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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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Sex which gives pleasure to most, can be painful for some. Many women, mostly in their menopausal or postmenopausal phase find intercourse and penetration extremely painful. Menopause results in hormonal imbalance, with a significant drop in the estrogen level. The reduced estrogen level results in Vulvovaginal Atrophy (dryness of the vagina and thinning and weakening of the vaginal tissues). In such cases, women experience irritation, Vaginismus (vaginal tightness) and soreness after sex. One can also experience a burning sensation during urination. There may be inflammation of the vaginal tissues. If untreated, the inflammation can cause infection and other complications. "Dyspareunia" or pain during intercourse is very common in postmenopausal women. The pain experienced during sex can be due to "Vulvodynia" as well. Vulvodynia is a condition whereby a women experiences chronic pain in the external genitals or vulva. A number of other factors can also contribute to the pain during sex. A thorough and detailed investigation is thus very important.
Many women find it extremely embarrassing to discuss menopausal problems with their partners and doctors. The key to effective treatment lies in timely diagnosis and medication. There is nothing to be embarrassed about. The postmenopausal changes can vary from person to person. Thus it is very important to discuss every minute detail with your physician.
Many options are available to make intercourse a less painful experience:
- Keep dryness at bay: In most cases, painful intercourse results from dryness of the vagina. Use of a lubricant can ease the pain to a great extend. A water based lubricant is highly recommended. Regular use of vaginal moisturizers is also effective to deal with vaginal dryness.
- Vaginal care and hygiene: It is very important to keep the vagina clean. Avoid using soaps, bath oils and shower gels. They do more harm than good to the vagina. It is advisable to wash the vagina with warm to lukewarm water. Undergarments should be changed twice daily.
- More is good: Having sex at regular intervals is a healthy practice. It not only enhances and improves the blood flow, but also helps to overcome vaginal dryness.
- The Pelvic Floor Therapy is immensely beneficial. In this therapy, a gentle pressure is exerted in the pelvic region to relax the stiffened and tightened muscles. One can also massage the area to relax the muscles.
- Squat is a very effective exercise to strengthen the buttocks and hip muscles. Exercises to strengthen the pelvic floor muscles are also very helpful.
- One can also opt for Local Estrogen therapy and Systematic Estrogen Therapy.
Menopause should not affect your conjugal and sexual life. Visit here to know more and forget painful intercourse forever. If you wish to discuss about any specific problem, you can consult a Sexologist.
The hormone human chorionic gonadotropin(better known as hCG) is produced during pregnancy.
It is made by cells formed in the placenta, which nourishes the egg after it has been fertilized and becomes attached to the uterine wall.
Levels can first be detected by a blood test about 11 days after conception and about 12-14 days after conception by a urine test.
Typically, the hCG levels will double every 72 hours. The level will reach its peak in the first 8-11 weeks of pregnancy and then will decline and level off for the remainder of the pregnancy.
Key Things To Remember About HCG Levels -
- As you get further along in pregnancy and the hCG level gets higher, the time it takes to double can increase to about every 96 hours.
- Caution must be used in making too much of hCG numbers. A normal pregnancy may have low hCG levels and result in a perfectly healthy baby. The results from an ultrasound after 5 -6 weeks gestation are much more accurate than using hCG numbers.
- An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy.
- The hCG hormone is measured in milli-international units per milliliter (mIU/ml).
- A transvaginal ultrasound should be able to show at least a gestational sac once the hCG levels have reached between 2,000mIU/ml. Because levels can differentiate so much and conception dating can be wrong, a diagnosis should not be made by ultrasound findings until the hCG level has reached at least 2,000.
- A single hCG reading is not enough information for most diagnoses. When there is a question regarding the health of the pregnancy, multiple testings of hCG done a couple of days apart give a more accurate assessment of the situation.
- The hCG levels should not be used to date a pregnancy, since these numbers can vary so widely.
- There are two common types of hCG tests. A qualitativehCG test detects if hCG is present in the blood. A quantitative hCG test (or beta hCG) measures the amount of hCG actually present in the blood.
- Guideline To HCG Levels During Pregnancy
hCG levels in weeks from LMP (gestational age):
- 3 weeks LMP: 5-50 mIU/ml
- 4 weeks LMP: 5-426 mIU/ml
- 5 weeks LMP: 18-7,340 mIU/ml
- 6 weeks LMP: 1,080-56,500 mIU/ml
- 7-8 weeks LMP: 7, 650-229,000 mIU/ml
- 9-12 weeks LMP: 25,700-288,000 mIU/ml
- 13-16 weeks LMP: 13,300-254,000 mIU/ml
- 17-24 weeks LMP: 4,060-165,400 mIU/ml
- 25-40 weeks LMP: 3,640-117,000 mIU/ml
* These numbers are just a guideline, every woman's level of hCG can rise differently. It is not necessarily the level that matters, but rather the change in the level.
What Can A Low HCG Level Mean?
A low hCG level can mean any number of things and should be rechecked within 48-72 hours to see how the level is changing.
