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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 taking duphaston 10 mg and folic acid for 10 days as per my doctors opinion. And now its my 8th day. I wish I could be pregnant. I want to know that if we are taking this tablets. Is there only a possibility to get back our periods only after finishing the course. Or can we get periods in between? please reply.
The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.
Read on to know more about endometriosis and how it can cause infertility.
When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.
How does it cause infertility?
Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.
Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.
Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.
Treatment for Mild Endometriosis
Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.
However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).
For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.
Details about IUI success rates with endometriosis
IUI and endometriosis
Success rates with IUI for endometriosis have been variable in studies, showing:
- A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
- A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
- Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis
Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.
Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.
Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My vdrl positive before 1 years tpha value. 160. I take penicillin injection what I do for vdrl negative how much time my vdrl negative.
I am suffering from hyperthyroidism tsh 0.005.And I ve 75 mm fibroid in uterus. Heavy bleeding nd irregular periods. I am 31 years old. And I ve no. Kids yet. Please suggest right treatment for me.
3 Key Things to Know About Female Sexuality
The idea of female sexuality has been oppressed and suppressed since time immemorial but modern times have brought a much-needed change. Exploring women's libido and why it depletes is one of the important aspects of their sex drive. The following are some of the important things to know about female sexuality:
1. Desire to be desirable - In present times, the effect of media and advertising on women's self and sexual esteem often proves to be detrimental. Such portrayals may often make women view their physical and sexual self as less than desirable. This can lead to depression, social anxiety, and stress. Thus, one may be at an increased chance of taking up harmful habits like smoking and drinking.
2. Low desire is normal - Woman's biological makeup results in high degree of variation in woman's sexual desire during various phases of her life such as pregnancy and lactation as well as during her menstrual cycle. This is in stark contrast to a man's drive which has no cyclical variation. Often this is not understood and woman are labelled as having low sexual desire. Added to this is the desire discrepancy within a couple. The one who has higher levels of libido considers the other as having lowered desire. Understanding these facts can help couples to deal with their disappointments in a better way. Apart from the biological makeup, household responsibilities, under-nutrition, social factors and attitude towards sexuality, coupled with a long-term monogamous relationship, lower the interest of sex in women temporarily.
3. Parenthood and sex - Studies indicate that one-third of couples experience a notable amount of sexual loss once they have children. Around a total of ninety studies concluded that couples who have children had lower marital satisfaction than non-parents. A correlation was found between marital dissatisfaction and the number of children. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I am 7 weeks pregnant. I got UTI. Doctor prescribed martifur 100, twice daily for 10 days. Is tat safe to put tablets during pregnancy.
Being a female is an icon of responsibility in many perspectives. The female figure shares a huge responsibility in the family (husband, kids, other members), society, self, workplace etc. Hence it becomes necessary that a woman must understand what all arrangements she needs to make herself comfortable during days when she is going for laparoscopic surgery and after surgery.
Normally admission in the hospital is done one day before the surgery. During the day of surgery, you can be discharged if your clinical condition is fine. Usually it takes, on an average, 2-3 days of hospital stay. U need to make arrangements at home for 2-3 days when you are absenting from your respective responsibilities.
Before you leave for hospital, for the surgery
- Make sure that you have informed your absence at a particular place (e.g. workplace, family etc) for specific time period.
- If you have got an insurance then you need to complete your paperwork for claiming benefits of surgery from the same.
- You should stop taking all medicines / diets which has got tendency to thin the blood e.g. vitamins, natural supplements, any analgesics that may contain aspirin (salicylic acid) or any blood thinner medicines. This might increase chances of blood loss during surgery. Usually your surgeon makes notice of all these issues but, if missed by any chance, then you need to inform your surgeon about these.
- You need to arrange someone who can accompany you on the day of the surgery and can help during your stay at hospital. This person must be someone with whom you are comfortable because he/she may have to help you go to the bathroom, get dressed, etc.
- Arrangements of meals should be made beforehand, at your home. You can buy or prepare several meals ahead of time since after surgery you will feel weak and will not have the energy to cook.
- You should do your house cleaning and laundry beforehand.
- You should select comfortable clothing for your convalescence.
- You should select underclothing made up of cotton or satin as these textures will be less irritating to the wound and will allow you to slip out of bed more easily.
- You should prepare the part of the house where you will recuperate after surgery during the first few days. You can arrange clean sheets, pillows, heating pad, analgesics, reading material, remote control, telephone, etc at your selected place so that you can manage things easily.
- You can buy some good magazines, arrange few movies so that you can keep yourself occupied during your convalescence.
What to pack
Mostly the hospitals provide almost every required consumable. Still you should prepare your hospital bag and should go over its contents with the person who will be accompanying you so that he/she knows what you packed and where you placed the items. Make sure to pack the following:
- Health insurance and hospital cards
- Sanitary napkins
- Mobile charger and earphones
- Reading material
- Lip balm
- Absorbent disposable tissue paper
Pre-operative appointment with Surgeon
- You should ask all your doubts regarding the laparoscopic surgical procedure e.g. what will be done in surgery? what all I shall expect after surgery? what kind of anaesthesia I shall be receiving?
