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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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Patient Review Highlights
I feel so great after the completion of irregular periods treatment. Even though it's been more than a year, still if I sometimes feel any problem and call her, Dr Deshpande still takes my call in case of any emergency. Someone from the office, referred me her name. Even after my treatmentwith my old doctor, I never felt so much relief, but she has treated my problem completely. The facilities available in the Health Point Polyclinic are very nice.
I was having very bad thoughts regarding my delay periods. She is not just friendly, but also is very motivating. Over the period of time the delay periods treatment has helped me a lot. The overall atmosphere in the Health Point Polyclinic is very soothing. Neelima Deshpande has so much knowledge that for everything my family takes herreference. Thanks to herthat the delay periods treatment she gave me has given brilliant results.
I feel strange that I am suffering from painful sexual intercourse. She is not just friendly, but also is very motivating. It's been more than a year that I was experiencing this issue. All the staff members were very helpful. Thanks to the expert care and guidance, I feel much better than before. I was quite impressed with Dr Deshpande concept of holistic healing.
During the treatment, Dr Neelima Deshpande supported me a lot. From quite some time i was having no periods, but never gave much importance to it. I was having very bad thoughts regarding my issue. All the staff members were very helpful. Dr Deshpande has expert knowledge in the field. The no periods treatment has helped me greatly and now I am perfectly fine.
A friend of mine referred to Dr Neelima Deshpande as I was suffering from stomach pain. She asked me several questions and prescribed few tests in order to know the main cause of the problem. I am so happy that I chose her for my treatment as now I am perfectly fine.
Rohini - Dr Neelima is really a very good gynecologist, I am very much impressed with her loving attitude & behavior. She gives lots of time to her patients and ask everything very clearly...really I am very happy to have her as my Gynecologist.
Dr Neelima Deshpande is a famous gynaecologist in Pune. I visited her for my fertile period treatment. She is very calm and composed. I am very much benefitted with the traetment she gave.
dr Neelima Deshpande has given me good treatment with lots of patience. I got a motherly feel when I was taking treatment. I am completely satisfied with her treatment. Thank you !
Dr. Neelima Deshpande provides answers that are knowledgeable. 5thanks
Production of estrogen slows down and eventually stops during menopause. Quite a few changes take place when this happens. Often these changes are unwelcome. Irregular menstruation happens and finally stops. Mood swings, hot flashes, increased facial hair and deepening of the voice may happen as well. Another common menopause symptom is vaginal dryness, as it affects one third of all women. Any age group can experience vaginal dryness due to various factors. It may initially appear to be just an irritation, but reduced vaginal moisture may adversely affect sexual performance. Thankfully, multiple treatment options are available for relieving vaginal dryness.
Vaginal dryness caused by reduced estrogen levels can be easily treated by applying topical estrogen. It compensates for the body’s reduced estrogen production Three common vaginal estrogen types used by most women are:
- Estrogen tablet: Disposable applicators can be used for inserting a tablet inside the vagina, once daily during the initial two weeks or so of treatment. The dosage is reduced to twice weekly till it is no longer needed.
- Estrogen Cream: An applicator can be used to apply the cream inside the vagina. Usually the cream is used daily for up to two weeks and then the frequency is reduced to thrice weekly or as recommended by the doctor.
- Estrogen Ring: It can be inserted by your doctor or you in the vagina. It is a flexible and soft ring that steadily releases an estrogen stream directly into the vaginal tissues. The ring has to be discarded and replaced with a new one after three months.
To keep the lubrication in the vagina constant, one can use vaginal moisturizers. These can be bought from a supermarket or at a drugstore, however, bubble baths, douches, lotions and scented soaps should be avoided. Such products may increase vaginal dryness.
However, topical estrogen should be avoided by women:
1. Who have been diagnosed with breast cancer, more so when they are using aromatase inhibitors
2. Who have had/have endometrial cancer
3. Who suffer from vaginal bleeding, the cause of which cannot be identified
4. Who are breastfeeding or are pregnant
In case you have a concern or query you can always consult an expert & get answers to your questions!
Infertility is characterized by the inability to get pregnant even after unprotected intercourse for over a year. Repeated miscarriages along with other factor can often be the reason behind infertility in women.
