Doctor in Anand Nursing Home
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
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Having irregular bleeding while trying to have a healthy sex life can be stressful, because you never know when you're going to have bleedingWomen with pcos shouldn't be afraid to seek help if they're having trouble with their sex lives.Most women with pcos only seek out medical or psychological help if they're trying to conceive.
Pcos is a complex female health issue. It consists of many different health concerns and risks. If permanent diet and lifestyle changes are implemented, these risks and health issues may become obsolete. There are many ways to support the proper health of a woman's body that is dealing with pcos.
Important key tips-
1. Make sure your doctor performs the correct tests and you get a proper diagnosis.
2. Follow a pcos specific diet to help decrease insulin resistance, balance weight, and improve estrogen metabolism.
3. Promote hormonal balance and support regular ovulation through supportive herbs and supplements.
4. Support a proper inflammatory response.
5. Stick to your plan, believe in yourself, only you have the ability to change your circumstances! and quite likely conceive your bundle of joy.
How to manage pcod to achieve pregnancy?
Infertility is one of the most stressing factors in women`s life and it may influence their satisfaction and quality of life . In our study all the patients were infertile which may have impaired their sexual function that could justify the high prevalence we found. The majority of our patients had menstrual irregularities which reveals their hormonal disturbances.Pcos patients markedly suffer from sexual dysfunction as comorbidity. It seems appropriate to screen all pcos patients for sexual function.
When women with pcos are trying to have a baby, intimacy can go from" the joy of sex to the job of sex" since conceiving can often involve scheduling sex during the times they're most fertile.Women also might be taking fertility medication that can affect their libido.
There are several hormones that are secreted by our bodies and they can be defined as chemicals that control the different bodily functions. At times, the cells that secrete the hormones develop tumors. Some areas where these tumors are known to arise include lungs, stomach, pancreas, glands, or intestines.
If you are diagnosed with a neuroendocrine tumor, it is important to learn whether they are benign or cancerous. Neuroendocrine tumors (NETs) are neoplasms that may result from the cells of the nervous and the endocrine system. If the cells are cancerous, they can spread throughout the body. Also, they release their own hormones and you may experience the associated symptoms. On the other hand, the benign tumors do not shift from their place of origin.
However, you should note that the growth of a neuroendocrine tumor takes place at a sluggish rate; sometimes, they could take years to grow. Normally, the medical experts will advise their removal or administer varied treatments for their shrinkage. Also, some therapies to alleviate the symptoms can be practiced.
NETs are categorized into varied groups depending on their area of growth or the hormones they secrete. The different types of NETs include Carcinoid (intestinal), Pancreatic, Insulinomas, Glucagonomas, Somatostatinomas, VIPomas, Medullary, and Pheochromocytoma. The medical professionals have not been able to ascertain the exact cause for NETs as yet. However, they opine that certain illnesses that run in a family are responsible for these growths. For ascertaining whether a person has developed NETs, a medical diagnosis is required. Mostly, the patients do not display symptoms and the disorder is detected fortuitously.
There are various treatments available for NETs, including drugs, chemotherapy, radiation therapy, and surgery. The patients are treated depending on the type of NETs they are affected by. Also, the doctors will try to establish whether the growths are cancerous, and have spread to other parts of the body prior to treating the patients.
The following are some of the treatment options available for NETs:
- Surgery: Surgical methods are employed by the doctors for removing the tumors; predominantly, if the tumors are not cancerous or have not spread to the different parts of the body. Some surgeries that are performed by the doctors as a part of the treatment of NETs include cryosurgery and radiofrequency ablation.
- Hormonal therapy: If the doctors find it suitable, they will treat you with hormone therapy when NETs are detected in your body. In this case, they will inject hormonal drugs for preventing the cells from producing hormones or to shrink the tumor.
- Radiation: As a part of radiation therapy, the doctors will subject the tumor site to high radiation X-rays for eliminating the cancerous cells. If cancer has spread or the specialists are not able to reach the tumors, then this treatment method is known to be effective.
