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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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No problem in my wife and me. But last months we are trying to take pregnancy but we are not successful. I want to know what is the reason?
Hello sir. In the month of jun 16 my wife suffered by premature delivery of 23 weeks due to some cardiac problem of fetal. After few months her menstrual cycle started but its not stable. Every months it comes 4-5 days early for 4-5 days. Plzzz suggest Is it any symptoms of any problem.
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.
My periods is not normal it will late for 10 days every month and the bleeding is also very less compared to before. Is their any problem.
I had sex with my boyfriend on 21st Nov and got my periods on 23rd Nov it was watery n light colour it was like my regular 5 days period duration we had protected sex and used condom, is there any possibility to get pregnant should I go with any blood test or any other test if yes then please suggest and help me please.
1. Most of you have not realized the importance physical activities.
2. Most of you have gave up physical exercise just for 15 more mins sleep in the morning.
3. Most of you have no time to do some physical activities due to daily routine.
80% of your body degeneration can be reduced by doing some physical activities in a day.
Do the at least 15mins of physical exercise, let the calories burn and new cells in a body build up.
Don't pamper your body, if you pamper it, more chances to welcome diseases. More you hard your body by doing surya namaskara, yoga, gym, walking, playing games (out door games obviously), dance, aerobics, swiming, meditation what not, keep your body healthy.
Just take 1 hour of time from a day for physical exercise and enjoy rest of the 23 hours. Else, it will be different.
Benefits of physical exercise:
1. Your body is fit.
2. Body and muscles are hungry and when you eat a best nutritional food, it will observe completely.
3. Reduces the degeneration of body and keep away the diseases.
4. Improves your confidence.
5. When you fall under sick, you have better chances to get well soon.
6. Give you the good mind set to think in a right way.
7. Build up a high immunity power to control any environment condition.
8. You can give a better life to your family. Pls don't sad yourself in icu and sad your loved ones outside icu.
9. You can perform 100% at your profession.
10. Body will be active for entire day.
Just keep doing exercise. Because health is wealth.
I wish you a happy healthy family and society.
Hi I have five kids I have 2 twin girls and 2 twin boys and my recent baby born in February all of my births have been natural but I want to receive sterilization surgery but my gyno wants to have an open vaginal surgery is there other options since not to long ago I gave birth and I had to get stitches but I don't want a big incision any options or procedures recommendable answer with details please &looking for a surgeon.
My son of 50 days old is not getting sufficient Breast milk from his mother. Is there any medicine to increase Breast milk for my child or any other powder food can take. Mother is 26 year old.
Eat fresh vegetables daily.
Avoid having sugar completely.
Eat whole wheat bread instead of white bread; avoid everything made from white flour and make whole wheat bread, chapattis and brown rice a way of life.
Do not skip a meal and eat three meals a day.
Drink plenty of water to eliminate the toxins from the system.
Limit your fat intake to 2-3 teaspoons a day.
Increase the fiber intake as it provides a sense of fullness and also prevents hunger pangs.
Take antioxidants for protecting the body against the toxins released during weight loss.
Exercise catalyzes your efforts to lose weight and even regular walking for thirty minutes can give you the benefits of an aerobics exercise.
To improve the metabolism, try increasing the duration, frequency, intensity of your daily workout.
Remember that maintaining the ideal weight is a lifetime commitment and not a short-term affair. Firmly believe that the pleasure of being trim and healthy is far better than the pleasure of eating unwisely.