Dr. Sandhya Jain

lybrate-user, Thanks for the query. Please check your thyroid function test, because if there is uncontrolled hypothyroidism then even prolactin level also goes up. If that is not there then we may have to look at other reasons for hyperprolactinemia. And treatment for it. Thanks.

It's difficult to get baby heart rate at 5 weeks. Please get it checked again after 10 days. Probably what is seen is mothers heart rate.

Dear farheen, Stay relaxed..just forget about that abortion. This milk discharge is not because of that. You need to check your serum TSH levels and serum prolactin..and get back with reports. This can happen to anybody and has nothing to do with abortion. Thanks Regards Dr. Prachi

Hi lybrate-user nothing to worry this is because of healing takes 6wks to 3 months. All discomfort and pain is due to that only. You will get period 4-6 weeks if your previous periods are regular.

With regular ipill or unwanted pill menses will get delayed and can get irregular for a month or so. If you have regular sex then oc pill like novelon is best for you to start from day 2 of menses.

Diet, physical activity, yoga, stretching, aerobics,are a few ways apart from cutting down on your sugar ,fat, junk food, potatoes, rice and fried stuff intake.

Hello lybrate-user, you are suffering from dysmenorrhoea. Due to congestive abdominal pain and nausea or vomiting tendency seen. When intoxicated gas will be eliminated you feel well. So avoid further, you take some cycle clear medicines.

ye normal spasm ho sakta hay excitation ke karan. aapke urine me koi jalan to nahi? urinary infection aur ek reason ho sakta hay

Hell, There is a possibility that you may have pcos, hypothyroidism or hyperprolactinemia. So get a hormonal profile done sooner.

Hi as gap is less 13 months vaginal delivery trial is very very risk at this time Uterine rupture chances are high, adequate rest helps to decrease her back pain

It is lactational amenorrhea. It may take 6 months to 12 months but pregnancy may be occur during this period. Amenorrhea various from patient to patient. Use contraception like condom or cu-t.

If bleeding is reducing and is not much then you can wait for some more time but of bleeding is more then you should get it removed

I may be blood clot also it can be some kind of ganglion or fat solids or fibroid. For this do not need to make any operations. Naturally can cured by herbal medicines. Further treatments please contact me through this. There are many medicines available in siddha and ayurveda. Thank you.

Evening is the best time for exercise. After exercise, you can take apple, guava or papaya or any sugar free low calorie drink. In the morning, you should wake up at 6 o clock, go for exercise at 6.30 am and take breakfast at 9.00am.

Depression & Anxiety During Pregnancy And Postpartum

A new study in The Journal of Sexual Medicine examines the way depression and anxiety during the pregnancy and postpartum periods affect a woman?s sexual life.
Researchers from Brazil and the United States found that depressive/anxiety symptoms, or DAS, can be linked to declines in sexual life for up to eighteen months after a baby is born.
While relationship and socioeconomic problems have been studied in relation to decreased sexual activity after woman gives birth, the association between DAS and sexual decline has not been clear.
The study focused on lower-income women who were receiving antenatal care at public primary clinics in S�o Paulo, Brazil. To learn more about sexual activity, research assistants interviewed the women between 20 and 30 weeks of pregnancy and again at some point during the eighteen months after delivery. During the postpartum period, the women completed the Self Report Questionnaire (SRQ-20), a tool that assesses depression and anxiety.
Eight-hundred thirty-one women participated during pregnancy. Of these, 644 women had resumed sexual activity and were available for follow up after delivery. The women?s mean age was 25 years and approximately 78% of them were living with a partner.
During the interview, the women were asked, ?Considering your sexual life before pregnancy, how would you describe your present sexual life: improved, the same, worsened??
Based on results of the SRQ-20, the women were divided into four groups:

? Group 1 had no DAS during pregnancy and the postpartum period.#11;
? Group 2 had DAS during pregnancy only.
#11;? Group 3 had DAS during the postpartum period only.#11;
? Group 4 had DAS during both pregnancy and the postpartum period.

About 21% of the women had seen their sex lives decline. This result was more likely among women in Group 3 (DAS during the postpartum period only) and Group 4 (DAS during both pregnancy and the postpartum period.)
Sexual decline was also associated with the mother?s age and the number of miscarriages she had had. The risk of sexual decline was twice as high for women over 30 when compared to younger women, a result that could be related to stress. Women who had had miscarriages had a 50% increase in the risk of sexual decline, which could be due to the emotional toll of miscarriage.
The researchers acknowledged that DAS and sexual decline could work in two ways. DAS could lead to sexual difficulties after delivery. But problems after delivery, such as episiotomies, could also lead to DAS.
The findings may help practitioners recognize DAS symptoms and their effects on the sex lives of lower-income women.

