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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
Urinary Incontinence (Ui) Treatment
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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
I am 5 months pregnant. My weight is 40. How can I get normal delivery and what are the ways to get normal delivery and avoid scisserian.
My wife is having a problem in vagina. She was in period now after few days some black solid muscle is coming out and the stomach is paining what should I do.
I had unprotected relation on the 19th day of my cycle. With my finance. We did not have sex but we stimulated each other with hands. He had not ejected but there was pre cum .but before the act he had peed. N.then he stimulated me. I wanted to know whether this is lead to pregnancy as we are not ready for baby. Now today I got my periods. On the 27th day. My cycle has always been regular from 2 years .its always 26 - 32 day cycle. This tym though I got my periods. I an having slight dizziness. I am very much worried .please help me soon as this worry is constantly killing me.
She had unprotected sex with her bf wht is the chance of getting pregnant if his bf had not release sperms and they had done sex after 10 days of periods.
I am suffering from vaginal infection from past 3 days. Having itching n rubb swelling. Its getting worst. I used to wash it with V wash. But nt effective. Kindly prescribe me some medicines l, ointment which I can purchase from chemist store & precision which cn cause more infection into this.
I am 8 months pregnant. And now having difficulty in passing urine because all time i feel that i need to go for loo. Even during night i go for loo around 5-6 times. I cant even stand for more than 15-20 minutes due to the pressure on bladder.And my baby moves a lot in womb.But my doctor said my baby is weak. What are the reasons behind it? Kindly suggest. Thanks.
Yeast infections are caused due to the overgrowth of yeast, which is a fungus. This type of infection is also called as candidiasis. Most women in the world are likely to get infected with vaginal or vulvo-vaginal candidiasis at least once in their lifetime. The most common causative organism of this disease is Candida albicans. The other Candida species that might cause these are C. glabrata, C. parapsilosis, C. tropicalis, and C. krusei.
Sometimes, it becomes chronic and may appear 4-5 times in a year.
Other types of yeast infections
Yeast infections can be caused in other parts of the body as well. When yeast infections occur in the mouth, it is called thrush or oropharyngeal candidiasis. Yeast infections are mostly found in moist, warm areas such as armpits, genital area etc. This type is called cutaneous candidiasis. Most candida infections are not very harmful. However, if they reach the blood stream, it can result in fatality. This is called invasive candidiasis and can happen by inserting an infected catheter, etc.
What causes candidiasis?
Candidiasis is caused when the natural flora of the area is thrown off balance. The most common causes of candidiasis are:
- Diseases such as HIV which suppress immunity
- Antibiotics, steroids and birth control pills
- Vaginal douching
- Using perfumed products such as soap and bubble baths
- Wearing tight clothing such as synthetic underwear and spandex that do not allow your genitals to breathe
If you wish to discuss about any specific problem, you can consult a gynaecologist.
Hello doctor, I had my period from 1st of September to 4th of September and I have again got them today on 19th of September. Is it normal? I usually have a 30 day cycle.
I am 1 month pregnant and previously I had an miscarriage in month of February. Now I am pregnant again in this month. But I had an bleeding after having sex with my husband. I want to know why it is happened. And is there any issue with my pregnancy.
I am 31 years old I get periods 10 Jan, 18 Feb, 17 Mrch and April I did not get period and this month on 12 I got and remain three days and now I can feel some pain on my right side of my belly. So what it may cause to pain?
Hello respected doctor's, I am 42 years old and my wife age 28, we have 2son. What is the best birth control method for her Condoms Or CoppertT. Please suggest me. Thank you.
My wife last period 20.7.16 tell me that she is how many months pregnant and movement of baby when occurs.
For the past centuries, people have been using herbs for enhancing their libido and for enhancing their performance. Herbs are totally natural and cause no side effects and rejuvenate your body from within. Natural herbs are any day a better remedy for enhancing your sex life than artificial or chemical enhancers.
Here is a list of herbs, which help you with boosting your sex drive and improve your sex life:
- Cinnamon: This herb is being used as a love potion since Medieval times and is still in use. This herb is effective in warming, provides mild stimulation and improves the circulation of blood, which enhances your erection.
- Damiana: This herb is used in case of frigidity, erectile dysfunction, for treating premature ejaculation and testicular atrophy. The herb also provides relief to anxiety and increases the sensitivity of the nerves.
- Ginkgo: This effective herb helps in relaxation of blood vessels for better delivery of nutrients throughout the body. It improves vascular insufficiency and enables better blood flow to the penis, providing better erection.
- Maca: This herb enhances your energy and pumps you up for action. It also provides nutrition and rejuvenates the pituitary functioning. The body’s hormone production rate is enhanced. The herb is also used as a vaginal lubricant.
- Ginseng: Ginseng is another energy enhancing herb. It also boosts your stamina and provides a more intense adrenaline rush.
- Muira puama: This herb is of South American origin and is referred to as the potency wood. It enhances virility and enhances sexual debility. The herb also acts as an aphrodisiac.
- Oatstraw: This herb works as a nutrition provider and as a relaxant. It accounts for improving your sexual ability and performance in bed. The herb increases your libido and helps in cases of impotency. The nervous system is also nourished, which makes couples extra sensitive during sex.
- Schizandra: This herb accounts for increasing the lasting power for men during sex. It also cures depression and sexual debility.
- Tribulus terrestris: The function of this herb is to cure erectile dysfunction and cases of low sperm count. The sperm count is increased after having this herb.
- Vanilla: The herb's name is derived from a Latin word which means little vagina. The vanilla herb is an extremely effective sexual stimulation and helps in enhancing your overall sexual drive or longing to a great extent. This herb can be used in cooking food.
Herbs are the best choice of natural sexual enhancers and if you take the correct herb, you are sure to get effective results.