than welcoming your bundle of joy into this world. Care needs to be taken during pregnancy to ensure that the developing foetus is healthy. Many pregnant women suffer from Thyroid problems. Thyroid Stimulating Hormone (TSH) is an important hormone produced by the Pituitary gland. TSH regulates the production and action of the Thyroid Hormones (T3 and T4). Estrogen and Human Chorionic Gonadotropin also affects the production of the thyroid hormones. Abnormal level of thyroid hormones in the body can result in Hyperthyroidism (increased production of thyroid hormones) or Hypothyroidism (decreased production of thyroid hormones by the thyroid gland). These conditions, if left untreated, can prove to be fatal for the mother and the baby.
Hyperthyroidism is greatly affected by an autoimmune disease, the Graves disease. The Thyroid Stimulating Immunoglobulin (TSI), produced during Graves disease, interferes with the production of the thyroid hormones. The TSI mimics the TSH to a great extent. This triggers the thyroid gland to produce the thyroid hormones in excess. A woman with hyperthyroidism may complain of increased heart rate, fatigue and increased blood pressure. There may be heat intolerance, tremor, sudden weight loss and Hyperemesis Gravidarum.
Untreated Hyperthyroidism can result in heart ailments, premature child birth, foetal Tachycardia, Preeclampsia (a pregnancy complication characterised by an abnormal rise in blood pressure) and miscarriage. In case of foetal and neonatal Hyperthyroidism, there is low birth weight, heart ailments, irritability and poor brain development.
Blood tests, whereby the levels of T3, T4, TSH and TSI are examined, can help in the diagnosis of Hyperthyroidism. Women with Graves disease should be extra careful. Antithyroid drugs can provide great relief. Most antithyroid drugs successfully cross the placenta and effectively regulate the production of the foetal thyroid hormone. Propylthiouracil (PTU) and Methimazole are effective anti-thyroid drugs.
Most doctors recommend Methimazole during the first trimester and PTU during the last two trimesters.
In case of Hypothyroidism, Hashimoto disease is the main wrecker in chief. This autoimmune disease results in considerable decrease in the production of thyroid hormones. Hypothyroidism can also be aggravated by Thyroidectomy (surgical removal of thyroid gland). Like hyperthyroidism, hypothyroidism during pregnancy can result in serious health complications. There may be stillbirths, congestive heart failure, miscarriage, anaemia, poor brain development of the newborn and Preeclampsia. Symptoms like cold intolerance, muscle cramps, concentration problems, fatigue or constipation should not be taken lightly.
Blood tests (T4 and TSH) go a long way to detect Hypothyroidism. A synthetic Thyroid hormone, Thyroxine, is effectively used to treat hypothyroidism. Including iodine supplements in your diet prove to be helpful in hyperthyroidism treatment.
Thyroid problems, though serious, can be successfully treated. A little alertness during pregnancy can shield both the mother and the newborn from the harmful consequences. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 45 years unmarried female. I wnt to know about the fertility test and what are new medical technology to preserve the eggs or fertility and how much it cost? Can I conceive or not in future? Tell me about my case.
The removal of the uterus is known as a hysterectomy. This is a fairly common procedure and may or may not include the removal of the ovaries as well. A hysterectomy may be partial or complete and can be performed abdominally, vaginally or laparoscopically. A partial hysterectomy includes only the removal of the uterus and leaves the cervix in its place. A complete hysterectomy removes both the uterus and the cervix.
There are many reasons for women to undergo a hysterectomy. Treatment of uterine fibroids, endometriosis, uterine prolapsed and cancerous growths are the most common amongst these. There are alternatives to a hysterectomy in most cases and hence, a woman should know all the details about her case before undergoing such a surgery. The only case where hysterectomy is the only solution is in the case of cancerous growths.
The uterus does more than just act as a home for a growing fetus. Hence, the removal of a woman uterus can have a significant effect on her health.
Inability to bear children: For a woman in her thirties, the inability to bear children is the biggest effect of a hysterectomy. Some women may also experience a lowered libido. This is seen mostly in cases where the ovaries are removed along with the uterus. Some women may also face difficulties achieving an orgasm.
Anatomical changes: When the uterus is removed the spine compresses and makes the rib cage move downwards. This makes the hip bones move outwards and widen. As a result the anatomy of a woman changes to give her a wider waist and protruding belly. She may also lose a little height. Vaginal dryness is another physiological change that is triggered by a hysterectomy.
Surgical menopause: If the hysterectomy surgery includes the removal of ovaries, it is followed instantly by menopause. This is regardless of your age. If the ovaries are left intact, there is a risk of menopause occurring within the next five years. Some of the symptoms of menopause are:
- Hot flushes
- Irritability and
- Vaginal dryness
Depression: Depression is a common side effect of a hysterectomy when it is performed on women in their thirties. The inability to bear children is partly responsible for this. This depression is usually temporary as long as the woman has a good support system in the form of friends and family. In some cases, this depression could also give rise to suicidal feelings. If you wish to discuss about any specific problem, you can consult a gynaecologist.
