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I have consulted Dr. Preeti Pandya for Breast Augmentation procedure for my wife. After having a consultation with her I decided to go for the procedure and Iam very happy with the results and recovery period of the procedure. Dr. Preeti is amazing. I recommend her to my family and colleagues.
Dr. Preeti Pandya is best plastic surgeon in Delhi India. She is a highly recommended doctor because of her best results. My experience was excellent related to my surgery which I had done in Past Month.
Dr. Preeti Pandya is very unique doctor. Her only motive to give only good treatment to patients not like others to earn money only.
I found the answers provided by the Dr. Surinder Kaur Gambhir to be very helpful and knowledgeable. Thank you
For breast reduction surgery Dr. Preeti Pandya is the best surgeon for breast reduction at affordable cost.
I found the answers provided by the Dr. Monica Aggarwal to be saved my life. Saved my life
Hi I have done iui. Today is my 14th day post iui still I have pain in lower back, abdomen and leg pain I take susten 400 vaginally. This paining are normal or any problem is there or this are the symptoms of pregnancy please tell me.
Hi, My wife is 8 week pregnant as per Lmp, but we went to ultrasound and we found baby heart beat and with the age of 7 week 1 day. We are concerned about baby growth and not sure when this differences.
We are planning to have kid. One month ago, my gynecologist prescribed me folvite tab for folic acid and uriliser syrup. I haven't started taking them yet. Are they * folvite and uriliser * safe to take during pregnancy? If not, How long should I take them before getting pregnant? Thanks.
Please suggest Baby ache 38 weeks 1 day. Ultra usg showing normal everything but baby s weight 3.5 kg.is nomal delivery possible.
You've probably heard that a HPV vaccine can protect women against cervical cancer. In fact, the vaccine may be most effective when given to girls and young women. However the strains against which the HPV vaccine provides protection is limited. The vaccine does provide cover against the most prevalent strains (learn all about Cervical Cancer).
What Are the Benefits of the HPV Vaccine?
The main benefit of the vaccine is protection from cervical cancer.
Two HPV vaccines are currently on the market: Gardasil and Cervarix. In 2006, the FDA licensed Gardasil, the first cervical cancer vaccine. In 2007 Cervarix was approved. However, they don't protect against all types of cancer-causing HPV. Vaccines protect against these four types of HPV:
What parents should know about the HPV or Cervical Cancer Vaccine
Does your daughter need the HPV vaccine to help protect against cervical cancer?
Pap screening in girls and young women should be recommended as follows:
Within 3 years of becoming sexually active.
By age 21.
Most girls taking the vaccine will probably need fewer Pap smears taken at longer intervals over their lifetimes.
Has your daughter already been infected with HPV virus?
If so, receiving the vaccine won't prevent disease from that particular type. However, the HPV vaccine will protect against infection from the other HPV strains included in the shot.
Why Should Girls Receive the HPV Vaccine?
Full benefit of the HPV vaccine occurs only if you receive it before you're infected with any of the HPV strains included in the vaccine. That's why, vaccinating girls between ages 11 and 12 is recommended .Ideally, this is before they become sexually active. The HPV vaccine can also be given to girls as young as 9 and to girls from age 13 to 26 who have not received it earlier.
You may question whether 11 or 12 is too early to vaccinate, the vaccine has been shown to be more effective in immunizing against HPV when it is given to younger girls who have never been infected with the dangerous HPV strains.
Cervical Cancer is most treatable when it is diagnosed and treated early. Problems found can usually be treated, depending on their severity and on the woman's age, past medical history, and other test results. Most women who get routine cervical cancer screening and follow up as told by their provider can find problems before cancer even develops. Prevention is always better than treatment.
Other HPV cancers are also more treatable when diagnosed and treated early. Although there is no routine screening test for these cancers, you should visit your doctor regularly for checkups.
Your doctor might recommend the HPV test if:
Your Pap test was abnormal, showing atypical squamous cells of undetermined significance (ASCUS)
You're age 30 or older
The HPV test is available only for women; no HPV test yet exists to detect the virus in men. However, men can be infected with HPV and pass the virus along to their sex partners.
What is a HPV Test?
The HPV test is a screening test for cervical cancer, but the test doesn't tell you whether you have cancer. Instead, the test detects the presence of HPV, the virus that causes cervical cancer, in your system. Certain types of HPV - including types 16 and 18 - increase your cervical cancer risk.
Knowing whether you have a type of HPV that puts you at high risk of cervical cancer means that you and your doctor can better decide on the next steps in your health care. Those steps might include follow-up monitoring, further testing, or treatment of abnormal or precancerous cells.
Pap- HPV Test:
HPV spreads through sexual contact and is very common in young women, so, frequently, the test results will be positive. However, HPV infections often clear on their own within a year or two. Cervical changes that lead to cancer take several years - often 10 years or more - to develop. For these reasons, you might follow a course of watchful waiting instead of undergoing treatment for cervical changes resulting from an HPV infection.
