stress boosts levels of stress hormones, such as adrenaline, catecholamines, and cortisol, which can inhibit the release of the body’s main hormone, gonadotropin releasing hormone, which is responsible for the release of sex hormones. Subsequently, this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men.read more
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Book Clinic Appointment with Dr. Rekha Anand
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Treatment of No Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Birth Control Treatment
Treatment of Painful Sexual Intercourse
Treatment of Pregnancy Symptoms
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Cervicitis
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Pregnancy places some restrictions on the expectant mother, and one of them is limiting travel so much so that most women do only the required and essential commutes and skip any other travel, including vacations and business travel, completely until delivery. However, with the lifestyle changing for the woman so radically, this is being revisited. The doctor’s current advice is that unless there are potential complications expected or significant concerns, it is completely safe to travel.
The first trimester especially is a little tricky for travel, with the morning sickness. The second trimester is considered more ideal for travel, as the morning sickness and the feeling of being pregnant is sunk in, so the mother is comfortable. The third trimester is fine too, but the chances of fatigue are higher, and so travel is better avoided.
Read on to know some significant things to remember whether you are on a plane, train, or road during your pregnancy.
- Always buckle yourself up as soon as you enter the car. Use both the seat belt and the lap belt.
- Keep the air bags turned on.
- Try to avoid travel time of four hours at a stretch.
- When stopping for breaks, try to walk around a bit and stretch so that you do not feel the strain of sitting for long hours.
- Most airlines allow women to travel during the first eight months of pregnancy.
- Some airlines do allow for travel during the ninth month, if the doctor approves it, or if there is an attendant with the expectant woman.
- It is okay to walk through airport screening during pregnancy. There are some women who are apprehensive about this aspect.
- Similarly the cabin pressure in the commercial planes reduces, but does not bear any significant impact for a pregnant woman.
- Select an aisle seat, as it allows for easy seating and getting up.
- Walking to the restroom and back should be carefully managed. The aisle is quite narrow and care must be taken to avoid hurting yourself.
- Use the seats for providing support when walking through the aisle.
- Especially, in turbulent stretches, try remaining seated, bearing in mind the safety aspects for yourself and the baby.
- Traveling by bus is safe, but trips to the restroom would be difficult.
- Trains are generally considered safer, as there is a lot of room for movement. Restrooms are available anytime, which is another major advantage.
- Sea travel is also considered safe, but sea sickness could add to the nausea.
- For long-term sailing, check with the cruise provider or the boat facility about availability of a healthcare provider on the ship.
A urinary tract infection or UTI can be quite painful and uncomfortable. This infection can be described as an infection that affects the ureter, urethra, bladder or kidneys. Women have a shorter urethra than men which makes this more vulnerable to this kind of infection.
It is said that most women suffer from at least one bout of this infection in a lifetime. Urinary tract infections are caused by bacteria and may often recur after treatment. However, in most cases, this can easily be prevented. Here are a few tips to help prevent recurrent urinary tract infections.
- Drink plenty of fluids: Ideally, we should drink 8-10 glasses of water a day at regular intervals. This keeps the body hydrated and flushes toxins and bacteria from the body. Water also prevents the formation of kidney stones that could increase your risk of suffering from a urinary tract infection.
- Urinate frequently: If you drink the required amount of water, you will typically need to urinate frequently. Do not try to control your bladder. Holding your urine in your bladder allows bacteria to multiply inside the bladder. This is an easy way for a UTI to begin.
- Follow healthy bathroom habits: Cleanliness is the first step to preventing any infection. When using public restrooms, flush the toilet before and after urinating. In the case of women, it becomes important to ensure that the seat of the toilet is clean as well. After urinating wipe the residual urine with toilet paper in a motion that goes from front to back. Since the urethra is situated very close to the rectum, this step is very important. For uncircumcised men, it is important to wash the foreskin after urination.
- Wear loose clothes: Tight fitting clothes trap moisture and aid in the multiplication of bacteria. Hence, always wear loose fitting clothes that keep the area around the urethra dry. Also, avoid synthetic underwear and only wear cotton underwear.
- Urinate after intercourse: The relative closeness of the vagina to the urethra makes it easy for bacteria to enter the urethra during intercourse. Hence, make it a habit of washing your pubic region after intercourse and urinating. This helps flush out any possible bacteria that may have entered your body.
- Choose the correct method of birth control: Certain types of birth control such as diaphragms and spermicidal agents can promote a urinary tract infection. Hence, it is best to avoid these types of birth control and pick alternatives.
What is Prenatal care?