- You should understand the instructions given to you by your surgeon e.g. when to reach hospital? Where to reach in the hospital? When to stop eating? etc.
- You should ask your surgeon whether he /she will be providing video recording / intra-operative pictures of your laparoscopic surgery.
The day before surgery
- You should not wear any makeup, hairspray, body lotion or deodorant.
- You should remove nail polish, jewellery and contact lenses.
- You should wear loose clothing such a dress without any elastic at the waist.
- You should wear an undergarment so that no fabric rubs against your navel after the procedure. Also, make sure your panties are loose /comfortable or a size larger than you usually wear as they will be more comfortable if your abdomen is swollen.
- You should wear shoes that are easy to slip on and off since it is uncomfortable while bending, after the procedure.
- When you arrive at the hospital, try to relax. Listening to soothing music / watching movie will help.
After the surgery
- Once you are getting discharged from the hospital you should arrange a transport vehicle which has minimum tendency to give bumps when on road. In the vehicle, recline the seat and place a pillow against your tummy to absorb the shock of bumps in the road.
- Once at home you should avoid sleeping in day time. You should can keep yourself occupied with reading magazine / watching movies / listening to music etc. It is advisable to have a sound sleep in the night.
- Your abdominal muscles are expected to be discomforting for the first few days. You should take medicines as advised.
- Hold a pillow against your stomach if you sneeze or cough to lessen the pain.
- Your shoulders might hurt the first few days. You should sit in a reclining position and place a heating pad on your shoulders. When you feel better, walk a little around the house.
- To get out of bed, roll onto your side and then gradually sit up using your arms for support. After sitting wait for a while and watch for any giddiness. Giddiness is expected for a short while and should vanish in few minutes. Once you are stable then slip your feet out of bed and then stand up. Again, wait for a while and watch for any giddiness. Once you are perfectly fine then you should start walking.
- Feel nauseous is common due to anesthetic medicines given during surgery or the medicines you might be receiving. To combat nausea, you can try few measures: rub a pad moistened with rubbing alcohol under your nose, lie down, breathe through the mouth, suck on a mint candy, eat dry crackers or drink ginger ale.
- Diet should be gradually upgraded. You should start with liquids, initially, and slowly moving up to solid food. The anaesthesia and analgesics can cause severe constipation after surgery. High fiber foods are recommended to prevent constipation (e.g pears, prunes, asparagus, carrots, whole-wheat bread etc).
- You should drink at least 1.5 to 2 litres of water per day. Water intake helps in preventing constipation and helps in eliminating traces of the anaesthesia.
- After the laparoscopic surgery wearing tampons is avoided. As wearing tampon might obscure the significant bleeding.
- After the laparoscopic surgery intercourse / sexual activity is not prohibited till the surgeon recommends.
- You may shower 24 hours after the surgery. Try to avoid contact of water with the stitches as this might delay healing of stitches.
- After few days of surgery, you can apply vitamin E to the incision if the scar looks normal (and there are no signs of infection). Vitamin E promotes healing.
- During recovery if you develop a fever, have difficulty urinating or experience heavy bleeding, contact your surgeon immediately or go to the hospital.
- When you return to work, wear loose clothing and avoid wearing synthetic undergarments, which will irritate your navel.
- It usually takes about a week to recover from a laparoscopy, a common and minimally invasive procedure. The secret to a speedy recovery is to take the necessary time and means to regain your energy.
Soap vs hand wash- what should you wash your hands with?
You might be using both - soaps and hand washes, without understanding what is better for your hands. But you may still not be sure as to what to use for washing your hands. Here's a lowdown on these two.
1. Moisturising aspect
Bar soaps not only wash away dirt but also reduce the moisture content of your skin. Soaps that act as deodorants strip away important oils, giving rise to instances of skin irritation. Furthermore, most bar soaps tend to have higher ph levels with very few on the lower side. Liquid soaps or hand washes, on the other hand, come with moisturisers that prevent your skin from becoming very oily or dry.
2. Presence of bacteria
Due to its reusable nature, bar soaps may be home to a number of bacteria. But since the organisms get rinsed off with the suds, it is improbable that bacteria will get transferred to your hands. The pump or squeeze mechanisms of hand washes reduce the chances of you coming in contact with bacteria.
3. Exercise of control in its use
With bar soaps, you tend to waste less as you stop applying soap on your body once you see lather forming. This does not happen with hand washes, the latter gets used a lot as you may not know the right amount of use, and end up squeezing out more than the you need.
Whether you prefer to use soaps or hand washes, it's a matter of personal choice. Depending on your needs, you can opt for either of the two.