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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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Things you should know about Polycystic Ovary Syndrome (PCOS). I am Dr. Jyotsna gupta (Gynecologist/Obstetrician). What is Polycystic Ovarian Disease (PCOD) or Polycystic Ovary Syndrome (PCOS)? Polycystic ovary syndrome (pcos) is a health problem that can affect a woman's menstrual cycle - Ability to have children. Appearance Hormones Blood vessels Heart With PCOS/PCOD, women typically have high levels of'androgens, these are sometimes called male hormones, though females also make them. Many a times,small cysts (fluid-filled sacs) are formed in the ovaries. What causes PCOS? The cause of PCOS is unknown. But most experts think that several factors, including genetics, can play a role. Women with pcos are more likely to have a mother or sister with pcos. A main underlying problem with pcos is a hormonal imbalance. In women with pcos, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.High androgen levels can lead to Acne, excessive hair growth, weight gain problems with ovulation. How many women have pcos? Between 1 in 10 and 1 in 20 women having childbearing age has pcos. It can occur in girls as young as 11 years old. What are the symptoms of pcod or pcos? The symptoms of pcos can vary from woman to woman. Some of the polycystic ovary syndrome symptoms include: infrequent, absent or irregular menstrual periods. Infertility (not able to get pregnant) because of not ovulating. In fact, pcos is the most common cause of female infertility. Increased hair growth on the face, chest, stomach, back, thumbs, or toes, male-pattern baldness or thinning hair. Cysts on the ovaries, acne, oily skin or dandruff, weight gain or obesity, usually with extra weight around the waist. Skin tags excess flaps of skin in the armpits or neck area, pelvic pain, anxiety or depression Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black Sleep apnea when breathing stops for short period of time while asleep. How do I know if I have pcos? There is no single test to diagnose pcos. Your doctor will take the following steps to find out if you have pcos or if something else is causing you symptoms. Medical history - your doctor will ask about your menstrual periods, weight changes, and other symptoms. Physical exam - your doctor will measure your blood pressure, body mass index (bmi), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit. Pelvic exam - your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts. Blood tests - your doctor may check the androgen hormone and glucose (sugar) levels in your blood. Ultrasound (sonogram) - your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (lining of the womb). This lining may become thicker if your periods are not regular. How is pcos treated? Because there is no cure for pcos, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for pcos include: lifestyle modification. Many women with pcos are overweight or obese, which can cause health problems. You can help manage your pcos by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include: limiting processed foods and foods with added sugars, adding more whole-grain products, fruits, vegetables, and lean meats to your diet. This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular. Birth control pills. For women who don't want to get pregnant, birth control pills can control menstrual cycles .Reduce male hormone levels Help to clear acne. Fertility medications - Lack of ovulation is usually the reason for fertility problems in women with pcos. Several medications that stimulate ovulation can help women with pcos become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Another option is in vitro fertilization (ivf). Ivf offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, ivf is very costly. Surgery - ovarian drilling is a surgery that may increase the chance of ovulation. It is sometimes used when a woman does not respond to fertility medicines. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. Medicines for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant. Before taking any medicines tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Other options include: cream to reduce facial hair Laser, hair removal or electrolysis to remove hair. Hormonal treatment to keep new hair from growing. Does pcos change at menopause? Yes and no. Pcos affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman is close to menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from pcos, such as heart attack, stroke, and diabetes, increase as a woman gets older. Polycystic ovary syndrome and pregnancy - how does pcos affect a woman while in pregnancy? Women with pcos appear to have higher rates of miscarriage premature delivery. Pregnancy - induces high blood pressure. Does pcos put women at risk for other health problems? Women with pcos have greater chances of developing several serious health conditions. Recent studies found that women with pcos can have diabetes or pre-diabetes at early age. Women with pcos are at greater risk of having high blood pressure. Women with pcos can develop sleep apnea. This is when breathing stops for short period of time during sleep. Women with pcos may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much. If you have pcos, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your pcos, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include eating right, exercising, not smoking. How can I cope with the emotional effects of pcos? Having pcos can be difficult. You may feel embarrassed by your appearance, worried about being able to get pregnant, depressed. Managing pcos (diet and exercise) - following lifestyle and diet modifications can help manage pcos symptoms to an extent. Frequently have small meals (5-6 times a day) without fail, drink a lot of water (8-10 glasses). Try to consume 2-3 servings of fruits and vegetables every day. Stick to a high fibre diet (wholegrains/fruits/vegetables). Give preference to home cooked meals, add brightly colored and white vegetables to your diet. They have high anti-oxidants food to avoid - Fried/packaged/processed foods. Foods with high glycemic exercises, suggested work out at least 5 times every week for at least 30 minutes Running, swimming, yoga strengthening exercises . Even if you don't lose weight, exercise in pcos helps to improve things like- insulin sensitivity, frequency of ovulation, cholesterol, body composition. Getting treatment for pcos can help with these concerns and help boost your self-esteem. It is advised that you should consult gynecologist who can help you based on your symptoms and requirements to manage pcod/pcos.
My gf's boobs are getting loose. What should I do? May I not press her boobs or not? Please tell me what is the solution? Is there any solution to make them shapeful?
I am 26 years old female. I got c-section delivery before 8 months I gave breast feeding to my male baby. I got malaria fever I stopped feeding for one month I do not have milk now again I want milk supply what can I do pls.
I won't get periods regularly, It comes for 2 months at that time bleeding also more till 20 days like that and I have thyroid also. I have waterbubbles also inside. So could you please suggest me what I have to do.
