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Management of Abortion
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
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Hi dear friends. I am Dr Bhavna Mittal I am a gynaecologist and I am practising at my own hospital that is Shivam surgical and maternity centre in East of Delhi. Now getting pregnant which seemed very simple earlier has become a major task these days for ladies, why is it so earlier we hear from our mothers old aunts that they used to get pregnant every year and they would do all household work and have a very healthy normal delivery and each of them had at least 4-5- 6 babies. These days for a lady to have a normal single pregnancy have become a huge task why it is so because of our life styles our values our food habits are changing . So if u are pregnant or you are planning to be, the first thing to do is:
- To improve your lifestyle.
- You should concentrate on a good regime
- Good daily schedule, that is you should be getting adequate sleep of 6-7 hours.
- Having a normal bowel habit in the morning doing at least 20-30 mins light exercise per day.
- Daily regime of diet which includes fruits, salads, antioxidants, vegetables, daals and less of junk foods and outside food.
- There are some indirect toxins like smoking, alcohol, which also harm our body. Now a days it is not uncommon, even for females to consume alcohol or caffeine or smoking routinely. So if you are on the family way you should avoid these things.
- Also if you are taking some kinds of medicines for something, then you should be sure of the content and that it does not interfere with getting pregnant or during pregnancy.
Once you are pregnant, the first thing to do is to conduct a urine pregnancy test. So if you have missed your period you can yourself check it with a urine pregnancy kit and if it is coming positive you can visit your doctor. Also these days it is important to take pre-conception. Visit that before you ever think of getting pregnant. Its nice that you can visit the doctor, they can conduct some basic test on you and your husband and be sure that you both of you are healthy enough to carry pregnancy. After the doctor will put you on some medicines, like folic acid. Studies have shown that women who were on folic acid 3 months prior to getting pregnant did much better during pregnancy in terms of the health of the baby and the mother than once who did not take any medication so you can be on some basic vitamins supplements like folic acid before getting pregnant. Once you conceive and your test is showing positive, it's time to visit the doctor this time the doctor will explain you the precautions which are to be taken during pregnancy. Also the doctor will check from time to time in terms of your blood test, urine test and the ultrasounds which are to be done during pregnancy. You may also be put on some supplements of iron calcium folic acid or if required some hormones from time to time
Now I would like to remove some common myths which are there about pregnancy people do fear that what should be the exact weight gain during pregnancy. Normally by American standards, the weight gain during pregnancy should be 10- 13 kg during whole 9 months. So that gives us a target of around 1.5 kg per month now this may not even for everyone so a lady may not gain for the first 3 months because of vomiting and then she may gain 2-3 kgs per month later on so the average comes out to be 1.5kg. So the average should be the same it may not be even through out the 9 months for people who gain less weight sometimes there’s a issue with the growth of the bab. Similarly people who gain more weight also have more tendency to develop blood pressure diabetes and other problems during pregnancy so ideal kind of weight gain is important second thing which is important is what you are gaining on so you may be gaining this one and a half kg a month on junk food or namkeens or unhealthy food or you could be gaining on healthy food like proteins eggs fish milk daal milk products foods salads soups so one should be very careful on choice of diet also avoid any kind of harmful preservatives or chemicals like Chinese food and all the chemicals which are there you could have home prepared normal food which does not contain any of these artificial additives for a normal healthy pregnancy you are allowed to do your routine activities but still you should avoid very heavy type of exhaustion and travelling the 2nd trimester of pregnancy that is third to 6th month is actually the safest part of pregnancy so if you need to travel or do any other activity it should be done in the middle part the initial 3 moths and the last 3 months are not the safe time to do the same even flights do not allow travelling after 7 months completed of pregnancy or they will ask you for a special certificate for that Then keep on visiting your doctor regularly and follow the advice if any problem is coming up then please follow your doctor accordingly friends I am available on lybrate in case you have any questions related to getting pregnant or about pregnancy please feel free to ask me on lybrate.
I will happy to help thank you
If you wish to discuss about any specific problem, you can consult an IVF Specialist.
Sir, Mam I had unprotected sex with my gf on 21. March, 2016. And her MC is not regular. Her last cycle was missed. And the next expected is on 29. March. 2016. She took i-pill as as contraceptive pill after 2 hours of having intercourse. Now she feels a little pain in her stomach. Ohhh I forgot to mention that I also used condom. But it was our first time so we don't wanna take risk. That's why she took pill. As I told you she feels some pain and a light bleeding in the morning when she wakeup. My question is. What are the chances of pregnancy? And what is the best time to take a pregnancy test? And is there any way to stop pregnancy if she is pregnant? please help me I don't want her to feel help less. please reply as soon as possible.