Probable causes of Infertility in Women:
The most common cause of infertility in women is an abnormal uterus. Congenital flaws, such as septate uterus can lead to repeated miscarriages. The normal pH level of the uterus is approximately in the range of 6.6 to 7.6. So a pH level below or above this range can lead to an abnormal uterus.
Ovulation defects (such as the eggs not properly maturing in the ovaries or the ovaries not releasing mature eggs) are other causes as well.
Another possible cause is Endometriosis, a condition wherein the tissues which line the inner walls of the uterus start to grow on the outsides of the uterus, such as in the pelvis or the abdomen.
Polycystic Ovarian Syndrome (PCOS), a condition wherein the ovaries become enlarged with tiny cysts growing on them, is another important cause for infertility. Hormonal imbalances are at the root of this condition.
A block or damage to the fallopian tubes can prevent the sperm to properly fertilize the egg thus, leading to infertility.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you experiencing high blood pressure or hypertension during pregnancy? Hypertension is a condition in which your blood pressure levels shoot up to a level, which may cause damage to the body. In case of pregnant women, hypertension may inflict damage on both the mother and the growing baby. You require a special care for dealing with hypertension during pregnancy, irrespective of the fact whether it develops before or after conception. Here are some important facts you ought to know about hypertension and pregnancy.
There are different types of high blood pressure issues caused during pregnancy.
- Gestational hypertension: Women with this form of hypertension have high blood pressure, which develops around 20 weeks of pregnancy. There is no sign of organ damage or the presence of protein in urine. Many women with gestational hypertension develop preeclampsia eventually.
- Chronic hypertension: Chronic hypertension is the high blood pressure condition which is present before pregnancy or it may occur before 20 weeks of pregnancy. It is hard to determine high blood pressure as it does not have prominent symptoms.
- Chronic hypertension with superimposed preeclampsia: This condition is likely in women with chronic blood pressure being present from before pregnancy. During pregnancy, women with this condition develop worsened high blood pressure and protein content in the urine. Other health complications are also indicated.
- Preeclampsia: This is a pregnancy complication featured by high blood pressure along with signs of damage to other organs of the body. This happens from chronic high blood pressure and gestational hypertension. It usually sets in within 20 weeks of pregnancy. If untreated, preeclampsia can lead to several serious complications to the mother and the baby.
Risks of high blood pressure during pregnancy
High pressure during pregnancy is associated with several risks. They are as follows:
- Decreased flow of blood to the placenta: When the placenta does not receive sufficient blood, your baby will be deprived of enough oxygen and nutrients. This might cause slow growth, premature birth or low birth weight in your baby. Prematurity also causes breathing trouble in the baby.
- Placental abruption: Preeclampsia increases the risk of placental abruption, where the placenta gets separated from the inner uterine wall before delivery. Severe cases of placental abruption lead to placenta damage and heavy bleeding.
- Premature delivery: In some cases, early delivery of the baby has to be carried out for preventing some life threatening conditions.
For reducing the risk of complications caused by hypertension during pregnancy, it is important for you to visit your doctor regularly throughout pregnancy. You should take blood pressure medicines prescribed by a doctor in the most suitable dosage. You should also stay active, follow a healthy low sodium diet and keep away from smoking, alcohol and substance abuse.
When tissues that usually grow inside the uterus, start growing outside the organ, it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, extreme bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.
Treating endometriosis usually depends on the following factors
- Severity of symptoms
- Severity of the disease
- Future plans for children
Depending on these the doctor might opt for any of the following treatments
- Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs.
- Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include:
- Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity.
- Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug.
- Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation.
- Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
- Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery.
- Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
It's anything, but difficult to make a hasty judgment when you understand your period is late. In case you're attempting to conceive, you may have this feeling of incredulity. In case you're not, you may feel frustrated or disarrayed in the event that you know it is highly unlikely you could be pregnant. The truth of the matter is, however, the vast majority naturally consider pregnancy, at the time of a late period, it may be the case that or one of numerous different conceivable outcomes.
Here's a summary of the common causes behind a missed period:
- Preganancy: Sometimes when you miss your period, the cause maybe exactly what you think you could be pregnant! The initial symptoms of pregnancy such as bloating of the stomach, cramping of stomach, and tenderness in breasts can resemble the feeling that you get before your periods; may create confusion whether you are actually pregnant or if your periods are a little delayed. If your periods are delayed for over 10 days, then it is better to take a home pregnancy test.
