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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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Lack of knowledge is the factor that affect every illiterate person.
Because illiterate person not knowing about his/her health care.
He/she doesn't take health care seriously. Illiterate patients are in needing medical assistance.
Illiterate patients have no control ideal to how to maintaine hygiene.
He/she not aware of prevention.
I think illiteracy is the big cause of many disorder.
Solutions is awareness, motivation,
Education about health, disease and their mode of treatment.
Water is vital for our survival. Our body is constituted with 70% water and we may well surmise from this, how essential water is for our health. For the proper functioning of our body systems, we need to maintain the right proportion of water in our bodies at all points of time. It is often taught to us that drinking water is a habit that must not only be inculcated in one and all but also be practiced diligently. There are certain immediate health benefits attached to consumption of adequate water. It stimulates proper digestion, regulates the kidney functioning and supplies the body with the essential nutrients. Water is one of the best resorts for detoxification of your body. The appropriate quantity of water intake is also necessary for watching over one's weight. Indiscriminate amount of water content in the body often adversely affects your metabolism which in turn asserts a negative impact on your body weight. The ideal amount of water that needs to be consumed varies from person to person. The measure is dependent on one's stature and the level of activity.
What is the correct measure?
Toppling the notions about the standard intake being 8 glasses a day, contemporary physicians recommend that the sufficient quantum of water depends upon a multitude of factors. Climate and altitude is one of them. For drier conditions, the water requirement of the body is more than in those situated in the coastal conditions. Similarly, for those based on higher altitudes, your body shall need more water to sustain than those in the lower areas. Considering the huge influence that your water intake has on your metabolism level, your level of activities also determines how much of water you should consume on a daily basis.
A commendable practice is to reach out for a glass of water the first thing in the morning. You should not remain dehydrated for a fair stretch of time. It often leads to all kinds of ailments. Instead of gulping down large quantities of water at one go, you should drink smaller sips all throughout the day to meet the body's requirements of water adeptly.
What is a Labiaplasty?
Labiaplasty is a surgical procedure that corrects excessively long, enlarged or redundant labia minora tissue and can make the external genitalia (the “vulva”) more cosmetically appealing. Women with enlarged or elongated labia may feel very conscious when wearing tight clothing or swimwear, as the outline of the labia may be visible through the clothing. Enlarged labia may also cause women to feel self-conscious during intimate contact. Some are concerned about asymmetry of their labias, or they may have pain or discomfort during sex or with exercise. Occasionally, redundant labia tissue predisposes to yeast infections or creates friction tears of the tissue.
During a labiaplasty, excess or stretched-out labia minora tissue is excised to create a more neat and tidy appearance to this region and to treat associated physical concerns. Occasionally excess tissue around the clitoral hood is also carefully trimmed as part of the procedure.
Who is a Good Candidate for Labiaplasty?
Labiaplasty is a personal procedure that should certainly not be associated with embarrassment or shame. Women of all backgrounds, shapes, sizes and cultures seek labiaplasty. Sometimes after childbearing, labial tissue can become stretched out or redundant, and following menopause the vulvar lips can droop with loss of collagen and elastin. Many women are congenitally born with asymmetric or excess labial tissue.
Women who experience awkwardness, pain with intercourse, or discomfort when walking or with exercise due to excess labia tissue are candidates for a labiaplasty. Other women are simply looking to improve the appearance of this part of their body to look as youthful as they feel. Rejuvenation of the labia area can be an empowering experience, potentially improving a woman’s body image, self-esteem and comfort during intimacy.
Can Labiaplasty Be Done Before Pregnancy?
A labiaplasty can certainly be performed at any time in a woman’s life. Labiaplasty is considered a “quality of life” procedure, and is a personal decision. Having surgery will in no way influence future pregnancies or childbirth delivery options.
What Are the Different Types of Labiaplasty?
Labia Minora Reduction
A labiaplasty usually involves trimming the inner lips of the labia, known as the “labia minora”. Only the inner or outer lips of the vulva are treated; the vagina is not normally addressed during a labiaplasty.
