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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'm a male 30 years old and married for 4 years. I and my wife trying for more than 1 year to get a baby but no luck. We are in USA and when we consult the doctor asked us to take many test. And the result came as I have XXY chromosome and my wife has everything normal. My testosterone level also very low. Is there any medication in india for me to get a baby.
If I do sex with my gf on 10th day after her periods and give her unwanted 72 is there any chance of being getting pregnant.
A COMPREHENSIVE GUIDE ON HOW TO FIND THE BEST TREATMENT RATHER THAN DOCTOR.
You are struck by this unknown throat problem, your general physician is not very helpful, he tried his level best but still no relief. The big question “who is the best doctor, who can solve my problem”. Like a child’s play the hand slides down to cellphone and you search the best throat doctor. Little did you realize that you are unscrupulously falling in the trap of finding that nonexistent “best doctor”. Finding the best doctor is akin to say “finding the best dog “or “finding the best spouse”. Not only its purely subjective proposition but often leads to disasters if you jump blindly. In fact, if you search Ent doctors on google, almost all of them will be quoted as best ent doctors. The menace is so much widespread spread to the extent doctors have posted youtube videos (unbelievable 341,000 videos ) claiming themselves to be best doctors in India. Its more of marketing gimmick and trap in which patients often fall into. Medical council of india does not award best doctors to any one and neither is there a yard stick to judge all doctors on one scale.
Coming back to the basic question, who is the best guy to treat my throat? However badly you want to know that “name”, it would be a shocker if i tell you the truth, the name doesn’t exist. While a seemingly simple voice change can be a sign of voice exertion and may need only voice rest to cure it, it can very well be a subtle sign of malignancy that can be picked by narrow band imaging available only at the finest centers. Since the variation is so huge, it is unlikely you will ever come across “know all”, “do all” and “fix all” person.
Often the only practical solution to your problem is where can i find an honest, skillful, caring and available doctor. Your personal preference may force you to think any of the four characteristic more important and you may choose to overlook some inadequacy if your big goal is satisfied. That’s why we have mixed opinions of any doctor. Even with a very reputed doctor, your choice feels like rolling a dice in snake and ladder game.
More people than ever are now searching for a physician they can call their own. Unfortunately, it’s hard to find reliable, easy-to-understand information about specific doctors or practices. It may seem like a burden or restrictive to choose a care provider.
When you are choosing a doctor, look for someone who:
a) Treats you with respect: good doctors understand that a patient is vulnerable. Being respectful goes a long way toward helping the patient explain symptoms, take responsibility for decision-making and complying with instructions.
b) listens to your opinions and concerns:
c) encourages you to ask questions
d) explains things in ways you can understand: helps you understand what the next steps will be, and what the possible outcomes and their ramifications might be.
e) takes steps to prevent illness-for example, talks to you about quitting smoking.
It’s a known fact that doctors with better communication and interpersonal skills are able to detect problems earlier, can prevent medical crises and expensive intervention, and provide better support to their patients. This may lead to higher-quality outcomes and better satisfaction, lower costs of care, greater patient understanding of health issues, and better adherence to the treatment process
HOW TO KNOW IF YOU ARE WITH THE RIGHT DOCTOR
Make a list of the doctors you have in mind. Surf/call to learn more about them. References are usually most helpful and try calling your friends relatives to have their opinion. The answers to the following questions may help you make the best decision. Think about your experience after the first visit. Use your first visit as a litmus test. After u have seen the Doctor. Ask yourself, Did the Doctor-
1. Give me a chance to ask questions?
2. Really listen to my questions without interrupting?
3. Answer in terms I understood?
4. Show respect for me?
5. Ask me questions?
6. Make me feel comfortable?
7. Address the health problem(s) I came with?
8. Ask me my preferences about different kinds of treatments?
9. Spend enough time with me?
10. Explain the diagnosis and treatment, and specify a date for a follow-up?
If your doctor doesn’t fit in the check list and you are frustrated. It is important you should know your rights as a patient. this includes but not limited to following. so make sure you ask everything
a) Why do I need this treatment?
b) Are there any alternatives?
c) Are there any side effects?
d) What is the test for?
e) When will I get the results?
f) Will this medicine interact with medicines that I'm already taking?
HOW TO MAKE MOST OF YOUR TIME WHILE TALKING TO DOCTOR?
Since time is limited and it is unfair to expect that doctor will address your every little concern. It’s important you structure your interaction with him and get most of his time.
Ask questions. If you don't, your doctor may think you understand everything that was said.
Write down your questions before your visit. List the most important ones first to make sure they get asked and answered.
You might want to bring someone along to help you ask questions. S/he can also help you understand and/or remember the answers.
Ask your doctor to draw pictures if that might help to explain something.
Let your doctor know if you need more time. If there is no time that day, perhaps you can speak to a nurse or assistant. Or, ask if you can call later to speak with someone.
Ask for written instructions.