I have got small rashes in and outside of my vagina. It burns while urinating and on touching please help me sir and suggest me some good ointment or medicine. Thank you.
Intrauterine devices or IUD are T shaped contraceptive devices. These contain levonorgestrel or copper and are inserted into the uterus. IUDs are considered to be one of the most effective birth control measures and also they are reversible (meaning it can be removed whenever a need arises). The copper IUd has a failure rate of 0.8%, while the levonorgestrel IUD has only had 0.2% failures till now. As per a report in 2007, IUDs are used by more than 180 million users all over the world.
What you should know about Intrauterine devices:
- Types of IUDs: There are 2 types of IUDs Copper and Hormone: Copper IUD is considered to be the conventional form of the contraceptive. It is T shaped with strings and is inserted into the uterus by a doctor. It can remain in the body for three to five years. Minera is a known brand of the hormone IUD. It contains low dose of hormone progestin and releases the same when inserted in the uterus. This is also T shaped and has strings. This can be left for three years.
- Pelvic infections are not caused by IUDs: There is a belief that IUDs cause pelvic infection but this is not true. The strings of the new IUDs are very thin and they do not cause any pelvic infection even if a person is suffering from a sexually transmitted infection (STI). Though there might be a slight risk of infection when the IUD is inserted and in the first 20 days, but that also dissolves soon.
- IUD can be used at any age: Earlier IUDs were not recommended for women who had never got pregnant. However, now anyone can use these irrespective of being pregnant or not. It is very safe for all age groups from teenagers to women involved in active sex to women post menopause.
- IUD is as effective as getting a tubal ligation: It is believed that Minera is 99.4% effective while sterilization (tubal ligation) is 99% effective in preventing a pregnancy. Ligation is considered to be a permanent birth control solution, while IUDs can be reversed.
- IUDs do not cause infertility: It was believed that a STI would creep into the pelvis through the string of the IUD and cause infertility but this is not so. Though a STI can cause infertility but the IUD has no role in the same and does not contribute or worsen the infection.
- Hormonal IUD have less side effects than birth control pills: Breast tenderness, acne, and bleeding for a short time may persist for the initial 3-4 months in case of hormonal IUDs. The copper IUD lead to cramping and heavy flow during menstruation. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
Birth control pills commonly known as hormonal pills, oral contraceptive pills, or just pill's are an effective female hormonal birth controlling pill. Young women and adolescent girls are very frequently prescribed birth control pills for heavy or irregular menstrual flow, acne, PMS, hormone therapy, menstrual cramps. In Polycystic Ovary Syndrome (PCOS), which causes irregular menstrual flow due to hormonal changes, often birth control pills are given to lower the hormones and bring them within normal range. This also regulates the menstrual flow. Often adolescent girls who do not respond to acne treatment are prescribed hormonal pills. Also, these are given to girls who have endometriosis, irregular periods, and genetic conditions like Turner's syndrome.
Concerns associated with pills:
1) Do the Pills have any health benefits: Yes, it has benefits like treatment of PCOS, acne, regulates menstrual flow, decreases cramps, and lowers the risk of cancers and anemia (know more about anemia affect on health).
2) What are the side effects of the pill: Mostly it has no major problem as such. Pills containing estrogen might increase the risk of developing clots in eyes, lungs, and legs. If a woman complains of ACHES then she should be taken to the emergency.
A Abdominal pain
C Chest pain
H Headache along with dizziness and weakness
E Eye problems along with problems in speech
S Severe pain in the thigh or calf
3) Is there a risk of developing stroke or heart attacks while using the pill: A healthy woman who does not smoke and is on pills does not have any risk of getting a stroke or a heart attack. Smoking should be avoided when birth control pills have been prescribed.
4) Are there chances of getting cancer: Taking birth control pills actually protects the woman against ovarian and uterus cancer. Some experts also feel that the pill also reduces the chances of breast cancer.
5) Does the pill cause blood clots: Yes, there is little risk of developing clots in the legs. In adolescent girls the risk of forming clots is 5-50 per 100,000 every year. In pregnant women the risk is 4.3-10 folds more than those who do not use the pill.
6) Does the pill cause birth defects: The pill has not been associated with any birth defects and also does not harm the health of the child.
7) How does the pill help in irregular menstrual flow and acne:
In case of irregular menstruation the pill helps by regulating the menstrual cycle to every 28 days. It also helps to reduce the amount and the length of the menstruation.
