Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Dilatation And Curettage (D C) Procedure
Proton Therapy Treatment
Preimplantation Genetic Diagnosis (Pgd)
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Ovarian Ablation Procedure
Treatment Of Female Sexual Problems
Egg Donation Procedure
Treatment Of Menstrual Problems
Treatment Of Menopause Related Issues
Treatment of Polycystic Ovary Syndrome In Adolesce
Pre And Post Delivery Care
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Dr. Neelima Deshpande provides answers that are knowledgeable. 5thanks
Progesterone is a characteristic female hormone, which is also known as the pregnancy hormone, its percentage is generally higher before and during pregnancy. Progesterone supplementation is regularly important during assisted reproductive technology (ART) systems; for example, In-vitro Fertilization (IVF). This is recommended because the medicines you may use during these strategies can change your body's capacity to deliver progesterone. Certain techniques can even expel progesterone delivering cells from your ovaries. All women who wish to end up pregnant need progesterone to help the uterus get ready for and sustain a prepared egg.
Progesterone readies the uterus for pregnancy. After ovulation happens, the ovaries begin to deliver progesterone required by the uterus. Progesterone causes the uterine covering or endometrium to thicken. This readies a strong domain in your uterus for a fertilized egg.
Progesterone sustains the baby. A supply of progesterone to the endometrium keeps on being critical during pregnancy. After an effective implantation, progesterone keeps up a steady domain for the forming baby. Following eight to ten weeks of pregnancy, the placenta takes control of progesterone creation from the ovaries and considerably builds the hormone.
Other sources of progesterone supplements
A few types of progesterone supplements are accessible, including vaginal items that deliver progesterone straight to the uterus. The diverse structures include the following:
1. Vaginal gel:
• Utilized once every day for progesterone supplementation
• Over a time of involvement and more than forty million dosages recommended
• In studies where quiet inclination was measured, a dominant part of women favored the gel for comfort over other progesterone medicines
• Some discharge felt during use
2. Vaginal suppositories:
• Generally utilized yet not FDA-endorsed
• Utilized two to three times each day
• Spillage can be chaotic
3. Vaginal supplements:
• Intended for vaginal use
• FDA-endorsed for progesterone supplementation yet not for progesterone substitution
• Useful in ladies under thirty-fie years; no settled outcomes in women of more than thirty-five years
• Utilized two to three times each day
4. Progesterone oral cases, utilized vaginally:
• Not planned or FDA-affirmed for vaginal utilization
• Less symptoms when it is utilized vaginally rather than orally
• Utilized approximately three times each day
• An oil-based arrangement (now and then called progesterone in oil)
• Generally utilized; most settled strategy for progesterone delivery
• Infused into the bottom once every day
• Requires long, thick needle to enter layers of skin and fat
• Hard to oversee
• Infusions might be difficult
• Skin responses are normal
Progesterone is a vital piece of infertility treatment since it boosts implantation and pregnancy. Human services suppliers regularly have an inclination towards which type of progesterone they recommend for fertility treatment. Their application is by and large in view of their involvement with the different techniques. However, accommodation and demand are likewise critical. Most women lean toward a progesterone definition that is simple, advantageous, and agreeable. Thus, make sure to talk about your choices with your social insurance supplier or your doctor. If you wish to discuss about any specific problem, you can consult a gynaecologist.
The cyclical change in the uterus and ovaries of the female reproductive system is called the menstrual cycle. It includes changes in the physiology of the uterus along with the change in hormones as well. This cyclical change is what allows a woman to get pregnant. This cycle allows the formation of ovocytes and helps to prepare the uterus for implantation.
The commencement of period is called the menarche. It normally starts from the age of twelve to fifteen years. The time between the first day of the period and the first day of the next one is usually twenty one to forty five days in young adults and twenty one to thirty five in older women. The entire cycle is mainly governed by hormones like oestrogen, progesterone, Luteinizing Hormone etc.
Hormonal changes play a big role in the menstrual cycle. It consists of three phases
- Menstrual stage (1-7 days)
- Proliferative stage
- Secretory stage
In the menstrual stage, the thick endometrial lining of the uterus will start to shed and will come out of the vagina in the form of blood and mucous. This may last from four to seven days. The levels of both progesterone and estrogen remain low in this phase.
