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Management of Abortion
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
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My father is suffering from herpes. please can someone tell why this happens? What could be d actual cause of this disease to occur? & what r d precautions to be taken.
We had sex and the condom got torn But the sperm was not discharged inside her vagina and she was on he safe periods ! Is there a change of her getting pregnant and her long period days are 36 And short period days are 33 And her last period was on May 7 ! please tell me if its a safe sex day !
Hello sir, This month 20th I met in sex with my fiancee, actually her period was this month 24 but after met in sex on 20th she didn't get period on 24th ,then she also ate the papaya to get her period early but till now she didn't get what was the reason can you please help me.
A Quick Guide to Geriatric Nutrition
Special nutritional needs are often required in special circumstances. Unlike adults from 20 to 60, children and elderly people have specific needs as their physical requirements are different. Just like pregnant women need tailor-made diets for their specific needs, children and elderly people also require appropriate diets without too much variation.
The requirement for geriatric or elderly nutrition
As the body ages, certain functions within are slowed down and thus, the processes are not able to completely recuperate and replenish what was lost. Certain functions are affected more than others and hence, need specific nutrients to regenerate.
Tips for Geriatric Nutrition
Let's take a look at some of the specific diet requirements as well as certain items, which should be avoided.
1. Consumption of calcium rich foods - Bones are a part of the human body that tend to suffer a lot of wear and tear and they start showing signs of weakening after 60. It is thus, important to replenish calcium in the body to help the bones get their building blocks. Some examples of calcium-rich foods are almonds and green leafy vegetables like kale. Dairy products are also good as long as the fat content within them is low.
2. Keeping the body hydrated - Although physical activity reduces with age, dehydration can still occur within senior people and thus, it is important that they remain hydrated. Simply drinking water may not be enough and juices or other water-rich foods such as watermelons should be used to supplement for hydration.
3. Lessening sodium within the body - The presence of excess sodium in the body can cause blood pressure to shoot up and result in high blood pressure, which may then further result in more ailments like strokes. It is pertinent that foods rich in sodium such a red meats be lessened or cut out of the diet altogether.
4. Lessening sugar consumption or any other foods that may exacerbate diabetes - Another factor to consider is the consumption of sugar and sugar-filled products. Not just for diabetics, but elderly people have a tendency to develop high blood sugar and hence, it is prudent to reduce sugar intake.
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Related Tip: Dieting Vs Fad Dieting: How can you spot the FAD?
Ovulaion date me sex krne se pregnancy confirme Hain? Period k kitne din bad ovulaion date aati Hain? Ovulaion ka symtrom kya hain?
Pregnancy is a very special time in a woman's life when there is an added focus to take care of yourself and your unborn child. The adage 'you are what you eat' takes on a whole new meaning during this period as it becomes the soon to be mother's responsibility to pack in extra nutrition to nourish her growing bump. Doctors often add in a dose of vitamins to ensure that the both mother and child are well nourished. But beyond that, the food choices you make will maintain a healthy weight gain for you and your baby and eventually even help when you want to shed the extra weight after your child is born.
Here are some tips to have a perfect diet during your pregnancy
- Load up on the good stuff: Even if you've always been eating healthy, it is time to crank things up a notch and include more proteins, vitamins, minerals especially folic acid and iron and some extra calories for energy and increase it as you progress in your pregnancy. But eating to get more nutrients doesn't have to mean eating more in general. If you are already at a healthy weight, then you don't need extra calories in the first trimester. In the second trimester, you need about 340 extra calories a day and about 450 extra calories a day in the third trimester. The numbers will change if you are underweight or overweight.
- Say no to some: During pregnancy, give a skip to food items like raw seafood and undercooked meat and poultry. This could lead to potentially dangerous infections. Other foods to steer clear from include unpasteurized milk and soft cheese. All of these are possible sources of bacteria that can be harmful to an unborn child. It is always good to give your fruits and veggies a good extra wash, as always. Try to avoid the known culprits like popular local fruits that may be laden with artificial ripeners. Also avoid food with excess oil or preservatives. You will also have to say a complete no to alcohol or smoking during this period. While most sites suggest that you also ditch your caffeine fix, you can best keep it less than 200 mg or 12 ounces in a day. Stick to decaffeinated tea and sodas when possible. Some other foods that have to be avoided during pregnancy are packaged food, cold drinks, preserved food items as they contain preservatives, which are harmful. Also, chinese food should be avoided as it contains monosodium glutamate, which is again harmful due to teratogenic chemical.
- Diet a big no: Another big no during pregnancy is dieting or controlling the intake of food to lose weight. Pregnancy is the time you actually, for once, get to legally gain weight and be happy about. Don't mess up your natural system with forced diets.
- Keep the food coming: Pregnancy is the time for food craving at all odd hours and the time to give into them without an ounce of guilt! If you are dealing with nausea and food aversion, try to stick to small meals throughout the day. Replace the chips with carrot sticks and the pizza slice with soup. If that sweet tooth starts acting up, give it a frozen fruit dessert or shake.