The hormones present in the pill help to stop the acne. OTC or prescribed drugs can be taken for moderate to severe acne.
Hi i am taking Novelon 21 day pill from june. Missed second last doubled with the last, break of 6 days from 2-7 july. Menses from 5-7july. New pack from 8th july. Protected intercourse but condom used thrice on 9th july (first timw intercourse) Next fully protected on 14th july (last intercourse) Missed 21st july pill doubled 22nd july night. Light bleeding on 22nd july morning (breakthrough bleed or implantation bleed?) Pill ended on 28th july menses from 1-6 aug. Negative hpt at 4,5,6,7,8,11,12 weeks all negative hpt done with first morning urine with different brands. No pills or intercourse after 1-6aug. Periods due on 1st sept as it dint came did a usg and hcg beta on 8th sept (10 weeks from first and 9 weeks from last intercourse) Hcg was 0.11 and usg shows pcod (no mention of pregnancy) Dr. Prescribed deviry 2 tab for 5 days for withdrawal bleed. But after taking just a single dose bleeding started from 11-16th sept. It was heavy. On 21st sept morning when I woke up I can feel my pelvic bone in the front (can it be due to exercises like crunches leg rise etc with weight loss? I was 72 in july 70 in aug and now I am almost 68 kgs) and after continuous touching I made it hurt. Scared went for usg on 21st sept (12 weeks ftom first and 11 weeks from lasr intercourse) Usg only showed bulky ovaries with pcod. I asked him if my uterus was normal he said its absolutely normal. Usg was transabdominal. The hardness yet not gone. Moreover m fln gassy all the time and I cn feel sensation under my rib and back and m passing lots of gas. M worried too. Finally ve taken an hpt with first morning urine at almost 12 weeks 6 days. And its negative. Can their still be risk of pregnancy? My menses was due on 11th october and it is now delayed by 5 days. I did not have any intercourse after 14th july. M not experiencing any pms symptoms. Moreover egg white cervical mucus is seen at various point of the cycle. Will I wait for my periods to come or will I again take tab deviry? Is their any risk of pregnancy? Do I need to redo hpt or BHCG test? M I 100% safe?
Please explain the PCOD nd iske hone ka karan aur iska ilaaz kya hai kya ilaj karne se ye jad se kahatm ho skta h.
I have a slight problem in follicular study. Rupture is getting late. So periodical date is often late. If it's 4 to 5 days late I am getting some physical problem. Got the delivery in 2013. So what I should take in food or not?
A miscarriage, though heart wrenching, does not imply the end of the world. Unless the miscarriage is an outcome of a serious health complication, there is nothing to lose heart. In fact, many women have had successful pregnancies even after a miscarriage. Barring a few exceptions, a miscarriage during the first pregnancy reduces the chance of a miscarriage during subsequent pregnancies significantly. However, it is best to get your doubts and apprehensions cleared before you try to conceive again. An experienced gynaecologist can assist and guide you better throughout the process.
- A lot of couples wonder about the right time to conceive after a miscarriage. Do not rush into things. Miscarriage can drain out a couple physically, mentally and emotionally. Give your mind and body some time to cope with the loss. Your decision to embrace parenthood should not be influenced by any undue and baseless pressure. Patience and perseverance will make the subsequent pregnancies less stressful. To avoid complications in your next pregnancy, it is best to wait 6 months to 1 year after a miscarriage.
- Do not indulge in sexual intercourse immediately after a miscarriage. This might result in immense pain and vaginal infections. If you experience any discomfort, share it with your partner and the physician concerned. Getting pregnant immediately after a miscarriage will do both the mother and the foetus no good.
- In case of two or more miscarriages, getting to the underlying cause becomes very important. Medical conditions such as Diabetes, Thyroid problems (Hyperthyroidism and Hypothyroidism), Obesity, Chromosomal aberrations or Infertility often interferes with pregnancy. With timely medical intervention, it is possible to have a healthy and safe pregnancy. To minimise the chances of a miscarriage, pregnant women are given Prenatal Vitamins (Folic Acid in particular).
- A pregnant lady should eat healthy and live healthy. The goodness of fruits and vegetables need no special mention. Regular consumption of fresh vegetables and fruits can do the mother and the developing foetus, a world of good. A healthy diet can lower the instances of a miscarriage greatly.
- Stress and anxiety are a big NO during pregnancy. Relax and try to be happy as much as possible. Go for small walks, read books, listen to music. Proper and sound sleep is extremely important. One can also indulge in light exercise. However, to be on a safer side, exercise under an expert supervision. If you have been to drinking and smoking, quit the unhealthy habits at the earliest.
A miscarriage should not push you into a state of depression. You can still have a normal pregnancy. Know your body well. Take the decision wisely only after a proper consultation with your physician.