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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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Hello doctor I am 28 yrs old not yet married I have problem of periods. I dont get regular period and I dont have thyroid problem also. For few months I get regular period and for few months irregular this month I took sisron-n as I consulted one of the gynecologist I have taken 10 tablets it' s been 3 days completed but still I dont get my period bcoz of this irregular period am getting obese am working out in gym then also am unable to loose my weight please suggest me what should I do. Thank you
What is the cost for these std card test cost Chlamydia Gonorrhea Hepatitis A Hepatitis B Hepatitis C Herpes 1 Herpes 2 HIV 1 & 2 Syphilis What tests should I do to know my status.
Hi, me and my girlfriend (18 years old) had sex and she took an ipill on the same day. After a week she s having severe pain and bleeding. The doctor said it's due to the ipill, she s scared that the doc may inform the family. Kindly advise.
I am 29 years old married with 2 kids, working out 4-5 times a week. Whether milk is healthy diet for grown ups. Natural or packed milk.
I am 25 year female I have PCOD problem from last 1 year what should I do to overcome this problem. My height is 5.3 and weight is 55 kg and I am unmarried.
I am 25 year women. Today I went to toilet. Too difficult to coming stool from anus. Finally I saw blood and small blood clot (like menstruation time) in toilet. What is the reason? if any problem? my last menstruation cycle may 21.
I had some intimate moment with my partner on 9th april we didnt had intercourse completely but have intimate moment unprotected we was unable to perform intercourse as we were doing it for first time. My partner didnt had a pregnency test her periods is delayed by 8 days I am still in doubht why it happened because we didnt have a complete intercourse? then why she is not having her periods? pregnancy test can be done after 15 days?
The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.
Low reserves are caused by
- Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
- Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:
- Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
- Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
- Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
- Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
- Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Hello Doctor, For past 2 years i'm getting late periods which I never experienced throughout my 23 yrs. For every 3 - 4 months once i'm getting my periods since 2 years. That too I have to eat papaya and other foods which will help to induce it. Consulted doctors and got same feedback from everyone that change in food, increase in weight, stress, etc. Which I never experienced. I had checked my thyroid too, it is 4.150 (TSH 3rd generation). If I get my periods 4 month once then it long lasting for 3weeks with heavy flow and blood lumps. I'm tired of searching for solution. Please suggest me what is going on inside my body. Why this sudden change for this 2 yrs.
Basic concerns in sexual life of people