Doctor in Dr. Priyanka's Online consultation clinic
Submit a review for Dr. Priyanka's Online consultation clinicYour feedback matters!
Patient Review Highlights
Dr. Priyanka Singh provides answers that are very helpful and caring. One of the best doctor who could answer all your questions with utmost dedication and gives quick reply to whatver question you ask.Thank you so much mam.
I found the answers provided by the Dr. Priyanka Singh to be very helpful, professional, sensible and knowledgeable. Yes I found it useful,
Dr. Priyanka Singh provides answers that are knowledgeable. Thank you so much for the suggestion doctor.
I found the answers provided by the Dr. Priyanka Singh to be very helpful. Excellent. Very nice doctor.
Dr. Priyanka Singh provides answers that are very helpful. Thank you for clearing my doubt.
I found the answers provided by the Dr. Priyanka Singh to be very helpful. Thanks doctor
I found the answers provided by the Dr. Priyanka Singh to be knowledgeable. Very good
I found the answers provided by the Dr. Priyanka Singh to be very helpful. Thanks
Dr. Priyanka Singh provides answers that are very helpful. Thank you so much mam
If you’ve had unprotected sex, that is, sex without using contraception, or think your contraception might have failed, you can use emergency contraception. There are different types of emergency contraception.
- The emergency intrauterine device (IUD).
- An emergency contraceptive pill with the active ingredient ulipristal acetate (UPA).
- An emergency contraceptive pill with the hormone levonorgestrel. There are different brands.
Emergency contraception can be very effective, but it’s not as effective as using other methods of contraception regularly. The emergency IUD is the most effective emergency contraception.
An emergency contraceptive pill needs to be taken as soon as possible after sex to have the best chance of working.
Emergency contraception is not required for the first 21 days after giving birth.
Does emergency contraception cause an abortion?
No. Emergency contraception may stop ovulation (releasing an egg), fertilisation of an egg, or a fertilised egg from implanting in the uterus (womb). It prevents pregnancy and is not abortion.
How will I know if my emergency contraception has worked?
Do a pregnancy test to make sure you’re not pregnant if:
- You haven’t had a normal period within three weeks of taking an emergency contraceptive pill or having the emergency IUD fitted
- You started a method of hormonal contraception soon after using emergency contraception; you should do a test even if you have a bleed.
A pregnancy test will be accurate if the test is done three weeks after the last time you had unprotected sex.
Am I protected from future pregnancy?
You can continue to use the IUD as your regular contraceptive method if you want to. It will be highly effective at preventing pregnancy. The emergency contraceptive pill won't continue to protect you from pregnancy. If you have unprotected sex again you’re at risk of pregnancy. Seek advice – you may need emergency contraception again.
Can I take the emergency pill more than once in a menstrual cycle?
You can take the same type of emergency pill more than once in any menstrual cycle if you need to, but it may not be possible to take a different type of pill in the same cycle.
Emergency contraceptive pills aren’t as effective as using other methods ofcontraception regularly. It’s important to start an effective method of contraception after using the emergency contraceptive pill.
What are heavy periods?
‘Heavy periods’ are described as excessive bleeding during menses over several menstrual cycles in a row that interfere with the quality of life. The amount of blood that is lost during a woman’s period varies from one person to another, making it difficult to give a general description of heavy periods.
What are the signs and symptoms of heavy periods?
Blood loss with your periods that requires you to change your sanitary wear (pads or tampons) frequently (every one to two hours or more), especially when you are using large sanitary pads, super plus tampons or night time towels.
- Periods that last more than seven days
- Passing blood clots during periods
- Feeling tired and drained during and just after your period
- A diagnosis of anaemia
- 'Flooding' – when bleeding is so heavy that seating or sheets become soaked with blood while sitting or lying down.
In women from 25 to 40 years of age, over three-quarters (80%) with heavy periods have no underlying cause. However, the conditions listed below can sometimes be the cause of heavy periods:
- Endometrial polyps or uterine fibroids – Benign (non-cancerous) growths in the womb (uterus). Fibroids are usually bigger than polyps.
- Endometriosis – The cells that line the inside of the womb are called the endometrium. Endometriosis is when these cells are present outside the womb, such as on the ovaries or fallopian tubes. This may cause heavy periods associated with period pain, painful sex and chronic pelvic pain.