Labia Majora Reduction
Occasionally, the outer lips of the genitalia (“labia majora”) are trimmed to additionally reduce their prominence. This procedure involves incisions in the skin of the labia majora and is associated with-potentially additional scars and post-surgical swelling during healing.
Clitoral Hood Reduction
For women with redundant clitoral hood tissue, a reduction of the clitoral hood can also be performed as part of a labiaplasty. Clitoral hood reduction involves careful trimming of excess skin that hangs over the clitoris. The overlying skin is then rearranged without risking nerve injury or affecting sexual sensation or stimulation.
In order to ensure complete comfort and relaxation, we perform labiaplasty as an Day care procedure in the operating room, under a short and safe general anesthesia or under local anesthesia. Local anesthetic is used to prevent bleeding and bruising during surgery, and to keep the area numb for many hours after surgery. Excess labial tissue is trimmed, the clitoral hood is reduced if appropriate, and a neat and tidy closure is performed in multiple layers using dissolving (absorbable) sutures. Antibiotic ointment is applied, and an absorbable pad is placed over the incisions. Surgery takes around 1-2 hours to complete, and women are allowed to return home a few hours after awakening.
Types of Labiaplasty
Many surgeons these days are performing wedge labiaplasty, for two main reasons:
A wedge of tissue is removed from the middle area of the labia, preserving the natural labial edge for a less obviously surgical look.
The wedge method leaves a shorter scar that’s harder to see because it runs across the labia rather than along the edge.
However, there are some potential drawbacks to this approach. The wedge technique generally only addresses the middle one third of the labia and does not treat the irregular dark hyperpigmented edge of the posterior parts of the labia. It also does not treat excessive clitoral hood tissues which commonly accompany prominent labia minora.
In addition, the wedge technique creates a condition where the amount of tissue resected must be balanced against creating wound tension with closure. Excising too much tissue may result in a potential for wound separation, whereas conservative resection may produce insufficient reduction. It takes an experienced surgeon to advise you on the anticipated results.
Until recently, trim labiaplasty was the go-to choice for women who wanted to improve the appearance of their labia. This method, as the name implies, involves trimming the excess labia tissue to a more proportionate size and shape relative to the rest of the vaginal area. Many women appreciate that the trim method removes the existing edges of the inner labia, which can darken with age or following pregnancy.
The tissue is typically excised from the clitoral hood and along the edge of the labia minora to the vaginal forchette. In this manner, excess tissue from the upper, middle and lower one/thirds of the inner lips can be removed.
The trim technique leaves a longer scar but it is tension free and commonly is barely visible. Unlike the wedge, wound separation is less likely.
An irregular, thickened and darkened edge is what leads so many of our patients to choose trim labiaplasty as their preferred approach. For those with excess tissue limited to the mid portions of the labia only, the wedge method is an excellent option.
Wedge vs. Trim: Which Is Best?
Both procedures accomplish the primary goal of labia reduction just fine. The question of which labiaplasty technique will give you better results depends on your unique anatomy and your personal goals for surgery.
What is the Recovery After Labiaplasty?
Mild discomfort is treated with oral pain medication for a few days. Swelling and bruising of the genital region can develop over the first few days. You may shower the next day, and will apply antibiotic ointment daily. If you start your menstrual cycle, it is recommended you avoid using tampons for your next 1-2 cycles to avoid irritation of the incisions while they are healing.
At least couple of days should be taken off work or arrange to work from home during this time. Aggressive physical activity should be avoided for at least a week or two after surgery. Sexual intercourse should be avoided for approximately 6 weeks after a labiaplasty. By week 6 to 8, the healing is complete, and no restrictions are needed.
Like any surgery, it takes at least 6 weeks for the initial swelling to recede, and 6 months up to a year for the results to be absolutely complete. Incisions are hidden in the natural crease of the labia region. There is usually very little scarring, as incisions are made in the labial “mucosa” (similar to the inside of the mouth or the gums) rather than the skin.
