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Management of Abortion
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
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With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.
Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.
Types of contraceptives:
* percentages mentioned within brackets are failure rates
It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.
Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts
Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.
It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Increased blood loss and duration of menses, increased dysmenorrhea
Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.
Indicated for: multiparous women greater than 35 years who smoke.
Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.
It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.
Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.
This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.
Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.
Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).
A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.
I Have (3.2 x 2.9) cm cyst in my right ovary and the endometrium is minimally thickened. But the doctor is saying surgery is not required and I have irregular period. What is the issue in this.
Indian Summer Vegetable - Ash Gourd
Ash gourd also known as white gourd, white pumpkin, wax gourd or petha. It keeps your body cool and healthy. Contains almost 96% water it protects you from heat stroke.
Ash-gourd is loaded with nutrients. It's an excellent source of vitamin b1 (thiamine), a good source of vitamin b3 (niacin). Its high potassium content makes this a good vegetable for maintaining a healthy blood pressure.
Ash-gourd is also useful in treating respiratory disorders like asthma, blood-related diseases, and urinary diseases like kidney stones.
Watch out next in the series is bitter gourd (karela)
Indian Tinospora, Heart-leaved moonseed, #giloy , #guduchi #amrita
Its a wonderful medicinal herb blessed by Nature. GUDUCHI is highly rich in anti oxidants. It has wound healing property, antipyretic (fever- reducing) and anti-viral properties.
Use in Diabetes:
It is a very good herb for diabetes. But if you are taking other medicines, it may further lower the blood glucose levels. Hence people with diabetes should take this herb only under medical supervision.
Interesting fact: The areal roots of Guduchi are so thin yet so strong that, Sushruta used to use this for suturing surgical wounds. This had duel benefits. One was – the thread were very strong so, there was no chance of wound rupture. Second is, Guduchi has potent wound healing property. Hence wound healing used to happen very quickly.
Nutritional composition of Giloy:
Calcium, Phosphorus, Iron, Copper, Zinc, Manganese
To protect pregnancy what is the right time of having sex without any protection? Is having sex on 9 th day from the menstrual cycle may lead to pregnancy?
Safs sex time . . Including periods or excluding periods ? How to increase intercourse time ? How xan increase long lasting erection ?
I have missed my periods for this month. My age is 16. I'm having pain in my stomach and headache as well. Though i'm virgin, I never had sex. So, please suggest what would might have the reason behind this and help me out. -Thankyou.
Schizophrenia is a mental illness characterized by disordered thinking, delusions (fixed beliefs that are odd or highly unusual), and hallucinations (hearing sounds and seeing things that don’t exist for others). One of western medical opinion has found that there is chemical balance in the brains of schizophrenics is different from that of people without schizophrenia (CHEMICAL IMBALANCE). Cupping therapy on the back is mainly directed to the central line (spinal nerves and parasympathetic nerves) and the sympathetic nerves beside it and cupping centre on head may be have results in chemical balance.
General and localized effects of this therapy strengthen the healing power against disease and, together with a healthy diet and psychotherapy, cure or prevent disease completely.
Here i am not saying to give any promise, its just my observation on some suffering patients and results. As schizophrenia may have multiple causes behind the sufferer so can be treated according to cause and with others medication too. But my view in such cases is that symptoms treatment should be given preference compare to cause.
Hello sir, I had sex after my periods last month with safety, and again last 2 week ago, and my period date is 27 fixed, but in this month, period nhi huye, I am very worried about this, am I pregnant, what should I do? Today is 1st January, 6 days late ho gye hai sir, mujhe kya karna chahiye, please suggest me.
My periods ended on may 7th and I had unprotected sex with my boyfriend on may 9th. Are there chances of me getting pregnant? I had taken a contraceptive tablet in the next 7 hours and that im feeling cramps now. Is it the effect of the tablet or related to my ovulation.
I do sex with my girl in periods time. It is good or bad to her health? She get any problem? Due to sex in her periods time any changes of pregnancy??
I am 25 years I got period last month may now this month not came. I was taking pills upto march novelon I stopped in march and from last fifteen days back pain is also very much what is the reason? Please help me.
I had unprotected sex while periods and then within 24 hrs I had spill also. My periods completed but after 3 to 4 days again there are symptoms of bleeding and ache lower stomach part. But I did pregnancy check also with preganews and results were negative so please let me know why bleeding again or if there's any risk of getting pregnancy.
When it comes to the health of women, there is never too much one can do. The condition of amenorrhea, for instance, refers to the situation in which menstruation does not take place.
There are two kinds of amenorrhea, which are the primary form and the secondary. The primary refers to when menstruation has not begun in a girl who has reached 16 years of age. On the other hand, when a woman has secondary amenorrhea, what this means is that for over six months, menstruation has not occurred.
The reasons why primary amenorrhea may take place are quite varied. Tumours which affect the pituitary gland can cause it, as can an abnormality in the vagina or the uterus of a woman. Diseases such as polycystic ovary also have the potential to lead to amenorrhea. For secondary amenorrhea, a bad diet, stress and pregnancy can lead to it. But what can be done about it?
Treating Amenorrhea with Homeopathy
Homeopathy is a truly amazing field of medicine and it is so great that it can treat amenorrhea, as well. One of the many good things about making the right choice of a homeopathic treatment plan is that it is highly customizable, according to the case at hand.
There is no one medicine which is prescribed by homeopathy for amenorrhea, which correspond to the various causes of the condition. So, it can be understood why homeopathic medicine is customizable as it proves to be in the case of treating amenorrhea, as well.
There are a variety of homeopathic medicines which can be taken for amenorrhea. That being said, it is important to keep in mind the fact that these medicines should only be made use of after a qualified homeopathic doctor has checked the patient and approved of the medicine. For mothers who have not experienced menses after they started breastfeeding their babies, Sepia is the medicine which is usually recommended. In a similar way, Pinus lamb is recommended for women whose menses are delayed. While these happen to be a couple of very specific or niche medicines, a general medicine for amenorrhea is Pulsatilla. In fact, it is widely considered by doctors to be very effective.
When amenorrhea is caused on account of the suppression of menses due to a tumour which is present in the ovaries, most allopathic doctors would be very worried. However, homeopathic doctors would know that there is a solution designed for this very situation, which is known as Apis Mel.
Now that it is known that amenorrhea has not only a cure, but rather, multiple cures; the cause for worry is not really warranted! If you wish to discuss about any specific problem, you can consult a Homeopath.