A combination Pap-HPV test is performed in your doctor's office and takes only a few minutes. You'll lie on your back on an exam table with your knees bent, your doctor will gently insert an instrument called a speculum into your vagina. The speculum holds the walls of the vagina apart and a flat scraping device called a spatula or a soft brush is used to take samples of your cervical cells. This doesn't hurt, and you may not even feel the sample being taken.
Results of your HPV test are given as positive or negative
Positive HPV test:A positive test result means that you have a type of high-risk HPV that's linked to cervical cancer. It doesn't mean that you have cervical cancer now, but it's a warning sign that cervical cancer could develop in the future. Your doctor will probably recommend a follow-up test in a year to see if the infection has cleared or to check for signs of cervical cancer.
Negative HPV test: A negative test result means that you don't have any of the types of HPV that cause cervical cancer.
Depending on your test results, your doctor may recommend one of the following as a next step:
Normal monitoring:If you're over age 30, your HPV test is negative and your Pap test normal, you'll follow the generally recommended schedule for repeating both tests in five years.
Colposcopy: In this follow-up procedure, your doctor uses a special magnifying lens (colposcope) to more closely examine your cervix.
Biopsy:In this procedure, sometimes done in conjunction with colposcopy, your doctor takes a sample of cervical cells (biopsy) to be examined more closely under a microscope.
Removal of abnormal cervical cells:To prevent abnormal cells from developing into cancerous cells, your doctor may suggest a procedure to remove the areas of tissue that contain the abnormal cells.
Seeing a specialist: If your Pap test or HPV test results are abnormal, your healthcare provider will probably refer you to a gynecologist for a colposcopic exam. If test results show that you might have cancer, you may be referred to a doctor who specializes in treating cancers of the female genital tract (gynecologic oncologist) for treatment.
If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.
What causes cervical Cancer?
This virus can cause normal cells on your cervix (Know more about Cervix Infection) to turn abnormal. Over many years, abnormal cells can turn into cancer if they are not found and treated by your doctor. It can take 10 to 15 years (or more) for cells to change from normal to abnormal, and then into cancer. Abnormal cells are sometimes called 'pre cancer ' because they are not normal, but they are not yet cancer.
You cannot see or feel HPV or these cell changes on your cervix. Screening tests help us to look for these changes or for abnormal cells (Learn more about sexually transmitted diseases)
How is HPV spread?
HPV is transmitted during genital skin to-skin sexual contact. This includes vaginal or anal sex and possibly oral sex.A person can get HPV even if years have passed since he or she had sex. They will never know it because HPV usually has no signs and symptoms.
In most cases, HPV goes away within two years, without causing any health problems. It is thought that the immune system fights off HPV infection naturally
What screening tests exist for HPV- related diseases?
Cervical Cancer: Cervical cancer can be detected with routine Cervical cancer screening (Pap test) and follow-up of abnormal results. The Pap test can find abnormal cells on the cervix so that they can be removed before cancer develops. Abnormal cells often become normal over time, but can sometimes turn into cancer. These cells can usually be treated, depending on their severity and on the woman's age, past medical history, and other test results.
An HPV DNA test, which can find certain HPV types on a woman's cervix, may also be used with a Pap test in certain cases (called co-testing). The HPV-DNA test is done to determine if you are infected with one of the high-risk types or if your doctor finds certain type of abnormal Pap test result.
Even women who were vaccinated when they were younger need regular cervical cancer screening because the vaccines do not protect against all cervical cancer strains.
Is there a treatment for HPV or related problems?
HPV vaccination could prevent most cancers and other diseases caused by HPV. There is no treatment for the virus itself, but there are treatments for the problems that HPV can cause:
Visible genital warts may remain the same, grow more in number, or go away on their own. The warts can be treated when they appear.
Abnormal cervical cells (found on a Pap test) often become normal over time, but they can sometimes turn into cancer. If they remain abnormal, these cells can usually be treated to prevent cervical cancer from developing. This may depend on the severity of the cell changes, the woman's age , past medical history, and other test results. It is critical to follow up with testing and treatment, as recommended by a doctor.
Congratulations, that your Urine pregnancy test is positive and white stork will be visiting you soon! So it's your fourth week and you are advised an ultrasound in the coming week. With all the questions coming in your mind on what to expect from the ultrasound in regards to a normal pregnancy, I am here to help you month-wise. (Know more about dietary facts in pregnancy)
In the First Month (Learn more about First Trimester)
On ultrasound you will see the pregnancy sac and the doctor would describe the same as the womb-pregnancy sac. This highlights that the pregnancy is not ectopic (pregnancy outside the womb).Cheers! You will be called again a week or two later to see the further developments of the baby.
