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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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What are the ways to reduce white discharge? I am planning for a child, please do d needful. Suggest me some ways to get pregnant soon.
Hi sir My wife is 28 yrs. She is having pus in urine with rythmic fever and vomiting She is also taking medicines for conceiving please Suggest how can this problem overcome of pus.
My wife is 52 yrs old and suffering from stomach ache for the last six days. She is currently on antibiotics. I wish to have sex with her tonight including oral sex. Is there any risk in licking her vagina because she may have some infection as she has stomachache.
Male 25 I want to know about this report bcz I want pregnant my wife Grade 4 34% Grade 3 15% Grade 2 08% Grade 1 05% Non motile 38% Pus cells 10-15/ hpf Rbc 8-10/hpf.
I am not able to eat well like it's only two chapatis per day in the sense that I do not get hungry and thirsty what would be my problem?
My mother had breast fed my sister with the cream for nipple crack once. My sister vomited after that. This incident took place 21 years ago. Can it have any effect on my sister in the present?
Meri gf ko 5sep ko mc hui jo 8 ko band ho gai. Fir humne 16 sep ko sex kiya aur 17 sep ko mene use ipill khila di. 19 sep ko fir use date hui jo 28 sep ko rukee. Mene 11 oct ko uska pregnancy test kiya jo negative tha. Per 15 oct ko use fir thodi si bleeding hui. Muje dar lag ra h kai vo pregnant tho nai h. please meri help kigiye. Use date kyu ni ho ri h plz
In pregnancy time can I drink green tea because if I drink green tea a coming to wait loss know agar baby ku effect huva to green tea se. Kabhi kabhi pain se koi problem to nahi hogi kya doctor.
Abnormal uterine bleeding, formerly known as dysfunctional uterine bleeding, is vaginal bleeding that cannot be related to pelvic injuries, miscarriage, pregnancy or menstrual cycle.
The cycle changes and the bleeding become heavier.
Bleeding lasts for 7 days or more.
A tender or dry vagina.
Abnormal mood swings.
Excessive body hair, especially on the back, chest and face.
The ovaries do not release an egg.
Changes in the hormone level.
Lower levels of oestrogen or progesterone.
Thickening of the uterine wall in women above 40 years of age.
Certain birth control pills can also cause abnormal bleeding.
Some women also complain of abnormal bleeding in their first few weeks of pregnancy.
The physician first checks the haemoglobin levels of the woman.
An ultrasound of the pelvic region is done to check for physical injuries.
Sometimes, an endometrial biopsy (the doctor checks a sample of the endometrium, which is the lining of the uterus) is also used to test the condition of the uterine lining.
Hysteroscopy, using a hysteroscope, is used to test the insides of the uterus. A hysteroscope is a thin tube that is inserted into the vagina for the examination of cervix as well as the insides of the uterus.
Younger women in the range of 18-23 years of age are usually treated using low doses of birth control pills.
Oestrogen therapy is used.
Painkillers such as ibuprofen are also prescribed before the beginning of the menstrual periods.
The increase of ‘progesterone’ through IUD. An IUD (intrauterine device) is a contraceptive device that is inserted into the uterus.
Cyclic hormone therapy is given to women above 40 years of age (Progesterone is administered in a periodic interval, usually about 4 weeks).
Women considering pregnancy are recommended hormone therapy to increase ovulation.
- Anaemic women are given iron supplements.
My period started on 11Sep & ended on 14Sep. Had unprotected intercourse on 15Sep. Ipill taken on the same day. 26th Sep blood clot in black color coming with lot of pain. Is there any chance of pregnancy?& why so early this period coming. Is it period or anything else? Kindly suggest in detail what to do. Regards.
Main ne apni girl friend se sex Kia hai. Aur condom phat gia aur ab uski period ki date pe period nai aa rahy. Is bt ko 10 din huye hain. please mujhy pregnancy khatam karny ki medicine bta dain. Plz.
I am right now in sixth months pregnancy. I Often have severe back pain at night. In which posture should I sleep?
My wife's period circle is 29 days. Today 33 days. Period not comes. She is pregnant or not. How we know? What is the symptoms of pregnancy in 34 days.
How Gender Identity Disorder can be treated?
Hello friends, I am Dr. Anubhav Gupta. I am a consultant plastic surgeon working at Sir Ganga Ram Hospital, New Delhi. Today, I am going to talk about a condition which has increasingly become more frequent in our practice and that is Gender Identity Disorder.
Gender Identity Disorder is a condition where in a person has incongruency between his sex and gender. Let me explain it to you, a person whose phenotypic and genotypic condition is male, his sex is also male. For example, a person who is having external genitalia, penis, beard, etc that is his phenotype, that is his sex and that is also a genotypic test as gene XY, so that will be his sex. But, gender is what a person feels about himself. For example, a male who is having phenotype and genotype sex as male but he feels he is a female then that is the gender of that person. What a person feels about himself is called his gender. So, when there is an imbalance between the sex and the gender of a person, it is called Gender Identity Disorder.
