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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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Hi doctor I am a house wife in 43 yrs old, actually this month I have continuously periods coming its very pain and I have 2 children. So please give a suggestion for me.
Why pain occurs on legs and lower side of stomach during periods? Why this problem occurs please tell me. It is a normal or something else.
Can I leave my pines inside her vagina all night. Is it safe or not ? And my pines is bend to right approx 35 degrees how to straighten. Please suggest me some tip and medicine.
Respected sir. I completed 8 months from marriage everyday me and my wife met sex 2/3 times in a day. From last week itself only one time it's happening why is any problem . Please rectified the same.
Hi, I am a married woman. Before marriage my breast size was very small but after marriage it was increased too much I want to reduce the size so please suggest me few remedies. My periods were irregular is this a reason for increased size of breast? How can my periods be regulated so that I can get kids. Tnq.
What should we do for girls after doing sex. I mean they should not become pregnant what type of tablets should use for girls after sex.
Sir there is infection in my wife's uterus kindly advise medicine during her periods she has to suffers a lot of pain and when we make relation she feels jealous.
I had sex 3 weeks ago and did not had any contraceptives. Now my dates are delayed by 3 days. I don't want to have a baby right now as I am just 20. I need suggestions as soon as possible to what should I do to get back to normal. I weigh around 49-50 kgs and am tense and scared too please help!
I am suffering frm polycystic Overy syndrome with increase testosterone level with abnormal hair growth, how can I get relief nd how Cn these symptoms can get reduce.
Previous month my period was not clear means less bleeding and this time period is late and there is also blood clots . Is there any problem.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
Backache is a very common complaint during pregnancy and a lot of pregnant women believe it is an inevitable part of being pregnant. But if we understand the reasons why it happens, then we can take remedial measures to help ourselves.
1) Majority of backache happens due to wrong posture and improved posturewill reduce the stress on your back. As the pregnancy advances, the growing baby bulk pushes the center of gravity forwards. This enhances the natural curve of the back and puts the back muscles under more stress.
One must try to walk tall and keep the stomach tucked in towards the back (as far as comfortable) while standing and walking. Always bend from your knees and not waist to pick up something from below (even your baby). Avoid sudden twisting movements from the waist,instead turn the whole body sideways to reach the object.
2) Try to improve upon the strength of the back muscles by gradually including theendurance exercises in your daily regimen. One can safely do almost all kinds of exercises till the fifth month of pregnancy but always have a word with your doctor before starting.
3) Always take your supplements (calcium, Vitamin D as prescribed by your doctor because nature tends to draw calcium from mother's bones and divert it towards the baby. So any kind of deficiency will be more harmful for the mother rather than the baby.
4 Use a medium -firm mattress and a good pillow to sleep. Very soft or very firm (Orthopedic) mattresses may not be very comfortable during pregnancy.
5) During early pregnancy one can sleep in any posture including sleeping on your tummy if this makes you more comfortable. After the 6th month of pregnancy it is better to sleep preferably on your side with a small cushion placed between your knees A gentle back massage is very soothing at times. Drink plenty of water and other liquids so you don't have urinary infections or constipation which may also sometimes cause backache.
I am 17 years old and I had sex with my boyfriend in the month of April and I consumed unwanted 72 pill next day after doing sex. Doctor my question is this that I don't get my periods till today in June I had completed 2 months what is this doctor ? Is after consuming this pill periods gets delay and how much delay? 1, 2or 3 months plzz tell.
In an incredibly fast paced and unhealthy lifestyle of the modern world, irregular menses aren’t exactly an unusual situation. The length of a monthly cycle may either last longer than usual or end earlier than usual, only to begin in a short while again, accompanied by greater abdominal pain and blood loss. Irregular cycles may vary from 8 to 21 days or more. The variation of 21 days or more is considered highly irregular and abnormal. A woman may face some menstrual irregularities at both ends of menstrual life, (onset- menarche and end of cycle- menopause) which is normal and in most of the cases, it is self-establishing.
