Doctor in Dr Bindu Srivastava
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
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
Parental Depression is an aspect which affects the innocent child, right from the time it is in the mother's womb.
Maternal depression could be due to various reasons ranging from familial disharmony to poor health. Unfortunately, a depressed mother's pessimistic thoughts could pass on to the pure soul inside her. So the effect starts in utero. After birth, she may be careless and negligent towards a child whose most important requirement is love. And children of these mothers become victims of behavioral and cognitive problems and poor school performers. They may also acquire the illness of depression eventually.
Hence, before stepping into parenthood, it's important to be mentally fit and not just physically healthy. Exercise and meditation is of great help and of course a happy home environment.
Supporting each other is the key to getting things on track again.
- Talk to your spouse: Chat with your spouse, showing affection, doing things with them and encouraging them to get out of the house are important.
- Appreciate her but respect your family: Help her see that the family needs her and appreciates that she is expecting. While doing the same ensure that you respect the feelings of your family members.
- Opt for specialist care: Offer to see a therapist and encourage her to take medications. Getting the help of an expert helps get guidance to handle difficult situations.
- Be emotionally present with her: Go with her to as many antenatal checkups as you can, and make sure you are there for the ultrasound scans. This encourages a woman and gives her the satisfaction that her partner is involved.
- Compliment her and pay attention to her: Many women find it difficult to cope with the changes in their body during pregnancy. She may be worried about stretch marks, concerned about weight gain or just be feeling not much like her old self. Make sure to compliment her and let her know how much you love her.
- Be a shoulder for her to cry on: Listen to all of her concerns, and offer her the reassurance and support she really needs.
- Be there to help: After the birth, your partner will need time to recover. She will be exhausted, sore and hormonal, and will be relying on you for support. Help with the baby, and do as much as you can.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Herpes is caused due to the presence of the herpes simplex virus in your body. Herpes can appear on multiple areas of your body, but more commonly manifests in the genitals as well as the mouth. The two types of herpes are HSV-1 (oral herpes) and HSV-2 (responsible primarily for the outbreak of genital herpes).
Causes of Herpes Simplex:
- Herpes is contagious in nature and can be passed to you by having sexual intercourse with anyone who has been infected. HSV 2 is the primary form of the virus, which is transmitted in this manner.
- Herpes could be transmitted to an infant from their mother if she was infected while pregnant.
- It can also get passed through direct contact like using the same plates or spoons or even the sharing of lip balm. Even kissing can spread the virus if the infected person has cold sores.
Symptoms of Herpes Simplex:
- The presence of blistering sores within the mouth or in the genital area is a telltale sign that you may have contracted genital herpes.
- If you are having painful urination then you should check with your doctor for the herpes virus.
- Continuous itching in certain areas such as the genitals.
- Not wanting to eat, having a fever could also be symptoms of herpes simplex virus in your body.
- Herpes can spread to your eyes and is known as herpes keratitis. It can cause pain in your eyes.
Diagnosis of Herpes Simplex:
- The common way to diagnose herpes is with an actual physical exam. Doctors will generally look out for sores on your body and may also check for some similar symptoms which might indicate herpes simplex.
- HSV testing (alternately called herpes culture) is done to check the presence of a virus on the genitals. A fluid sample from the genitals is sent to laboratory for tests and will require a visit to the health center.
- There are blood tests to look for antibodies for both forms of HSV to diagnose the infections. However, this test is done only when there is and absence of sores or visible symptoms.
In case you have a concern or query you can always consult an expert & get answers to your questions!
After those nine months, the long waiting period gets over and the most exciting transition from a mommy-to-be, to a mommy finally begins. But then, things are not always as smooth as we expect, especially if you undergo a C-section to deliver your baby. It is indeed an overwhelming experience to hold your little one in your arms but you need to understand that a C-section surgery is a major abdominal surgery and you need to take precautions to recover from the surgery. The recovery period for the C-section delivery is much higher than the recovery period for the normal delivery.
Let us look at some ways for speedy recovery from C-section delivery:
- Relax: Taking proper rest will give your body the energy to recover from the surgery that you had undergone. Healing of the scar takes time and your post-partum body requires rest. But, taking proper rest is not as easy as it sounds when you have a new born baby to take care of, who needs a lot of attention and care. From feeding your baby at regular intervals to changing their nappies/diapers and making them sleep, all of it requires you to be on your toes. Make sure you always take some time out to rest and do not hesitate to take help from your spouse and family.
- Don’t put strain your body: Your body has just given birth to a baby and has undergone a major surgery; therefore, it is important that you give it time to heal. You should try not to get up too often, do not lift anything heavier than your baby, avoid sex until six weeks from the birth of your baby, hold your abdomen when you have to sneeze or cough to protect the incision site. Don’t start working out without your doctors’ green signal and don’t drive and take stairs, which might put a strain on your body.
