Doctor in Vinayak Hospital
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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Intrauterine insemination (iui) is a fertility treatment that involves placing sperms inside a woman’s uterus to facilitate fertilization. The goal of iui is to increase the number of sperm that reach the fallopian tubes and subsequently increase the chance of fertilization.
Iui provides the sperm an advantage by giving it a head start, but still requires a sperm to reach and fertilize the egg on its own. It is a less invasive and less expensive option compared to ivf
Iui may be selected as a fertility treatment for any of the following conditions as well:
1) unexplained infertility
2) some ovulatory abnormalities – irregular menstrual cycles, pcos
3) absence of or minimal endometriosis (mild or stage i-ii endometriosis)
4) a hostile cervical condition, including cervical mucus problem
5) ejaculation dysfunction etc
6) complete absence of sperm in the male (azoospermia) requiring donor sperm iui
Artificial insemination/iui is not recommended as an effective treatment for couples with:
1) tubal blockage or severe tubal damage
2) diminished ovarian reserve (high fsh) or ovarian failure (menopause)
3) severe male factor infertility
4) advanced stages of endometriosis
5) advanced female age (>40 years old) – more aggressive treatment with ivf or donor egg ivf is recommended for these patients
Steps in iui
* induction of ovulation using oral medicines or injections when needed
* serial monitoring by follicle scans and blood tests
*trigger for ovulation
* iui procedure- which includes semen processing in lab followed by insertion of the processed semen in the uterus
* luteal phase support when required
Success of iui depends on many factors including couple age, indication of iui, amh and quality of egg, semen parameters, semen wash technique, iui technique, lab conditions etc. Roughly the success rate varies from 15-25 % in a good set up
Polycystic ovary syndrome (PCOS) is a disorder of the endocrine system in women. It has been found that women suffering from PCOS have enlarged ovaries. These bigger ovaries contain fluids called follicles. During an ultrasound examination, these follicles are seen. If you are suffering from irregular or prolonged menstrual periods, acne, obesity and uncontrolled hair growth, you can get yourself tested for PCOS. However, doctors have failed to determine the exact cause of PCOS. This condition can have dangerous consequences and affect the overall health of the patient. If left untreated, it can cause type 2 diabetes or heart diseases.
What happens in PCOS?
Women suffering from this disorder experience a hormonal imbalance in their body. The hormone changes triggers multiple issues in the body. Sometimes, the body produces an excess of sex hormone. Women may develop masculine features due to overproduction of male hormones or androgens. There might be an imbalance in insulin levels, increasing the risk of developing diabetes.
What causes PCOS?
Surprisingly, the exact cause of PCOS is not known. Researchers have not been able to pinpoint the exact cause for developing PCOS. However, some believe that the cause has hereditary links. People with a family history of diabetes are more prone to have PCOD.
Symptoms of PCOS
The symptoms of PCOS are usually mild in nature during the initial stage. In the beginning, only a few symptoms are detectable. These include acne, obesity and extra hair growth on the face, thinning of hair on the scalp and irregular periods. The symptoms often get unnoticed by the patient first.
Here is a list of things about sex that may have not been taught in your intimacy educational classes:
- Losing your virginity is not only restricted to penetration of the vagina with a penis: It can be anal sex, oral sex or sex with sex toys. And they will all count as sex.
- Not everyone bleeds the first time: The bleeding is because of the tearing of a tissue present in the vagina called the hymen. The amount one bleeds depends on the presence of that tissue. While some may bleed a lot, others may not bleed at all. In rare cases, a woman can be born without a hymen.
- Hymen check is not definitive of virginity: Hymen is a delicate tissue which can break while doing activities such as ballet dancing, horse riding or cycling. Even a sudden fall can tear the hymen. Some women may not be born with a hymen. So this does not prove virginity.
- It does not hurt always: Contrary to popular belief, sex does not have to hurt. You may experience a little bit of pain or pressure associated with a burning sensation. If it hurts too much, you must stop and emphasise more on foreplay in order to get lubricated.
- Foreplay is a must: Imagine going down a waterslide without water. That is how sex feels without foreplay. Foreplay can really warm things up for you and your partner. It increases arousal and makes it easier for both of you to climax.
- Sex is not about orgasms: It is true that most women do not orgasm the very first time they have sex. So your focus should be more on the process than the end result. Concentrate on finding out what you enjoy the most in bed or what gives pleasure to your partner.
- Erectile dysfunctions are not only for the older people: They can happen to anyone. Erections can be difficult to cope with; they come with their own moods and ideas. So there is nothing to worry about if you are not able to get it around the first time.
A small pimple is growing on my breast area. At the tip of my nipples. Its getting swelling and paining too. I don't feel comfortable to share ot with my family. please Help me with it.
