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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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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In case the fertility odds are against your favour, you can undergo a procedure called IVF or in vitro fertilisation. It is a form of fertility treatment in which the sperms and eggs are combined in a laboratory. IVF is a very common fertility treatment procedure, involving modern technology. It is carried out by many women and couples worldwide. When you are facing ovulation problems and issues with the quality of eggs, have blocked fallopian tubes or if your male partner has a low sperm count, a sperm donor’s eggs are used via IVF to become pregnant.
The overall process of IVF involves several methods and steps:
- Ovarian stimulation: You will have to take a fertility drug called gonadotrophin eight to fourteen days before the beginning of your menstrual cycle. This will help to stimulate your ovaries for the development of multiple, mature eggs for fertilisation. You will also be given synthetic hormones like cetrorelix and leuprolide.
- Development of follicle: You should be visiting your doctor frequently while having the medicines for a check-up of your blood hormone levels. Your ovaries will also be measured using ultrasound. This will allow the doctor to monitor the follicle development.
- Trigger shot: You will be given a trigger shot injection when the follicles are prepared. This injection leads to full maturation of the eggs, making them ready for fertilisation. The eggs require a period of 36 hours for retrieval after receiving the trigger shot.
- Gathering of the eggs: An anesthetic will be given to you and an ultrasound probe will be inserted via your vagina for observation of the ovaries and follicles. A thin needle will be inserted through the vaginal wall with which the eggs are removed from the follicles.
- Fertilisation: The eggs will be observed one final time before being combined with your partner’s sperm. Then they will be incubated overnight. Fertilisation occurs during this period and the abnormal eggs do not get fertilised. Three days after the egg retrieval, some of the successfully fertilised eggs transform into embryos composed of six to ten cells. Within five days, some of these embryos turn into blastocysts composed of fluid-filled cavities and tissue. This separates into the baby and the placenta. The most viable embryos are placed in your uterus. One to five embryos are placed in your uterus by the insertion of a catheter through the cervix. The embryo implants itself to the uterus walls. Gradually, it develops into the baby. The chances of pregnancy are higher when there are multiple embryos.
Before thinking of undergoing IVF, you must consult a doctor to know about the entire process. You also need to know whether you are fit to undergo IVF as there are several criteria you should satisfy for IVF.
My name is Lakshmmi Aparna. My age is 30, my husband age is 35. I got my periods on March 4. I am trying to conceive for almost 9 months. My health is good. My medical reports also normal. Can you suggest me any fertility medicine for conception?
Me and my husband planning for baby. Before my ovulation day we tried 4 continuous days. Aftr 3 days only I feel like vomiting. Is this sign of pregnancy. Also we would like to know is there any harm in this bcoz we tried 4 days continuously before my ovulation day. Does it affects sperm count.
Recently my wife got conceived (38 days) and we aborted as we already have 2 kids by tables (not done by D&C). First 3 days bleeding was more and then got reduced. Now small drops are coming and doctor said it will get controlled shortly. In this case, when can we start our intercourses again? Do we need to postpone for sometimes? Pls advise.
Sir, My wife is 8th month pregnant. She is suffering from coughgetting more cough evening and night time. Consult the doctor says use one capsule of rotacaps whenever you get cough and takes medicine on evening time before going to bed. After taken the rotacap feels better. Will this affect my baby? What am I supposed to do?
Painful menstrual cramps is a condition during periods in which a woman or girl has crampy lower abdominal pain, sharp or aching pain that comes and goes, or the pains which radiates to lower back and thighs. In some women or girl the cramps are associated with nausea, loose stools, headache and dizziness. Many women or girls have painful menstrual cycles.
During menstrual cycles, the uterus tries to expel out its lining and a hormone called progesterone is responsible for the uterine muscle contraction. The more the prostaglandin level, more painful the cramps.
Sometimes the pains are moderate to severe making it hard to do normal household work, job, or school-related activities during each menstrual cycle. Painful periods or menstruation is the leading cause of absence from school and work among women in their teens and 20s.
In medical terms it is called as 'Dysmenorrhea.'
There are two categories of Dysmenorrhea.
Primary Dysmenorrhea is menstrual pain that occurs around the time that menstrual periods first begin in healthy young women. In most cases, it is not related to a specific problem with the uterus or other pelvic organs.
Secondary Dysmenorrhea is menstrual pain that develops later in women who have had normal periods. It is often related to problems in the uterus or other pelvic organs, like
Intrauterine device (IUD)
Pelvic inflammatory disease
Premenstrual syndrome (PMS)
Home remedies to manage the Menstrual Cramps-
Take a hot water bag and give hot fermentation to lower abdomen, lower back or thighs
Do light circular massage with your fingertips around your lower belly area.
Eat light but frequent meals.
Healthy nutritional diet is a great help
Side lying position with knee folded helps to relieve the pain
Take warm showers or baths.
Walk or exercise regularly, including pelvic rocking exercises
Loose weight if overweight
When to consult a doctor?
Severe pain associated with nausea/ vomiting
Increased or foul-smelling vaginal discharge
Sudden or severe pain, especially if your period is more than one week late and if sexually active
No relief with routine medications
If intrauterine device (IUD) is inserted
Heavy bleeding with clots
Pain occurs at times other than menstruation, begins more than 5 days before period, or continues after period is over.
Doctor iam having irregular periods having no blood flow. And also iam having hypothyroid but it came normal now. But iam not getting periods last 2 months. What I have to do? Pls help me?
I am in iui cycle. Today is my 17th day. I got white discharge 2 days back. Now its controlled. But itching is there so what to do. Please suggest me.
