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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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Why and how c-section is better than normal delivery for women?
Pregnant women can opt for one of the two ways to deliver their babies: they can either have a normal/vaginal delivery or a surgical delivery by having a c-section. In many cases, the choice of having a c-section is planned due to certain medical reasons that make having a normal delivery risky. A pregnant female may know in advance that she will require a c-section and can schedule it as she may be carrying twins or multiple babies, or she may be suffering from a medical condition such as high blood pressure or diabetes, an infection such as hiv or herpes that may complicate pregnancy or there may be placental problems during pregnancy.
A c-section also becomes a necessity in situations such as where the mother has a small pelvis and the baby is very large or when the baby is in heads up position and efforts to turn the position of the baby before delivery have not been successful.
In some cases the decision to do a c-section is unplanned and taken by the obstetrician due to certain emergency reasons such as problems during pregnancy or if the labour is happening too slowly or if the baby is not receiving enough oxygen.
Some of the c-sections are considered to be elective and may be requested by the female for reasons that are non-medical before she goes into labour. A female may choose to get a c-section if she wants to plan her delivery or if she had a vaginal delivery that was complicated previously.
Why c-section is better than normal delivery for women?
During a normal delivery, there is a higher risk that the tissues and skin around the vagina stretch and tear when the baby passes through the birth canal. If this stretching and tearing is severe, it may require stitches. This may ultimately lead to weakness or injury to the muscles of the pelvis that control bowel and urine function.
According to some studies, it has been found that females who have had normal/vaginal deliveries are more prone to develop urinary or bowel incontinence (leakage of urine and stool respectively) than females who have had c-sections. They are also more at risk of developing leakage of urine during sneezing, coughing or laughing.
After a normal delivery, a female may also develop a lingering or continuous pain in the perineum-the region between the vagina and anus.
According to a study published in the new england journal of medicine, the rates of bleeding into the brain of the baby was higher during vacuum extraction and forceps delivery (two methods of using assistive devices during normal deliver) than during c-section.
Hello doctor. I am 24 yr old married (nov 2013) female, weight 5.4 inches (161 cm, weight 85kgs. Suffering with pcod since 1 year, with obesity from 6 mnths.& with thyroid from 4 mnths. Nw my tsh report is 5.6 & m using erithrodoxin 25 mg tablets for thyroid, my doctor suggested binhin, myonext tablets. And cant get feelins also. My husband's semen count is very good. I want to get pregnant fast, loss weight very fast. In howmany days I can get pregnant. Please give your valuable advices for me. And suggest effective diet chart. Thank you.
I have one kid (4 years old) While delivery in cesarian Fibroid taken out and tested which is normal Fibroid. But after 4 years, again Fibroid appears in uterus. Due to that heavy bleeding in periods and Head ache. Doctor said operation to be done. Is there any medicine to decrease the Fibroid size. We want one more child, conceive is possible without removing the fibroid. Is there any possibility to remove that without surgery. Pl clarify.
Hello I got conceived before one year but due to ectopic pregnancy aborted still nw trying for pregnancy .shall we go for iui whether it will b positive .my weight is 5 KGS more than normal whether this weight factor affects iui .whether it will work out pls suggest me.
Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:
- Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
- Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.
The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:
- Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
- Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.
The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.
Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.
Fertility Restoration through medication
This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:
- Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
- Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
- Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
- Bromocriptine: Used when the infertility is caused due to excess prolactin production.
- Letrozole: This also induces ovulation
Fertility Restoration through surgery
Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:
- Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
- Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
- Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.
Assistance in Reproduction through techniques
The most common used techniques for reproduction assistance are:
- Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
- Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.
Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.
My wife is pregnant (26 week) with twins baby and one expired today in the womb (4th Oct 2016) and second baby is normal still in the womb. What should I have to do go for 1. Delivery of both babies or 2. Go ahead for better progress of second normal babies.
I had sex with my bf in may 21 and got my periods on 26th May. My due date is 24. After that I got my periods regularly in June, July, August. But this month still I don't get periods even 2 days after my due. Before some days I had spotting 2 weeks back and now I have little thick white discharge, had mild lower abdominal pain. Note: I am having right ovarian cyst and pcos for past 1 and half yrs. My question is still do I have chance of being pregnant. please help me. Going mad because of this.
I am 40 years having irregular period i have thyroid also can I get pregnant I want to conceive but still not convinced please solve my problem.
Hi my wife has faced miscarriage three months back. DNC was performed. Now the doctor has prescribed ovigyn dsr tablets. She has been taking it from last twelve days. She has also grade I fatty liver. There is continously pain in her abdomen on right side. Is it safe for her to get pregnant and why is the pain there ?
Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn’t it be a good idea to get to know a little more so as to separate the myths from the facts?
- Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.
- Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.
- Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad! If you wish to discuss about any specific problem, you can consult an endocrinologist.