- Stress: Stress can have several effects on your body such as headaches, acne, weight gain and other issues. Stress can also make you miss your periods. When you are stressed, your body synthesizes stress hormones such as cortisol and adrenaline. These elevated levels force your brain to differentiate between essential and non-essential functions of the body. The blood supply to the muscles of the body can increase while systems such as the digestive system or the reproductive system can be subdued. This results in delayed period.
- Excessive exercise: Working out and maintaining fitness is a great thing to do; although when you overdo it, it restricts your body from producing enough oestrogen, the hormone that helps in completing your menstrual cycle. Thus professionals such as ballet dancers, athletes and gymnasts face a higher chance of suffering through amenorrhea (missing periods) for 3-4 months. Also if you work out too much without consuming enough calories, it can cause disruptions.
- Illness: When your body is battling a disease such as common cold or even fever, your brain starts concentrating on the functions that are important for the body. This can contribute to missing your period.
- Weight: If you lose excessive amount of weight without maintaining a good diet, you can deprive your body from producing oestrogen that helps build up the uterine lining. The same thing happens with eating disorders such as bulimia or anorexia. On the contrary, if you are obese, it can result in over production of oestrogen that can stop your ovulation in totality. This may lead to heavy, irregular periods. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Sir/Madam, Yesterday I have a sexual relationship with my wife, then I watched blood releasing from vagina (my wife) I think she was virgin .then I checked my condom, But there is no leakage. Sir/mam please reply is there is any chance of pregnancy? Or if a few chance then what I do, please reply as soon as possible. Thank you.
Heavy white discharge after urination 3-4 times in a day. Recently we had sex together it was protected but 1 of the condom was tore out but I know there was no semen present in the condom. But now she's have heavy thick discharge nearly 3-4 times a day. Did this mean she's pregnant?
Low level of testosterone can end up affecting various aspects of a your life. It can affect your libido, your performance in bed along with your motivation and energy. Testosterone replacement therapy can bring the levels back to what they were before and restore his lost confidence, energy and vigour.
Testosterone is a hormone which is mainly produced in the testicles. Testosterone controls bone density, distribution of fat, muscle mass and strength, body and facial hair, red blood cell production, sex drive and production of sperms.
Testosterone levels generally lower with age, especially after 30. Usually, in older men, low levels of testosterone result in androgen deficiency. Androgen deficiency affects the muscle mass, bone density, weight and can drastically change sleep patterns as well. On the other hand, testicle injury, testicular cancer or treatment for it, hormonal disorders, infections, HIV/AIDS, chronic kidney or liver disease, type 2 diabetes and obesity can lead to low testosterone levels as well.
While testosterone replacement therapy (TRT) seems very desirable, there are certain risks and benefits which need to be considered.
Factors to be considered before opting for it
1. Sleep apnea is one of the risk factors of TRT. In this condition, breathing stops and starts repeatedly when you sleep.
2. Acne problems and other skin disorders
3. Swollen breasts. Men with breast cancer should not opt for this treatment.
4. TRT can trigger noncancerous prostate growth.
5. Sperm production is limited or the testicles might shrink
6. Chances of deep vein thrombosis (blood clots in veins) leading to pulmonary embolism (clots burst and lodge into your lungs) are increased.
Benefits of getting a testosterone therapy done
1. Sexual drive, performance and function are improved.
2. Mineral density of the bones gets restored
3. Healthy weight loss, thus improving your body composition
4. Muscle strength and mass improves
5. Mood and energy gets a boost
6. Cognitive functions improve
7. Lessens the risks of type 2 diabetes and cardiovascular diseases
8. Improves metabolism
9. Reduces chances of anaemia or improves the condition if you are already suffering from it If you wish to discuss about any specific problem, you can ask a free question.
Recurrent pregnancy loss refers to the situation when three consecutive pregnancy loss takes place. A pregnancy loss is a clinically defined pregnancy which ends before twenty weeks.
Causes of recurrent pregnancy loss
- Major cases of pregnancy loss occur due to genetic abnormalities and chromosomal abnormalities. The abnormality may occur from the sperm, egg or the early developed embryo.
- Recurrent pregnancy loss may occur in a woman due to ascending maternal age. This happens because of poor quality of the egg, which further leads to chromosomal abnormalities. In some cases, the pregnant mother or the father can have some gene irregularities. In such cases, the would-be-born infant is affected, and this causes pregnancy loss or miscarriage.
