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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
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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In medical terms, the pelvic floor refers to a group of muscles in the pelvic area. These muscles provide support to the organs in the pelvic region, including the bladder, uterus (women), prostate (men), and rectum.
What is pelvic floor dysfunction?
This is a medical condition that is used to refer to a situation when you are unable to control the functioning of the pelvic floor. It means you fail to control the bowel movement. People suffering from pelvic floor dysfunction use these muscles to contract rather than to relax. It is for this reason that they cannot have a bowel movement. They often have an incomplete one.
What causes pelvic floor dysfunction?
In most of the cases, the exact reason behind this dysfunction is unknown. It is often believed that this condition is caused due to traumatic injuries to the pelvic area. This can happen after an accident and due to complications aroused after vaginal childbirth.
What are the symptoms?
There are several symptoms that are linked to this medical condition. You must visit your doctor if you come across the following signs:
- The feel of having several bowel movements within a short period of time.
- If you feel that you cannot complete a bowel movement.
- When there is constipation pain linked with bowel movements.
- A frequent urge to urinate.
- Painful urination.
- Pain in lower back.
- Continuous pain in pelvic region, genitals, or rectum.
- Pain during intercourse in women
How is pelvic floor dysfunction diagnosed?
It may be diagnosed through a physical examination by the doctor. You will ask several questions to know the case history and find out the cause. You may also be asked to take pelvic muscle control test by placing surface electrodes on the perineum or sacrum. A small device called a perineometer is also used for the same.
What are the best ways for treating pelvic floor dysfunction?
It can be treated without surgery. There are several techniques. Some of these are as follows:
- Biofeedback: It is done with the help of a physical therapist.He uses special sensors to watch and monitor the muscles.
- Medication: A low-dose muscle relaxant is prescribed to treat the same.
- Relaxation techniques: Your therapist may ask you to take up techniques for relaxation such as warm baths, yoga, and exercises.
- Surgery: If your physician finds out that the dysfunction is caused by a rectal prolapse or rectocele, he or she will take up surgery.
Pelvic Floor Dysfunction results in Urinary Dysfunction. Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:
- Stress Incontinence – when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh
- Urge Incontinence – when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards
- Overflow Incontinence (chronic urinary retention) – when you're unable to fully empty your bladder, which causes frequent leaking
- Total Incontinence – when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking
It's also possible to have a mixture of both stress and urge urinary incontinence.
Pelvic Organ Prolapse
Pelvic organ prolapse is a condition in which structures such as the uterus, rectum, bladder, urethra, small bowel, or the vagina itself may begin to prolapse, or fall, out of their normal positions. Without medical treatment or surgery, these structures may eventually fall farther into the vagina or even through the vaginal opening if their supports weaken enough.
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My friend has MC ON 26 th may and had unprotected sex with bf on 2 nd june .she is in doubt of pregnant .can she use mifepristone 100 mg or wats the next step she have to take.
I am 27 and my husband is 28 yrs. From last one year I had aborted 2 times. 1st pregnancy at 7 weeks due to bleeding. 2nd one at 4th month due to a birth defect of baby seen in ultrasound. Defect is anencephaly. Now took gap of 6 months after abortion. We are planning for pregnancy also I am taking folic acid (mcbm-69. Recently I have done Torch test and APL test. In that it seems for Rubella-IgG 4.72 OD ratio I have and for Rubella-IgM I have 1.74 OD Ratio. Pls help me do I have Rubella infection or I am immune to Rubella. Reference range is: Negative: <=0.90 Equivocal: 0.91 - 1.10 Positive: >= 1.11 Positive means do I have infection.
I had sex on 30th but after 3 hour I took i-pill because condom get sticked inside me. So latter some cramping n abdominal pain occurred on the very next day. Then after 10 days I did pregnancy test. N it's negative. Still my periods are late by 3 days. What should I do? Should I do another test? Or which medicine should I take For My usual periods?
Many people suffer from a low libido problem. This can be a problem for their partners as well as for themselves. A low sex drive can also reduce one's self esteem and confidence. In severe cases it also leads to depression.
Factors which cause low sex drive:
Sexual problems: Many sexual problems also lead to a low sex drive. An inability to experience orgasm even after a lot of attempts can make one indifferent to sex. Some people also experience pain because of a tight vagina. In such cases their desire to have sex reduces greatly.
Medical diseases: Many medical conditions also affects your libido, such as cancer, arthritis, blood sugar (diabetes), artery diseases, high blood pressure and neurological diseases.
Medications: Some people suffer from depression and anxiety disorders. To get over these disorders most doctors prescribe them antidepressants and anti-anxiety pills, these medications create a very low libido.
Habits: Many lifestyle habits such as over-consumption of alcohol can make your sex drive reduce a lot. Smoking also decreases the blood flow in your body which may make your libido fall.
Surgery: Reconstructive surgeries such as breast reconstruction surgery and genital tract surgery can also affect sexual desire and give your body signals to not engage in an intercourse.
Fatigue: Tiredness because of physical activities or caring for your old parents or young children can also make you uninterested in sex. Your body and brain might not have the energy to engage in an intercourse due to fatigue.
Menopause: The levels of estrogen reduce greatly during menopause. Low estrogen levels make your vagina dry hence sex can be uncomfortable and painful. Women also go through hormonal changes which make them suffer from a low libido.
Pregnancy: After pregnancy, breastfeeding your baby becomes an everyday activity. This can reduce sexual desire because of the pressure of caring for a new born baby.
Regular exercising complemented with enough sleep is known to reduce stress thus giving you a high sex drive. Avoid consuming alcohol. Testosterone replacement therapy (a therapy used for treating erectile dysfunction) also treats low desire. If you wish to discuss about any specific problem, you can consult a sexologist.
I miscarried in Oct 2015 and started trying again from March 2016 I have taken siphene 50 mg and duphaston for 3 cycles (since Oct 2016) still haven't been able to conceive. Any reason why? All my tests are normal.
I am 19 and I had sex with my boyfriend but during sex his foreskin was teared a bit n the blood entered my vagina, do I need to take any contraceptive pills?
Hi Dr. My baby is now 12 days old. But I am experiencing pain while breast feeding. What should I do?
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.