- Chemotherapy: You may be prescribed chemotherapy drugs for killing the cancerous cells, at times, after being diagnosed with NETs. However, they give birth to certain ill-effects and it is always better to adhere to your doctor’s suggestions to be on the safer side.
- Embolization Procedures: In specific cases where the NETs have spread to the liver, the doctors will aim to obstruct the blood flow that provides nourishment to the cells. Embolization therapy is performed in such cases.
When recovering from NETs, you must make sure to consume a balanced diet to keep the body nourished and heightening the body’s ability to counter the illnesses. Eating protein-rich foods such as beans, eggs, cheese, and fish are recommended. Also, avoid the intake of fatty foods, sugar-filled beverages, and sweets.
A broken nose is any crack or fracture in the bony portion of the nose. This is usually a result of external trauma.
Nasal fractures are often cited as the most common type of facial fracture, accounting for approximately half of all facial fractures in several studies.
Broken Nose Causes:
Common sources of trauma include the following:
Motor vehicle accidents
In children, nasal fractures are most commonly due to falls.
Broken Nose Symptoms:
Tenderness when touching the nose
Swelling of the nose or face
cb62a0a737ca99848352aeea091353aaDeformity of the nose (crooked nose)
Pain and difficulty breathing out of the nostrils
Infertility is a medical condition in which the patient fails to conceive after one year of having unprotected sex. It is advisable that women who are above 35 years of age and often experience irregular menstrual cycles should consult a doctor on being unable to conceive within six months.
Is infertility a common issue?
Infertility has become a common problem for the new age women. Sedentary lifestyle and stress are believed to hamper the fertility of women nowadays. According to a report, about 6 percent women in US in the age group 15-44 years are infertile.
Infertility: It’s not just a woman’s problem
Infertility is not an issue with only women. Both, men and women can be infertile or are responsible for the condition. The process of reproduction requires mutual co-operation from both sexes. Therefore, they can together contribute towards infertility as well. It is wrong to blame the woman only. According to the 2002 National Survey of Family Growth data, it has been found that about 7.5 % men in the age group of 18-45 years (who have has sexual exposure) visited infertility clinics at least once in their lifetime. Of these men, about 18% were affected with male-related infertility issues.
Infertility in men: Men can suffer from infertility due to various factors. The infertility can be detected by analysis of the semen. A doctor can evaluate the concentration of the semen or determine the sperm count, the mobility of the sperm and its shape or morphology. These are important for fertility. Semen analysis can be hampered due to the following conditions:
2. Diseases like diabetes, cystic fibrosis, trauma and infection.
3. Unhealthy lifestyle
4. Environmental toxins
Infertility in women: Women must have proper functioning of the reproductive organs to become fertile. The fallopian tubes, ovaries and uterus must be physically and physiologically fit for getting pregnant. A woman may get infertile due to following reasons:
1. Irregular periods that suggests the woman is not ovulating properly.
2. Polycystic ovary syndrome (PCOS)
3. Functional hypothalamic amenorrhea (FHA) or excessive physical or emotional stress causing missed periods
4. Diminished ovarian reserve (DOR) or inability of the ovary to produce sufficient eggs
5. Premature ovarian insufficiency: The ovary stops functioning properly before 40 years of age
6. Blocked, swollen or open fallopian tubes
With the advancement in the medical field, we are blessed to have doctors who specialize in various fields. We have cardiologists who specialize in the treatment of the heart, orthopedics who specialize in treating disorders that are related to the development and growth of muscles, skeleton, and joints in children and neurologists that determine treatment for the brain. Spine and limb deformities mainly occur in children as their bodies are still growing and they react differently to disorders, infections and injuries. Some of the deformities of the limb and spine that are treated by orthopedics include clubfoot, scoliosis, and limb length discrepancy.