Hello Sir, can you please tell me whether having frequent sex or having sex with multiple partners loosens the vagina of a woman? Does sex before marriage creates any problem after marriage for a woman?
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.
Can you suggest twin delivery mother caring tips. Looks milk is not producing enough. Can we use milk powder to babies. If yes. What are they?
छिलकों में भी छुपे हैं गुण
छिलकों के घरेलू प्रयोग आजमाएं
नींबू और संतरे के छिलकों को सुखाकर अलमारी में
रखा जाए तो इनकी खुशबू से झिंगुर व अन्य कीट
भाग जाते हैं।
ऐसे सूखे छिलकों को जलाने से जो धुआं होता है
उनसे मच्छर मर जाते हैं।
इसकी राख से दांत साफ किए जाएँ तो दुर्गंध दूर
हो जाती है।
नींबू निचोड़ने के बाद बचे हुए हिस्से को त्वचा पर
रगड़ने से त्वचा की चिकनाई कम होती है।
इसके रगड़ने से मुंहासे भी कम होते हैं और रंग
पीतल और तांबे के बर्तन इससे चमकदार बनते हैं।
नींबू के छिलकों को कोहनी और नाखूनों पर
रगड़ने से कालापन कम होता है और गंदगी हट
इन्ही छिलकों को नमक, हींग, मिर्च और
चीनी के साथ पीसने से स्वादिष्ट
चटनी बनती है।
संतरे का रस तो चेहरे को कांतिमय बनाता ही है,
छिलकों को यदि छाया में सुखाकर पीसा जाए
तो यह उबटन का काम करता है जिससे चेहरे के
दाग-धब्बे हटते हैं और त्वचा खूबसूरत बनती है।
संतरे के छिलके को पानी में डालकर नहाने से पसीने
की दुर्गंध दूर होती है और ताजगी आती है।
I am pregnent. 8 weeks. In torch test rubella igg 62 cmv129 hsv27. But igm -'ve. Can my baby healthy?
Hi I am about to get married this month end. We are planning to not to have children for 1 year. But we want to involve in sex. Can you please provide some suggestions. What are the side effects if we use any contraception pills. When should she take that pills. Can you please help on this.
It is common for women to experience genital irritation and itching. At some point of time, every woman is likely to experience some form of vaginal irritation. It is a condition which often causes great distress and embarrassment. Vaginal irritation is commonly caused by a yeast infection. Irritation may also occur due to certain chemicals and sanitary pads, which are used during menstruation. Persistence of such irritation and itching may cause vaginal pain.
Vaginal irritation can be managed in several ways. Here are some tips on how to manage and control vaginal irritation using simple remedies:
Use apple cider vinegar: Apple cider vinegar contains antibacterial and antifungal properties. It helps in removal of irritation completely when caused by a bacterial or fungal infection. Take two spoonful of apple cider vinegar, add hot water to it and wash your vagina using this water. The vagina is made acidic due to which the bacteria does not last long.
Apply cold compress: Vaginal irritation during the night can be quite troublesome and is likely to hamper your sleep, leaving you fatigued. Apply a cold compress or ice cubes directly to the vagina. This will provide substantial relief to the irritation.
Take a salt bath: Salt is effective in eliminating bacteria and itching. In case you suffer from itching, wash your vagina using concentrated salt water. This will provide instant relief from the irritation and the risk of further bacterial growth gets reduced.
Use garlic paste: Garlic contains antibacterial properties, which are quite effective in providing relief from irritation and itching symptoms in the vagina. The smell of garlic is also considered effective. Make a garlic paste and apply it inside your vagina.
Use yogurt: Yogurt contains active cultures, which remove bad bacteria by the addition of abundant good bacteria. Have a cup of pure yogurt without sugar regularly. Yogurt takes care of yeast infections quite fast. You may also apply it on the vagina, especially in the area prone to irritation.
Use basil leaves: Basil leaves contain antifungal, antimicrobial and antibacterial properties. Boil basil leaves in water and drink the water. This method eliminates bacteria, which causes vaginal irritation.
Antibacterial talc: You can use any antibacterial talc of either medical or herbal variety. A herbal, homeopathic talc is mild on the body, but takes some time to heal the infection. Medicated talcs provide faster healing. The talc destroys bacterial and fungal infections, which may occur because of the moist surroundings.
Keep it dry: Keep your vagina dry as bacterial and fungal infections commonly affect wet areas, which result in irritation. For prevention of vaginal irritation, always wear loose clothes. If the irritation gets out of control, you must consult a doctor.
What is recurrent miscarriage?
If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.
Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being.
If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.
Treatment of Recurrent Pregnancy Loss
Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.
A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.
Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.
Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.
Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.
Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid
Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.
Role of IVF
Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.
In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.