Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. You can find Gynaecologists online in Vadodara and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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
Urinary Incontinence (Ui) Treatment
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As a patient don't use antibiotic without consulting your doctor. Firstly use coservative measures rather than jump to antibiotics.
I am 38 years old house wife. For past 2 months I am suffering from vaginal infection after inter course. I consulted gynecologist two of them. One of them prescribed me to keep tablets I kept and gave vitamin tablets no use. Then consulted another gynaecologist she prescribed me tablets wash lotion and gel but also after having sex itching starting with in a day. Now I am suffering from vaginitis along with this problem. I am able to recover from infection but if had sex before completely cure suffering again. Now I am suffering from vaginitis to. gynecologist suggested me the position and gave gel to apply. But since I am allergic to many medicine I took it and got allergy too. My partner had infection first we found that later ant treatment from dermatologist. That time only issues started to me till before I was with out any issues. Vaginal area is very heat applying coconut oil since ointment also caused irritations, please help me.
The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg.
Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories:
- Blocked fallopian tubes
- One blocked and one open fallopian tube
- Tubal scarring
The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:
- STDs such as chlamydia trachomatis and neisseria gonorrhea
- Adhesions caused by ruptured ovarian cysts
- Peritonitis and
- A history of ectopic pregnancies
Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.
- Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however does not say much about tubal scarring.
- Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes.
Treatment for infertility caused by tubal scarring is of two types.
- Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. She may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
- In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
In large number of cases of tubal scarring tubes would be open on tubal testing. However, it may not be working well or is functional. A lot of women with so called unexplained infertility may actually have tubal scarring or non functional tubes as the cause of Infertility. IVF is the best treatment option in such cases as it would bypass the work of the tubes completely. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
Greetings from Asta Medi Care. I am Dr. Virendra Kumar Raju.
I want to highlight a big problem that we are facing in hospitals and clinical practice - that is the resistance of the antibiotics. In general, everybody use antibiotics as a first treatment for any kind of condition of any dose , no matter what medicine they want if they are available.
So my request to everybody is - don’t take antibiotics without the prescription of a registered doctor that is a qualified doctor. Okay, because if you take the antibiotic at home at our own doses which may be two, which, if the antibiotics require three times a day dose, you take 2 time dose, antibiotic requires less a dose but if you take higher antibiotics that give the bugs, the bacteria, a chance to get exposed to the antibiotics at the dose which will not kill the bug. Later, the bug will get resistant to that antibiotics.
So next time you take the antibiotics, the bug will be more resistant to that, because of that your health will not improve, you will pay more for the antibiotics and you have to go to higher antibiotics and to the high hospitals for elements. So my request to everybody is that don’t take antibiotics by yourself. Consult a qualified doctor and on his advice take the full dose of antibiotics as prescribed by the doctor. If the doctor says to take for five days, you have to take it for 5 days. Don’t stop the antibiotics.
Similarly the big scenario is coming the commonest infection which we are facing in India is tuberculosis. There is a big big problem to us. Nowadays tuberculosis is getting very very resistant to all the antibiotics, which we call multidrug-resistant or extreme drug resistant in which no matter what antibiotics you give, patient will not improve. So the cost and the effect is on our general public. So my request is don’t take antibiotic by yourself. Don’t go to chemist. Don’t go to unqualified doctor, and take their medicine.
Go to a registered regular doctor and take the medicine on his advice, secondly, another scenario which is coming up is the explosion of the chronic diseases like hypertension, diabetes and the cholesterol problem. The reason, nobody knows. 100% nobody knows why there is a reason. Why there are so much people are suffering from hypertension, diabetes, cholesterol problems, thyroid problem. Research is going on on that. But till then, what we should do? You all know that prevention is better than the cure. So you have to go for prevention.
To prevent these conditions we have to maintain your lifestyle. Proper lifestyle. Go for a, at least for half an hour of exercise. Exercise does not mean you have to go to the gym. You can just walk around. You can do a jogging. You can go for swimming. That will do that. Half an hour or one hour of exercise can keep your wait under check, which is very important. Don’t eat anything and keep your diet balance. It should not be too much non veg, too much veg, too much fatty food, too much sugar, you have to be careful. If you are on an office job , you have to reduce your diet.