Most women follow some kind of routine to keep their private parts healthy. Often, some habits have a bearing on sex life and possible future risk of diseases like cancer - Avoid Douching the vagina - Douching and deep cleaning the vagina by pushing in cleansing liquids or using tissues to wipe the vagina from deep within is no longer considered healthy. It may be harmful and cause internal injuries and burns. Many decades back women used to douche using natural ingredients like yogurt for yeast infection but better treatment is now available and one should seek proper medical advice in case of any trouble
My sister is facing so many problems like she s getting fever regularly I mean body temp is raising without any reason. My sis n brother in law r planning for a baby and she doesn't got periods till now from 2 months. N she also gets headache. Are dese the symptoms wen we conceive?
I have a cyst problem and due to that my period is irregular and I get a severe pain at my lower abdomen. What should I do and how to get rid of this?
I am 20 years old student. I got down on 3rd may but not as normal. The bleeding was very less. Now from 3-4 days I noticed drops of little brown spotting on my panty. I have taken i-pill on 24th April. Is this due to some side effects? From last two months my menstrual cycles are very early. Am I pregnant? Do I need to consult a doctor? Please advice me some medicines to get relief. Please help.
Requesting for a quick and confirm response. I had unprotected sex with my girlfriend on 27th August and she had ipill (ecp) after 6 hours of Intercourse. After 4 days i.e. On 1st September she started bleeding and the bleeding continued for 4 days. We have done four home urine pregnancy test and the results came NEGATIVE. All the tests were done after 21 days of Intercourse. We even did a BHCG test on 17th October which was exactly 7 weeks after unprotected sex. The result was <1.20. I have two questions. please help me out. 1st. Is she pregnant or do we have to worry about pregnancy? 2nd: no bleeding has taken place after September. Why? please help us out.
Hi, My friend took ipill for the first time and she is 24, will it have adverse effects even though she was not pregnant n she took I pill.
I have a friend who is 2 years younger to me. We both met on fb and we started meeting outside regularly. We are so close to each other and used to share openly. I never considered him as boy nor did I see him like a boy. We are like same. We had very happy time together. After 2 years of our friendship, I fell in love with another guy. We had many similarities and started falling for my bf madly. He is already married and has a son. But he loves me truly and is taking divorce to unite with me. He does evry sacrifice to stay with me. One day I sent my bf I love you with my friend's name at the end. I did this while I was travelling in train and it was just a typo. My bf created a big mess after that. He checked online status of my friend then and he was online. So from then my bf doubts that I have another secret phone with which I secretly chats with my friend. I have already broken all bonds with my friend for my bf. He still uses bad words on me and keeps on abusing me. Even when I go for washroom or bath, he doubts that I am with my friend This has gone wild. He stopped taking food and became mad. I am also loosing my health because of this. I keep crying everyday and try to convince him that im not in contact with my friend. Please help me with this.
The menopause can take three very different routes for women. There are those who sail through it with very few symptoms or problems and don't even notice that their ovaries have stopped producing the hormone. Then there are those for whom it is a matter of a few hot flushes and a couple of night sweats, doesn't last long and not really a bother. This usually marks a relief from the periods. But for some it is abject misery accompanied with crippling fatigue, absolute exhaustion, hot flushes, vaginal drying, mood swings along with low desire or lack of sexual feelings. These symptoms might persist for more than 7 years.
Hormone Replacement Therapy (HRT) is considered to be an effective treatment for menopausal symptoms. The other problems linked with menopause can also be influenced by HRT in a positive manner.
HRT is indicated in:
- Treatment of symptoms of menopause and the risk benefit ratio is apt for the women and they have been informed about the same
- For women who are around 51 years and are reaching menopause even though they are asymptomatic
- In women who are at the risk of osteoporotic fractures and are under 60 years and the non-estrogen treatments cannot be given
- HRT is not recommended in women who are above 60 years
Benefits of HRT:
The benefits of HRT usually are more than the risk if done in a woman who is under 60 years of age.
- Improvement in quality of life by relieving muscle pains and improving sleep
- The mood swings are controlled and low moods are usually alleviated by HRT. Low moods usually arise due to menopause.
- It reduces the vasomotor symptoms, usually within four months of the treatment with maximum benefit in three months
- HRT improves the urogenital symptoms by lowering the vaginal dryness, vaginal atrophy, urinary frequency and symptoms.
- HRT reduces the risk of osteoporosis. HRT is believed to preserve the bone mass density of the skeletal sites thus reducing the chances of vertebral and nonvertebral fractures.
- HRT also reduces the risk of colorectal cancer and cardiovascular diseases
Risks of HRT:
The main risks of HRT are stroke, endometrial and breast cancer, thromboembolic disease, pulmonary embolism and gallbladder disease. Though other risks are:
- It increases the risk of ischemic stroke
- There is a small risk associated with breast cancer and the risk increases more, if the woman is underweight or overweight, alcohol user, smoker and stops HRT suddenly
- Estrogen only HRTs can increase the risk of endometrial cancer. If cyclical progestogen is used for 10 days for 28 cycles then the risk is eliminated.
After loosing my virginity the bleeding is stooped while but daily little amount of blood coming out and paining. Please help me doctor
My wife suffering from irregular periods the periods occurring 10days before what should we do any problem.
I am female 20 years old, I did pregnancy test and I got to know I am pregnant and its 2 weeks already and I want to abort it with pill please prescribe me something and help me.
Hiiii doctor Iam sunitha I had a sex 2months before (October) After that 1st month I got my period regularlyAnd now 2month 12days over now iam having symptoms of getting period but No period Iam a pregnant?
1.Continue Stretches for the spine in the morning
2 Breath Fresh Air and Practise deep breathing pattern
3.Use stairs always
4.Atleast one cardio activity every day like climb stairs fast brisk walk jog or make love
5.Maintain back straight always in walking sitting and standing