Hi am 25 years old. 1 and half years completed. But no child. Our all test also normal. Seamen analysis also normal. hormone test normal. And I done my follicular study. *endometrial thickness 12 mm *right overy multiple and 22 mm, left overly 15 mm *margins regular But not releasing egg from the overy Is all normal? Pls confirm. What can I do. To release egg. I want kid pls advice me. I take hcg 5000I'v injection but not ovulation.
Me roj mastrubation karti hu Mera belly bohot nikal raha hai to kya mera belly mastrubation ke karan nikal raha hai or me periods me painkiller bhi leti hu usse bhi kya mera belly fat badh raha or agar in dono kaaran se mera pet nikal raha hai to main ise control kaise karu?
The condition of persistent pain in the body, where an outbreak of the Varicella Zoster virus has caused Shingles, is termed as post-herpetic neuralgia. It is a debilitating complication of the herpes zoster virus. The blisters that occur in shingles develop a crust formation and neuralgia begins after these crusts are formed. It may also occur in people who do not produce the crustaceous lesions. A burning pain that is long-lasting, even after the rash and the blisters disappear, is observed. There is a criteria of the pain to be persistent for around three months for the confirmation of post herpetic neuralgia.
The cause of this condition is damage of the sensory nerves that can occur due to the movement of the reactivated Herpes Zoster virus from the nerves to the skin. In an individual affected with chickenpox, the infection can involve dorsal root ganglia, where the virus lies dormant. Under conditions like stress due to infection or in an immuno-compromised individual, after a period of time, reactivation of the virus takes place. This reactivation causes production of Shingles on the body. The dormant virus reaches the skin and reactivates to produce lesions.
With an increase in age, the chances of developing post-herpetic neuralgia also increase. It primarily affects older individuals in the age group of 60 to 70 years. Treatment is aimed at pain management and providing symptomatic relief, with improvement of the neuralgia over a period of time. Symptoms of this condition are limited to the area of shingles’ outbreak. Trunk is commonly affected on a unilateral site. It can also occur on face. Common symptoms include pain lasting 3 months or longer after healing of the shingles rash, allodynia, numbness over the affected area and itching. Even a slight touch of cloth over the affected area can cause alleviated pain to the individual. Disturbed sleep and development of clinical depression is usually associated with post herpetic neuralgia. The medications given for post herpetic neuralgia are aimed at pain relief and resolving of symptoms. Management of chronic pain can be brought about by the use of a combination of pain relieving drug classes.
- Topical Agents: Numerous topical agents have been effectively used in the treatment of post-herpetic neuralgia. In patients with allodynia or an alleviated pain sensation, topical lidocaine patches are very effective. The nociceptive activity of small nerve fibers is decreased by use of Lidocaine. Also, the brush of clothing is avoided by the patch serving as a protective barrier itself. Another topical agent that has proved effective in pain relief is Capsaicin. Its clinical use is limited due to the burning sensation caused by its application. With regular use, however, the burning sensation gradually reduces. Capsaicin should be used for a minimum period of a month to aid pain relief. Low systemic absorption of the topical agents ensure few side effects caused by them.
- Antidepressants: The standard drug therapy for treatment of post-herpetic neuralgia include the use of antidepressant drugs. Drugs like Nortriptyline, Amitriptyline are the most commonly used drugs amongst the tricyclic antidepressants for pain relief in post-herpetic neuralgia. These drugs are however associated with various adverse effects like sedation and cardiac dysrhythmias. Other drug classes like Serotonin reuptake inhibitors are used in individuals with low tolerance to the tricyclic antidepressants. Depression symptoms are relieved by the use of this drug class. Specific relief of the chronic pain of post-herpetic neuralgia is not achieved much efficiently though.
- Anticonvulsants: Neuropathic pain can be relieved by many anticonvulsant drugs. Drugs like Pregabalin have lesser side effects and also require a lesser monitoring than previously used anticonvulsant drugs like Carbamazepine.
- Opioids: Long term use of opioids shows significant risks like sedation and mental clouding. These drugs are considered safe for use without causing cardiac or hepatic adverse effects. When opioids are prescribed, stool softeners and laxatives should also be given to avoid constipation. Other pain management protocol includes cryotherapy, ablation of the affected roots of nerve, anterolateral cordotomy and even the use of electrical nerve stimulation. The physician should evaluate the best suitable pain management option and provide treatment accordingly.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Vaginal itching is a condition which occurs when the vagina comes in contact with irritants or because of a vaginal infection. Menopause may also lead to conditions that trigger itching in the vagina. In some cases, sexually transmitted diseases and skin allergies also lead to vaginal itching. The conditions in itself is not a major cause of concern, however, one should consult a doctor to treat the underlying condition, if any.
The main component of vaginal itching is the trigger, as there can be many of them. The various causes of vaginal itching are-
Irritants: Vaginal contact with certain irritants can be the cause behind vaginal itching. Some common substances that irritate the vagina are:
Infections in the Vagina: Infections in the vagina such as bacterial vaginosis and yeast infection can lead to vaginal itching. In addition to the vaginal itching, they can also lead to a foul-smelling discharge from the vagina.
