Endometriosis

Not writing just for the sake of writing,but one more severe case endometriosis in a young unmarried female with multiple health issues and I really feel low and helpless.If I go operate with the intention of preserving her fertility ,this would be her 5th surgery(4 other done for various reasons).And then she is bound to have a removal of uterus and ovary sooner or later.Sometimes I do wonder,God could have been a little more kind on human beings.

Fibroids and Endometriosis

Come across so many youn patients in their late twenties and early thirties with Fibroid uterus and Endometrosis.Just in last 1 week performed operative laparoscopy with severe endometriosis in 2 young females.My heart went for them.Yet to complete family and both the ovaries converted into big cysts(endometriomas)with gut stuck wickedly to the uterus.
a very tough decision to make as a surgeon.You know you are leaving the ovary behind,as they haven't completed the family yet for another round of surgery later few years down the lane.........

Chicken pox in Pregnancy

Hi Mini,
So to address your concern regarding exposure to a person affected with chickenpox while you are Pregnannt,As I told you we need to get the level of your immunity checked before deciding on further line of treatment.the sooner we get the result better it would be.if you have low or no immunity for this condition you need to take Immunoglobulin injections within 10 days of exposure.
you can find further information on this topic.Please follow the link

http://www.rcog.org.uk/womens-health/clinical-guidance/chickenpox-pregnancy-what-you-need-know

Sex during Pregnancy

In my OPD almost 100% sheepish couple ask me this question very hesitantly if they can have sex safely during pregnancy and till when?the answer is yes,very much,you can have sex safely till the very end of Pregnancy.
For further details please visit this website.
"http://www.myhealthguardian.com/health-concerns/sexual-health/can-we-go-ahead"

http://indiagynaecology.blogspot.com/pregancny/my-post-on-pregnancy)

The commonest cause of mental retardation in children is downs Syndrome.1 in 700 women runs the risk of having a Downs baby.The associated risk factors are increasing maternal age,a family history of Downs syndrome,a previous child with Downs syndrome.Having said that it doesn't mean that a Lady of 40 will for sure have a Downs baby and Lady of 20 won't have one.So now WHO recommends 'screening tests,'(a test which tells the risk but doesn't confirm the condition).A blood test double marker which can be between 11 to 13 weeks or triple marker between 16 to 18 weeks.One doesn't need both the tests.The other mandatory test is level 1 Ultrasound Scan,which measures the thickness of baby's nape of neck and nasal bone thickness.If unfortunately one is high risk in the screening test one has the option to go for confirmatory CVS and amniocentesis.

http://indiagynaecology.blogspot.com/pregancny/my-post-on-pregnancy)

Diabetes in Pregnancy is a common condition in Asian Pregnant women.When a lady is pregnant body is producing lots of hormones which make a lady prone to develop this condition.Altered blood sugar level which usually gets back to normal once baby is delivered.Our Asian genes make us more prone to this condition.with ladies opting for Pregnancies at later age,this condition becomes more common.Ladies those who have PCOD are even more Prone to it.
A GTT around 24 to 26 weeks of Pregnancy is called for.A family history of DM is a strong risk factor.
And if you do develop GDM,don't panic.Exercise,diet control,metformin and insulin can be used to prevent the complications of this condition.

Dr Please.....need your personal attention

I was just thinking of a rather common issue as I got a text early morning from an admitted patient's husband."Doctor when can we get your Personal attention'?The lady got admitted with some problem at 4 in the morning today.Her management which was anyways conservative was arranged and coordinated by me telephonically with a trained registrar to look after her care and only on being sure that she is fine I slept back.And this message left me little disappointed.
Then from the perspective of the patients husband,I thought and disappointment was little less.For an anxious attendant who has no knowledge of medical science any condition can look serious,for me which is not. They feel so helpless and gain the confidence to see their doctor WITH them physically.I would love to do that i.e to be present all the time with my patients to give them the much needed mental support,but God that is not humanly possible..............