It is crucial for a woman who is on her way to becoming a mother to pay special attention to her health. Health care offered to a pregnant woman is also known as prenatal care or antenatal care. It is a very important phase in a woman's life, so go for regular prenatal checkups as they go a long way in reducing risks of complications during pregnancy and child birth. This, in turn, increases the chances of giving birth to a healthy baby.
Contrary to popular belief, prenatal care does not begin when a woman is told that she is pregnant. Prenatal care should ideally be started at least three months before you try to conceive a child. This prepares your body and mind for the changes that pregnancy will bring. Some healthy habits to follow during this period include:
- Quit Drinking alcohol and smoking
- Consult a gynecologist about any existing medical conditions, medication you may be on and what supplements you should start taking
- Avoid contact with chemicals and toxic substances
Once your pregnancy is confirmed, you will need to visit the doctor regularly for checkups.
Prenatal checkups are meant to keep an eye on your health and the health of your baby. In most cases, you will be asked to come in every month for the first two trimesters and every two weeks during the seventh and eighth month of your pregnancy. During the ninth month, your doctor may want to see you once a week until the delivery. In cases where a pregnancy is considered high risk because of existing medical conditions, the age of the mother or any other factors, the doctor may ask a for more frequent checkups.
A prenatal checkup involves a physical examination, tests, screenings and dietary consultations. Some of the common tests include blood tests to check for HIV, the mother’s blood type and anemia. Your blood pressure will also be monitored. When it comes to the baby’s health, determining the rate at which the baby is growing and heart rate are most important. In the later stages of your pregnancy, the position of the baby will also be noted. It is important to not skip these checkups even if you are feeling fine.
Keep your doctor informed about any changes you may notice in your health. Do not take any medication without consulting your doctor even if it is for something as simple as a cold. Do not feel shy about talking to your doctor and ask him or her anything you would like to about your pregnancy and childbirth.
Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.
As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc.
Some of the most common causes of menstrual disorders are as follows:
- Hormonal imbalance
Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.
- Anatomic problems
One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.
- Clotting irregularities
Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.
- Medications and supplements
There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirin, ibuprofen, estrogen pills, Vitamin E supplements etc.
- Miscellaneous factors
These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancer, ovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stress, obesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding.
On a pain scale of 1 to 10, delivery pain is rated as 11. It is one of the most severe forms of pain, and for women, it is almost like a second birth after coming out from delivery. With more and more advancements, attempts are being made to ensure this discomfort is managed better and the woman has a more relaxed experience through the delivery.
It is important to identify a couple of factors when going into delivery say for example who will be there with you, where the delivery will happen, how to manage the mind and body, and if there is anything else required for a smooth delivery. Having open discussions with the doctor, close family and friends will help you prepare for it.
Read on to know some pointers.
- People around you: Be careful about who is around you during the crucial hours. On one hand, ensure you have your midwives, doctors and nurses around you, who are knowledgeable and know how to handle the situation, if there is a crisis. On the other hand, have only close relatives and family members who are loving and supportive.
- Read up on labor: With so much information available both online and offline, read up from reliable sources and know what to expect during labor. While there may be an information overload, the overall info should be good to go and keep you updated.
- Talk about it: Whether it is the anesthesia, the needles, the instruments, blood, or injections, talk about your fears. Whether it is the doctor or your close family member, talk out your fears and see them disappear.
- Be positive: Surround yourself with positive images, positive people and positive thoughts. Soothing music is another must-have in your surroundings.
- Be active and occupied: For many women, keeping themselves occupied does not give time to worry about the pain. Constantly being on the move and not being confined to the home also reduces chances of pain.
- Try yoga: With rhythmic breathing and mild yoga, there are higher chances that you will be better able to manage the labor pains. Talk to your doctor as to what you can safely do. The swaying, squatting, and bending required by yoga does a lot of good to your overall body. Women who do some form of exercise and yoga in particular have a higher chance of vaginal delivery and are able to manage pain better.
- Warm bathing/showers: A warm bath soothes the lower back and the abdomen and can help in speeding up labor, as it helps in contractions.
- Involve your partner: The gentle touches and stroking will reassure you and ensure you are better able to sail through delivery.
stress boosts levels of stress hormones, such as adrenaline, catecholamines, and cortisol, which can inhibit the release of the body’s main hormone, gonadotropin releasing hormone, which is responsible for the release of sex hormones. Subsequently, this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men.
Breast cancer begins when cells in the breast start to get out of control. These cells are mostly in the form of a tumor that can be regularly seen on an x-ray or felt as a lump. The tumor is dangerous (malignant) if the cells attack the surrounding tissues or spread to far off zones in the body. Breast cancer happens mostly in women, yet men can get it, as well.