Infertility has significant social impact on india. Evaluation of male should occur simultaneously with female partner when there is no pregnancy after one year of regular unprotected intercourse. Semen ananysis is not a test of fertility. Fertility is couple related phenonmenon. The patient can not considered fertile only on the basis of normal semen analysis. It was shown that 30% of patients with normal semen analysis have abnormal sperm function. Semen anaysis should be performed according to 2010 who guidelines.
Male fertility problems ranges from decreased production of sperm (oligospemia) motility defect (asthaenospermia) morphology defect (teratospermia) or non-measurable level of sperm (azoospermia) which is diagnosed in 2% of general population. Azoospermia is one of the major reproductive disorders which causes male infertility in humans. Genetic factors are responsible for 1/3 rd case of azoospermia. There are two types of azoospermia obstructive and non-obstructive.
Obstructive azoospermia is defined as absence of spermatozoa in the ejaculate despite normal spermatogenesis and affects 6%-13.6% of infertile male while non-obstructive azoospermia is most severe form of azoospermia which affects 10% of infertile male.
Sperm retrived can be achieved in case of azoospermia through pesa (percutaneous epididymal sperm aspiration) mesa (microscopic epididymal sperm aspiration) tesa (testicular sperm aspiration or micro tese (microscopic testicular sperm extraction).
The appearance of 5 th edition of who manual (2010) is radical shift in understanding fertility in men. The 5 th edition of the who manual for semen analysis includes for first time reference values for human semen characteristics. Sperm counts >15 m are considered normal which means fertility is possible although it is imp to remember that higher values up to >140 m are known to increase fertility probability, values between 15-140 m represents a category of male subfertility.
Introduction of icsi (intracytoplasmic sperm injection) or testtube baby has brought hope for men when severe male factor infertility and provide them chance to become biological fathers.
स्वस्थ शरीर के लिए संतुलित भोजन आवश्यक है जो हमें ऊर्जा प्रदान करे और वृद्धि में सहायक हो तथा बिमारिओं से बचाये.
हमारे भोजन की पूर्ण ऊर्जा की मात्रा निम्नलिखित स्रोतों से आती है;
कार्बोहायड्रेट ५५-६० %
वसा ३० %
प्रोटीन १०-१५ %
कार्बोहायड्रेट कार्बन,हाइड्रोजन और ऑक्सीजन से मिलकर बनते है.तथा हमें ऊर्जा प्रदान करते है.ये दो प्रकार के होते हैं- सरल और काम्प्लेक्स(गरिष्ठ).सरल आसानी से पांच जाते हैं और गरिष्ठ धीरे धीरे पचते है तथा ताकत और स्टैमिना देते हैं. हमारी रोजाना की मात्रा में से लगभग ५५ % ऊर्जा काम्प्लेक्स कार्बोहायड्रेट जैसे साबुत अनाज, आलू और अन्य सब्जियों से मिलने चाहिए.जिससे अन्य पोषक तत्त्व भी भोजन से प्राप्त हो सके.जैसे गेहूं के आते से बनी ब्रेड में मिनरल जैसे कैल्शियम आयरन ,विटामिन और रेशा अधिक मात्र में मिलेगा २ ब्रेड से लगभग १३० कैलोरी मिलती है जो एक सॉफ्ट ड्रिंक की कैलोरी के बराबर होती है जबकि इससे हमें अन्य कोई पोषक तत्त्व नहीं मिलते है.
चीनी एक सरल परिष्कृत (रिफाइंड) कार्बोहायड्रेट है जो मात्र ऊर्जा ही प्रदान करती है तथा प्रोसेस्ड फूड्स जैसे केक, चॉकलेट, बिस्किट्स आदि में पाई जाती है.
My wife was 7months pregnancy, now scan report baby weight is 1.120 kg. This weight is normal or up-normal? What is the standard for weight baby and women during 7months pregnancy time.
Undergoing Brain Surgery can be a very traumatic experience, and it is common for many patients recovering from brain surgery to face depression, spells of dizziness, confusion and weakness post the surgery. It can be very critical that family members and friends talk to the patient and be empathetic towards them.
It takes approximately 12-18 months for the brain to heal after a brain surgery and slowly and gradually the patient will regain all his normal functions and get back to his daily routine. However in that time they need the complete support and understanding of their families, as well may need help from therapists. This will help the patient in gaining back their independence as well as confidence in their abilities.
Here are some tips that will help you deal with a patient recovering from Brain Surgery:
After brain surgery, a person may feel disoriented and have some speech or understanding disability for a while. Family members and friends are advised to take pause when talking to the patient, so that he/she can easily understand the conversation. Speaking slowly is not recommended, as patients may recognize it and have an emotional outburst or feel hurt.
Caretakers and family members should also keep reminding the conversation topic at different points to the patient, so that it is easier for them to participate in the conversation.
Family members should also not react adversely in case of emotional outbursts, instead show love and patience to a person recovering from brain surgery.
Caregivers should make sure that the person recovering from brain surgery gets enough sleep and rest to recuperate.
People interacting with someone recovering from brain surgery should understand that the person's ability to learn and remember will improve daily, and any lapses in attention by the patient are not caused by any act of obstinacy. Your care and understanding will be essential for a person to recover.
Family members should also make sure just to give enough care and not smother the brain surgery survivor. It is essential for them to regain their confidence and a sense of competence.
Family members should take the patient for a neuropsychological examination--after treatment, 6 months later, and a year later to see if they are recovering properly. Caregivers should watch out for emotional outbursts, like rage, uncontrollable laughter, withdrawal and depression. In case of such symptoms it is advisable to take the patient for a check up with medical practitioner. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.