A low hCG level can indicate:
- Miscalculation of pregnancy dating
- Possible miscarriage or blighted ovum
- Ectopic pregnancy
What Can A High HCG Level Mean?
A high level of hCG can also mean a number of things and should be rechecked within 48-72 hours to evaluate changes in the level.
A high hCG level can indicate:
- Miscalculation of pregnancy dating
- Molar pregnancy
- Multiple pregnancy
I am newly married man. But when last night when I had sex with my wife she has deep pain in vagina during sex and I was not able to enter my penis in her vagina so we didn't do anything. It was hard for me but affecting our sex life. Please doctor suggest some medicines to make space in her vagina.
I am 25 year old guy having a query. I wanted to know that if anyone having sex and doing sucking while having sex. If men semen get drop in his partner month n by sucking if its gone inside her. Is their any chance k that particular girl get pregnant. While doing such act. Kindly describe on it in details. Hope will get satisfactory answer soon. If yes and if no then why not. please revert back as earliest.
I have undergone a abdomen usg which suggested the presence of multiple follicles in ovary (pcod). I have been experiencing hair loss and hair thinning for a considerable amt of time but at the same time having excessive hair growth in unwanted areas. Further sometimes I get stressed a lot. Please suggest a treatment for this. Welcome your suggestions to deal with this.
Hi, is there any way to delay periods naturally. Usually I used to take primolut N tab to delay periods. But many people said it's not safe to use that tablet, as we are planning for kids. My periods are always irregular. I don't know whether the periods come in next 5 days. But for next 5 days. We are planning to go to Tirumala.
After 6 years of marriage my wife not getting pregnant. All test are normal Dr. Also suggested try normally. My age is 32 my wife is 32. Both blood group is o+
I had sex with my girlfriend some days back but she didn't got her periods till now as her periods dates are normally between 10-14 and we had test on preganews also 2 times and it shows negative so what else it can be?
Sir I am a medical line student I want to know that If a girl do sex in 20 year age and she will marry in 25. Can her husband find out he do sex before it or not if yes tell me how?
My wife who is 2months pregnant is can have pumpkin seeds or not. What r the benefits. Any side effects.
Hi mam. Im 21 years old, I have bilateral polycystic ovary syndrome. I dint get my periods for the last 3 months. If I take tablets, im getting my periods, I have been suggested with meprate. I want to know whether any other alternative is there or taking pills is the only way to get my periods? Does consumption of pills will lead to any other disorder?
I'm type 1 diabetic. Now I am pregnant for 3rd month, so tell me .Can any complication created with me?
Hi, my wife's period date is 10 days ahead. But she feels pain in lower abdomen. Breasts are swollen, nipples feel pain while touching also those are little big. Backpain and feel lazy and uncomfortable. Pls suggest what to do?
I'm trying to get pregnant. After intercourse .After some 15 mins I will wash. Will this affect me in getting pregnant? Is it a good practise.
I am getting second time uti, first was last month and I think it start after an intercourse. This time was the worst, started late night and the condition aggravated within a few hours. Was passing a few blood in urine. My doctor prescribed antibiotics for 5 days - norfloxacin, paracetamol and omeprazole. Today is 3rd day but still the pain and burning has not disappeared fully. This discomfort starts in the morning - after my second pee. Then it gets worse, no blood, but kind of pressure and burning. Then as when evening arrives it gets better. Dr. Tested my urine, there was fair no. Of bacteria. She also tested me for kidney infection and it came negative. Any idea when the pain and discomfort will go? Does it take this long for the symptoms to go away? Please please help!
I am 34 years old and I m feeling pain in my breast I am afraid about survical cancer. How can I confirm and to whom I will contact for rectifying my doubts.
There is no fixed course for iron. You need to continue till your body stores are adequate in iron. A regular follow-up blood test is most essential to prevent iron overload. There is no need to take extra supplemental iron unless indicated.
Continue using food sources of iron even after stopping the tablet/syrup as food sources will never cause iron overload. Common foods being beet, green veggies, dates, figs, raisins, sesame seeds, almonds.
If you are not responding to the iron or your hemoglobin keeps dropping frequently, you need to rule out hemoglobin related disorders.
But, but, but. Try doing this first -
Include vitamin a (carrots, peach, papaya, mango, green vegetables), copper (whole grains, almonds, pista, figs, dates, walnuts, raisins) and vitamin c to improve absorption of iron.
Our indian dish'aloo-palak' is a good example of food combination to maximize efficacy of nutrient absorption. Forget the technical jargon.
What I mean is that you get iron from palak and vitamin c, vitamin a and copper from the potato, so it enhances the iron absorption.
Point to note:
Do not take your anti-acidity syrups, tablets or capsules with iron. It will just not allow that iron to be absorbed.
Do not drink cow or buffalo or soya milk to gulp that iron tablet, it will just not allow.
Do not take tea or coffee with iron tablet; it will just not allow.
So, get the best out of that iron tablet, so that you can discontinue it sooner.