- Take a good diet: Take plenty of healthy and nutritious food as your body still requires such a diet. Breastfeeding mothers need to understand that the sole source of nutrition for your baby is you. Include different vegetables and variety of healthy food to pass on nutrition to your little one. Take plenty of fluids, especially water as the fluid intake is necessary to increase breast milk supply. Including fibre rich diet will keep you away from issues, such as constipation, which is one of the most common issues that women face after having a baby.
- Medicines: Your doctor may prescribe you the medicines that you can take to reduce the pain and recover faster. The medicines prescribed would vary if you are breastfeeding and if you are not breastfeeding your baby, so taking up such issues become even more important for you and your baby.
- Take care of the Incision: Take proper care of the incision by keeping the wound clean and undisturbed for a faster recovery.
Don’t compare your recovery to someone else’s because the speed of recovery depends from person to person. Motherhood is an exciting phase of your life, so take care of yourself to have a speedy recovery and enjoy every moment of it. Make memories and stay happy!
In case you have a concern or query you can always consult an expert & get answers to your questions!
One of the things that Shannen Doherty and Rita Wilson, the wife of Tom Hanks, have in common, apart from their fame is that both were affected by breast cancer. No matter how normal a person may seem, breast cancer can strike anyone. In fact, it usually strikes one in eight women. So, it makes good sense to know what it can appear as!
Breast cancer makes up a rather big amount of the general cancer cases as 15% of the cancer cases which are reported on a yearly basis are usually breast cancer cases. That being said, there are quite a few things which can be done in order to reduce a person’s risk to breast cancer.
Prevention is Prudent-
Get Fit: The first thing which should be done is that a reasonable level of fitness should be maintained. Many studies have found that if a person is significantly heavier than her recommended weight, she is at a far great risk to develop all sorts of cancer and breast cancer, in particular, than a person who is able to keep her weight in check. The difference in cancer risk rates is about 40%. This is because a greater amount of fat leads to more estrogen being produced, which increases the risk of breast cancer.
Quit Smoking: While most people associate smoking as something which increases the risk of cancer to the lungs and are not aware that it increases the risk of breast cancer, too. So, the best solution is to kick the habit!
Get Off the Pill: Once a woman crosses past her mid-thirties, she should try to avoid relying on birth control pills to reduce the risk of pregnancy. This is because these pills have an effect which increases the risk of breast cancer, which heightens as a woman gets older. As long as the woman cuts out the use of the pill, the risk quickly gets cut, as well.
Get Regular Check Ups: While screening for breast cancer by making use of mammograms does not cut the risk of it, the screening helps detect breast cancer early if it does exist. As a result, a woman has a much better chance of fighting breast cancer. So, a woman who is past the age of forty should try to have a mammogram on an annual basis with the frequency of the same increasing as she gets older. However, it is to be kept in mind that going for a mammogram too often is also not a good idea as the tests themselves pose risks of DNA changes.
Women all around the world are susceptible to breast cancer. While there isn’t a 100% chance of avoiding it, taking care of yourself and leading a fit and active lifestyle can significantly cut down your risk of contracting this condition. Remember, your health is in your hands, so the earlier you start, the better! In case you have a concern or query you can always consult an expert & get answers to your questions!
The perineum is the area between the vagina and the anus. This fragile area plays a significant role in the female reproductive system. This is often intentionally or accidentally torn open to allow for the normal delivery of the baby. This needs to be repaired meticulously to ensure that the pelvic floor is safeguarded from further damage.
The pelvic floor contains multiple muscles and supporting tissues which help in keeping the vagina, rectum, uterus and supporting structures in their places. When these muscles become weak due to childbirth, ageing, perineal injury etc, the uterus, bladder and rectum loosen up and prolapse down.The most common problem that is encountered is urine and fecal incontinence, where the woman has difficulty holding urine and feces. Though not often discussed openly given the private nature of the topic, many women suffer from a weak pelvic floor. Read on to know some of the common causes, symptoms, and management measures.
- Chronic cough: The next time you cough for prolonged periods, notice how much pressure it puts on the pelvic area. This goes unnoticed, but chronic cough can weaken the pelvic floor muscles. It is not common for women to lose some urine during these long-drawn coughing spells.
- Chronic constipation: The pressure exerted during constipation weakens the pelvic floor, often leading to incontinence.
- Pregnancy and delivery: Most common cause of perineal injury, where the perineum is torn (accidentally or intentionally) to allow for easy passage of the baby. If it is not repaired meticulously, the pelvic floor is weakened.
