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Hi, i am 31 years old and my husband is 34 yrs, we are trying to conceive since marriage, married on 15-6-2012, but no results. My cycle was very irregular and it was more than 45 days, so, done full check-up in feb-2013, my all hormones were fine but my progesterone level was 0.18ng/ml in luteal phase which my gyne said was very low and in follicular study there was no mature follicle in left ovary and rt ovary grew till 10mm only on 21st day of my cycle. So, at that time my gyne suggested us to change our lifestyle and food habits and little exercise as we are working couple and my office work is very hectic and stressful; which im still continuing. Now my cycles were still irregular ranging from 34 to 38 days, but still failed to conceive. So we went to doc on 4-dec-2014 and my gyne said my infertility is unexplained as I my wt is only 55 kgs and im slim, not overwt and I do not have pcos and im not diabetic also. So she put me on metformin. Now after taking metformin from 4-dec-14 my cycles were of 34 days followed by 36 days, and last two cycles were of 31 and 32 days respectively. Done follicular study again to check the size of follicles but still they are not growing. Please suggest me, I dont want to go for ivf now. I am constantly active on internet and found that people who are not responding to metformin can go for clomid for ovulation and pregnancy. Please suggest should I go for it? kindly also suggest me good doctors who practice in east delhi/noida where we can go for treatment as my has already suggested me to for an infertility expert. Kindly tell me also how much expense this treatment would cost? regards,
It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.
The following are considered to be abnormal or dysfunctional uterine bleeding:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovarian
- Endometrial hyperplasia
- Cancer of the reproductive tract
How to Diagnose it?
Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
- Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding
How Best to Treat It?
This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.
- Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.
Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways. If you wish to discuss any specific problem, you can consult a gynaecologist.
I had sex with my girlfriend last 15 days ago we had sex without protection but before I cum I remove it I thing so but after that she missed her periods and than now her periods come back and she is bleeding also. Is she pregnant?
I have diagnosed with infiltrating ductal carcinoma, NOS, in right breast (in biopsy report, triple negative (ER-negative, PR-NEGATIVE, HER 2-NEGATIVE). The tumor measures 4 cm* 3 cm mammographically. After giving 3 no. Of chemo My once medicine doctor suggest me to excision of tumor. What additional test do I need for excision of tumor.
Women's day special
A must follow rule for moms of young toddler - please don't eat leftovers
One rule that all you moms absolutely must follow is to never finish up the food your child has left. Eating the food left over on your child’s plate is a very common phenomenon and this leads to the mom eating double and gaining unnecessary weight.
That food is designed for your kid and is rich in calories, fats which are required for their growth.
Eating even smaller amounts of foods over a period of time can result in substancial weight gain, let it go in the dustbin and please do not treat your stomach like one.
Hello Doctor, my brother's blood group is O + and his marriage girl's blood group is also O +, I want to know, if marriage takes place, then is their any problem for baby?
Is the dates are good to eat during pregnancy? Which foods you can recommend during first 2 months of pregnancy?
We're all always looking for easy tricks to improve our lives, and time and again, one keeps coming up — the completely wonderful health benefits of drinking lemon water.
As far as routines go, it's a pretty simple one to get into. Keep a pitcher of room temperature water and lemons on hand, and each morning, squeeze the juice from half a lemon (or a whole lemon if you're over 150 pounds) into a cup of water. According to sacred source nutrition, it's important to make sure the water is room temperature, because cold water can shock your system and prevent all of the many health benefits from starting to work.
And what exactly are these health benefits? well, much like lemon can be used for all manner of cleaning products, the citrus fruit has the potential to clear up anything from your skin to that nasty cold you've been harbouring for ages. And of course, smell great while doing it.
Check out these 12 benefits of drinking healthy lemon drinks to start drinking lemon water first thing in the morning:
Healthy lemon drink helps hydration
There may be arguments in the health community about exactly how much water to drink each day, but we do know it's important to stay hydrated. For those who find water boring, lemon has long been suggested as a tasty addition to help compel them to chug.
Healthy lemon drink helps overcome constipation
If you're having trouble pooping, warm water and lemon might be just the thing to help you go. Taking in plenty of water is helpful for constipation in general, and the citrus can give some help to get things moving inside.
Healthy lemon drink helps in curing utis
If you're suffering from a uti (upper tract infection) or want a way to prevent them, lemon water can help. According to ask a naturopath, lemon helps change the ph blood and the urinary tract so harmful bacteria can't stick around.
Healthy lemon drink battles breath
Of course, there's no way to avoid morning breath, but drinking lemon water can combat the bacteria in the mouth, according to conscious connection magazine, and therefore, lessen the potential for bad breath. Be careful, though — lemons can also erode the enamel on your teeth, so it's a good idea to rinse with plain water after your glass.
Healthy lemon drink helps as weight loss program
There are a variety of theories as to why lemon water might cause weight loss (including feeling more full from the pectin contained within). Though it hasn't been definitively proven, we do like what fox news had to say, which is that drinking lemon water will undoubtedly have fewer calories than drinking, well, anything else except for water.
Healthy lemon drink helps to freshen your skin
Thanks to all the vitamin c within lemons, your skin reaps the benefits of you drinking the fruit as well. According to fitday, vitamin c assists in the production of collagen, so having more in your diet can prevent wrinkles from forming. And of course, drinking lots of water is great for skin in general.
Healthy lemon drink pumps up the immune system
There's a reason you're always drawn to oranges when you're sick — once again, the power of vitamin c at play. Consuming the vitamin daily (via lemon water) can help keep you healthy and stave off infection, notes the world's healthiest foods.
Healthy lemon drink helps to recover from a workout
Sports drinks have long been seen as the best way to'rehydrate' after a workout, but as cbc found earlier this year, they're often unnecessary for the kind of exercise most people do regularly. Lemon water, meanwhile, provides the hydration needed, and according to best health, is what hayley wickenheiser drinks when working out.
Healthy lemon drink acts as anti inflamatory and helps with aches and pains
As lily gold of simply healthy and happy says, lemon water can help reduce uric acid in our joints, which is one of the main causes of inflammation, especially as related to arthritis.
Healthy lemon drink reduces phlegm
It's a sad fact of our cold weather existence — phlegm happens, especially in the morning, but lemon juice can help. Dr. David williams recommends adding a little honey to help rid your body of the mucous.
Healthy lemon drink strengthens the brain
Lemon may be known best for its vitamin c, but it also contains potassium, which helps with brain and nerve function. So for a quick natural way to feel more alert, lemon water is a great bet.
Healthy lemon drink acts as detox in cleansing the liver
As reported by Dr. Alexander F. Beddoe's biological ionization in human nutrition, he notes the liver can make more enzymes out of lemon juice than any other food. While we aren't advocating for an intensive cleanse (we know those are unnecessary), this can help give your organ a boost.