Basically, it is not what is wrong about them, it is why they feel about this. There is something which is hardwired into their brain, that they don’t have a feeling of equilibrium with their sex. It is not a disease; it is the way they think. There are certain neurohormonal factors which at the time of development have been said to cause this condition but there are no researchers that conclude the cause of this condition.
Yes, the government of India has now recognized the third gender that is transgendered. People who are not in congruence with their sex have been recognized as legal by the government of India.
See, when these patients come us, basically there are now well-described guidelines. When the patient first, comes to me, I first tell them what the exact condition that they have is and I send the person to a psychiatrist for evaluation. We have to be sure whether they have Gender Identity Disorder before we go for the surgery. So, the psychiatrist starts his treatment, basically takes counseling sessions and he tries to ascertain whether this person is actually having gender identity disorder.
Now, the recommendations are that permanent gender surgery, that is the change of gender surgeries like penectomy and vagina creation and penile creation, these are gender surgeries and are permanent in nature, should not be done before 1-year certification by the psychiatrist has been given. But, other surgeries like face surgery, and breast surgery, can be done after 3 months of psychiatric evaluation. So, this is what we follow. Once a psychiatrist has seen and he certifies that this person has gender identity disorder, we start doing the facial surgeries, and once a period of 1 year has passed, in the meantime we also send him to an endocrinologist who counsels them about hormonal therapy and we further encourage them to cross dress and live in the society as the gender of which they feel they want to stay.
So, once these things fall into place then we move into surgery. And, before surgery, we also need a certification from another psychiatrist just to counter and confirm what the first psychiatrist has felt. So we have certification from two psychiatrists and after a period of one year, we can proceed to Permanent Gender Surgery. Before we do that gender surgery we also need to take an affidavit in the court of law in which the person who is undergoing the surgery and the surgeon, they understand the fact that it is a permanent surgery and the person who is undergoing surgery will not be able to procreate or reproduce in the future, and the patients, when they understand these factors are then counseled and then the surgery is done.
In male to female patients, the initial surgeries, we start with the face surgery, such as Genioplasty and Rhinoplasty. Then, these patients, if they require breasts, we go for a breast augmentation by implants. There are two types of implants; if the chest is having enough space, we can go for a silicone implant and sometimes the chest of males are very tight, then we have to use an expander implant. So these are the common surgeries. Then there is the genital surgery which is a permanent surgery where we do a penile disassembly surgery and we use the penile skin to create a new vagina and we do an orchiectomy at the same time and so we do a gender surgery.
In the female to male also, we start with the face, rhinoplasty, brow lift, genioplasty, McSteamy is done, and these are the initial surgeries. Mastectomy is done where the male chest is created. And, finally after one year of treatment, we go for a creation of a new phallus, we create a penis by the process of radial artery forearm flap, wherein we take the skin from the hand and we create a penis. After that, we can do testicular implants in the labia majora to create testicles. And later on, this surgery is successful of the penile reconstruction by radial artery forearm flap and the patient is having sensation till the tip of the penis. Then we do a final erectile implant which can even cause the erection.
If you have any further queries regarding this topic, you can contact me on Lybrate.
Penile implants are devices placed inside the penis to help men with erectile dysfunction get an erection. The two main types of penile implants are semi-rigid and inflatable.
They have their own ways of working and own pros and cons.
1. Semi-rigid implants: These devices are always firm, resulting in the penis being bent away from the body for sexual activity and towards the body for concealment. The pros of 'semi-rigid implants' are:
- Is easy to surgically implant
- Has a low chance of malfunctioning
2. Inflatable implants: These are the most common types of implants used, which can be inflated for erection, and deflated at other times. Inflatable implants are usually of two types- 'three-piece inflatable implants' and 'two-piece inflatable implants'.
The pros of 'three-piece inflatable implants' are:
- Gives the most natural, firm erections
- Provides flaccidity when deflated
The pros of 'two-piece inflatable implants' are:
- Provides flaccidity when deflated
- Requires less complicated surgery than the 'three-piece'.
What are the risks involved?
- Implant problems: In rare cases, implants may not work properly. In some semi-rigid devices, the internal parts might break over time; in inflatable devices, the pump might fail and fluid might leak.
- Internal erosion: In a few cases, the implant might stick to the skin of your penis, or can wear away the skin from inside the penis.
- Infection: You might be at the risks of severe infection if you have spinal cord injury or diabetes. Men who need revision surgery of their implants are at a higher risk than their first surgery. If you wish to discuss about any specific problem, you can consult a Sexologist.