In the Second Month
On ultrasound you can now see a fetal node and the doctor makes you hear a typical galloping horse like sound-that's the fetal heart beat- the heart beat of your baby. You can also see a small ring like structure in the pregnancy sac which is yolk sac. It takes care in terms of nutrition until the placenta is formed
In the Third Month
You are asked to give your Dual test- a blood test which tests for hormones like B hcg and PAPP-A which indirectly indicate whether the baby has chromosomal abnormalities or risk of growth restriction later on. You will be told to have an 11-13 weeks scan .In this scan ,markers for chromosomal abnormalities like Nasal bone, Nuchal; translucency(fluid behind the neck) ,blood flow through the liver(Ductus venosus) , Tricuspid regurgitation along with Length of the baby and heart rate will be studied .During the ultrasound you will be shown the structure of the baby from head to toe. At the end you will be counselled whether you are a low risk or high risk for getting a baby with chromosomal abnormalities(especially Down Syndrome).
And if all is well you are called for the next scan at 5th month.
In the Fifth Month
This is the anomaly scan or Level 2 scan. You will notice your baby has grown significantly since you last saw. The doctor will see the structure of the baby including the brain and heart .The location of your placenta will also be reported. It you have a quadruple test/ triple test ,the results will be interpreted and explained.
If its a thumbs up, you are advised to follow up with your obstetrician and come for an ultrasound at 8th month if everything continues to be as expected.
In the Eighth Month
This scan checks the growth of the baby and the fluid around it. The medical experts check the blood flow through the essential structures like the brain,liver and umbilcal cor (fetal Dopplers ). The same is done to reassure you or decide further management. In some cases , this scan may be pre-pond starting at 7th month.
If along with the expertise, there is a high end ultrasound machine , you get a chance to see your baby moving/dancing/thumb-sucking in 4 dimensions. You and your hubby will surely fight over the nosy -its alike yours or your hubby's! And the experience is awesome and ever cherishing.
The early childhood period is considered to be the most important developmental phase throughout the lifespan. This period focuses on the physical, social/emotional and language/cognitive domains of development of a child, which have direct effects on their overall development as an adult in the future.
Physical Development: Physical developments of a child are associated with the motor skills and physical growth of the child. As a child grows and his or her nervous system become more mature, the child becomes more capable of performing increasingly complex actions such as walking, running, balance, and coordination which involve the larger muscles like arms and legs, as well as, some more intricate skills such as drawing, writing, grasping objects, throwing, waving, and catching, involving the smaller muscles in the fingers, toes, eyes, and other areas. Physical growth follows a directional pattern, such as the body's core, legs and arms develop before the small muscles in the fingers and hands. The muscles in the center of the body become stronger and develop before those in the feet and hands. Development goes from the head to the toes.
Cognitive Development: Cognitive abilities are associated with memory, reasoning, problem-solving and thinking that continue to emerge throughout childhood. There are four Stages of Cognitive Development:
Age Period Between
Birth to age 2
Respond to sensory stimuli by simple motor skills.
Age 2 to 6
Learn to use language, but do not understand logic or mentally manipulate information and understand others' point of view.
Concrete Operational Stage
Age 7 to 11
Begin to think logically about concrete events, but have difficulty understanding abstract or hypothetical concepts.
Formal Operational Stage
Age 12 to adulthood
Able to think about abstract concepts and develop skills such as logical thought, deductive reasoning, and systematic planning.
Language Development: It is the most remarkable development in children. According to several researches, it is found that language development begins at fetal level, as the fetus is able to identify the speech and sound patterns of the mother's voice and by the age of four months, a child can distinguish between sounds and read lips. Infants are able to differentiate between speech sounds from all languages; however, around the age of 10 months they lose this ability and begin to recognize their native language only.
Tooth eruption is not only a sign that your child is acquiring the ability to tear, bite, and chew food but it also effects the baby's weight gain, immunity strengthening and development of the brain indirectly.
It is observed that most babies get their first tooth at around 6 months after birth, but they may start gnawing as early as 3 months or as late as 14, and may vary from child to child. This depends on many factors, one of them being as when the parents started sprouting teeth and whether or not your baby was a preemie. In case of premature and low birth weight babies there may be a delay in their first tooth eruption. Children should have a full set of primary teeth by the time they are almost three.
Babies generally undergo the following Teething Timeline:
6 months: lower central incisors
8 months: upper central incisors
10 months: lower and upper lateral incisors
14 months: first molars
18 months: canines
24 months: second molars
Symptoms of Teething:
Babies start gnawing to relieve the pain of an emerging tooth.
Puffy and red gums
Irritation, especially at night
A change in eating habits
Methods to Soothe the Pain:
Teething is a physiological process, no major intervention is needed.
Distraction: You can often soothe your child simply by diverting their minds off the pain by any new toy.
You shouldn't use teethers and topical teething gels to soothe the pain as they might be toxic to babies.
Symptoms of teething usually disappear when the tooth breaks through the gum. In case your baby is teething and the pain prevails , the following signs and symptoms are seen - high fever, diarrhea, or vomiting, highly inflamed gums or blue gum (Cysts) or any kind of lesion or bumps on the gums. In such case you should consult the pediatrician for further guidance.