In the second stage, i.e, the proliferative stage, the amount of oestrogen gradually rises and the menstrual flow reduces and eventually stops. The Follicle stimulating Hormone (FSH) is produced in the brain that stimulates your ovaries to produce mature eggs. The eggs are present in a follicular bag, which allows the secretion of oestrogen. Hence the amount of oestrogen is the least on the first day and increases gradually. At the same time, the uterine lining starts to thicken. This is the phase in which the egg is produced and in the presence of sperm, gets fertilised.
You may notice a thin slippery discharge around these days that makes it easier for the sperm to travel and survive in the uterus. You are most fertile in this stage, around on the 14th day of the cycle when ovulation occurs. The egg survives for around 24 hrs, whereas sperm can survive for about 2-3 days.
In the secretory phase, if the egg is not fertilised, the levels of oestrogen and progesterone fall. The thick lining that has been produced starts to shed and that commences the menstruation. If the egg is fertilised, then it may implant itself to the uterine wall and produce the pregnancy hormone called human Chorionic Gonadotropin (hCG).
Motherhood is a life transforming phase that all women look forward to. With the conception of a baby, a number of physiological and psychological changes take place within the mother’s body. Soon there will be a number of restrictions in the kind of food a mother a can consume, the activities that a mother can perform, the way she sleeps or sits. These restrictions are put so as to allow the baby to grow and develop safely. The restrictions prevent injuries and accidents that can be quite fatal to both mother and child.
Sitting Postures You Must Avoid
Do not sit straight on the edge of the chair. Provide a support to your back.
Do not sit in a way that pressurises only one side of your hips. Evenly distribute your weight when sitting down. Be comfortable.
Do not sit at the same place and in the same position for extended time periods.
Do not twist from your waist when you are sitting on a rotating chair. Instead, slowly move the chair along with your entire body to turn around.
Standing Postures You Must Avoid
Avoid standing with your pelvis tilted forward or backward. You must stand straight with your stomach held in and up as much as possible.
You must not slouch while standing.
Do not stand in the same position for an extended period of time.
Do not put your weight on one foot. Shift weight occasionally if your feet are hurting, but make sure to evenly distribute the weight.
Do not bend too much backwards or forwards.
Do not keep your head tilted down or sideways when you are standing. Look up, look straight.
Sleeping Postures You Must Avoid
Lying on your stomach
Sleeping with pillows under your shoulders. Pillows should only support your head.
Do not sleep all curled up. Relax your feet and hands to allow the blood circulation to continue smoothly.
Do not jerk up from your lying position. Turn to the side, swing your legs down to the side of the bed slowly and sit up using the support of your hands.
Activities You Must Avoid
Hard core gyming
Intense aerobics that include a lot of jumping
Lifting heavy weighted objects
- Travelling by public transport on a jerky road.
If you wish to discuss about any specific problem, you can consult a doctor.
- Travelling by public transport on a jerky road.
Dear doctor, Past many days I am facing erectile dysfunction problems. I will be having strong erection while watching porn movies but I loose erection later immediately. I am not suffering from diabetes. Whether there is permanent solution for erectile dysfunction. Any medicine s are their. What type of medicine s are their. I know about Viagra ,cialis etc. Whether there are any other medicine s which will solve the problem permanently. Kindly guide me as I am going to marry shortly.
I am having pain when I touch my nipple. And even if I press my breast also it pains .i am very much worried about breast cancer .is it a sign.
I am suffering from white discharge for last 1 year. I feels itching irritation and stomach ache .plz suggest me what should I done.
Hi I am a 25 years old guy and my question is - yesterday I masturbate and some semen stick to my hand and then I touch a hand of a female and after 1 hour 15 mins she touch her vagina .Is she now pregnant?
I am young girl. My boyfrd suck my boobs and kissed only face! Then I will pregnant? please give me answer?
During the first 20 weeks of pregnancy, 20 to 30% of women have vaginal bleeding. In about half of these women, the pregnancy ends in a miscarriage. If miscarriage does not occur immediately, problems later in the pregnancy are more likely. For example, the baby's birth weight may be low, or the baby may be born early (preterm birth), be born dead (stillbirth), or die during or shortly after birth. If bleeding is profuse, blood pressure may become dangerously low, resulting in shock.
The amount of bleeding can range from spots of blood to a massive amount. Passing large amounts of blood is always a concern, but spotting or mild bleeding may also indicate a serious disorder.
