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Management of Abortion
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Treatment Of Female Sexual Problems
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Treatment Of Menstrual Problems
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Also known as Posterior Prolapse, Rectocele involves weakening of the walls between vagina and rectum, thereby, causing the rectal wall to swell and protrude into the space of the vagina. This bulging is a common, but temporary problem that arises after childbirth. In severe cases, the swollen tissues may extend out of the vaginal opening and usually cause more discomfort than pain.
What are the most common causes for Rectocele?
- An upright posture places a lot of weight on the pelvic region, which is probably the most important cause for Rectocele or Posterior Prolapse.
- Constipation is also a very valid reason for Rectocele because it causes straining of the connective tissues that separate the vagina and the rectum.
- Constant heavy lifting and indiscriminate increase of body weight may also put a lot of pressure on the pelvic region that could ultimately lead to weakening of rectal and vaginal tissues.
- Weakening of vaginal passageway due to pregnancy and childbirth is also a common reason for Rectocele development.
- Chances of developing Posterior Prolapse increases with age.
Physiological problems posed due to Rectocele
- Passage of bowel becomes difficult and may sometimes require pressure on the vaginal bulge.
- The protrusion of tissue takes place from your vaginal opening, when you strain while passing bowel. This usually happens in people with constipation.
- This disorder may also induce a sensation that the bowel tract has not been fully emptied even after passing stool.
- Such vaginal bulging also causes difficulties and embarrassing concerns during sexual intercourse.
Medical recommendations and preventive measures to tackle Rectocele
- Home made remedies and exercise are usually effective. Performing exercises help re tighten the pelvic muscles and tissues, thus reversing the effects of Rectocele. Vaginal pessaries or rubber rings, inserted into the vagina, can also support loose tissues and keep them in place.
- Surgical procedures are hardly needed in most cases of Rectocele. But if the issue is chronic, you may opt for removing the protruding tissues by surgery or strengthen the boundary between vagina and rectum by a mesh patch. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
My sister age 26 had elevated amh level of 25ng/ml, what are complication and medication level to lower down amh level?
Hi, I am 25 years old, single lady. I have been facing recurring episodes of Urinary tact infections, fungal infections. It repeats every 2-3 months. 6 months before I was sexually active with 4 different partners and I have had sex without using any protection many times. I have consulted many doctors, it helps me to cure for a particular time but repeats again. Now I am again facing the same issue. Main problem is frequent urination during the night and day time. I have to get up at least 7-8 times in the night time, though its just an urge to urinate and the quantity is less. Below are the medicines I was prescribed which did not help: 1. oflox2. Gentamycin injection for 5 days3. Blumox capsules4. Alkasol syrupapart from these medicines, I have taken the below in past: 1. Allegra2. Cansoft suppositories3. Urispas4 Uriliser syrupunfortunately nothing is helping me. Please suggest is it something very serious. I am sexually inactive now.
Hi I am 6 week pregnant wednesday I go for transvaginal scan in that they found only sac and fluid not yolk sac they said wait for 1 week after that they will test again but I am feeling tensed is there any sign of baby will baby form in future or is there any problem? Please tell me I am so tensed sir please.
My vagina tastes weird (kind of pungent). Smell although is fine. Can it be some sort of infection. Also I smoke if that can be a reason. Please suggest.
Hi, I am 24 years old unmarried having pcos problem for past 4 years and hormonal imbalance. Using krimson 35. I am always thinking negatively and scared for small small incidence I and my heart beat is rapidly high that time I believe I struggling with depression now please help me out IS THIS REASON OF PCOS ?
I got pregnant last year and had a miscarriage at 6 weeks 4 days, don't know the reason of that. Now I'm pregnant again (11 weeks), heartbeat seen at 7 weeks 3 Days, I'm taking folic acid tablets and progesterone (through vagina), as per my gyno prescribed me. Now I want to know what is ℅ of miscarriage. I don't want to lose my baby this time.
My doctor has told me to do hydrotubation till what time I will b able to conceive? Do the chance increases of pregnancy? please help?
My mother in law is 80. She has recently been operated for breast cancer her breast is removed. Drs have suggested chemo therapy but she is undergoing homeopathy treatment. Is it ok?
Dear Sir my marriage is one and half year passed but I don't having child. So please help me what I do?
Hi my name is alpana I am planning to conceive have done my follicular test ans a bit worried what does msf means and whats free fluid absent.