This is how breast cancer can spread:
- Bosom cancer can spread through the lymph framework
- The lymph framework includes lymph nodes, lymph vessels, and lymph liquid found all throughout the body
- Lymph nodes are little, bean-shaped accumulations of immune system cells that are connected by lymph (or lymphatic) vessels. Lymph vessels resemble little veins, with the exception of that they transport a liquid called lymph (rather than blood) far from the breast
- Lymph contains tissue liquid, waste items, and immune system cells. Breast cancer cells can enter lymph vessels and start to develop into lymph nodes
A large portion of the lymph vessels of the breast deplete into the:
- Lymph nodes under the arm (axillary hubs)
- Lymph nodes around the neck bone (supraclavicular and infraclavicular lymph hubs)
- Lymph nodes inside the neck close to the breast bone (inner mammary lymph hubs)
Following are some of the causes of breast cancer:
- Hormones play a part in creating breast cancer disease; however exactly how this happens is not completely known
- Ordinary breast cells get to be distinctly carcinogenic in view of changes (transformations) in DNA
- Yet, most DNA changes identified with breast cancer are gained in breast cells during a woman’s life as opposed to having been acquired
- Qualities that accelerate cell division are called oncogenes
- Tumor silencer qualities are typical qualities that back off cell division, repair DNA oversights, or advise cells when to bite the dust
- Certain acquired DNA transformations (changes) can drastically increase chances for building up specific growths and are in charge of a large number of tumors that keep running in few families
Some of the treatments of breast cancer include:
- Health alterations: Body weight, physical action, and eating routine are all connected to breast tumor, so these may be territories where you can make a move.
- Restorative alternatives for women at expanded hazard: For women who have certain hazard components for breast growth, for example, a family history; various restorative alternatives may counteract breast cancer.
- Medications to lessen hazard: For women at expanded danger of breast cancer, medications, for example, tamoxifen and raloxifene, can reduce the hazard. However, these medications can have their own dangers and symptoms.
- Preventive surgery: In case that you have a solid family history of breast cancer, you can talk with your specialist about hereditary testing. This test addresses changes in qualities that increase the danger of breast cancer; for example, the BRCA qualities. In case you have a hereditary change from a family with a transformation, however, have not been tried, you could consider surgery to bring down your danger of tumor.
While approaching the big day in your life, which every woman dreams about and every couple plans for, there is a critical decision which you as a woman or along with your partner have to take, to welcome the new life on earth. The decision is about whether you want to deliver the baby through the normal procedure or caesarean technique. This decision is crucial as both of the processes involve different approach for the delivery of the baby and affect the mother and the child in a variety of ways.
Vaginal Birth or Normal delivery
Across the world, normal delivery or the vaginal delivery is the most preferred option as it is the natural way of giving birth. Without any surgical procedure or minimal use of the knife being involved, vaginal birth is the safest for both the child and the mother. There are several benefits associated with vaginal birth.
In the normal or vaginal delivery, when the pregnant woman gets into labour without any drugs to induce the labour and the child is born without using instruments like vacuum or forceps it is called a Normal Vaginal Delivery (NVD). When the labour is induced, it is called Induced Vaginal Delivery. When the doctor uses forceps or vacuum to extract the baby, it is called Instrumental Vaginal Delivery. The mother has to bear excruciating pain during this process, but once the baby is delivered, there are no complications such as infections.
This is a surgical process where the abdomen and the uterus inside, is cut to take the baby out of the womb of the mother. Due to the less pain during the surgery, as the surgery is carried out by administering anaesthesia to the mother, women of this generation tend to choose this option. But one needs to understand that there are risks associated with it as with any surgery and there could be complications such as infection, heavy blood loss in mother and need for special care to the infant.
Why is normal delivery always better than caesarean procedures?
In the case of a normal delivery, you don’t need to stay at the hospital for long. You get discharged within 2-3 days and even less if you and your baby are completely healthy. The risk associated with anaesthesia is eliminated. And since there is no surgery involved, no danger of postoperative infections or life risk on the operation table. Also, you don’t have to bear the pain of the stitches for long as there none or minimal stitches. The mother can produce milk sooner than in the case of caesarean delivery. It also boosts the immunity system of your baby.
Though normal delivery involves severe pain during labour, in the long run, it is highly beneficial. Hence, caesarean delivery should be opted for only when the doctor recommends it due to medical reason as the only viable choice for you and your baby.