Urinary incontinence is the most common symptom that women present to doctors with. However, there are minor symptoms which a woman would experience prior to reaching this stage. Most often, these are ignored, and only brought to doctor’s notice when symptoms become quite severe. If left unattended, there could be more severe repercussions too.
- A heavy feeling in the pelvic area, commonly referring to as a bearing down sensation, a feeling that the internal organs are going to pop out through the vagina
- A small lump that can be felt and/or seen at the vaginal opening
- Feeling of incomplete emptying of the bladder and/or bowel
- Pain or bleeding from the vagina or the rectum
- Recurrent pelvic and/or urinary tract infections
- Kegel exercises are often used to strengthen the pelvic floor. This is very effective if the problem is identified quite early.
- In more progressive cases, surgical repair is the most effective option. This not only corrects the prolapses but also helps boost confidence of the person, by correcting the incontinence problems and improving sexual experiences. If you wish to discuss about any specific problem, you can consult a gynaecologist.
According to a recent study of fertility and diet conducted by the Harvard Medical School, it has been revealed that consuming certain foods and abstaining from some can be easily opted for without any external intervention in order to aid in improving the ovulatory system, even though there are factors that you are unable to control, such as genetics and age. It is important to be aware of the small dietary changes that can potentially make you much more fertile than those who do not go for a healthy diet.
- Go for complex carbohydrates: Experts suggest eating more of slow and complex carbohydrates and restricting the consumption of processed ones. Your body is able to digest bad carbohydrates in order to turn them into blood sugar, which is harmful to the body. So you must stay away from cakes and cookies, white breads, white rice, junk food and all such items that appear unsurpassable. It is because the pancreas are compelled to release an additional amount of insulin into the blood for controlling the blood-sugar spike. On the other hand, you can go for good carbohydrates, such as whole grains, fruits and vegetables, which take time to digest and have a much slower effect on the insulin and blood sugar. It is evident that high levels of insulin can inhibit the process of ovulation.
Choose Iron-Rich Foods: A diet rich in iron that comes from vegetables and supplements may lower the risk of ovulatory infertility. Ovulatory infertility is only one cause of infertility and affects 25 percent of infertile couples. Vegetarian foods with iron include all types of beans, eggs, lentils, spinach, fortified cereals, long-grain enriched rice and whole grains. Add vitamin C from citrus fruits, bell peppers or berries to your meals to enhance iron absorption.
The "Fertility Diet": Women should choose the following "fertility diet" -
- Less animal protein and more vegetable protein
- Less trans fat and more monounsaturated fat (from foods such as avocados and olive oil)
- More high-fiber, low-glycemic carbohydrate-rich foods (including whole grains)
- More vegetarian sources of iron and fewer meat sources
- High-fat dairy instead of low-fat dairy
- Get enough folic acid: Folic acid has been proven to reduce a baby's risk of neural-tube birth defects such as spina bifida, and it is linked to a lower incidence of heart attacks, strokes, cancer, and diabetes. A good over-the-counter prenatal vitamin should contain more than the minimum recommendation of folic acid, between 600 and 800 mcg – what you'll need during pregnancy. In addition, you can eat folate-rich foods, such as dark green leafy vegetables like spinach or kale, citrus fruits, nuts, legumes, whole grains, and fortified breads and cereals.
- Dairy: It pays to bone up on dairy (milk, yogurt, and cheese) when you’re trying to conceive. Adding dairy to your preconception diet is good not only for bone health but also — potentially — for your reproductive health. So drink that milk, spoon up that yogurt, sip that smoothie, nibble on that cheese. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Bacterial vaginosis is an infection that occurs in the vagina due to an imbalance in growth of the vaginal bacteria; It is the overgrowth in the naturally occurring bacteria in the vagina causes the imbalance. This disorder is very common among women, especially among pregnant women. This problem is usually not very serious and tends to subside within 4-5 days. However, in certain cases, they are capable of causing serious complications.
Symptoms of bacterial vaginosis include:
- Vaginal discharge that is white or grey in colour
- Constant itching in your vagina
- The vaginal discharge usually has a foul smelling odour
- Burning sensation during urination
Vaginal bacteria can be either good or bad. Any disruption in the delicate balance of the vaginal bacteria can lead to bacterial vaginosis. There is no exact known cause of this disorder, but it is believed that having multiple sex partners can aggravate this risks. Other factors include:
- Douching: If you clean your vagina with water and other cleansing agents on a regular basis, it might cause a bacterial imbalance, thus leading to this infection.