WHAT DOCTORS EXPECT FROM PATIENTS
1. You know important things about your symptoms and your health history. Tell your doctor what you think she/he needs to know.
2. Always bring a list of medicines you are taking (include when and how often you take them). Talk about any allergies or reactions you have had to your medicines.
3. Tell your doctor about any natural or alternative medicines or treatments.
4. Bring other medical information, such as x-ray films, test results, and medical records.
WHAT DOCTORS DISCOURAGE PATIENTS FROM DOING?
a) Talk bad about previous doctors and blaming them for everything.
b) Test the knowledge of doctor rather than getting to the problem
c) Bargain and talk how other people are offering treatment much cheaper.
d) Expect 100% results for everything while patient is busy drinking, smoking and sitting like a sloth.
e) More worried about side effects of treatment than the real problem of disease in front of them.
f) Read unedited blogs and websites which do not give peer reviewed medical information and discussing unfiltered half-baked ideas.
Ultimately it boils down to some sort of amicable agreement between doctor and patient which Leeds to success of treatment. From patient’s perspective “patient really doesn’t care how much a doctor knows till he knows how much a doctor cares”. Bottom-line finding a good doctor who can deliver the best treatment is always more practical then the searching for best doctor who may not deliver the best treatment.
I am 39 week pregnant I want to know can a saffron milk is safe for me this days n I want to know natural remedies for induce labour.
This is kriti 26 years old. At the time of periods bleeding has been decreased comparison to previous cycle. Should I consult doctor for this? Any serious problem? Please suggest me what should I do. Any medicines?
Normally how many days a period can delay due to un protected sex. If so then what to do. The home pregnancy test also came negative. Please help
Hello doctor Mine is cesarian section and its now 22 days of my operation. Its absorbable stitches. And now some kind of puss is coming out of it. What may b the reason. What I must do to heal that. Please let me know. Thanking you.
I'm a 22 year old female. I have been irregular on my periods for over 8 months now. And even when they do come very less compared to an year ago. My body starts hurting before the periods begin. I read about this condition on the internet but have not been consulting any gynaecologist yet. I haven't changed my diet in years. Is it natural or it's a problem?
Sex krte time mere husband ka condom broke ho gya tha Maine 30 min me contraceptive pill le lii thii but mere periods abhi bhi miss h 1 month se jyada ho gya hai kya pill lene ki wjeh se periods late hote h.
My bf rubs his penis on my vagina. After that I test my urine on first day of my missed period and it was negative and then I have my period a week later. Now I missed my period in second month. Am I pregnant?
Mam, period ki problem hai, timely nhi aata, pichhli bar 1 march ko aaya tha aaj 9 April ho gya, man pain v kvi2 aisa hogs Jesse aisa feel hota hai ki avi period aa jayega but aata nhi, meri age 22hai, please uchit slah dijiye.
Cholesterol pockets or Xanthelasma are yellow patches of cholesterol that form in the inner portion of the eyelids. These patches are not harmful; however, they can be a source of cosmetic concern. This condition can be indicative of an underlying heart disease.
Who are the most vulnerable to this disease?
Xanthelasma is a very rare condition that only affects people who have high blood cholesterol levels. However, this condition has been seen to develop even if one’s cholesterol levels are found to be normal. Usually, people in their middle age are the most susceptible to this condition. Xanthelasma affects women more as compared to men.
High blood cholesterol level is the primary cause for this disorder. One might be prone to this disorder if the percentage of bad cholesterol (LDL) in the body is on the higher side. Another liver disorder known as ‘biliary cirrhosis’, is also known to increase blood cholesterol levels. Generally, Asians are the most vulnerable to this disease.
Derma Treatments for Xanthelasma-
As these patches do not disappear on their own, they need to be given medical attention. Usually, it’s the cosmetic concern that urges one to go for the treatment. The various treatment options for this disorder are:
Surgical removal of the cholesterol pockets.
These pockets can also be removed with a laser.
Certain medications such as trichloroacetic acid can be used to dissolve these patches.
Cryosurgery, a procedure whereby the cholesterol pockets are exposed to freezing temperatures, is also another treatment option.
Electrodessication is a surgical procedure to get rid of the cholesterol pockets. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Had periods on 15sept, had sex on 28th Sept, took pill on 29th, again had sex on 2nd, but he did not finish inside me. Can I get pregnant or do I need another pill?
Hi, I am 24 woman. My periods are irregular from last almost 2 years. It was regularly stating from last 6 months and again its late in this month. Does having sex nearby dates delays periods? it was with protection. So I do not think there is any chances of pregnancy. Please advice.
I have been suggested doxycycline by a doctor as I took mtp in 20 days of pregnancy after which my bleeding was not stopping. I have taken trenaxa by which bleeding stopped but there is brown discharge approx 2-3 drops in a day .All my symptoms are of STD because my ultrasound and CBC reports are normal .Can you please help me out in this .How can this bleeding be stopped or treated STD. Please tell me medicine and it's dosage with home treatment if any.