I took contraceptive pill on 20th april, then I got periods after 4 days. And the period lasted for 5 days i. E 29th april. Then accidentally due to manufacturing defect in condom, it got torn and semen entered. When I immediately went to pee almost all semen dropped out, on 30th. April. Do I need to take an i-pill again. Pls tell me.
I am six months pregnant with my second child. I had a normal delivery of my first child. Recently my sugar level at pp was 145mg. I am worried. Is it serious? What diet should I follow? Can I take coconut water?
The cyclical change in the uterus and ovaries of the female reproductive system is called the menstrual cycle. It includes changes in the physiology of the uterus along with the change in hormones as well. This cyclical change is what allows a woman to get pregnant. This cycle allows the formation of ovocytes and helps to prepare the uterus for implantation.
The commencement of period is called the menarche. It normally starts from the age of twelve to fifteen years. The time between the first day of the period and the first day of the next one is usually twenty one to forty five days in young adults and twenty one to thirty five in older women. The entire cycle is mainly governed by hormones like oestrogen, progesterone, Luteinizing Hormone etc.
Hormonal changes play a big role in the menstrual cycle. It consists of three phases
- Menstrual stage (1-7 days)
- Proliferative stage
- Secretory stage
In the menstrual stage, the thick endometrial lining of the uterus will start to shed and will come out of the vagina in the form of blood and mucous. This may last from four to seven days. The levels of both progesterone and estrogen remain low in this phase.
In the second stage, i.e, the proliferative stage, the amount of oestrogen gradually rises and the menstrual flow reduces and eventually stops. The Follicle stimulating Hormone (FSH) is produced in the brain that stimulates your ovaries to produce mature eggs. The eggs are present in a follicular bag, which allows the secretion of oestrogen. Hence the amount of oestrogen is the least on the first day and increases gradually. At the same time, the uterine lining starts to thicken. This is the phase in which the egg is produced and in the presence of sperm, gets fertilised.
You may notice a thin slippery discharge around these days that makes it easier for the sperm to travel and survive in the uterus. You are most fertile in this stage, around on the 14th day of the cycle when ovulation occurs. The egg survives for around 24 hrs, whereas sperm can survive for about 2-3 days.
In the secretory phase, if the egg is not fertilised, the levels of oestrogen and progesterone fall. The thick lining that has been produced starts to shed and that commences the menstruation. If the egg is fertilised, then it may implant itself to the uterine wall and produce the pregnancy hormone called human Chorionic Gonadotropin (hCG). If you wish to discuss about any specific problem, you can consult a Gynaecologist.
I am 47 years old and I am suffering from acidity problem since last 3-4 yrs. If I fell pain in any part of the body n if I press there air is released through mouth. I also often get gases. I hv to go to toilet twice a day. My MC periods hv been stopped since last 7 yrs. please help me getting rid of this.
Ramadan fasting myths that you should avoid!
The spirit of ramadan has taken over the city and along with the surge of spirituality, the air filled with the sweet aroma of ramadan special foods. Even as the harsh summer has come to an end with breezy evenings, people are lining up to enjoy the treats of ramadan food. However, for those diabetics who are fasting, there is still a bit of apprehension.
Though many diabetics are aware of their condition, most of them approach ramadan fasting without a proper ramadan meal plan. The fear of hypoglycemia haunts them, but their fervor to fast in this holy month has renewed.
Be it due to lack of awareness or misinformation, fasting in diabetes can cause serious complications. Many people tend to have some dangerous preconceived notions regarding their disease condition and often have to stop midway to end their fasting.
I found that people have these three common myths on fasting in the month of ramadan.
1. Can a type2 diabetes fast?
This is another question that constantly crops up. It all depends upon the blood glucose control a patient has along with other factors including the prevalence of complications including retinopathy, nephropathy, and neuropathy. However, patients who have been admitted to the hospital for hypoglycemia in the past six months should not fast.
Here are three major ramadan fasting myths busted!
• Fasting in diabetes can be a real challenge. Ramadan fasting can be a daunting task for diabetics if they do not make proper preparations before starting off. It is very important to have a preliminary evaluation by a qualified diabetologist.
• Also, blood sugar levels have to be monitored regularly during this month.
Myth 1: It is okay for diabetics to skip taking their insulin injections during the ramadan month.
Fact: It is dangerous to stop taking your insulin injections as it can lead to serious complications. One should consult a doctor to create an altered plan along with dosages, and timings of the injections. It can be worthwhile to consult a dietician for a ramadan diet plan.