- Intra-uterine device (IUD) – The coil inserted into the womb as a method of contraception can increase blood loss during periods by almost half (40 to 50%).
- Chronic pelvic inflammatory disease (PID) – An ongoing infection in the pelvic area of the body.
- Polycystic ovarian syndrome (PCOS) – A condition of having multiple cysts in the ovaries, causing heavy, irregular periods, and sometimes an increase in weight and facial hair.
- Endometrial hyperplasia – When the endometrium is thicker than usual in response to an excess of oestrogen.
- Cancer of the lining of the womb – This is very rare, but can also cause heavy periods.
What treatments are available?
2. Tranexamic acid tablets – These pills can reduce the heaviness of period bleeding by almost half (40 to 50%).
3. Non-steroidal anti-inflammatory drugs (NSAIDs) – These come in various types, with mefenamic acid being the most commonly prescribed.
4. Combined oral contraceptive pill (COC) – This reduces period bleeding by almost a third (30%) in some women. We will provide a prescription for the first four weeks and your GP will prescribe the tablets after this time.
6. Oral progesterone –This is a hormone pill which works by preventing the womb lining from growing quickly.
Surgical treatments are only considered when medical treatments are not effective.
- Endometrial ablation – This involves the destruction of the endometrium. The aim is to prevent the endometrium from thickening.
- Hysterectomy – The surgical removal of the womb. Hysterectomy is not commonly used to treat heavy periods.
- If you have fibroids there are other surgical treatments, such as fibroid removal, (Myomectomy) or uterine artery embolization (blockage of blood supply).
I have eaten mifegest kit at regular time to abort my pregnancy but .i didn't get bleeding. What is the reason of this .nd what should I do now to abort pregnancy?
I am on the microgynon 30 combined pill, my last day to take the pill was Sunday and now I have my week off which is where I get a bleed, today I have started itraconazole which is said to interfere with the combined pill, as I had sex Sunday will I get pregnant or will I be okay?
Keeping healthy during pregnancy depends on both the amount and the type of food you eat while planning pregnancy and during your pregnancy. Some foods are best avoided as they may contain substances that may affect the baby’s development.
- Base your meals on starchy foods such as potatoes, bread, rice and pasta, choosing wholegrain if possible. These foods are satisfying without containing too many calories.
- Eat at least five portions of different fruit and vegetables every day.
- Eat a low-fat diet. Eat as little fried food as possible and avoid drinks that are high in added sugars, and other foods such as sweets, cakes and biscuits that have a high fat or sugar content.
- Eat fibre-rich foods such as oats, beans, lentils, grains and seeds, as well as wholegrain bread, brown rice and wholemeal pasta. Fibre helps to prevent constipation and also helps to reduce blood glucose and cholesterol.
- Eat some protein every day; choose lean meat. Lentils, eggs, nuts, milk cheese, beans and tofu are also good sources of protein.
- Eat dairy foods for calcium but choose low-fat varieties such as skimmed milk or low-fat yogurt.
- Watch the portion size of your meals and snacks. Do not ‘eat for two’.
- Always eat breakfast.
- Limit your caffeine intake to 200 milligrams (mg) per day, for example, two mugs of instant coffee. Be aware that other drinks such as tea and energy drinks also contain caffeine.
Most women do not need any extra calories during the first six months of pregnancy. It is only in the last 12 weeks that they need to eat a little more, and then only an extra 200 calories a day, which is roughly the same as two slices of bread.
You can find out your healthy weight from your BMI (body mass index). This is a measure of your weight in relation to your height. A healthy BMI is above 18.5 but below 25. Being overweight or underweight carries risks for you and your baby. Trying to lose weight by dieting during pregnancy is not recommended as it may harm your baby. For women with a normal BMI, the ideal weight gain in pregnancy should be between 11.5-16 Kgs. Underweight women should gain 12.5-18 Kg and overweight women may need to gain only 7- 11.5 Kg.
Vitamins and minerals:
Vitamins and minerals play an important role in the baby’s development. During pregnancy, there is increased requirement of folic acid, iron and calcium. Taking prenatal supplements can ensure that you are getting adequate amounts.
Is it safe to eat fish in pregnancy?
