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Overview

Primary Amenorrhoea: Treatment, Procedure, Cost And Side Effects

What is Primary Amenorrhoea?

Amenorrhoea is a condition in which menstrual bleeding doesn’t take place. It is a normal feature which took place at a time of pregnancy, pre puberty and post menopause. In females of reproductive age, amenorrhea is to determine the pregnancy. In the absence of pregnancy, the challenge is to find the cause of absent menstrual periods.

In general, primary amenorrhea is the failure of puberty onset or menstrual periods until the age of 16. In the presence of normal growth and secondary sexual characteristics. If the onset of puberty such as an absence of breast development and menstrual doesn’t occur at the age of 13 then a workup for primary amenorrhea should be started.

In easy words, we could also say that it is a condition in which first periods never occurs. It could be problem with reproductive organs, ovaries, central nervous system, and pituitary gland also.

What are the types of Primary Amenorrhoea?

Primary amenorrhea is the absence of menstrual periods in women aged 16. It could lead to conditions such as

Turner syndrome - in easy words it is a condition in which sex chromosomes in females are missing. It could also lead to a variety of developmental problems such as heart defects, ovaries didn’t get developed, short height. It could get diagnosed before birth or during childhood. Its signs at birth or during infancy are cardiac defects, short fingers and toes, slowed growth, broad chest with widely spaced nipples and etc.

Vaginal atresia - it is a condition in which the vagina is closed abnormally or absent in some cases.

Prader Willi syndrome - is a genetic syndrome which is very rare and leads to various physical, mental and behavior problems. Its symptoms may slowly change over time from childhood to adulthood. Infants have symptoms like poor muscle tone, underdeveloped genitals, poor sucking reflex, and distinct facial features. Apart from that, early childhood to adulthood have problems like weight gain, craving, cognitive impairment, speech problems, sleep disorders, vision problems, hypopigmentation, and reduced saliva flow, etc.

Kallmann syndrome - it is a condition, in which an impaired sense of smell and absent puberty along with lack of production of certain hormones is seen. It could also be characterized by delayed puberty.

Imperforate hymen - hymen is a thin membrane that stretches across vagina. In easy words, it is a membrane which appears like a ring with a small opening. It can teared by exercise or inserting a tampon could also tear it. Imperforate hymen include symptoms like back pain, pelvic pain, constipation, lack of menstrual cycle apart from having other puberty signs like breast development and pubic hair.

What is the most common cause of primary amenorrhea?

Anyone who had the family history of delayed menstruation is one of the most common causes for primary amenorrhea. Genes condition that stops ovaries working properly such as Turner syndrome and high levels of testosterone. It also includes -

  1. Mullerian defects - it is a malformation of the reproductive organs, in it uterus and fallopian tubes aren’t formed as they should be.
  2. Structure problem - there must be a genital structural problem by birth.
  3. Mullerian agenesis syndrome - ovaries, breast, and clitoris are formed correctly, but there is no vaginal opening and cervix, uterus are not properly formed.

What is the most common cause of Secondary amenorrhea?

Pregnancy is the most cause for secondary amenorrhea. Other than that hypothalamic amenorrhea, ovaries, uterus or pituitary gland are other causes for the condition.

  1. Elevated levels of prolactin - a lactogenic hormone, which is produced by a pituitary gland in the brain, used to help women produce milk after childbirth. It is a kind of non cancerous tumor which produces high levels of prolactin. Its symptoms include headaches, visual impairment, nursing, painful sexual intercourse, acne which is abnormal or abnormal growth of hair on the face and body.
  2. Elevated levels of androgens - they are also called male hormones in women. Which circulates through bloodstreams and lead to acne, hirsutism, weight gain, and infertility.
  3. Polycystic ovary syndrome - it is a condition in which women produce normal than the higher amount of male hormones. This condition affects ovaries and ovulation by having cysts in the ovaries, irregular periods and high level of androgens. It is caused by inflammation, genes, and obesity. It affects the body by infertility, sleep apnea, metabolic syndrome, endometrial cancer, and depression.
  4. Early menopause - it is caused by genes, lifestyle factors, chromosome defects, autoimmune disease, and epilepsy. It has symptoms like spotting, heavy bleeding, the period after a year of no bleeding, periods longer than a week. It also has some other symptoms such as vaginal dryness, bladder control loss, hot flashes, trouble sleeping and lack of sexual desire.
  5. Tumors - it is also called a pituitary tumor which is non cancerous and interferes with hormonal regulation of periods.
  6. Hypothyroidism - in case of hormonal imbalance this kind of condition is seen. In which an underactive thyroid gland causes menstrual irregularities.
  7. Asherman’s syndrome - it comes in structural problems, in which scars tissues are seen at the lining of the uterus. This problem leads to amenorrhoea.
  8. Vaginal abnormality - a membrane or wall may prevent visible bleeding due to obstruction.

