Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 43 years of experience on Lybrate.com. You can find Gynaecologists online in Mysore 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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Management of Surrogacy
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
Management of Postnatal Care
Adiana System Treatment
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Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended world-wide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.
Modern technological advances have made computer assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through small incision and it eliminates the chances of human error. A perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.
There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.
In knee replacement surgery, the worn out surfaces of joints of knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicate knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.
I am getting yellow discharge instead white since 3-4 days My mensuration got over a week ago My age is 25 years.
Hi Doctor, I am 26 years guy and had sex with my girlfriend after her Marriage, by the time I was enjoyed different positions with great pleasure. After 04 months I got married and when I tried to participate in sex with my wife I am getting pain and the outer skin is burning, why this is happening to me, is there any problem? Please suggest me the solution.
Her beta HCG value is 422.6 miu/ml, her lmp was 17 Nov, she has confirmed her pregnancy via test kit. She has a 6 year old daughter, she has had a miscarriage last year at the end of first trimester. Her thyroid is normal Please advise if it is normal. Thanks Rohit.
I have irregular monthly cycle problem. Its come in 2 months. and only for 2 days. What should i do?
My wife is 6 weeks pregnant. Some ANMs from the primary health Centre visited our house and gave her a tetanus shot this week. Is it safe to have a tetanus shot in the first 6 weeks of pregnancy? If it is not then how can it affect the unborn baby?
How can I tight my breast dr? After my pregnancy delivery it is so loose and unfit so pls suggest any home remedies for this to tight thank you.
Prostatitis is only one of several causes of sexual pain in men. If you are experiencing sexual pain, which can include pain in the penis, testis, or pelvis area that occurs during sex, while ejaculating, or after sex, it could stem from a variety of causes.
Sex is supposed to feel good, so it can be particularly worrisome and stressful when it hurts, and it can affect your intimate relationships. The causes of sexual pain can be medical, structural, or psychological. Here’s a look at six causes of sexual pain, also known as dyspareunia:
- Actue Bacterial Prostatitis
- Acute Prostatits
- Alcock Syndrome
- Neurogenic Bladder
Im 21 years old and I have an hypothyroid problem from last 2 years and am taking iodine tablet every morning, recently I came to know that my tsh, t3 and t4 levels are normal in the report but still my hair loss, wait gaining and menstrual problems are not cured please give me a solution.
Hi my last period was on 19th Dec 15, had sex on 14th Jan 15. My next period on 19th Jan 15. I want to know if I can get pregnant 6days before period.
I am trying to get conceive. After my periods 7 th day to 9 th day I had sex. But now I feel some what uncomfortable in abdomen. If I check with an UPT card its negative, am I pregnant now.
What if have unprotected sex with my fiance during menstruation periods. Can she get pregnant and is it harmful to both of us.
PILLOWS AND MATRESSES.
“My neck pain started two days ago, Immediately I removed my pillow”
This is the very usual dialogue that I hear in my daily practice from my patients who are suffering from neck pain. Is pillow that important factor in causing neck pain or in relieving neck pain?? Let us know the facts.
Neck pain can be caused because of various reasons. Poor neck posture is one of the reasons for neck pain. So, what should be your sleeping posture? How can a pillow alter your normal sleeping posture?
Body needs rest and sleep gives our body rest so that body and mind work efficiently. It is very important that we maintain a normal sleeping posture so that muscles also get rest.
- Spine has to be straight
- Neck has to be in line with the body.
- It is better to avoid sleeping on tummy, as you will be forced to turn your neck to one side to facilitate breathing. Whole length of your sleep is spent with the neck turned to one side, out of alignment with the body, forcing the brain to sense something wrong and you wake up with a stiff neck. Pillow has no role here!!!
So, what kind of pillow can be used?
- Pillow can neither be too hard as it doesn’t absorb the shock/ weight of head, nor it can be too soft as the weight of the head can depress the pillow down and might take neck too low than body.
- Ideally the pillow has to regain its original shape faster once you wake up from lying position. If a pillow takes too long to come back to its original shape or doesn’t come at all or remains in the same shape, its time for you to change your pillow.
- If you are lying on your back, its better to use a thin pillow which supports your head and neck. Please do not use a thick pillow in this position, as it may raise or bring your head and neck forward or higher than body causing stress to your spine.
Not using a pillow when you lie down in this position can take your neck backwards and might cause trouble breathing.
Recommended to use a thin/ lighter pillow when you lie down on your back.
- If you are lying on your side (right or left), its better to go with a thicker pillow. Ideally the pillow should be as thick as the distance between your shoulder and neck, so that when you lie down on your side the neck doesn’t go down or go up and stays in line with the body. Pillow has to be used!!
Recommended to use a thicker pillow when lying on side.
Pillow is not a major cause of neck pain. Its always better to use a pillow than not using at all. Removing the pillow the moment neck pain starts is definitely not a good solution for your neck pain. Chose the right pillow and more importantly consult your Physiotherapist.
As with the pillow for neck pain, mattress is not a major cause for back pain.
- Mattress should not be too hard, should not be too soft either.
- If it is too soft, the broader areas of our body like the hips and shoulders, might press the mattress down thereby reducing the support for other body parts, which strains them as they do not get proper support.
- If its too hard, the mattress wont be able to support the various natural curvatures of our body (broader and narrower areas), forcing the muscles to work more and get strained.
- Its better to change a sacked mattress or too depressed mattress.
- Mattress should be uniform in contour.
- Lying bare on floor wont work!!!!
And more importantly consult your Physiotherapist for back related issues.
Have a pain free life…..
My wife faces severe menstrual pain at the first two days of the 4-5 days menstrual period. I took her to a gynaecologist and he suggested that it is a common problem. But advised to take pamaspas tablet. But still the pain is not being cured. My wife is now taking homoeopathic medicine dysmen for dysmenorrhea. But still she is facing pain problem. We are trying to have a baby. But no result is coming out. Please suggest to cure her pain and the process to make her pregnant.
Sir, some stones are showing in my ureter and sizes are from 3mm to 7.5mm. Pl, sugest me how it can be cureable.
I am 25 years old. My partner touched his penis on my vagina for sometime without any penetration .We dint have sex. My periods are 14 days late now. I tested wth home pregnancy kit after 7 days and 14 days of missed period. It came negative. I do get menstrual light cramps but not getting periods. I have no other pregnant symptom also. How can I get the periods? And this confirms that I am not pregnant?
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 ovaries
- 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.
Hi am 20. My gf and I had oral sex but I rubbed my penis on her vagina may be inserted it half inch. I was worried so. I made her eat ipill. Yesterday but today she is feeling any problem or pain in stomach or anything. Is she safe? And I pill failed or not. She used ipill first time 2 months before that time she was suffering from pain but this is time no pain. Is everything ok?
Green tea in weight loss:
- The catechins and caffeine in the green tea fight fat.
- Green tea assists in breaking down fat from fat cells.
- Green tea also burns calories.
- Green tea will also reduce your intake of calories.
- Green tea targets the bad fats.