1. The nuts are rich source of energy and contain health benefiting nutrients, minerals, antioxidants and vitamins that are essential for optimum health.
2. They are rich in monounsaturated fatty acids like oleic acid and an excellent source of all important omega-3 essential fatty acids. Intake of walnuts in the diet helps to lower total as well as ldl or bad cholesterol and increases hdl or good cholesterol levels in the blood.
3. N-3 fatty acids by their virtue of anti-inflammatory action help to lower the risk of blood pressure, coronary artery disease, strokes and breast, colon and prostate cancers.
4. These nuts are packed with many important b-complex groups of vitamins such as riboflavin, niacin, thiamin, vitamin b-6, and folates.
5. They are an excellent source of vitamin e. Vitamin e is a powerful lipid soluble antioxidant, required for maintaining the integrity of cell membrane of mucus membranes and skin by protecting it from harmful oxygen-free radicals.
Miscarriage refers to a pregnancy that has ended prematurely, within 20 weeks. Research shows that around 10-25% of all clinically recognized pregnancies end in miscarriages. Chemical pregnancies cause 50-75% of all miscarriages. The condition happens when a pregnancy is lost not long after implantation, bringing about bleeding that happens around the time of her normal period. The woman may not understand that she has conceived when she encounters a chemical pregnancy.
The normal period where miscarriages are expected to occur is during the first 13 weeks of pregnancy. While pregnancy can be an overwhelming and exciting experience, it is beneficial that the woman keeps herself informed about the possibilities of miscarriages.
Some types of miscarriage are:
- Threatened Miscarriage
- Inevitable or Incomplete Miscarriage
- Complete Miscarriage
- Missed Miscarriage
- Recurrent Miscarriage
- Blighted Ovum
- Ectopic Pregnancy
- Molar Pregnancy
In case of any of the following signs, the doctor should be consulted immediately,
- Mild to Severe Pain
- White-Pink Mucus
- Weight Loss
- True Contractions
- Sudden Decrease in Signs of pregnancy
- Tissue made of clot-like material passing from the vagina
- Bright red or Brown bleeding with or without cramps
- The majority of women will require a transvaginal ultrasound (TVS) and 98% of complete miscarriages can be diagnosed in this way.
- If a transvaginal ultrasound scan is unacceptable to the woman, then a transabdominal ultrasound scan should be offered and the woman should be made aware of the limitations of this method of scanning.
- If there is no visible heartbeat then a second scan should be performed. This is either done at a minimum of 7 or 14 days, depending up the measurements of the crown-rump length or the mean gestational sac.
- Be aware that a woman with a pregnancy of unknown location may have an ectopic pregnancy.
- Serum hCG
- Serum hCG tests can help to exclude an ectopic pregnancy in women with a complete miscarriage (or pregnancy of unknown location), determined by ultrasound.
- Serial tests are required but results should complement clinical assessment and not replace it. Two tests are taken as close as possible to 48 hours apart:
- >63% increase suggests ongoing pregnancy.
- >50% decrease suggests pregnancy is unlikely to continue.
- A woman with results between these parameters should be reviewed in the EPAU withing 24 hours.
- Slow doubling times are associated with miscarriage and declining values have high sensitivity of 93-97% in diagnosing a complete miscarriage.
- Rare causes of a raised hCG should also be borne in mind, including gestational trophoblastic disease or cranial germ cell tumour, which must be considered.
One meta-analysis has shown that a single low progesterone measurement for women in early pregnancy, presenting with bleeding or pain and inconclusive ultrasound assessments, can rule out a viable pregnancy. However, a very low serum progesterone can be seen in normal viable pregnancies, so progesterone should not be used as the definitive diagnostic test without other evidence.
- Admission to hospital can be avoided in 40% of women with threatened or actual early pregnancy loss.
- Following a miscarriage, all women should have access to support, follow-up and formal counselling when necessary.
- Anti-D rhesus prophylaxis (250 IU) should be offered to all rhesus-negative women who have a surgical procedure to manage a miscarriage.
- However, anti-D rhesus prophylaxis does not have to be given to those women who:
- Receive solely medical management for an ectopic pregnancy or miscarriage.
- Have a threatened miscarriage.
- Have a complete miscarriage.
- Have a pregnancy of unknown location.
- Women need evidence-based information to guide their decisions, as well as access to support and counselling; leaflets, web addresses and helpline numbers for support organisations should be offered to all women experiencing miscarriage.
- There is no evidence to support a couple delaying attempts to conceive following a miscarriage.
The main purpose of treatment is to prevent haemorrhage and infection. It is common that the body expels all the fetal fluid during the earlier stages of the pregnancy. In case it doesn t, a procedure known as D&C (Dilution & Curettage) is performed to remove the fluid and prevent infection.
Since most miscarriages occur due to chromosomal abnormalities, nothing significant can be done to prevent them.
Tips to be taken to ensure a healthy conception are:
- Regular Exercise
- Stress Management
- Daily consumption of folic acid
- Not smoking