In general, eating fish is a healthy option during pregnancy, but eat no more than two portions of oily fish, such as mackerel or salmon, a week. This is because too much of a substance found in oily fish (mercury) can be harmful to an unborn baby’s development. Also, pregnant women should not eat more than two fresh tuna steaks or four medium-sized cans of tuna a week, and should avoid eating shark and swordfish.
Decreasing the risk of infection from food:
Contaminated food can cause infection which can harm your unborn baby. The following can help to reduce the risk:
- Drink only pasteurised or UHT milk
- Avoid eating ripened soft cheese but hard cheese is fine
- Avoid eating undercooked food
- Wash all fruit and vegetables, including ready-prepared salads
- Cook raw meats and ready-prepared chilled meats thoroughly
- Wear gloves and wash your hands thoroughly after gardening or handling soil
Pregnancy was once considered a time for rest when women advised to refrain from physical activity/exercise as they were considered to be harmful for the mother and unborn baby. This view is challenged by several studies which found that physical activity in pregnancy is safe and has many benefits for the mother and baby.
How do I stay active during pregnancy?
If you were active for at least six months before your pregnancy, ask your doctor about whether you may continue your sports or workouts safely. As you move further into your pregnancy and your body changes, you may feel mild aches and pains due to looser joints and shifting of your body weight. You may need to revise your exercise program every trimester to reduce the risk of falls and limit high-impact activities.
If you have not been active before your pregnancy, start low and go slow. Try regular brisk walking, swimming, strength training for pregnant women, or other activities that will strengthen your heart and lungs and tone your muscles.
Regular exercise can:
- Maintain cardiovascular fitness and improve circulation
- Help maintain a healthy weight
- Improve energy levels and sleep
- Reduce stress, anxiety and depression
- Lower the risk of varicose veins and swelling of extremities
- Maintain strength and flexibility
- Improve your balance, co-ordination posture
- Reduce physical complaints e.g. low back pain and constipation
- Prevent and treat pelvic floor dysfunction
- Prevent and control gestational diabetes mellitus (a type of diabetes that affects women during pregnancy) and high blood pressure
- Reduce the length of labour and delivery complications
- Help in postnatal recovery
What type of exercise is best?
It should be something that you enjoy, feel comfortable doing and can work into your daily routine. Over-exertion may result in overheating which can affect the development of the baby, so exercise safely at a low to moderate intensity.
Low impact exercise is recommended to reduce strain on your joints. Examples include:
- Using an exercise bike
- Using a cross-trainer
- Aqua-aerobic classes
- Low-impact aerobic classes
- Endurance light weight training
- Pelvic floor muscle training
- Deep abdominal (transversus abdominus) muscle training
- Antenatal Pilates
- Antenatal yoga
What type of exercise should I avoid?
You should avoid high impact exercise, contact sports and other activities that may result in a heavy fall. Examples of exercise to avoid include:
- step aerobics
- ball sports
- racquet sports
- scuba diving
- walking at high altitude
- heavy weights
You should stop exercise and seek medical advice if you experience any unusual symptoms such as excessive shortness of breath, chest pain or palpitations, dizziness, painful uterine contractions, abdominal or pelvic pain and excessive fatigue.
Advice for exercising:
- Stop and rest if you feel too hot
- Avoid spas, saunas, solariums, and exercising in hot conditions
- Drink water while you exercise
- Don’t exercise for more than 45 minutes at a time
- Keep your heart rate below 150 beats per minute
- Wear a supportive wireless bra, ideally with wide straps
- Wear supportive shoes (trainers)
- Wear loose, breathable clothing
- Avoid extended periods on your back
- Eat carbohydrates at least 30 minutes before exercising
Which pregnant women should avoid aerobic exercises?
- Women with heart or lung disease
- Women with a weak (incompetent) cervix and those who have undergone cervical stitching (cerclage)
- Multiple pregnancy (twins/triplets) at risk of preterm labour
- Persistent bleeding in second or third trimester
- Placenta praevia (low lying placenta) after 26 weeks of pregnancy
- Women with raised blood pressure in pregnancy
- Severe anemia
- Poorly controlled diabetes or seizure disorder
- Poor growth of baby in current pregnancy (Intrauterine growth restriction)
- Women with premature uterine contractions in current pregnancy