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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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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.
Foot pain is often characterized by a feeling of pain in the feet. The symptoms of foot pain can be felt in the heel, instep, arches, toes and sole of the feet. Usually foot pain can be treated at home.
Foot pain can be caused by the following factors:
- It can occur from an injury
- Obesity often leads to too much weight pressure on the feet, thus causing pain
- Aging weakens the bones and muscles causing pain
- Too much physical activity within a short period of time
- Deformities in the foot
- Broken bones
- Arthritis and gout
- Stress fracture
- Nervous system damage
Various exercises that are used for treating pain in feet are:
- Plantar fascia stretch: The exercise requires you to sit down in a comfortable chair, and then roll the arch of your foot on a round object. Repeat this exercise for some time in all directions.
- Sitting plantar fascia stretch: You need to sit in a chair and then cross one of your feet over your knee. Take hold of your toes and pull them towards you till they are comfortably stretched.
- Towel pickup: Place a towel on the floor and place your feet on it. Scrunch your toes to pick the towel up and release.
- Wall push: You face a wall and lean by placing your palms on the wall. Then, keeping the back leg straight and bend the front knee towards the wall till you feel a comfortable pull on your calves.
- Achilles tendon stretch: Loop a towel on the ball of your feet and pull your toes. As you pull the towel, remember to keep your knees straight. Hold this position for at least 25 seconds and then release it. Do the same for the other foot and repeat 4 times.
All of the above exercises need to be performed regularly to get the full benefit of these stretches. You may also use comfortable footwear to prevent the pain from coming back.
Hello. I am 23. Since last 3-4 months my periods are a little scanty. And this month I have got my periods. M not sexually active. Also I feel my vaginal area is a little dry. Can a girl of 23 years old get menopause? Is this menopause or some other problem. I am otherwise very healthy. Do not smoke or drink and exercise regularly.
My wife having periods from 11 of this month we are planning to do sex on 22 on this month, will she get pregnant in that days if we don't use any condom or medicine ?
Among the many steps you are taking to ensure a healthy pregnancy (prenatal visits, vitamins, good nutrition, exercise plans, etc.) should be dental care. Oral health is important not only for you, but for the health of your baby as well. Some dental problems may cause a greater risk for complications during pregnancy. And, the changes your body is going through, such as increased blood flow, can amount to dental problems that you have not previously experienced. The following are some conditions you will be at a higher risk for:
Pregnancy gingivitis- affects nearly 50% of expecting women and results in red, swollen gums that can cause tenderness and bleeding.
Pregnancy tumors- are non-cancerous tumors found on the gums as a result of gingivitis and dental plaque. They are harmless and usually recede after you have your baby, but see your dentist if you have pain or concerns.
Periodontal disease- without proper attention and oral hygiene, pregnancy gingivitis can turn into periodontal disease- an infection that attacks periodontal tissues and can pose a serious threat to pregnant women.
Here are some quick guidelines to help you avoid these conditions during pregnancy.
Do: try and schedule a visit to the dentist office if you are planning on becoming pregnant. That way your teeth can be professionally cleaned, your mouth can be examined, and any issues can be addressed prior to pregnancy.
Don't: avoid dental check-ups just because you are pregnant. Schedule a visit in your second trimester and make sure to tell your dentist of your condition as well as any medications you might be taking.
Do: pay attention to any changes in your gums during pregnancy. If you notice changes or are concerned, consult with your dentist.
Don't: have dental x-rays taken during pregnancy except during an emergency. As long as you keep your dental staff informed, they will work to take every necessary precaution to ensure your healthy pregnancy is a priority.
Do: continue regular brushing and flossing habits- even if you are suffering from morning sickness. If your toothpaste is too strong, ask your dentist to recommend a more bland type. Try to rinse your mouth with water after vomiting to remove harmful acids from your teeth.
Don't: have elective dental work done during pregnancy. While regular cleanings and maintenance are not harmful, it's best to avoid things like cosmetic procedures until after your baby is born.
Do: eat right for your baby and for your teeth. Baby's first teeth start developing around month three into your pregnancy. Healthy diets containing, milk, cheese, yogurt and other dairy products are a great source of essential minerals that are important for your dental health, as well as baby's developing teeth, gums and bones.