Pelvic Floor Dysfunction & Women?s Sexual Concerns
Pelvic organ prolapse (POP) and urinary incontinence can have many sexual repercussions for women. Recently, a team of European researchers described these problems in detail in the Journal of Sexual Medicine.
POP occurs when female pelvic organs drop and put pressure on the vaginal walls. Urinary incontinence (UI) refers to the loss of bladder control and leaking of urine. Both conditions can make women anxious about sex.
The authors explained that healthcare providers often do not consider themselves fully trained to treat sexual issues associated with POP and UI. Also, much research has focused on the quantitative aspects of sexual function for these women. The goal of this study was to add ?meaning and context? to the current literature.
Thirty-seven women between the ages of 31 and 64 participated. Each woman was about to have corrective surgery for POP, UI, or both POP and UI. All participants were sexually active except one, who avoided sex because of her condition, but wanted to start again after surgery.
Each woman was interviewed face-to-face, responding to open-ended questions about how POP and/or UI affected them sexually. Questions focused on desire, arousal, orgasm, pain, satisfaction, body image, partners, and intimacy. Because of a recording error, one interview could not be used. Therefore, results were based on interviews with thirty-six women.
Seventeen percent of the women said their sex lives were satisfactory, with no problems from POP or UI. Thirty-nine percent rated their sex lives negatively and 44% indicated that their sex lives were fine overall, but that certain aspects were negative.
Most Commonly Affected Sexual Areas
 
? Body image. Women with POP described their vaginas negatively, using descriptors like ?ugly? and ?not normal.? Those with UI were anxious about using incontinence pads and emitting urine odor. Many women felt embarrassed, depressed, unattractive, or undesirable. They were also concerned about their partner?s experience. For example, some women with POP worried that a partner could feel the prolapse.
? Desire. Many women found themselves less motivated to have sex because they feared pain and felt awkward. Some rushed through sex; others avoided sex altogether.
? Arousal. Distraction, fear of pain, and difficulty relaxing could all contribute to diminished arousal.
? Orgasm. Some women had trouble reaching orgasm because they couldn?t relax or ?let go.? Others found their orgasm less intense. Some didn?t allow themselves to reach orgasm because they feared incontinence.
? Pain. Women with POP were more likely to report discomfort or pain, which were mainly due to sexual position, the prolapse itself, or the fullness of their bladder.
The authors acknowledged that other factors, aside from POP and/or UI, could play a role in the women?s sexual problems. A partner?s sexual issues, relationship conflict, stress, and menopause could all be involved. ?Despite the profound effect of POP and/or UI, the confounding effect of these factors should not be overlooked when assessing female sexual function,? the authors wrote.
They also noted ways that healthcare providers can help women with POP and/or UI by addressing sexual problems. Letting patients know that these conditions are common may help them gain confidence.

Hello- burning sensation inside vagina afeter sex is probably due to these reasons- 1) your partner is suffering from std.(this reason you have ruled out already) 2) use of lubricants/lubricants coated in outer surface of condoms. 3) excessive sexual activities in summer season.(this causes internal irritation) 4) consumption of too much spicy and fast food diet. (spicy diet decreases the ph of the body fluids thus make them acidic which causes internal burning) 5) spicy diet taken by your partner (as mentioned above) and through its semen its transferred into your vaginal tract causing irritation. Note: last three reasons are mentioned in ayurveda and are as significant as the first too reasons.

Hello, yOU can be started on arginine supplements for the same and if required low dose aspirin as well.

Hello there, there are many reasons of irregular periods. Most common are Pcod & Anaemia. For proper diagnosis you need to consult a Gynecologist. Whatever the diagnosis, Irregular periods are treatable. Not to worry.

Along with the medicine you can take 1 table spoon of fresh homemade white butter with misri (candy sugar) as soon as you get up and a few washed and dried grains of rice before every meal and for more detailed approach for prenatal, post natal and garbhsanskar you can contact us online through lybarte.

Hello, pimples, shedding under eyes, oily skin, tenning, dryness of skin, & wrinkles cause due to irregular life style, insomnia. Junk food, stress, anxiety but taking d natural recourse will, carry away the tresses making your skin sebum free and soothing. Tk, plenty of water free from contaminants to hydrate your whole body and to regulate your metabolism to absorb essential minirals, vit, protein, fatty acid, carbohydrates, omega-3 to nourish & smooth, your skin. Go, for meditation to reduce your stress and to nourish your cells, tissues and whole body to allow your skin to b fresh, non oily & glowing. Tk your meal easily digestible, non-oily, non-irritant, simple, on time. Tk, apples, cheese, carrots, papaya, rajama, soyabeen, spinach, almond, walnuts to enjoy wellness. Tk homoe medicines: @ berb. Aqua q-10 drops, thrice with little water. Y @ echinecea q- 20 drops, with 20 drops of water, apply locally. Twice. Ensure sound sleep at least for 7/8 hrs in d night. Avoid, junk food, caffiene, dust, scorching sun, fried, spicy intake, cookies, pizza & burger. Your feedback will highly b appreciated for further, follow up. Tk, care.