Limb Length Discrepancy
Limb length discrepancy is referred to as a deformity when the legs and arms differ in their length. The difference in the length of legs and arms in several cases does not cause any change in the quality of life or in its functioning. However, in certain cases when there is an extreme difference in the length of the legs and the arms, the health of the patient is affected to a great extent. Limb length discrepancy is also caused due to injury to the leg, bone disease or due to bone infections that occur during growth. Depending on the severity of the injury or bone disease it becomes very difficult for the individual to even walk. In certain cases, when the condition is not very severe, then to help the patient to walk comfortably a shoe lift is suggested. It is only in extreme conditions that orthopedics suggest limb length surgery mainly to correct the discrepancy.
Limb Lengthening Surgery
Future proof and innovative solutions are provided these days to the patients for bone reconstruction. The surgery for limb lengthening is performed in many countries all over the world and by professional orthopedics. The patient is at first put under anesthesia after which a large slit is made in the legs, all the way through. The leg bone is sawed, after which a supporting bracket is placed which the patient needs to wear for nearly a year or till the completion of the procedure.
The area of the bone that is fractured is widened every week by the patient by inserting a key into the bracket and by turning it a little. Healing of the bone happens over time and two inches can be added to the height of the patient in six months. The bracket used during the surgery for the legs are very bulky and it is very important that the patient does not put more pressure on them. Immense pain is caused during this time as the limbs are bound to crutches. Hence, proper care should be taken to avoid more stress on the limbs.
Following are the most common foot conditions which require surgery:
- Plantar fasciitis: It is one of the most common causes of heel pain which is aggravated in the morning with initial few steps. Too much pressure on feet can damage or tear the ligaments because of which the plantar fascia becomes inflamed, and the inflammation causes heel pain and stiffness.
- Rheumatoid arthritis: It is an autoimmune condition that affects the joints and causes swelling of the joint lining (synovium). It commonly affects the small joints of the hands and feet. Surgery is required when the condition leads to deformity or cartilage loss.
- Sesamoiditis: It is a condition where there is a pain on the bottom of the foot at the base of the great toe. Excision of the chronically inflamed sesamoid is required.Ankle arthritis: It is usually caused by osteoarthritis where the cartilage covering the ends of bones gradually roughens and becomes thin and the bone underneath thickens. This leads to pain, swelling, and occasional deformity of the joint.
- Fracture: Healing fractures require immobilizing the foot with a boot and sometimes even surgery.
- Bone spurs: An excessive growth of bone is causing pain or limitation of movement. These spurs develop at the edge of the joint causing pain, tenderness, and difficulty in walking. Surgery is required to remove these excessive growths.
- Gangrene: It is one of the most common conditions requiring amputation where the death of the tissue occurs.
- Clubfoot/Talipes Equinovarus: It is a foot deformity in newborns where the foot is rotated inwards (varus) and downwards (equinus).
- Claw Toes/Hammer Toes: It is a condition affecting the toes in people as they age causing difficulty and pain while walking. The affected joints require replacement with artificial joint or fusion (surgical stiffening).
- Morton's Neuroma: The patient presents with pain in the forefoot, in the “ball” of the foot causing irritation of one or more of the small nerves, just before they travel into the toes.
- Hallux Valgus/Bunion: It is one of the most common conditions, especially seen among women, where bony lumps develop on the side of the foot and at the base of the big toe causing malpositioning of the foot. For some people, it is only a cosmetic problem. Bunionectomy is a surgery performed to remove the bony prominence.
- Hallux Limitus/Rigidus: It is an arthritic condition of the big toe joint leading to pain and loss of motion.
- Diabetes mellitus: It affects circulation and blood supply causing delayed healing. Ulcerations, infections, and sometimes severe infections require amputations.
- Cysts and ganglions: These are painful lumps that cause pressure and rub on the shoe while walking. If a change in the footwear doesn’t solve the problem, surgical removal of the cyst or ganglion is done.
Fibroids are benign (non-cancerous) tumours of the womb (uterus). They are also known as myomas. They are growths of smooth muscle and fibrous tissue. The size of fibroids can vary from as small as a pea to that of a melon. At least one in five women develop a fibroid at some stage of their life, usually between the ages of 30-50 years old.
