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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, 3 months before married to my wife 26 yrs. But after intercourses not conceived, so after consulting a DGO done a ultrasonography- abdomen & pelvis (TAS & TVS). In the result given, minimal free fluid in the POD Impression:- USG Abdomen and pelvis reveled 1. Polycystic ovarian disease is of concern Given. From this what we want to mean. She showed the doctor with scan report, but doctor said nothing and currently in scan reports coming pcod and no need any medicines. Kindly reply me as soon as possible.
Polycystic ovarian syndrome is the condition when a woman's sex hormone levels get imbalanced. This can cause women to have irregular periods and may also have an impact on their fertility. Women suffering from PCOS also tend to grow small cysts in their ovaries which can also lead to severe health problems like diabetes and heart disease, if left untreated.
What causes PCOS?
The exact cause of PCOS is not known. However, the condition may be triggered by hormonal imbalances and genetic factors. Women are more susceptible to developing this condition if their mother or a female family member also has the condition. Excessive production of androgen, which is a male sex hormone, may also lead to this condition. Women suffering from PCOS tend to have high levels of androgen. The formation of eggs and their release during ovulation can be delayed by high levels of androgen. High androgen levels may result from excess insulin present in the blood. Poor lifestyle and irregular eating habits contribute to obesity which intern leads to increased insulin resistance and hence delayed ovulation and irregular cycles leading to infertility.
What are the symptoms of PCOS?
The type of symptom in case of PCOS varies from person to person. Since PCOS is characterized by low levels of sex hormones, this condition may lead to symptoms such as:
- Excessive hair growth on stomach, face, chest, toes and thumbs
- The breast size starts to shrink
- There is a change in voice, making it deeper
- There is excessive loss of hair from your scalp
- Sometimes the face is filled with acne and the skin turns oily
- There are fertility problems like having trouble in ovulating or recurring miscarriages
- Frequent depression or mood swings
- Facing breathings problems while sleeping
I am 31 years old female and having pain while doing intercourse with my hubby ,I have 6 month old baby. In last 1.5 year we have met only 3 to 4 times that too with very much pain. Please advise.
After intrauterine death at 32 weeks delivered by cesarean. We will plan to conceive within 6 month after cesarean? is it okay?
One of family lady is pregnant. Just end second trimester. Now she is facing swelling in hand, leg. What may be reason and what is the solution?
When I go urine at the time blood is coming with urine at the time pain is very high what we can for that.
Hello Doctor. Am pregnant with twins. My random blood sugar tested at three months of pregnancy was normal around 101. At 27 weeks I again got tested for sugar and results are bit high. FBS is 108, after one hour it is 174 and 2 hours its is 163. Please suggest what does this mean. I was not having diabetes before pregnancy as clearly shown by random blood sugar. What effect it can have on my babies and will it come back to normal after pregnancy?
I am 31 years old not married. Last year I had a abortion after that my weight is increasing and earlier my period happen for 5 days but now it's only 3 days. So now there can be any problem in future in conceive again.
I am not getting bleeding in mensuration what food I have to eat for natural bleeding? Please advise.
She is suffering from leukorrhea, and she always have itching in vagina and pain in lower back and legs headaches are common she have improper mensuration cycle, which use to extend upto 10 days and bleeding lasts only for 2-3 days.please help
We are planning for baby for Last 3 years but due to fertility issues we are not able to do .My semen count is low to 8 Million motility 60%.Please advise medicine to increase my semen count so we can start my family.
Hi doctor, trying to conceive. I have done my follicular scan with doctors instruction. The study goes as follows: Day 9- Right ovary follicles - 9x8 mm, left - 13x9, endometrium thickness 7mm. DAY 12 - right - 8mm, left - 16x9, endometrium thickness 7mm. Doctor has again asked me to repeat on DAY 15. Please advise if everything is normal? Can I conceive without any problems.
What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.
Treatment: The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).
Usually, women mostly use one of the three types of vaginal oestrogen listed below:
- Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.
- Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.
- Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.
Side effects and aftercare: Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.
I am at least 6 weeks pregnant. Still there is very faint line on hpt. .Is there something wrong.Please help.
Hi, I am 19 weeks pregnant, I have given urine test and I found" calcium oxalate crystals "are present in urine. I am worrying about this. Please let me know if there is any risk as early as possible. Thanks.
My wife is pregnant, her GTT test result is as below: Fasting: 112 mg/dl 1st hour: 225 mg/dl 2nd hour: 241 mg/dl Is above mention reading is correct?
IVF (In vitro fertilization)
In Vitro Fertilisation means Fertilisation “ in- glass that is fertilization outside the human body . It was initially developed for fertility in females who had blocked or unfunctional fallopian tubes. At present IVF is recommended to patients who are unable to conceive due to several other causes also.
We try to provide you with the utmost services :
Your initial consultation : It is an initial visit in which you open up with your doctor and know your doctor and the doctor knows you. A detailed history is taken of the couple.
Pretreatment preparation and planning management : This will include a detailed blood workup which will include your hormonal assays , a uterine assessment, semen analysis and other tests if required. We review the whole history and all the tests and then only a definitive management is planned for you.
Start of oral contraceptive pills : You will be put on oral contraceptive pills for a short span of two to four weeks if your cycle needs to be synchronized with that of an egg donor or surrogate . These help the ovaries to be cyst free and help in planning of your cycle.
Ovarian induction : The IVF cycle begins with ovarian stimulation with injectable hormones on a daily basis and serial ultrasound monitoring. A baseline ultrasound is done before starting the stimulation to assess egg production. The hormone levels will also be monitored . Once the follicles reach the optimal size , you are prepared for egg retrieval.
Visits : Prior to egg retrieval three to five visits are done in that IVF cycle.
Egg Maturation : An injection is given 34-36 hrs prior to egg retrieval.
Egg retrieval : It is a procedure done transvaginally under ultrasound guidance under short general anesthesia . You need to be six hrs. fasting prior to the procedure.A long thin needle is passed through the vagina in the ovary and the follicular fluid is aspirated .The follicular fluid is collected in test tubes under strict temperature control and immediately given to the embryologist in the embryology lab. The embryologist searches for the eggs .The eggs are rinsed counted and placed in an incubator . After few hrs , they are fertilized with the sperm either through IVF or through ICSI.
An anesthesiologist is there to give you pain relief and comfort during the procedure. Chances of injury during egg retrieval is extremely rare .Structures near the ovary such as bladder,bowel or blood vessels could possibly be damaged and may require further surgery. Minimal bleeding from ovaries might occur but the risk of transfusion is extremely rare. Infection during this procedure is also extremely rare. You will be discharged four hrs. after the procedure.
Embryo Assessment : During IVF embryos are assessed for 2-5 days in a temperature controlled incubator. The embryos are assessed and the day of transfer is determined between day 2-day 5 . We call you to update you about the embryos.
Embryo Transfer : Embryo is transferred back in the uterine cavity between day 2-day5 when it becomes multi celled /blastocyst . This requires no anesthesia and the female is happy to see her embryos being implanted in the cavity . We discuss the number of embryos and made and the number to be transferred so that you have the highest probability of success keeping in mind the risk of multiple birth associated with it. For embryo transfer you need to come on a full bladder and the procedure is done via an embryo catheter transferred vaginally under ultrasound guidance.
Pregnancy test : We schedule a pregnancy test 10-15 days after the transfer . If the first test is positive we repeat beta hcg repetitively every 48-72 hrs. and an obstetrical ultrasound is planned two weeks following the pregnancy test when we look for the no. of embryos and fetal cardiac activity.