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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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I am two months pregnant and suffering from hypothyroidism till 7 months. And today I got a white transparent substance out with toilet. What is it. please help or should I consult with my gyno.
I am 23 year old female. I am pregnant. My last date come 8th January. Tell me how calculate of my which is months running. Or very pain in my breast and belly. Can this time we make relation?
I hav 1st baby in 2012. Then I got pregnant again in 2015. January.but I aborted the child in 2 months. As we were not prepare. But we r planning for the 2nd one now. Is it possible. As my age is 34. My last period was 6 th July 2017.
Being childless can be a cause of depression for many families, especially women. Infertility in women has a large number of causes. One of the main causes is endometriosis and while a woman may not be aware of it, the pain of having it and its implications does make it worthwhile to know what it is all about! To understand fully what endometriosis is, it is essential to know about the fallopian tubes. These tubes are on either side of the uterus and their purpose is transfer a mature egg from the ovaries to the uterus.
How do Fallopian Tubes Get Blocked?
The uterus has a layer or tissue which lines it called the endometrium. If a woman does not become pregnant, each month, the tissue is shed through the process of menstruation. A condition called endometriosis is caused by the growth of a tissue which is more or less like the endometrium. The issue is that this layer does not grow on the inner walls of the uterus; instead, it grows in regions where it really is not supposed to be present, such as the cervix, the bladder and the vagina.
This can cause a lot of irritation, inflammation and in some cases, can also lead to the formation of scar tissue. However, endometriosis is not nearly the only issue that can occur when it comes to problems a woman can face with fallopian tubes. Another issue is something called hydrosalpinx. This happens when the fallopian tube widens because it is blocked. The prefix ‘hydro’ is because the tube then fills up with a fluid. This fluid prevents pregnancy as it prevents the egg from meeting with the sperm and being fertilised.
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When it comes to the diagnosis of the condition of fallopian tubes which are blocked, a doctor will usually examine a special type of X-ray which is known as an HSG. However, the reliability of this test is far from sure as there is about a 15 per cent chance that a false positive may be generated.
There are some solutions, for problems regarding fallopian tubes. When a single tube is blocked and the other is functioning perfectly, there is still a reasonable chance of getting pregnant and a doctor can prescribe drugs to improve the chances of pregnancy using the tube which is functional.
Laparoscopic surgery also has quite a lot of appeal for women having blocked fallopian tubes. It is used to open blocked tubes as well as to clean out scar tissue. Depending on how severe the block is, a 20-40% pregnancy rate can be achieved post-surgery. IVF treatment is also a viable option. Fallopian tube trouble can generally be overcome. But the first step is awareness! If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Me and my spouse both are working and reach home very tired. However we are planning to conceive but .Because of time lines and tired ness we are not able to meet frequently .Or some times we just have to do it for the sake of pregnancy. Is there some way .By which we can have a relax and peace at mind and a right environment before meeting.
Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.
Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.
Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.
Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.
The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.
IgG & IgM dengue
In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.
Immature Platelet fraction (IPF)
A very useful test in Dengue for patients with thrombocytopenia.
If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.
If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.
If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.
Better to do an IPF even with borderline low platelet count.
A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.
The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .
According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.
At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.
“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”
Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.