Fibroids are named according to where they are found in the womb. There are three types:
Intramural fibroids are found in the wall of the womb and are the most common type of fibroids found in women.
Subserosal fibroids are found growing outside the wall of the womb and can become very large. They can also grow on stalks (called pedunculated fibroids).
Submucosal fibroids are found in the muscle beneath the inner lining of the womb wall.
The majority of women with fibroids show no symptoms. However, if symptoms develop, they may experience one or more of the following:
Heavy or painful periods- in some cases this can lead to anaemia
Discomfort, or swelling, in the lower abdomen, particularly if the fibroids are large
Urinating frequently, usually if the fibroids are pressing on the bladder,
infertility Very rarely, fibroids can cause problems during pregnancy and labour
As fibroids rarely have symptoms, they are often found during a routine gynaecological (vaginal) examination. If fibroids are suspected, an ultrasound scan can be used to confirm a diagnosis. A trans-vaginal scan is sometimes used to diagnose fibroids. It involves a small scanner being inserted into the vagina to take a close-up image of the womb.
Fibroids near your inner lining, and those within the cavity of your womb, can be seen directly using a hysteroscope (small telescope used to examine the inside of your womb). To look at the size and shape of the outside of your womb a laparoscope (small flexible tubing used to look inside the abdomen) is used.
If you do not have any symptoms from your fibroids, treatment may not be necessary. Some women with minor symptoms, such as heavy periods, choose not to have treatment as their day-to-day life is not affected. After the menopause, fibroids often shrink, and your symptoms will either disappear or ease slightly.
To treat fibroids, your GP may recommend medication. However, in more severe cases, surgery can be considered.
- Treatment with medication
- Tranexamic acid these tablets are taken from the start of your period for up to four days. The tablets work by helping the blood in your womb to clot, which reduces the amount of bleeding.
- Anti-inflammatory medicines such as ibuprofen and mefanamic acid help to ease your periods and are taken for a few days during your period. They work by reducing your body’s production of a hormone-like substance, called prostaglandin, which is linked to heavy periods. They are also painkillers but are not a form of contraceptive. Common side effects include indigestion and diarrhoea.
- The contraceptive pill is often taken, during your period, to prevent your menstrual cycle (period) from occurring. Some contraceptive pills also help to reduce any period pain you may experience.
- Levonorgestrel intrauterine system (LNG-IUS) is a small plastic device that is placed in your womb and slowly releases the progestogen hormone called levonorgestrel. It prevents the lining of your womb from growing quickly so your bleeding becomes lighter. Possible side effects of LNG-IUS include; having irregular bleeding that may last for more than six months, acne (inflamed skin on the face), headaches, and breast tenderness. The most effective medication to treat fibroids is an injected hormone medicine called
- Gonadotropin releasing hormone agonist (GnRHa). GnRHa works by preventing your menstrual cycle (period), but it is not a form of contraceptive. However, it does not affect your chances of becoming pregnant after you stop using it. Common side effects include menopause-like symptoms, such as hot flushes, increased sweating, and vaginal dryness. Osteoporosis (thinning of the bones) is a less common side effect.
- Surgical procedures Surgical procedures, for treating fibroids, are usually considered for large fibroids (>5cm) or if medications are ineffective in relieving symptoms. Common surgical procedures that are used to treat fibroids include:
- Myomectomy involves surgery to remove the fibroids from the wall of your womb. A myomectomy is an alternative to having a hysterectomy, particularly for women still wishing to have children. However, the procedure may not always be possible as it depends on your individual circumstances, such as the size, number and position of your fibroids.
- Hysterectomy involves surgery to remove the womb. A hysterectomy is not usually necessary unless the fibroids are very large or you have severe bleeding. A hysterectomy may be advised in order to prevent fibroids recurring.
- Endometrial ablation is removal of the womb lining. It is usually only carried out if your fibroids are near the inner surface of your womb. The affected womb lining is removed, which may be done in a number of ways, including using laser energy, a heated wire loop, microwave heating, or hot fluid in a balloon.