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Management of Abortion
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Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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
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How to prepare for an appendectomy
Appendectomy is the medical term for the surgery that is performed to remove the inflamed appendix (a condition that is known as appendicitis). This surgical treatment is mostly performed on an emergency basis.
But before you move on to know how to prepare for the surgery, it's important why it is important to get a surgery for appendicitis done?
What exactly is appendicitis?
Appendicitis is a medical condition in which the appendix (that is the worm-shaped projection which arises out of the beginning of the colon) gets inflamed.
The major cause of appendicitis is that the tissues of the appendix become infected with bacterial action that results in the formation of pus in the lumen (opening) of the appendix. Factors that can trigger bacterial infection are a hard stool, attack by a foreign body, and accumulation of thick mucus in the appendix tissues among others.
Appendicitis results in aching and acute pain in the abdominal region of the affected person. In many people, it is accompanied by complications like vomiting, nausea, fever, loss of appetite, constipation, abdominal swelling etc. In more severe cases, it is accompanied by diarrhoea.
Appendicitis usually requires an emergency surgery. However, there are some things you need to do before going for the surgery.
Preparations to undertake before surgery
In most cases, appendectomy is an emergency surgery so there are hardly any preparations that a patient can make. The most common preparatory measure that your surgeon may prescribe includes not eating anything up till a few hours before the surgery. Apart from that, certain medications may be prescribed to eliminate or at best reduce the symptoms of nausea and vomiting. There are no other preparations as such that you can undertake before appendectomy.
The recovery time is subjective as it depends on the type of procedure used for the surgery, the type of anaesthesia and the various complications associated with your condition. In general cases, the patients can recover within 12 hours of the surgery. However, it takes approximately 4-6 weeks for a person to resume a normal lifestyle after an appendectomy.
Hiee, I m 11 weeks and 3days pregnant, I found some brown string like discharge. I am worried. Is it normal. I had an ultrasound in 6 weeks 2 days n there was heartbeat 133 bpm. Please help.
A lump that feels like a hard knot or a thickening in the breast or under the arm. It is important to feel the same area in the other breast to make sure the change is not a part of healthy breast tissue in that area. Guide me.
26 unmarried girl having menstrual problem like 10 days delay, severe leg, hand and breast pain in that 10-15days of periods timing. And also feels breast heavy during that time.
My home pregnancy test is coming negative but have most of the symptoms of Early pregnancy. When is the correct time to do the blood test for the same as may be hcg is not enough to detect in the urine.
Alcohol, smoking, hukka, gutka, pan masala increasing, increasing teeth problems boring, boring water, drug side effects irregular, irregular life style etc has lead to increasing number of patients with taste problemsmajority. Majority of us are not involved in educating patients and society .revisiting this unfolded special sense is need of hour.
On an average 10000 taste buds are found in mouth mainly on tongue but also on roof and back in throaton.on tongue taste or gustatory cells are clustered as prominent papillae viz filiformfungiformcircum-vellate, fungiform, circum-vellate & foliatemany. Many times patients come with fear showing these normal structures as abnormalfive. Five common tastes are sweet, sour salty bitter, salty, bitter (bitter gourdciturus, citurus peelunsweetened, unsweetened coffee & cocoa) and umami (due to glutamate of soy saucemeet, meet extractssome, some cheeses) for taste quality good sense of smell is also importantspecial. Special channels connect roof of mouth to nose for sensation taste. Taste mainly travels via chorda nerve through facial nerve via ear to brainalso, also via glossopharyngeal neve and vagus nerve to brain.
75% of people over 80 yrs age have impaired tastetaste.taste is affected mostly temporarily by many things : Common cold flu pharyngitissalivary, flu, pharyngitis, salivary gland affections dental, dental caries infections gum, infections, gum disesesacid, acid riflux in throatbell's, bell's palsysome, some neurological disease like parkinsonism. Head or ear injury, as a part of middle ear surgery due to chorda tympani nerve affection B12, B12 & zinc defieciency auto, auto immune diseases of mouth- eyes during, during pregnacy due to hormonal influx as motion sickness, smoking(reduces saliva tionnicotine, nicotine comes in saliva) alcohol drugs (thyroid, alcohol, drugs (thyroid medications drug, drug used for amoebiasis like metronidazole, quininelithium cancer drugs etc, over 250 drugs affect taste.
Excess use of sweets chocolates chilly, chilly spices also affect taste various chemicals affect.
How to avoid?
Avoid hot food eat, eat only when hungry regular, regular tongue cleaning twice, twice or thrice soft brushing teeth, dental flossing treat, treat sinus nose infections and allergy avoid, avoid spicy food quit, quit or reduce smoking avoid, avoid keeping gutka/paan for long in mouth careful, careful ear operations etc
How to improve taste?
Avoid combination dishes and storage as in a casserole flavour the food eat, eat variety food chew, chew properly eat, eat sugar free mints and gums, eat orange lemon adesserve, lemonades, serve food that looks like itself ex fishnasal, nasal saline spray can help.
Zinc and vitamin 12 supplement lipoic, lipoic acid use.
Let taste be a special sense for our life timetreat.treat early by expert.
