Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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
My wife is currently 6 months baby mother. Still her periods not came please confirm when she will get her regular periods and also can we plan for our second baby now? Thanks,
I am Pregnant from 5 And half months but I have ich on stomach & My stomach scene is having bad scratches. So what can I do?
Right from childhood, we've been told to never walk barefoot, lest we hurt our feet. And, that is right. However, it is advised to walk barefoot for just five minutes a day, every day. You can make sure that the area you are walking on is clean and clear, so that you don't hurt your feet.
When you walk barefoot the points on your feet, which are connected to particular organs of our body and walking barefoot, massaged/exercised those points. However, with shoes, that doesn't happen much.
To walk barefoot, select a clear ground which is not uneven or difficult to walk on. While you can walk for longer times too, five minutes is the bare minimum that is needed. This performs a natural acupressure.
Let's take the right foot first. The thumb has the energy level point, the fore finger has the stress point, hypertension in the middle finger, the fourth finger is for pms and the little finger is for chronic muscle, joint pain & other types of pain. Applying pressure on the heel of the right foot helps cure sleep disturbances and even sleep apnea.
The heel of the left foot is related to the activity and response of the immune system. The thumb controls the heart rate variability, the fore finger controls rheumatoid arthritis, applying pressure on the middle finger helps control fasting glucose levels among diabetics, the fourth finger is for respite from primary indicators of osteoporosis and the little finger is for respiratory conditions.
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Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
Exercising regularly has many benefits for the body and many times these benefits can be life changing. It has been proved that doing exercise sets the foundations for a happy sex life as well. While exercising the brain releases endorphins the sex hormone. These hormones not only spice up the sex but also help in digestion, lower the heart rate, blood pressure and cortisol and ease the body.
Here is how exercising routinely can improve the relationship in bed and make a huge difference:
- Blood Circulation: Blood flow and the exciting sensation is very important prior to and during sex. When a person exercises regularly then there is an increase in the blood circulation and thus the blood is pumped to all parts of the body. In women who exercise, the circulation increases the fluids of the vagina which in turn helps in a quicker lubrication when in the act.
- Release of Endorphins: Having a clear mindset while having sex is very important. This is more important for women as they tend to over-ride things, thus working best when they have a clear mind and are able to concentrate only on the sexual act. When orgasm is achieved then endorphins are released which is basically a mood elevating chemical. It makes a person feel good and gives relaxed feeling of the mind and body along with euphoria. Endorphins are usually released during exercise, sports and sex. Along with the endorphins putting stress at bay and lifting the mood it also give a clear mind for the sexual activity.
- Longer and Stronger Orgasms: On average orgasm in men and women lasts for 10 and 20 seconds, respectively. With exercise one can easily extent this time, pleasure and strength of the orgasm. On contraction of the pelvic floor muscles an orgasm is achieved. When these muscles are kept strong then a longer orgasm is achieved. Sacrum is the area which supports the pelvis and spine; when it is exercised with glutes then it helps in strengthening the muscles. Also, kegels, squats, and pelvic thrusts are some of the exercises which can be done.
- Increases Self-confidence: A sexiest trait is that someone can show is that they feel good and confident about the way they look. Studies prove that people who exercise regularly and have good fitness levels display good confidence in their sexual acts and desirability.
- Exercises the Brain: It is said that a great sex usually starts in the mind and the brain is a mighty sex organ. Thus it is of utmost importance that the brain must be fed with nurturing information, so that it becomes stronger. Research backs that by simply changing the way we think can change the brain to react to situations.