- Multiple partners: Having multiple sex partners puts you at a higher risk of contracting bacterial vaginosis. This disorder may also lead to various complications such as:
- STIs: This infection may make you highly susceptible to various infections such as Chlamydia, HIV and gonorrhoea.
- Disorders of the pelvic region: Bacterial vaginosis may lead to inflammation in the pelvic region, which in turn may lead to infertility.
- Preterm birth: It increases the chances of premature birth
- Smoking: Smoking frequently increases the risk of a bacterial vaginosis infection.
- Unprotected sex: Having sex without proper protection increases the risk levels of bacterial vaginosis.
There are certain preventive measures that you can adopt to prevent this condition:
- Use soaps which contain no or very little chemicals to clean the region around your genitals
- Use latex condoms during sexual intercourse to prevent STIs.
- Do not clean your vagina (the practice referred to as douching) on a regular basis. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Maintaining proper vaginal hygiene is imperative to ward off any sort of STDor STI, even before any sort of irritation, infection or disease occurs. The normal vaginal pH balance helps cater to the growth of useful bacteria. Some useful tips to maintain proper vaginal hygiene can be:
Douching (spraying a mixture of water, baking soda, vinegar or iodine on the vaginal area) is strictly discouraged. It can interfere with the normal pH levels of the vagina and can make the area extremely acidic, which sets the stage for the growth of bacterial infections.
A balanced, healthy, nutritious diet is recommended for a healthy vagina as well as for good reproductive health. Certain fluids such as cranberry juice can help prevent the onset of any yeast infection.
Safe sex should be practised in order to keep harmful bacteria away. Using a condom during a sexual intercourse helps prevent the occurrence of any sort of STI or STD.
Gynaecological check-ups should be done every four months or so to be on the safe side regarding any doubts about unhealthy vagina. Prevention is always better than cure in the long run.
Petroleum jelly should not be used for lubrication during sexual intercourse as such fluids tend to damage the latex in the condom and may even lead to a possible infection.
Clothes should be chosen carefully to keep the vaginal area clean and dry. Cotton underwear is generally the best option in this regard as it can help prevent any bacterial infection by keeping the area clean and dry.
Certain simple sanitary habits such as changing of tampons or sanitary pads every four hour during one’s periods, proper washing of the genital area after relieving the bowels, can go a long way in nurturing the health of the vagina.
Opt for gentle skin care products to wash the vaginal area as that area is extremely sensitive. Avoid scrubbing the vaginal area as well. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
An often painful condition usually involving the bowel, ovaries or the tissue lining the pelvis, endometriosis is characterized by the abnormal growth of the endometrial tissue beyond the premises of your uterus or your pelvic region. The endometrium, in fact, functions perfectly normal with each menstrual cycle, but because of it being displaced, it cannot exit the body and consequently gets trapped.
Besides causing severe pain and distress, endometriosis can also adversely affect fertility. When the ovaries get involved, certain cysts known as endometriomas tend to develop which often result in the formation of scar tissues and adhesions.
Complications associated with it
- Infertility: Impaired fertility is the most common kind of complication arising from endometriosis, with approximately one-third to one-half women having problems with pregnancy. During endometriosis, the fallopian tube gets obstructed, thereby restricting the union of the egg and sperm.
- Ovarian cancer: Women with endometriosis are more likely to suffer from ovarian cancer. Moreover, they are also more susceptible to acquiring endometriosis related adenocarcinoma, which is another variant of cancer, but a comparatively rarer phenomenon.
How best to treat it?
Depending upon how severe your symptoms are, endometriosis can be treated via the use of medications or through the advent of surgery.
- Pain medications: Certain medications, including pain relievers and anti-inflammatory drugs, are particularly useful in providing relief to painful menstrual cramps.
- Hormone therapy: Undergoing hormonal therapy can help ward off or reduce the pain of endometriosis, but it should be kept in mind that it is only a temporary fix and that symptoms might reoccur. Hormonal therapies include:
- Conservative surgery: This can either be done through laparoscopy or, in more extensive cases, through traditional abdominal surgery.
- Assisted reproductive techniques: These include in-vitro fertilization, and are sometimes more preferable over conservative surgery.
- Hysterectomy: This is usually done in more severe cases of endometriosis whereby ovaries are also removed with uterus and cervix
Infertility is a condition where a couple, trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.
Causes: There are many causes of infertility. It may be down to a condition present in one or both partners. Ovulation and fertilisation are the main elements of the conception process and any condition in the female or male can upset either function, which can make it difficult to conceive.
While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions.
Treatment: Female patients can turn to medication that will stimulate ovulation, intrauterine insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. Male patients can go through a treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal and art or assistive reproductive technology.
If these methods fail, the patient or the couple can always turn to methods like in vitro fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception.