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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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My wife is 28 years old, she was thin and had perfect bmi last year. But for the past 6 months she is gaining weight especially in her arms and thighs. We have one child and planning for the second baby. Will this weight gain affect our second baby plan ? Pls suggest how to reduce her weight. Whether its a sign of thyroid ?
I am nt getting regular periods fr which I tuk 2 time treatment after the treatment I got periods regularly fr 5 months nw again I am nt getting periods since 4 months last time I hd done thyroid n ultra sound test all was normal this time I even did pregnancy test which states negative I was given gynset tablet last time aftr which I gt periods should I take it again as I am undr age I feel very shameful to go to the Dr. Again n again people too look weirdly when I go to the doctor without any reason please suggest me.
With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.
Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.
Types of contraceptives:
* percentages mentioned within brackets are failure rates
It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.
Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts
Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.
It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Increased blood loss and duration of menses, increased dysmenorrhea
Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.
Indicated for: multiparous women greater than 35 years who smoke.
Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.
It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.
Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.
This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.
Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.
Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).
A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.
In pregnancy scanning report there is many measurement like :- BPD HC AC FL FHR EFW AFI GA CLR What all these indicates?
Hi My periods are irregular. Even in a year for a once. For 1 month i' m not getting my periods. What should I have to do than.
Electric pads, hot water bottles, and gel packs or moist such as damp clay packs are the common hot agents used for hot therapy.
I am 29 Years old am suffering from RHD severe Mr. Doctor advice me don, t try for pregnancy. Is there any solution?
I am female 20 years old, I did pregnancy test and I got to know I am pregnant and its 2 weeks already and I want to abort it with pill please prescribe me something and help me.
I am unmarried woman. I always miss my periods so many times. I have consulted to doctor she told me that I have hormonal problem. Please suggest me.
I am single and i am 34 years old female. Before my periods I fall sick. I start getting high temperature, headache, Cold n backache. I suffer through out the completion of my periods. Thereafter I am fine. How to resolve this and stay healthy. Please advice.
I am 42 years old. I have 12 mm fibroid in my uterus. Excessive bleeding. Is this the right time ģto get operated. If Dr. remove my uterus can I also get my ovaries removed. Becoz now a days ovarian cancer is very popular. Sue their is any other alternative for operation.
On 2nd jan some 5 to 8 cramps came on lower right abdomen then on 3rd which is mine expected day of period, this day I got pain on my lower abdomen like periods pain but no periods is their, today 4th jan same pain like periods pain on lower abdomen and in from morning I was feeling weakness with faint type, unable to get up, now also I feeling weakness but I was cooking but weakness is there, what happens to me, on 31st dec I done intercourse and after finishing light brown or light red color spotting comes in toilet paper, but not so much. My last periods came on 7th dec and next expected periods date is 3rd jan done intercourse on 17th and 20th dec from 21st or 20th dec feeling cramps in left lower abdomen and pain in left butts till 28th after that I got <0.100 in S B HCG test done on 28th dec so tell me why this spotting happen. I also feeling pain on my boobs, nipples and areola area from 24th dec now is not so much pain there, bloating also and stool is also very little. I have to test of SB HCG again after 1 week of next expected period which is on 3rd jan. please help me.
Hello, my last period date was 15th February. .My average cycle is of 28 to 29 days. Still I dnt get my period.Today I saw to gynecologist n she said there is no pregnancy .Now wat can I do? my age is 30 years. .
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