- Uterus abnormalities also lead to recurrent pregnancy loss. This may happen because of poor supply of blood to the uterus. Abnormalities in the uterus are in-born in some women and in others these may develop over time.
- Women having a poor immune system are likely to suffer pregnancy loss. Abnormalities in hormone secretion like thyroid or diabetes may also cause pregnancy loss in women.
- If a woman suffers from abnormalities in blood clotting, the chances of miscarriage are enhanced.
Testing for recurrent pregnancy loss
Several tests and examinations should be carried out for detection of pregnancy loss.
- Karyotype analysis of the woman and her male partner has to be conducted. Karyotype refers to the genetic or chromosomal constituents of an individual and this test is carried out to detect abnormalities in genes and chromosomes of the parents, which cause miscarriage when passed on to the developing infant.
- Another test includes the evaluation of the uterus and the uterine cavity. This is done by ultrasound, saline ultrasound, MRI, hysterosalpingogram X –ray or by hysteroscopy. These tests help to get information on the uterus shape, about fibroid presence, detect abnormalities within the uterus and observe the opening and closing of the tubes. Tests to detect the functioning of hormones are also carried out.
The treatment for women with recurrent pregnancy loss depends upon the underlying causes of the pregnancy loss.
- In case of patients with karyotypic abnormalities, genetic counselling is recommended, where a specialist is consulted to know about chromosomal abnormalities.
- Prenatal genetic studies are carried out by some couples to know about the offspring’s genetic make-up. This is done with chorionic villus sampling or with amniocentesis. A process known as in vitro fertilization (IVF) can be carried out.
- In case of uterine abnormalities, a surgery may be performed and medications for reducing blood clot are used if antiphospolipid syndrome is detected.
Recurrent pregnancy loss may happen due to various reasons and proper tests, and treatment procedures should be carried out for curing pregnancy loss. This phenomenon affects a woman and her partner deeply. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Cervical cancer is a form of cancer which occurs in the cervix or the lower part of the uterus in women, which opens up into the vagina. Its different from the other cancers that occur in other parts of the uterus and has a high rate of being cured if detected early.
Causes of Cervical Cancer: Cervical cancer is usually caused when abnormal cells present in the cervix, get out of control. Usually, major cases of cervical cancer are caused by a virus known as the human papillomavirus or HPV. This virus gets transmitted from one person to another by sexual means or sexual contact. Abnormal changes in the cervix cells lead to cervical cancer. Usually, cell changes occur in the transformation zone in the cervix as the cells tend to change constantly, thereby leading to cancer.
- Abnormal vaginal bleeding between menstrual phases, after menopause or after having sex.
- Pain is experienced during sex.
- Abnormal vaginal discharge is produced.
- Abnormal changes in the menstrual cycle.
- Anemia due to abnormal bleeding from the vagina.
- Recurring pain in the pelvis, back or leg.
- Several urinary problems due to the blockage of the uterus.
- Urine or stool leakage into the vagina.
- Loss of weight.
How it can be diagnosed?
A routine screening test should be undertaken to observe any abnormal cell changes in the cervix and also for the screening for cervical cancer. Taking regular Pap smear test is recommended to detect abnormal cell changes so that cervical cancer can be prevented before hand. Other diagnostic tests include, Colposcopy and cervical biopsy to determine the presence of abnormal cells in the cervix, Endocervical biopsy and Cone biopsy.
Treatment options available:
Cervical cancer can be treated when detected at an early stage. The type of treatment depends on the stage and type of cervical cancer. The most common treatment methods are as follows:
- Surgery can be undertaken for removal of the cancer. Several types of surgeries exist and the ideal one depends on the location and severity of the cervical cancer.
- Radiation therapy involves the use of high dosage X-rays and implants within the vaginal cavity. This kills the cancer cells and is used in some specific stages of cervical cancer. This therapy is often used alongside surgery.
- Chemo-radiation is a combination of radiation therapy and chemotherapy. This procedure can be used at various stages of cervical cancer.
- Chemotherapy involves using medicines for killing cancer cells. It is used in advanced stages of cervical cancer.
Pelvic cancer is caused by abnormal cell changes in the pelvis. It is a common kind of cancer and can cause negative effects on the health. Proper diagnosis and treatment are essential for treating pelvic cancer. If you wish to discuss about any specific problem, you can consult a gynaecologist.