Apart from that factors such as eating disorders, athletic training, family history, Hypothalamus can be affected by extreme weight loss, severe illness, emotional or physical stress, etc. it also has complications like infertility and osteoporosis.

What are the symptoms of Primary Amenorrhoea?

The main symptom of primary amenorrhea is lack of menstrual periods, include -

  1. Hair loss
  2. Change in Vision
  3. Additional facial hair
  4. Headache
  5. Discharge from nipple
  6. Lack of breast development are few symptoms seen in a patient affected by primary amenorrhea.

What are the treatment of Primary Amenorrhoea?

Treatment of primary amenorrhea depends upon the cause along with the patient's age and ovary function test. Its treatment results are seen after a long period of time. In case of late menstrual periods family history, periods may occur on time.

In the case of physical or genetic problems, surgery is required. There is no guarantee for it as well. In the treatment of primary amenorrhea, the goal is to relieve from the symptoms such as hormonal imbalance, achieve fertility, establishing menstruation is done.

Popular Health Tips

Amenorrhoea

BHMS
Homeopath, Bahadurgarh
Amenorrhoea

Amenorrhea

Amenorrhea is the absence of menstrual bleeding. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.
For a woman to have regular menstrual cycles, her hypothalamus, pituitary gland, ovaries, and uterus should all be functioning normally. The hypothalamus stimulates the pituitary gland to release follicle-stimulating hormone (fsh) and luteinizing hormone (lh). Fsh and lh cause the ovaries to produce the hormones estrogen and progesterone. Estrogen and progesterone are responsible for the cyclical changes in the endometrium (uterine lining), including menstruation. In addition, a woman’s genital tract should be free of any abnormalities to allow the passage of menstrual blood.
Amenorrhea is of two types.

  • Primary amenorrhea. Primary amenorrhea is typically the result of a genetic or anatomic condition in young females that never develop menstrual periods (by age 16) and is not pregnant.
  • Secondary amenorrhea. Pregnancy is an obvious cause of amenorrhea and is the most common reason for secondary amenorrhea. Further causes are varied and may include conditions that affect the ovaries, uterus, hypothalamus, or pituitary gland.

Causes.

  • Stress.
  • Over exercise.
  • Excessive weight gain or weight loss.
  • Cycle suppression with systemic hormonal contraceptive pills.
  • Chronic diseases like tuberculosis etc.
  • Pituitary causes.
  • Hypothalamic causes.
  • Ovarian causes.
  • Breast feeding.
  • Thyroid gland disorders.

Symptoms.

Management.

  • Avoid stress.
  • Women should eat proper balanced diet.
  • Do moderate exercise to maintain body weight.

Diet in.

Good nutrition (balanced diet with adequate consumption of fats, proteins and minerals) can usually alleviate the problem.

Our homeopathic remedies are best in this case.

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Amenorrhoea - Causes Behind Primary and Secondary Type

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Amenorrhoea - Causes Behind Primary and Secondary Type

Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.

Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

  1. Milky nipple discharge (galactorrhoea)
  2. Hair loss
  3. Headache
  4. Vision changes
  5. Excess facial hair (Hirsuitism)
  6. Pelvic pain
  7. Acne

You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.

Natural amenorrhea
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:

Contraceptives
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.

Medications
Certain medications can cause menstrual periods to stop, including some types of:

Sometimes lifestyle factors contribute to amenorrhea, for instance:

  1. Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
  2. Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
  3. Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Hormonal imbalance
Many types of medical problems can cause hormonal imbalance, including:

  1. Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
  2. Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
  3. Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
  4. Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Structural problems
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:

  1. Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
  2. Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
  3. Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Clinical examination by the doctor  includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine  your breasts and genitals to see if you're experiencing the normal changes of puberty.

Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.

Lab tests
A variety of blood tests may be necessary, including:

  1. Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
  2. Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
  3. Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
  4. Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
  5. Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.

Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.

Imaging tests
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:

  1. UltrasoundThis test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
  2. Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
  3. Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Endoscopy tests
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

2411 people found this helpful

Effective Ways To Cure Amenorrhoea

M.D.Homeopathy
Homeopath, Lucknow
Effective Ways To Cure Amenorrhoea

When it comes to the health of women, there is never too much one can do. The condition of amenorrhea, for instance, refers to the situation in which menstruation does not take place.

There are two kinds of amenorrhea, which are the primary form and the secondary. The primary refers to when menstruation has not begun in a girl who has reached 16 years of age. On the other hand, when a woman has secondary amenorrhea, what this means is that for over six months, menstruation has not occurred.