I am a 29 year old woman who has been diagnosed with solitary rectal ulcer syndrome after undergoing colonoscopy which was previously diagnosed as piles. I have been suffering from bleeding rectum for the past 9 years. I have constipation and have to use my finger to remove my faces from the rectum. I take dulcoflex regularly but that doesnt help much. In course of the diagnosis I was also diagnosed with gall stone which I got removed through lap choly 15 days back. I have been suffering from bulimia for the past 11 years and have the habit of vomiting whatever I eat by drinking a lot of water. It is a habit now and I can't get over it. Due to bulimia my menses have stopped. But my prime concern at the moment is my bleeding rectum I want a permanent treatment for it as it is hampering my work and I feel very weak due to regular bleeding and I can't concentrate on my work as I am in a calling profile its quite hectic and I find it difficult to manage my work with this problem. One more thing to add is I get my feet and face swollen due to protein leakage from my urine. I have to take drips of albumin every year. Please help me.
I am 31 years old and had a miscarriage on 9th of april. I want to know how long it will take for my body to recover?
Things you should know about Polycystic Ovary Syndrome (PCOS). I am Dr. Jyotsna gupta (Gynecologist/Obstetrician). What is Polycystic Ovarian Disease (PCOD) or Polycystic Ovary Syndrome (PCOS)? Polycystic ovary syndrome (pcos) is a health problem that can affect a woman's menstrual cycle - Ability to have children. Appearance Hormones Blood vessels Heart With PCOS/PCOD, women typically have high levels of'androgens, these are sometimes called male hormones, though females also make them. Many a times,small cysts (fluid-filled sacs) are formed in the ovaries. What causes PCOS? The cause of PCOS is unknown. But most experts think that several factors, including genetics, can play a role. Women with pcos are more likely to have a mother or sister with pcos. A main underlying problem with pcos is a hormonal imbalance. In women with pcos, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.High androgen levels can lead to Acne, excessive hair growth, weight gain problems with ovulation. How many women have pcos? Between 1 in 10 and 1 in 20 women having childbearing age has pcos. It can occur in girls as young as 11 years old. What are the symptoms of pcod or pcos? The symptoms of pcos can vary from woman to woman. Some of the polycystic ovary syndrome symptoms include: infrequent, absent or irregular menstrual periods. Infertility (not able to get pregnant) because of not ovulating. In fact, pcos is the most common cause of female infertility. Increased hair growth on the face, chest, stomach, back, thumbs, or toes, male-pattern baldness or thinning hair. Cysts on the ovaries, acne, oily skin or dandruff, weight gain or obesity, usually with extra weight around the waist. Skin tags excess flaps of skin in the armpits or neck area, pelvic pain, anxiety or depression Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black Sleep apnea when breathing stops for short period of time while asleep. How do I know if I have pcos? There is no single test to diagnose pcos. Your doctor will take the following steps to find out if you have pcos or if something else is causing you symptoms. Medical history - your doctor will ask about your menstrual periods, weight changes, and other symptoms. Physical exam - your doctor will measure your blood pressure, body mass index (bmi), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit. Pelvic exam - your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts. Blood tests - your doctor may check the androgen hormone and glucose (sugar) levels in your blood. Ultrasound (sonogram) - your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (lining of the womb). This lining may become thicker if your periods are not regular. How is pcos treated? Because there is no cure for pcos, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for pcos include: lifestyle modification. Many women with pcos are overweight or obese, which can cause health problems. You can help manage your pcos by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include: limiting processed foods and foods with added sugars, adding more whole-grain products, fruits, vegetables, and lean meats to your diet. This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular. Birth control pills. For women who don't want to get pregnant, birth control pills can control menstrual cycles .Reduce male hormone levels Help to clear acne. Fertility medications - Lack of ovulation is usually the reason for fertility problems in women with pcos. Several medications that stimulate ovulation can help women with pcos become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Another option is in vitro fertilization (ivf). Ivf offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, ivf is very costly. Surgery - ovarian drilling is a surgery that may increase the chance of ovulation. It is sometimes used when a woman does not respond to fertility medicines. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. Medicines for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant. Before taking any medicines tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Other options include: cream to reduce facial hair Laser, hair removal or electrolysis to remove hair. Hormonal treatment to keep new hair from growing. Does pcos change at menopause? Yes and no. Pcos affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman is close to menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from pcos, such as heart attack, stroke, and diabetes, increase as a woman gets older. Polycystic ovary syndrome and pregnancy - how does pcos affect a woman while in pregnancy? Women with pcos appear to have higher rates of miscarriage premature delivery. Pregnancy - induces high blood pressure. Does pcos put women at risk for other health problems? Women with pcos have greater chances of developing several serious health conditions. Recent studies found that women with pcos can have diabetes or pre-diabetes at early age. Women with pcos are at greater risk of having high blood pressure. Women with pcos can develop sleep apnea. This is when breathing stops for short period of time during sleep. Women with pcos may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much. If you have pcos, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your pcos, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include eating right, exercising, not smoking. How can I cope with the emotional effects of pcos? Having pcos can be difficult. You may feel embarrassed by your appearance, worried about being able to get pregnant, depressed. Managing pcos (diet and exercise) - following lifestyle and diet modifications can help manage pcos symptoms to an extent. Frequently have small meals (5-6 times a day) without fail, drink a lot of water (8-10 glasses). Try to consume 2-3 servings of fruits and vegetables every day. Stick to a high fibre diet (wholegrains/fruits/vegetables). Give preference to home cooked meals, add brightly colored and white vegetables to your diet. They have high anti-oxidants food to avoid - Fried/packaged/processed foods. Foods with high glycemic exercises, suggested work out at least 5 times every week for at least 30 minutes Running, swimming, yoga strengthening exercises . Even if you don't lose weight, exercise in pcos helps to improve things like- insulin sensitivity, frequency of ovulation, cholesterol, body composition. Getting treatment for pcos can help with these concerns and help boost your self-esteem. It is advised that you should consult gynecologist who can help you based on your symptoms and requirements to manage pcod/pcos.
