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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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My gf does not get periods on the same date of the month. Everytime it is late gor her. What should I do.
I have periods on 27th bt still I did not get I have tried papaya jaggery and ginger tea also bt no result wat would be the problem.
Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:
- Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
- Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.
The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:
- Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
- Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.
The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.
Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.
Fertility Restoration through medication
This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:
- Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
- Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
- Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
- Bromocriptine: Used when the infertility is caused due to excess prolactin production.
- Letrozole: This also induces ovulation
Fertility Restoration through surgery
Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:
- Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
- Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
- Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.
Assistance in Reproduction through techniques
The most common used techniques for reproduction assistance are:
- Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
- Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.
Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.
It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.
The following are considered to be abnormal or dysfunctional uterine bleeding:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovaries
- Endometrial hyperplasia
- Cancer of the reproductive tract
How to Diagnose it?
Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
- Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding
How Best to Treat It?
This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.
- Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.
Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways.
Hello Doctor, I am trying for baby but my periods are not regular. I already taken medication in noida. But nothing work out. Kindly advice how I can make my period regular. Right now I am taking Fol- xt and Normoz since may.
My cousin had a cesarean in the month of November 2014 and she is again 2 months pregnant. What to do please advise?
Dear Dr. Its about my friend her period finished before two days and I have sex with her and some of cum fallen in her vagina. I scarred about this now she feel little bit of pain in her under abdomen. What is this is there any risk of pregnancy, how we confirm that. Pls help.
Im 25 year old I have gone through acl surgery and it has been 2 months and my period cycle is not regular.
Christmas would be incomplete without a delicious Christmas plum cake. This lovely cake is rich in fresh and dried fruits and is soaked in brandy or orange liquor. Preparations for this cake often start a month before Christmas as the fruits are cut and soaked in alcohol until it is time to bake them. Here are 8 fascinating facts about this Christmas cake.
- It has a really long shelf life: Christmas cake or fruitcake can last for months and years. This may be because of the alcohol content in the cake. Many families keep aside a part of the Christmas cake to be eaten during Easter. The longevity of this cake is also why it is the perfect packed food for hunters and travellers.
- It is packed with energy: Christmas cake has a high ratio of fruits to flour and hence is packed with nutrients. On the flip side, this isn’t a cake you want to snack on as it can also increase your waistline.
- Naturally dried fruits are the key to a good Christmas cake: Christmas cake is said to be an acquired taste. However, the key to make a good Christmas cake is to avoid glazed and candied fruits and instead use naturally sweetened and dried fruits. This makes the cake healthier and much more wholesome.
- You can put any fruit into Christmas cake: Christmas fruit cake is an all inclusive cake. A Christmas cake can be made with fresh fruits, dried fruits or a mixture of the two. However, fresh fruit cake has a shorter life span than dried fruit cake.
- It gets better with time: Like wine, Christmas cake ages and tastes better with time. Christmas cake can also be revived, if it has dried out. For this, all you have to do is, steam the cake and drizzle a little more alcohol over it.
- It is a very old recipe: Christmas cake is said to date back to the Roman empire. The Romans used a mixture of pine nuts, barley, raisins, sweetened wine and pomegranate seeds to make a version of the Christmas cake known as satura. However, it was only in the 16th century that it gained popularity.
- The origins of Christmas cake lies in a meat pie: Christmas cake has evolved from the plum pudding. This plum pudding was originally a pie of mixed minced meats and fruits. With time, the meat was removed and only the fruits remained. Later, spice and dried fruits were added to the recipe to give us a modern day Christmas cake.
- Christmas cake was traditionally not eaten on Christmas day: Christmas cake was originally eaten on the twelfth day of Christmas. For this reason, it was also known as the twelfth night cake.
Is there any chance of pregnancy after a short period of two days n very scanty flow for next two days.
I am 30 years old male, married for last 2 years. My wife is 27. Now our families are asking to have kids. Once my wife got pregnant just after marriage but we thought of abortion through medicine under Dr. Advice because it was too early to have babies. Now we both are trying for last 5 months but unfortunately she is not getting pregnant. I have gone through few test and found my tsh was little high which is now labels the margin under Dr. Advice medicine I am taking. So hence what exactly is the problem to make her pregnant.
● Wake up early, preferably by brahma muhurat (4 am)
● Complete your daily activities without any worries
● Brush your teeth with herbal sticks like khadir
● Have 1 tsp of triphala powder with cows ghee and honey
● Apply natural kajal (surma) in both the eyes
● Instill 2 drops of sesame oil in both nostrils
● Gargle well with hot water
● Massage whole body with warm herbal oils like Kshirbala tailam
● Practice Yoga, Pranayam, Meditation & Omkar chanting
● Exercise well, but rest when you get exerted
● Have bath with herbal ubtan & warm water
● Drink hot or boiled water
● Have warm fresh meals regularly on time
● Have dinner before 7 pm
● Go off to bed early and have a peaceful sleep