The reasons why primary amenorrhea may take place are quite varied. Tumours which affect the pituitary gland can cause it, as can an abnormality in the vagina or the uterus of a woman. Diseases such as polycystic ovary also have the potential to lead to amenorrhea. For secondary amenorrhea, a bad diet, stress and pregnancy can lead to it. But what can be done about it?

Treating Amenorrhea with Homeopathy

Homeopathy is a truly amazing field of medicine and it is so great that it can treat amenorrhea, as well. One of the many good things about making the right choice of a homeopathic treatment plan is that it is highly customizable, according to the case at hand.

There is no one medicine which is prescribed by homeopathy for amenorrhea, which correspond to the various causes of the condition. So, it can be understood why homeopathic medicine is customizable as it proves to be in the case of treating amenorrhea, as well.

There are a variety of homeopathic medicines which can be taken for amenorrhea. That being said, it is important to keep in mind the fact that these medicines should only be made use of after a qualified homeopathic doctor has checked the patient and approved of the medicine. For mothers who have not experienced menses after they started breastfeeding their babies, Sepia is the medicine which is usually recommended. In a similar way, Pinus lamb is recommended for women whose menses are delayed. While these happen to be a couple of very specific or niche medicines, a general medicine for amenorrhea is Pulsatilla. In fact, it is widely considered by doctors to be very effective.

When amenorrhea is caused on account of the suppression of menses due to a tumour which is present in the ovaries, most allopathic doctors would be very worried. However, homeopathic doctors would know that there is a solution designed for this very situation, which is known as Apis Mel.

Now that it is known that amenorrhea has not only a cure, but rather, multiple cures; the cause for worry is not really warranted!

3274 people found this helpful

How Homeopathy Helps Manage Amenorrhoea?

BHMS
Homeopath, Howrah
How Homeopathy Helps Manage Amenorrhoea?

When it comes to the health of women, there is never too much one can do. The condition of amenorrhea, for instance, refers to the situation in which menstruation does not take place.

There are two kinds of amenorrhea, which are the primary form and the secondary. The primary refers to when menstruation has not begun in a girl who has reached 16 years of age. On the other hand, when a woman has secondary amenorrhea, what this means is that for over six months, menstruation has not occurred.

The reasons why primary amenorrhea may take place are quite varied. Tumours which affect the pituitary gland can cause it, as can an abnormality in the vagina or the uterus of a woman. Diseases such as polycystic ovary also have the potential to lead to amenorrhea. For secondary amenorrhea, a bad diet, stress and pregnancy can lead to it. But what can be done about it?

Treating Amenorrhea with Homeopathy

Homeopathy is a truly amazing field of medicine and it is so great that it can treat amenorrhea, as well. One of the many good things about making the right choice of a homeopathic treatment plan is that it is highly customizable, according to the case at hand.

There is no one medicine which is prescribed by homeopathy for amenorrhea, which correspond to the various causes of the condition. So, it can be understood why homeopathic medicine is customizable as it proves to be in the case of treating amenorrhea, as well.

There are a variety of homeopathic medicines which can be taken for amenorrhea. That being said, it is important to keep in mind the fact that these medicines should only be made use of after a qualified homeopathic doctor has checked the patient and approved of the medicine. For mothers who have not experienced menses after they started breastfeeding their babies, Sepia is the medicine which is usually recommended. In a similar way, Pinus lamb is recommended for women whose menses are delayed. While these happen to be a couple of very specific or niche medicines, a general medicine for amenorrhea is Pulsatilla. In fact, it is widely considered by doctors to be very effective.

When amenorrhea is caused on account of the suppression of menses due to a tumour which is present in the ovaries, most allopathic doctors would be very worried. However, homeopathic doctors would know that there is a solution designed for this very situation, which is known as Apis Mel.

Now that it is known that amenorrhea has not only a cure, but rather, multiple cures; the cause for worry is not really warranted! If you wish to discuss about any specific problem, you can consult a Homeopath.

5708 people found this helpful

Onycholysis: Primary Causes You Need To Know

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Noida
Onycholysis: Primary Causes You Need To Know

Nails are an important part of your physiology, although they are mostly used for either utilitarian purposes such as gripping or for beauty purposes such as nail decorations. Nails themselves can go through infections which need not have underlying causes and thus can cause damage to that part of the tissue. One such disorder of the nail is onycholysis.

What is onycholysis?
This is a disorder where the nail on the finger or the toes starts to separate from the skin below. This happens little by little and usually starts at the tip and then progresses backward. The further back it progresses, the more nail tissue it destroys. While the entire nail may not be detached from the nail bed, parts of it may chip off, showing the tissue underneath.