आजकल अंतहीन दौड़ या आवस्यकताओं की पूर्ति के लिए जिस तरह
मनुष्य को अपने खानपान एवं दिनचर्या की उपेक्षा करनी पड़ती है
परिणाम स्वरूप मधुमेह, उच्चरक्तचाप एवं अवसाद महामारी का रूप धारण
कर रहे हैं इस सम्बन्ध में आयुर्वेदिक स्वास्थय जागरूकता अवं प्रशिक्षण की
आवस्यकता है अतः शीघ्र ही विचार शील मित्रों के साथ एक मीटिंग करूंगा।
जीवन शैली ,खानपान अवं ध्यान विषयक ज्ञान आपको एवं आपके प्रियजनों को भी
इन बिमारियों से दूर रखेगा।
इसी सन्दर्भ में आकाशवाणी दिल्ली के इंद्रप्रस्थ चॅनेल पर मेरी वार्ता जरूर सुने -
'हाइपर टेंशन से बचाव में आयुर्वेद की भूमिका। ' @ 11 nov 2015 , 10.30am
I m 25 year old girl i have period problem Since 6 months.Regular period with less bleeding at least.2 days.I have done.Sono graphy also it shows uterus size is small.I have constipation also Please suggest me?
Mene meri girlfriend se sex kiya tha without protection. Uske bad uski period date miss ho gyi .ha usko irregular date ka problem he. Uski pichala period 2 month bad aya tha. Lekin tab hamne sex nai kiya tha isliye koi tension nai tha. Is bar sex kiya date miss ho gyi aur 16-17 day ke bad normally period start ho gye. To kya use koi pregnancy ka khatra hai. Suggest plz.
Hello sir. My pregnancy test is positive. Is it confirmed before missed my period. My last period is 15th but this is confirmed on 13th. My query is it is early pregnancy? It may cause any miscarriage? Pls help me.
Hello doc, I am a 31 year old woman. My doc said that I cant ovulate, and so I am taking shatavari and himalayas evecare. I had my period on may17 th. And lasted for two days. Today on may 30 I had a brown discharge. But not that heavy. this is the first time in my life that it has happened. I am worried. Please help.
Most medications are used because of their one particular therapeutic effect. However, invariably, they affect other organs or systems and produce some good and some adverse effects. The same happens with birth control pills (BCPs), which are the most commonly used method of contraception. It is also the most effective method. It contains the female hormones estrogen and progesterone in various combinations and these have an effect on various body functions, so it should come as a surprise that regular use of BCPs leads to a number of side effects.
Read on to know more
- Intermenstrual bleeding: This is the most common side effect and occurs in about 90% of the women, but usually subsides within 3 months. They experience bleeding between their regular periods. While mere spotting can be ignored, bleeding for more than 4 to 5 days needs a visit to the doctor.
- Missed period: It is very essential to take the pill at the same time daily. Sometimes, a period might be missed or may be very light and this should be reported.
- Effect on libido: While some report a decrease in libido, there are others who experience an increased sex drive. This depends on the individual and not consistent.
- Vaginal discharge: The amount and type of discharge can change when on the pill. Decreased lubrication may lead to a reduced sex drive, as it might be painful. If the discharge is foul-smelling or looks suspicious for an infection, then a doctor should be consulted.
- Mood changes: Changes in mood and prominent mood swings are very common in women using contraceptives, with many feeling depressed often.
- Effects on breasts: While it is not yet proven if they increase the risk of breast cancer, most women experience breast enlargement, tenderness, and sometimes pain. This is more common in between their periods.
- Headaches and migraine: BCPs are also proven to have worsening effects on migraine and headaches.
- Circulatory effects: Oral contraceptives increase the chances of heart attack and stroke, especially in women who are over 35 and are smokers. Most women experience a slight increase in blood pressure and are more prone to form blood clots. It is essential that contraceptives are used under medical guidance only.
- Digestive effects: Oral contraceptives can cause loss of appetite, changes in body weight, diarrhea, and nausea. The weight gain is also attributed to increased fluid retention, especially in the hip and breast areas.
- Skin: Some women may experience skin rashes and acne and sometimes hair loss due to the increased level of hormones in circulation.
It is very important that the pill is taken at the same time for best results. Any suspicious symptom should be immediately reported to the doctor.
Hello doctor I am a girl last 2days in vagina I have infection bahut jalan hoti he can you please help me?
I am 18. I had unprotected sex 7 days after my periods got over. I took ipill the next morning. After 7 days I got bleeding which was unusual. Now I am waiting for my periods. I want to know, what are the chances of me getting pregnant? can I do anything now (after 3 weeks of sex) to avoid pregnancy. How long shall I wait for my periods to take pregnancy test? please help me out.
Surgical Sperm Retrieval (TESA/PESA/MESA)
The main methods of surgical sperm retrieval available include:
PESA: percutaneous epididymal sperm aspiration.
MESA: microsurgical epididymal sperm aspiration.
TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).
TESE: testicular sperm extraction.
Perc biopsy: percutaneous biopsy of the testis.
Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.
Tests required before surgical sperm retrieval
A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.
Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.
If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead
Surgical sperm retrieval techniques used when obstruction is the problem
When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.
Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.
MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.
Surgical sperm retrieval techniques when there is no obstruction
Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive
TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.
Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.