Causes of Irregular Menstrual Cycle:
The cause of irregularities in menstrual cycle is basically hormone imbalance. The altered levels in the body lead to irregular cycles. There are many factors in routine life which affect hormonal balance. Some of them are:
- Poor diet or wrong dietary habits
- Stress and anxiety, thoughts and emotions
- Lifestyle: Lack of physical activity and exercise, too much physical exertion, stress and strain during menses.
- Illness: Long-term illness like fever, tuberculosis, thyroid problem etc.
- Medication: Certain medicine if taken for a long time, like oral contraceptive pills, hormonal therapy etc., alters hormonal balance.
- Imbalance of Tridosha (vatta, pitta and kapha) in body, leads to irregularities of reproductive system.
As per Ayurveda, Vatta is the main culprit in menstrual irregularities.
How To Deal With Menstrual Irregularities:
With the sudden acceptance of eastern concepts of yoga and organic and indigenous medicines around the world, Ayurveda has gained importance in treating irregular menses, gynecological and obstetric problems.
- Lifestyle and Food- There is no alternative for lifestyle and food habits correction. Eating healthy and nutritious food, regular exercise, yoga, physical activity, outdoor games lead to good physical health.
- Meditation and Breathing: Exercise is good for taming hormones. It keeps a person physical and mentally healthy.
- Avoid heavy physical work during menses.
- A good oil massage over body keeps Vatta in balance (one of the important tridoshas of body: vatta, pitta and kapha).
Ayurveda has proven to be much helpful in regulating the menstrual cycles. According to certain studies, Ayurveda came in rather handy while tackling PCOS, a disease distressing 1 in 3 women today. It is certain that Ayurveda medicines work better in certain scenarios and definitely have fewer risks in comparison to allopathic medicines and surgeries. Over a period of time, they have proven much more beneficial in overcoming the irregular menses and the irritation along with the accompanying pain and PMS symptoms. Ayurvedic medicines use herbs and roots and almost everything found in nature to discover a rather organic cure for diseases. Certain plants like Shatavari are used to reduce the much spoken about mood swings or PMS symptoms during periods which can only worsen in case of an irregularity. The bark of the Ashoka tree has proven to be quite helpful in relieving menstrual pain and excessive bleeding. Other plants and their parts like the Lodhra, Guggul, Guduchi and Amlaki, Jatamansi etc. are useful in regulating periods and reducing the stress and irritation accompanied by it.
Panchkarma- Basti therapy (Enema- administration of medicines through rectal route). In this treatment, decoction of different herbs and medicated oils are used for giving enema. Basti has proven its efficacy since centuries, for treating Vatta. A course of 5, 8, 15, 30 or 60 basti, as per person’s requirement can be given for menstrual problems. Irregular periods, although are faced by a large chunk of women, pose different symptoms for different people and hence individualized treatment is advised. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.
Morning sickness is one of the unpleasant experiences during pregnancy. Some women dread at the thought of it. It is more common in the first 12 weeks of pregnancy, especially with the first child. Allopathy attributes this to hormonal changes, vitamin deficiency, dehydration, etc. Homeopathy believes that this morning sickness happens with the physical, emotional, and biological adjustments that the mother has to make with the new baby growing within her. As with all conditions, homeopathy believes in not just giving a medication to cure the nausea but to identify the associated symptoms and manage the woman as a whole entity.
Some of the popular homeopathic options available are listed below:
- Colchicum: The mere thought of food intensifies the nausea, especially fish and eggs. Any movement increases the nausea. There is an urge to consume carbonated drinks. The woman chooses to sleep with her knees drawn close to the chest.
- Sepia: The smell and thought of food worsens the nausea sensation. There is a craving for vinegar, sweets, and pickles. There is a feeling of heaviness in the pelvis. This exhaustion leaves you with a feeling of indifference to close family and friends. Exercise can improve the feeling.