Possible Complications of Surgery
Some complications associated with labiaplasty are specific to this procedure, while others are complications that could be encountered as a result of any cosmetic surgery, or any surgical procedure in general. Complications common to nearly all surgical procedures include bleeding, bruising, swelling, infection, and scarring. Since labiaplasty is often performed under local anesthetic and sedation rather than general anesthetic, the risks are somewhat less than with more invasive surgical procedures.
Procedure specific complications include Loss of sensation, Spotting, Difficulty urinating ,Change in pigmentation, Asymmetrical results after full healing has occurred ,Separation of the incision site; this occurs in roughly five percent of wedge labiaplasty patients, but is easily to correct. The majority of these symptoms will also be temporary, and resolve within a few days to a few weeks depending on the individual symptom and how quickly your healing progresses.
Will the procedure affect my fertility?
No, the procedure will have no affect on your ability to have children. However, you should use contraception to avoid pregnancy before and after the procedure. Your surgeon will cancel your procedure if you are pregnant on the appointed day. After surgery, you should avoid giving birth for one year following the procedure. As a normal delivery would stretch the tissue and damage the results achieved.
Will there be scarring?
There is usually evidence of scarring following surgical incisions. Your surgeon will try to make the incisions in the least conspicuous areas so that the scarring may be virtually invisible. Even visible scarring will tend to fade over time.
Will labiaplasty affect my sensitivity?
Sensitivity typically stays the same after labiaplasty when done right. After recovery, sexual intercourse is often more enjoyable, because patients feel more confident without the excess skin.
Degenerative Disc disease or DDD is a degeneration of the intervertebral discs in your spine. It’s not a disease as such but a sign of ageing of your spine. We know that our vertebral column is made up of vertebrae and these are strung together, so to speak, using discs to allow movement. The discs play an extremely vital role in the functioning of the vertebral column by cushioning the vertebrae and stopping them rubbing together which will narrow the spinal canal and impinge on the nerves and blood vessels travelling down. As we get older, the hydration within the discs tends to go and you end up with a drier, thinner disc, which is what DDD is. The DDD can strike anywhere, like the neck region and is known as cervical DDD or lower back region, where is it known as lumbar DDD.
- Pain in the part of the spine where the degenerated disc is
- Radiating pain into the legs /arms
- Loss of balance
- Sciatica pain
- Difficulty walking
- Muscle stiffness
- Nerve damage
Since the condition is painful and the disc is inflamed, your doctor will prescribe you pain meds to bring the pain and inflammation under control.
- Spinal fusion surgery : In this surgery, two or more vertebrae in the vertebral column or back are fused or joined to treat DDD. This surgery helps to get rid of the bone and tissue that is narrowing the spinal canal and squeezing the spinal cord and nerves, thus reducing pain and improving function.
- A number of approaches can be tried though the aim is to stop the motion at a painful vertebral segment, which in turn decreases pain generating from here.
- One of them involves the surgeons forming a direct bony connection between the vertebrae surrounding the painful discs.
- Common techniques include fusion of vertebrae approached from the front or the back of the vertebral column.
- Sometimes surgeons decide to use intervertebral cages or metal screws to provide internal structural support while the bone fuses.
- The aim is to allow a scaffold on which the bone tissue can grow.
- Artificial disc replacement surgery: This surgery involves replacing the painful disc in the vertebral column spine with an artificial disc. This preserves the normal motion of the spine, unlike a fusion. Also, the risk of wear and tear of other vertebrae is limited in this surgical option for DDD and is beneficial in pain reduction
- Other changes that are required:
- Physical therapy is a very important part of treatment for DDD. This works by stretching and strengthening the appropriate muscles through exercise to help take the pressure off the disc. Also, physiotherapy will take away the inflammation from around the affected disc.
- Lifestyle changes like becoming more active, avoiding sitting for long and stopping smoking and drinking as both of these dry out your inter-vertebral disc, are highly recommended.
- Usually, pain recedes substantially in DDD sufferers in a couple of month’s time, but DDD is by no means an easy condition to live with. It causes irreversible changes in your lifestyle, movement and your daily activities.
In case you have a concern or query you can always consult an expert & get answers to your questions!