The most common cause is
A miscarriage: There are different degrees of miscarriage (also called spontaneous abortion). A miscarriage may be possible or certain to occur (inevitable abortion). All of the contents of the uterus may be expelled or not (incomplete abortion). The contents of the uterus may be infected before, during, or after the miscarriage (septic abortion). The fetus may die in the uterus and remain there (missed abortion). Any type of miscarriage can cause vaginal bleeding during early pregnancy.
The most dangerous cause of vaginal bleeding is
Rupture of an abnormally located (ectopic) pregnancy—one that is not in its usual place in the uterus—for example, one that is in a fallopian tube.
Another possibly dangerous but less common cause is rupture of a corpus luteum cyst. After an egg is released, the structure that released it (the corpus luteum) may fill with fluid or blood instead of breaking down and disappearing as it usually does. If an ectopic pregnancy or a corpus luteum cyst ruptures, bleeding may be profuse, leading to shock.
In pregnant women with vaginal bleeding during early pregnancy, the following symptoms are cause for concern:
- Fainting, light-headedness, or a racing heart—symptoms that suggest very low blood pressure
- Loss of large amounts of blood or blood that contains tissue or large clots
- Severe abdominal pain that worsens when the woman moves or changes positions
- Fever, chills, and a vaginal discharge that contains pus mixed with the blood
When to see a doctor:Women with warning signs should see a doctor immediately. Women without warning signs should see a doctor within 48 to 72 hours.
During pregnancy you should consume extra protein and calcium to meet the needs of the growing fetus.
Menorrhagia is a condition that is marked by heavy menstrual bleeding during the monthly menstrual cycles. Most women have a unique bleeding pattern during that time of the month with the flow going up and down over the first few days. Yet, for many women, the bleeding becomes consistently heavy during all the days of the period, during which the period itself may get extended by a few days. If this pattern continues to occurs, one must get it checked out by a doctor at the earliest. Here are a few ways in which this condition may be treated.
Factors considered during treatment: Before the treatment starts, and during the diagnosis stage, the doctor will take a look at a number of factors so that the correct form of treatment may be prescribed to the patient. To begin with, the doctor will take a complete medical history of the patient, including the family history to ascertain whether or not there may be a genetic problem at play. Further, the future childbearing plans of the patient will also be taken into consideration in such cases so that the treatment method does not hinder such plans. Also, the doctor will also try and understand the effect of the symptoms of this condition before prescribing any particular medication and surgery.
- Medication: Iron supplements and non-steroidal anti-inflammatory medicines will be prescribed for the patient to bring down the level of inflammation and restore the production of blood, which will make up for the rapidly flowing blood from the body. This will also prevent the risk of anemia (Learn how anemia affects the human health). Oral contraceptives, tranexamic acid, oral progesterone and hormonal therapy can also help in such cases.
- Dilation and curettage: This procedure is also known as D&C, and it basically helps in dilation or opening up of the cervix so that the doctor may suction the tissue from the uterine lining. This tissue is usually known to bring about excessive bleeding.
- Uterine artery embolisation: This is a procedure which shrinks any existing fibroids that may be the cause behind excessive bleeding. In this procedure, the uterine arteries are blocked and the blood supply to the same is cut off so that the fibroids do not get a chance to grow and cause unnecessary pressure that may lead to excessive bleeding.
- Hysterectomy: This is a surgical procedure that removes the cervix as well as the uterus (You can learn more about infections of the Uterus), and is usually the last resort followed by most doctors. In such cases, the doctor will first ascertain whether or not you plan to have any children in the future. Additionally, the ovaries may also be removed if the condition has spread too much to be contained sufficiently.
Women do not normally visit a gynaecologist, until they are suffering from any problem. Visiting a gynaecologist at regular intervals is important for good health.
Following are the 4 common reasons to visit a gynaecologist:
- Itchy vagina - Vaginal itching is very commonly ignored as most women consider it to be embarrassing, and as something that does not require any attention. However vaginal itching may be an indication of something more serious. Usually vaginal itching is a sign of fungal infection or a symptom of a sexually transmitted disease. In the worst-case scenario, it can even be a sign of vulvar cancer (a cancer of the vulva, which is the external part of your vagina).
- Painful sex - Most women feel that it is normal to feel a little bit of pain in your vagina during sex. However, the truth is that pain during sex is not at all normal. If you feel pain while indulging in sexual activity, there are chances of you suffering from either vaginal dryness or a mild infection, which if left untreated can become worse. Some of these infections can even be STDs such as herpes, gonorrhoea etc.