Myth 2: Diabetics need not wake up for suhoor.
Fact: Instead of having all the meals at midnight, it is better for the diabetic to have a meal with low glycemic index early in the morning before sunrise. This is very important as diabetics have to go without meals for long hours and this increases the risk of hypoglycemia.
Myth 3: There is no need to change the current diabetic medications during the ramadan fasting month.
Fact: This can go seriously wrong for some diabetics. It is advised that one should have an assessment before the ramadan month and then start fasting. The timings and dosages of medications might be altered with respect to the blood glucose control of the patient as the meal timings change and there is both fasting and feasting.
It is very important for you to maintain a good blood glucose control in order to successfully complete the fasting during this month.
I have had pain my lower abdomen all day. Travelling towards my back. When I press on my lower abdomen in the pelvic area, it gets worse. Feels like pressure on my bladder or uterus. Don't have a uterus as I had a hysterectomy 5 years ago. So know that it is not menstrual pain. Feels like I need to pass a stool. What to do?
Muje kuch time se har mnth pith or kamar(back Pain) me pain rahta h sath hi meri pcod ki ,krimson 35, ovabless,Glyciphage chal rahi h sath hi please muje ye bhi batae ki hum baby planing kar rahe h iske bad baby hone ke chances hai kya please reply.
- Bleeding from Vagina: An abnormal form of bleeding from vagina is medically defined as “AUB / DUB (Abnormal / Dysfunctional Uterine bleeding)”. The bleeding problem which is not responding to medicinal treatment can be dealt with Laparoscopy. Abnormal / Dysfunctional Uterine bleeding is due to abnormality in endometrium of uterus which usually responds to medicinal treatment. In cases where medicine is not able to control the symptoms, uterus, along with both fallopian tubes +/- ovaries, can be removed laparoscopically. In another treatment modality, the endometrium (inside lining of uterine cavity) can be ablated to reduce the troublesome bleeding. Latter procedure is done hysteroscopically.
- Fibroid Uterus: Fibroids are commonly found in uterus. Most of the time they are diagnosed on ultrasound. Fibroids can cause problem in the form of abnormal bleeding (heavy menstrual flow, irregular menstrual bleeding pattern), painful periods (dysmenorrhea), recurrent miscarriage / abortion, infertility etc. Uterine fibroids usually need surgical removal and can be removed laparoscopically as well as hysteroscopically. Any size of the fibroid can be removed with laparoscopic approach.
- Ovarian Cysts: Ovarian cysts are also common finding on ultrasound. Ovarian cysts which persist for longer times, suspicious of cancer, symptomatic (e.g pain abdomen) can be removed laparoscopically.
- Endometriosis: Endometriosis can present as ovarian endometrioma (Ovarian cyst or chocolate cyst), endometriosis implants in pelvis, Adhesions in pelvis (involving uterus, fallopian tubes, ovaries, intestinal loops, rectum etc) or as cause of infertility. All these entities can be treated laparoscopically.
- Uterus Prolapse / Vault Prolapse / Pelvic Organ Prolapse: Uterus prolapse into vagina, vaginal vault prolapsing into vagina after hysterectomy can be treated with laparoscopic surgery.
- Uterine cancer, Uterine cervix cancer: Cancers of uterus, uterine cervix, ovarian cancers after chemotherapy can be treated with laparoscopic surgery in which tumorous tissue can be removed with more precision.
- Ectopic pregnancy: Extra uterine pregnancy e.g. pregnancy in fallopian tube (tubal pregnancy), pregnancy in ovaries (ovarian pregnancy), pregnancy in cervix (cervical pregnancy) can be treated with laparoscopic approach, as per the indications.
- Ovarian Torsion: Due to numerous factors, ovarian tissue twists around its own axis which leads to compromise in its blood supply ultimately leading to infarction of ovarian tissue. Laparoscopically ovaries can be untwisted and fixed to prevent further twisting.
- Recurrent Miscarriage with incompetent cervix: With the incompetent cervix, there are chances of recurrent miscarriage. Few cases of incompetent cervix need cerclage from abdomen which can be performed through laparoscopic approach.
- Blocked fallopian tubes: Fallopian tubes might get blocked due to infections, adhesion or pressure from mass. In few cases, there is requirement of tubal reconstruction in cases of tubal sterilization. All these fallopian tube blocks can be opened with laparoscopic surgery and hysteroscopically.