- Pulsatilla: Staying in a closed, stuffy room make the nausea worse. Being out in the open air makes it better. Walking makes it better. The craving for sweet and fatty foods is high, but that worsens the nausea. Water consumption is reduced. Mood is unpredictable, wanting comfort and reassurance.
- Nux Vomica: The woman wakes up from bed with a nausea, but not able to vomit out. The woman is hyperstimulated and feels very anxious and stressed. Light and sound can also add to the irritation. There is a strong insomnia component to this woman.
- Cocculus indicus: Loss of appetite, with even the thought or smell or sight of food making you nauseous. There is a highly tired and fatigued feeling. The person can feel chills, vertigo, and loss of sleep. The symptoms are usually worse in the afternoon.
- Ipecacuanha: The nausea is severe and constant, but is not relieved with vomiting. There is profuse salivation and constant spitting.
- Tabacum: The nausea in this woman is persistent, is worse when in a warm room, and induced by even the slightest smell of tobacco. The nauseas feels better when there is fresh air movement, might ask for the car windows to be open. There is also an urge to leave the abdomen uncovered.
In addition to these, some tips to avoid morning sickness include eating a dry cracker before getting out of bed, avoiding fatty foods for dinner, drinking plenty of water, and including a lot of ginger in your diet.
Ian suffering from regular period and not getting pregnancy and suffering from stomach pain at time of periods.
Der Doc, I got married three years passed but no baby loosing interest in intercourse. Please suggest me good medicine to get more power when I intercourse with my wife, please help me DOC. Regards,
Unless semen is inserted inside a women's vagina the girl can't get pregnant? As doctors say that sperm cannot pass through clothes.
Menorrhagia is a condition that is marked by heavy menstrual bleeding during the monthly menstrual cycles. Most women have a unique bleeding pattern during that time of the month with the flow going up and down over the first few days. Yet, for many women, the bleeding becomes consistently heavy during all the days of the period, during which the period itself may get extended by a few days. If this pattern continues to occurs, one must get it checked out by a doctor at the earliest. Here are a few ways in which this condition may be treated.
Factors considered during treatment: Before the treatment starts, and during the diagnosis stage, the doctor will take a look at a number of factors so that the correct form of treatment may be prescribed to the patient. To begin with, the doctor will take a complete medical history of the patient, including the family history to ascertain whether or not there may be a genetic problem at play. Further, the future childbearing plans of the patient will also be taken into consideration in such cases so that the treatment method does not hinder such plans. Also, the doctor will also try and understand the effect of the symptoms of this condition before prescribing any particular medication and surgery.
- Medication: Iron supplements and non-steroidal anti-inflammatory medicines will be prescribed for the patient to bring down the level of inflammation and restore the production of blood, which will make up for the rapidly flowing blood from the body. This will also prevent the risk of anemia (Learn how anemia affects the human health). Oral contraceptives, tranexamic acid, oral progesterone and hormonal therapy can also help in such cases.
- Dilation and curettage: This procedure is also known as D&C, and it basically helps in dilation or opening up of the cervix so that the doctor may suction the tissue from the uterine lining. This tissue is usually known to bring about excessive bleeding.
- Uterine artery embolisation: This is a procedure which shrinks any existing fibroids that may be the cause behind excessive bleeding. In this procedure, the uterine arteries are blocked and the blood supply to the same is cut off so that the fibroids do not get a chance to grow and cause unnecessary pressure that may lead to excessive bleeding.
- Hysterectomy: This is a surgical procedure that removes the cervix as well as the uterus (You can learn more about infections of the Uterus), and is usually the last resort followed by most doctors. In such cases, the doctor will first ascertain whether or not you plan to have any children in the future. Additionally, the ovaries may also be removed if the condition has spread too much to be contained sufficiently.