- Lump in your breast - A lump in the breast, whether or not accompanied by a bloody discharge from your nipples, is most likely a warning sign of cancer. You should also watch out for any type of pain in your breasts or even an abnormal growth as all of these indicate the development of cancerous cells in the breasts.
- Considerable bleeding during periods - If you bleed heavily during your periods, so much so that you have to change your sanitary napkin 2-3 times in just one to two hours, it's a cause of concern. If this heavy menstrual flow is also accompanied with shortness of breath and rapid heart rate, you may be suffering from anaemia. In extreme cases (which is very rare), this can lead to extreme blood loss, which may require a blood transfusion.
Early indications of pregnancy are not generally perceived, but the modest changes in your body capacity might be telling you something. Here are some signs, which mean, perhaps you are pregnant.
- Missed Period or Late Period: The clearest indication of pregnancy is a missed period. However, a missed period doesn't always mean you are pregnant. If your period is late when your menstrual cycle is quite regular, it might be an indication of pregnancy.
- Swollen breasts: Soreness or shivering in your breasts is one of pregnancy's most basic symptoms. Right on time in pregnancy, the breasts will round out and change shape as they get ready to deliver milk.
- Nausea: Nausea is among one of the most well known symptoms of pregnancy. It's brought about by an increase in the hormone levels. Almost 80 percent of women experience "morning sickness" during the initial three months of pregnancy. For some, this sickness is not just confined to the mornings and may take place throughout the entire day.
- Spotting: After 5 to 10 days of conceiving, light spotting might be found when the embryo implants itself in t"he uterus.
- Enhanced Urine Frequency: If you're pregnant, your uterus puts pressure directly on the bladder prompting more urination. The additional weight and intestinal changes may bring about a blockage.
- Fatigue: Women feel exceptionally tired and drained during pregnancy. Fatigue is one of the primary indications of pregnancy.
- Mood Swings: Avid emotional mood swings occur in women during pregnancy. If your temper is always fluctuating or going up and down, it may be an indication that you might be pregnant.
- Enhanced Sensitivity to Smell: Women during pregnancy develop an enhanced smell sensitivity. Any common or normal smell may seem to be intense and long lasting. This is a genuine signal.
- Darkening of the areolas: Areolas are the circles around your nipples. During pregnancy, due to increased hormone secretion, the areolas become dark and wide. This is a common indication.
- Enhanced Craving For Food: Pregnancy increases the drive for food craving in women. Pregnant women find themselves consuming a huge amount of food, which is abnormal.
- Headache: Headaches due to migraine increase during pregnancy. This is more common during early pregnancy.
- Strange Metallic Taste In The Mouth: Some women may feel an odd metallic taste in their mouth, which may signify pregnancy.
- Constipation: Added pressure on the kidneys and bladder may lead to constipation in pregnant women. This is another indication.
These are some common signs, which may imply that you are pregnant, and should take a pregnancy test soon. For more information, visit your doctor.
I had unprotected sex with my girlfriend on last month 27. Till now she did not have her periods (mensuration) came. After sex she took an I pill tab. And mostly on every month her mensuration date on last of every month. Are we in safe zone doctor? Is there any need of pregnancy check up required?
With an upsurge in the number of women suffering from dysfunctional reproductive systems and a myriad of gynecological problems, resulting in irregular periods, infertility and several other complications, it is of paramount importance to keep a record of the dates and duration of your monthly cycles. This is not only useful for future reference when you visit a gynecologist, but it also helps you to understand if there are delays in period or excess of bleeding in any particular month.
Why is tracking your menstrual cycles important?
Keeping a track of the menstrual cycles is a mandatory exercise for women who are thinking about pregnancy or those trying to avoid it. It is advisable to abstain from intercourse for a few days before and after the period, which is the prime time for ovulation. Keeping track of your periods gives you a clear indicator of whether you have become pregnant because delay in the menstrual onset implies pregnancy. The reverse is also true; if you are trying to get pregnant, conception is usually fruitful on these days of maximum ovulation, which you can easily calculate based on your well maintained menstrual record.
How should you go about keeping track of your menstruation?
While it not possible to note down every possible aspect of the menstruation in a notebook, the easiest way of maintaining a planner is to mark the first day of each period on the calendar. The difference between two consecutive periods will give you your cycle lengths.
In addition you can choose to make a note of how heavy the bleeding is, or if there are changes in mood and appetite on those days. You will then be well prepared for your next visit to the gynecologist.