I am 23 years old as per pregnancy test kit I am pregnant. I do not want it how could I abort it. My last period date was may 17.
I am 23 years old, 4 years back I got married but still pregnancy not yet come. 2 times PCOD and 1 time UTI was came. I consult gynaecologist, they suggest Tab. Ovabless for PCOD and Nerri Syp for UTI, now taking. They advised tablets for taking 3 months. I want to get pregnancy, what can I do please tell me.
I am having irregular period in the past 6 months. It has started by 5 days delay to 25 days delay. Please provide me solution to have my period regularly.
Me and my gf had unprotected intercourse on 9th June. She took an I pill on 10th. She was a Virgin, but she's bleeding daily. In the starting blood's quantity was negligible. But she has stomach ache from then. And now her period date has arrived yesterday. And she is bleeding more than she has ever bled before. She's feeling very weak and she keeps getting body ache, head ache and stomach ache. Please suggest something.
I'm 18. I had i-pill on 4 th may and my periods ended on 3 rd may.in June my periods was in time it was normal and lasted for 4 days. But in July I've no periods yet. Few days ago when I again had sex it bleed a little for a while during sex and no more blood was seen after few minutes. I also had history of pcos and came over my delayed periods with medication few months ago. What might be the reason for my delayed periods now? Why did it bleed that way during sex? What should I do?
I couldnt take contraceptive within 72 hrs and its 5th day now. Is there any other way to not get pregnancy? I am taking ashokarishta by now. Is there any other fruit or natural food to not get pregnant.
To avoid pregnancy lube or pills which is better ,is their any natural ways like eating natural foods.
Hello doctor It is my 19wk of pregnancy, please suggest wat r the precautions shud I take also inform abt the nutritional diet. Thnks.
Me n my girlfriend had sex on 1 may. She took I pill on 2 may. She experienced bleeding on 9th may. Her usual date of periods is 30th may. Today is 9th june. She hasn't got periods yet. Is she pregnant? If not then after how many days she will get periods? Plzz doctor.
Hello my periods date was 12 sep but its late by till now. Is it cause any problem. I am married and take regular precautions. Pls advice me. Thanks.
Procrastination is a phenomenon that all people are familiar with. It is the squandering away of time in the pursuit of meaningless fulfillments at the cost of important targets and responsibilities. The more urgent tasks are constantly being put off for a later time.
In some cases, it becomes a chronic problem that can lead to severe difficulties in life. When one keeps delaying the confrontation of essential commitments, it can have a tremendous negative impact on life in the form of failure, stress, and embarrassment.
Whether you are a chronic procrastinator or an occasional one, there is always room for improvement. Following are a few examples of ways in which you can keep procrastination at bay:
1. Make a list - This is the simplest and most effective way to avoid procrastinating. It is helpful if one lists down all the necessary things that need to be done. Having a visual reminder of tasks and goals can increase motivation to accomplish them at the earliest.
2. Set a deadline - Time management is the most important aspect of avoiding procrastination. For every task that you set yourself, chalk out a time frame within which it must be completed so that no time is wasted.
3. Fragment your goals - Consider breaking your tasks into a set of mini-tasks and tackling each of those at a time instead of trying to accomplish the entire thing at one go. The larger the task, the more overwhelming it appears. Mini-tasks are easier to complete and hence this method can help in the prevention of procrastination.
4. Reward yourself - Devising a reward system that lets you celebrate accomplishments can act as a boost to morale and provide motivation for working consistently. Treat yourself after every achievement as a prize for all your efforts.
5. Eliminate all distractions - There will always be distractions all around that keep you from focusing on your goals. These add to the tendency to procrastinate and must be identified, and removed from the environment in which you are required to work.
6. Start right away - As the saying goes, there's no time like the present. Taking immediate action is the only real way to avoid procrastination. Identify your goals and get started on them at the earliest in order to achieve the fruits of your labor. If you wish to discuss about any specific problem, you can consult a Psychologist.