But if you are an athlete and you are going for regular exercise you can have some Liberace in your diet. Second is that, don’t smoke. If you smoke, you are calling for lot of diseases. From cancer to the asthma to tuberculosis to anything you name it. Everything can be because of smoking, including diabetes and hypertension also. Third is that keep your weight under check. Fourth, is very important, follow the advice of the doctor. Because these blood pressures, diabetes. Cholesterol problems they are not going to be treated they have to under check, because prevention is better than cure.
What we have to prevent? First you have to prevent them, this diseases but if you get this diseases then you have to prevent the complications because those complications cannot be cured. Remember this. And those complications are dreaded complications. They will give you a lot of cost. They will make your life miserable, if not prolonged, if not shortened, okay. So you have to follow the advice of the doctor. Early age blood pressure and diabetes in 30’s or 40’s. So that in your later part of life is 55 or 60 years you will be happy, that is my point.
Follow the advice of doctor and keep your lives healthy. Thank you.
The spine lends structural stability and balance to our body helping us stand upright, while allowing flexibility in various movements. Moreover, it forms a protective canal in which the spinal cord, the most important part of the neural network, flows down from the brain to the rest of our body. The spinal column is an interconnected structure of bony (vertebrae) and cartilage tissues (intervertebral discs) and it is prone to age related wear and tear. Read through to learn more about a herniated disc, its manifestations and treatment options, with special reference to a minimally invasive surgical technique called endoscopic discectomy.
What is a herniated disc?
First, let’s understand an intervertebral disc. It is essentially a disc shaped, rubber like tough and flexible structure made of outer layers of fibrous cartilage with a softer gel like tissue in the centre. A disc lies between two adjoining vertebral bones of the spine and acts as a shock absorber. This disc undergoes wear and tear changes (degeneration) after a certain age. When the degenerated disc is subjected to any external strain or injury, the substance from the central part of the disc comes out through the tears in the outer fibrous layers. This condition is called a herniated disc. It is also referred to as prolapsed or slipped disc. A disc prolapse can occur in any part of the vertebral column; but, mostly observed in the lumbar (lower back) or in cervical (neck) region.
What happens when an intervertebral disc herniates?
When the inner disc material protrudes through the disc surface, it may pinch or irritate the nerve roots it comes in contact with. It also elicits a severe inflammatory chemical response in that area. If this happens in the lumbar spine, it induces symptoms such as:
Pain in the back, pain running down the leg, weakness of the muscles in the leg supplied by the affected nerve root, numbness or tingling sensation in the respective part of the leg. Loss of bladder and bowel control if a large disc prolapse compresses multiple nerve roots.
If you feel recurring radiating pain in any of the body parts, it would be a good call to see a spine specialist.
What causes disc herniation?
Disc herniation happens as a result of degeneration that is mostly related to the genetic composition of the person. Smoking is another well established factor that causes disc degeneration. Other factors also play a role in the process of wear and tear of the discs. Though the exact reason is hard to pick, disc herniation may be precipitated by strain on the spine during physical work, certain kind of frequent body movements or spinal injury due to any accident. Sometimes adopting improper body posture for physically demanding jobs of time may result in this condition.
What are the treatment options for herniated disc condition?
Most cases of disc herniation can be treated medically with rest, pain relievers, anti-inflammatory medication and physiotherapy. But, if the symptoms persist or the pain is severe or if it is affecting the nerve function causing numbness and weakness, it needs surgical intervention.
Minimally invasive (endoscopic) spine surgery
Spine surgery is generally adopted as the last resort to treat painful disc prolapse that do not respond to medication for a longer period (usually 3 months). Rarely, a severe nerve compression causing weakness of muscles or severe sciatica may need surgical treatment straight away. Conventional open surgery involves cutting the muscles and removing some portion of bone in the spine, which has its own complications and disadvantages. But, the advent of high definition image guided systems and surgical tools, now-a-days spine surgery for herniated discs can be done with minimal invasion.
Endoscopic discectomy for herniated disc is a minimally invasive spine surgery carried out through a small on the back. It involves removal of herniated disc material that protrudes and compresses the adjacent nerve roots, through specially designed spine endoscopes that help in clear visualization of the structures. Instead of cutting the muscles in an open surgery, endoscopic surgery involves dilation of the muscles causing much less damage and procedure related pain. It can also be performed under local anesthesia as a day care procedure in suitable patients.back pain