Symptoms of Onycholysis:

  1. Jagged border between the pink flesh of the nail bed and the yellow edge of the nail
  2. Detached nails become opaque, yellow or may turn green in color
  3. Nail may become irregular in shape and size
  4. Bits and chunks of nails can break off easily

Primary Causes for Onycholysis:

Let's look at some of the primary causes of onycholysis:0e962a07aa1f0b5b1e5d53b39c763740

  • Frequent Trauma - If you have a profession or work at home where you constantly require tapping away, it might cause minute injuries to build up within the nails and the fingers. Tapping on keyboards is one area where you could get repetitive trauma like this.
  • Manicure Problems - Many salons may aggressively try to clean the underside of the nails and in the process, slowly dislodge the nail form the nail bed and cause onycholysis. This has known to be the case with many people.
  • Water Immersion - If you have work where your nails are immersed in water for long periods of time, this could also affect the development of onycholysis.
  • Skin Diseases - Certain skin conditions can also end up giving onycholysis. Psoriasis and contact dermatitis are other conditions that may lead to onycholysis as a consequence.
  • Allergy to Nail Glue - Many makeup artists and customers have complained that certain brands of nail glue can also cause allergies resulting in onycholysis.
  • Medications - Medications meant for the treatment of other ailments within the body can have the unintended consequences of causing onycholysis.

Treatment:
The underlying problems need to be corrected which may cause onycholysis. Once the underlying problem is corrected, onycholysis usually corrects itself. The nail may take some time to re-grow but will grow back on its own eventually and may take 4 to 6 months to cover the entire affected area again. In case you have a concern or query you can always consult an expert & get answers to your questions!

3590 people found this helpful

Popular Questions & Answers

Can I take krimson 35 even when I have amenorrhoea. Can I start taking it anytime?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
Yes, you can take it even if you have amenorrhea, but you will get your menses only after stopping krimson. Also do not start krimson without ruling out pregnancy.
1 person found this helpful

How to confirm menopause clinically if 42 years old woman comes with 2 months amenorrhoea ?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dear lybrate-user, best is to wait. No periods for good 6 months, goes in favour of menopause. Lab tests are there but may be done only if there is anxiety.
1 person found this helpful

What are the primary symptoms of breast cancer? What are the primary measures to be taken at first?

FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
General Surgeon, Delhi
It is most important that if you notice a lump in the breast you must see a doctor. Feeling a lump is the first symptom, may have bloody nipple dischage. The primary measure is to see a doctor.
1 person found this helpful

What is primary complex and what are all the symptoms of primary complex in a 5 years boy.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Tb infection first affects the lungs in the form a primary focus and local lymph node enlargement. It's called as primary complex. Almost all children will have this. If it becomes progressive due to suppresseof immunity then it's called progressive primary complex. Common presentation of this in children is low grade prolonged fever.

Symptoms of pregnancy in primary months how to know pregnancy. Give me some primary symptoms.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
If you miss your periods then do a urine pregnancy test, if test is positive it means you are pregnant.

Table of Content

What is Primary Amenorrhoea?

What are the types of Primary Amenorrhoea?

What is the most common cause of primary amenorrhea?

What is the most common cause of Secondary amenorrhea?

What are the symptoms of Primary Amenorrhoea?

What are the treatment of Primary Amenorrhoea?

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Headache
A headache is a very common condition that causes pain and discomfort in the head, scalp, or neck.Primary causes of headaches are causes that aren t related to separate medical conditions. These headaches are the result of an underlying process in the brain.
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Anorectal Disorder - Piles, Fistula, Fissure And Pilonidal Sinus
Anorectal disorders are a group of medical disorders that occur at the junction of the anal canal and the rectum.Most people experience some form of anorectal disorder during their lifetime. Primary care physicians can treat most of these disorders, however, high-risk individuals include those with HIV, roughly half of whom need surgery to remedy the disorders.
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Arthritis
If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.
Play video
Arthritis
If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.
Play video
Treatments for Pilonodal Disease
Hi, I m Dr Ashok Gupta. I m a general surgeon gastroenterologist. I m practicing since last 35 years. Today we will discuss pilonidal disease.

First, let s know what this disease is?

This is the first fistula formation on the back side of the body. Where there is the lower portion of the human body, where the pus starts coming from the fistula and quite often it is not being treated by the repeated treatment of antibiotics and anti-inflammatory drugs and the person feel very much annoyed by this. This can be a pilonidal disease.

What pilonidal disease is?

When the hair enters in the skin and it goes in and creates an infection there, until and unless that track is being exercised or being operated that remains a permanent fissure. This is called a pilonidal disease. The surgery is very simple for it. only the thing is if it is being done by an experienced person and one day you have to stay in the hospital and it can even be done under local anaesthesia. The foreign body is being removed from the wound and the wound is remained open for a long time only the dressing is required for two three weeks and another if it is the primary closure is being done then it can be cured in seven to ten days.

You can connect me at lybrate.com. if you have question, query or any clarification you are most welcome to contact on lybrate.com to me. Thank you.
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