Menopause: During menopause, the estrogen levels in the body dip, thus resulting in a dry vagina. A dry vagina can sometimes lead to vaginal itching.
Skin Problems: Certain skin problems such as eczema and psoriasis can result in itching and redness in the genitals. Eczema is a condition which is akin to allergies. Psoriasis is a condition which is characterized by itchy, scaly and red patches on the skin. These symptoms may slowly start spreading to the vagina.
The treatment for vaginal itching begins with a diagnosis of the underlying condition that might be causing it in the first place. The treatment for this disorder is cause specific; hence the underlying condition needs to be identified. Antibiotics and antifungal medications may be administered to treat vaginal itching. For menopause related causes, estrogen creams or tablets are required.
You can also take preventive measures such as:
Avoid using scented soaps.
Use protection during sex.
Wear cotton based underwear.
Maintain personal hygiene.
Stop vaginal douching, or any other over-the-counter vaginal hygiene products.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Music has been used therapeutically throughout the history of time, but now, it has been systematized as a scientifically validated treatment procedure! In ‘sound therapy’, music is played to you, and you can sing along with it, performing within the background, or quietly listen to it. Employing sound therapy helps you improve your psychological health, and also your physiological one in some cases like where it helps your body’s motor coordination and muscle movement.
What’s the science behind it?
When you listen to music, it triggers chemical changes in the brain. Dopamine (the ‘happiness chemical’) and oxytocin (the pain-reliever, also the hormone that helps you bond with people) is released. These new entrants in your body fill you with positive energy and invoke a sense of wellbeing and optimism. For instance, if you are feeling sluggish and fatigued, a dose of dopamine can instantly inject energy into the body.
The many benefits of sound therapy:
- Healing psychological problems: Sound healing is used to treat psychological disorders like PTSD, anxiety disorder, depression, suicidal tendencies and sudden emotional trauma. These are troubles which, if plaguing you, can strip you of the will to live. Curing them is of paramount importance.
- No side effects: Sound therapy is used in the treatment of psychological and musculoskeletal disorders. Other modes of treatment of these diseases include potent drug doses or complex surgery – both of which can turn toxic and invasive in the wrong circumstances.
- A permanent solution: sound therapy permanently increases our IQs, and makes us more sensitive to music. This has several stage benefits. An increased openness to music grants the ability of increased analytical reasoning, less clumsy and more symmetrical muscular movements, and an increased ability to cope better with stress. These are benefits that stay with you for a lifetime, long after your sound therapy session is over.
- Secondary benefits of treatment: instead of producing complications and/or negative side effects, sound therapy gives long-lasting positive side effects like a healthier sleep cycle, increased creative drive and an immune system better equipped to deal with attacking diseases.
Sound therapy helps cure diseases of the nerves, both inside the mind and in body movement. The treatment process consists of patients performing, singing along, or just reflecting on the music. This leaves them with a clearer mind and decreased stress levels, along with healing their condition. As it doesn’t produce any negative side effects, it has been proven to be a better alternative to conventional treatment methods. In case you have a concern or query you can always consult an expert & get answers to your questions!
Pain during or after sexual intercourse is known as dyspareunia. Although this problem can affect men, it is more common in women. Women with dyspareunia may have pain in the vagina, clitoris or labia. There are numerous causes of dyspareunia, many of which are treatable.
Common causes include the following:
- Vaginal dryness
- Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women
- Side effects of drugs such as antihistamines and tamoxifen (Nolvadex and other brands)
- An allergic reaction to clothing, spermicides or douches
- Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis
- Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis
- Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area
- Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases
- Psychological trauma, often stemming from a past history of sexual abuse or trauma.
Symptoms of Dyspareunia:
Women with dyspareunia may feel superficial pain at the entrance of the vagina or deeper pain during penetration or thrusting of the penis. Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus.
Your health practitioner will check for the following things
- If there was ever a time you had painless intercourse or if you have always had dyspareunia
- If you have enough natural lubrication and if your symptoms improve when you use commercially available lubricants
- About your sexual history (to help assess your risk for sexually transmitted infections)
- If you have ever been sexually abused or had a traumatic injury involving your genitals.
- Lubrication with an over-the-counter lubricant such as K-Y jelly.
- Antifungal medication(if you have any kind of fungal infection)
- Sitz baths for removing the inflammation
- For skin diseases affecting the vaginal area, lichen sclerosus and lichen planus often improve with steroid creams.
- Therapies include topical estrogen cream, low-dose pain medications, and physical therapy with biofeedback to lower the muscle tension in the pelvic floor
- Surgeries can also be prescribed for abnormal growths
For dyspareunia that has no apparent physical cause or has lasted for months or years, you may need psychological counseling to address stress or anxiety regarding sexual intercourse. In case you have a concern or query you can always consult an expert & get answers to your questions!