Useful information , Thank you for sharing it Mam...
nicely explained mam
Very good description about congenital anamoly of reproductive system of female.
How it is diagnosed per operatively that anomaly is non communicating , not cavitatory horn..?
An important and educative post for me. Thank you Ma'am for your valuable sharing.
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15 yr girl c/o severe pain in lower abdomen since 2days. no other complaints M/H- regular cycles, average flow for 3days , no dysmenorrhea , LMP 5 days back , no bleeding at present , menarche at 13 yrs Appendisectomy done 2 yr back O/E - tenderness n guarding + over lower abdomen p/s n p/v not done with dis history pt was admitted 8 days back , received IV antibiotics n painkiller , presently pt does not have any complain , beta hcg , AFP are normal , CA 125- 325u/ml ct scan report is as following kindly opine for further manegmentDr. Vrushali Jadhav4 Likes14 Answers
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40f Co severe hypogatric pain sudden onset no fever vomiting no urinary complaints kco intramural 25mm uterine fibroid; ho irregular menses 2-3 month back treated with duoluton L cynomycin 100mg initially then crina ncr 10mg pausext dotarin later for 21 days after this Pt had pv bleeding for 2 days then on 3rd day above mention abdominal pain followed by passage of this thing per vaginally at night...my question is what is this? ???????Dr. Abhishek Jaybhay6 Likes17 Answers
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Patient age of 20 yrs married woman suffering from dysmenorrhea since 8yrs.doctor advised her for ultrasound.usg shows uterine fibroid.then doctor advised her for surgery Nd she went for surgery.fnac report is normal Nd now she c/o severe pain while mensuration.plz suggest me the Ayurvedic treatment.Dr. Rohit Sharma7 Likes13 Answers
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Please suggest. Pt feeling severe pain in bleeding time for only three daysDr. Mohammed Aejaz0 Like8 Answers
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Friends today I am discussing about DYSMENORRHEA Painful menses. Dysmenorrhea Dysmenorrhea can be literally translated as "difficult monthly flow." Although it's normal for most women to have mild abdominal cramps on the first day or two of their period, about 10% of women experience severe pain. There are two types of dysmenorrhea: Primary dysmenorrhea is menstrual pain that's not a symptom of an underlying gynecologic disorder but is related to the normal process of menstruation. Primary dysmenorrhea is the most common type of dysmenorrhea, affecting more than 50% of women, and quite severe in about 10%. Primary dysmenorrhea is most common in late adolescence and the early 20s. Fortunately for many women, the problem eases as they mature, particularly after a pregnancy. Although it may be painful and sometimes debilitating for brief periods of time, it is not harmful. Secondary dysmenorrhea is menstrual pain that is generally related to some kind of gynecologic disorder. Most of these disorders can be easily treated with medications or surgery. Secondary dysmenorrhea is more likely to affect women during adulthood. Causes Primary dysmenorrhea is thought to be caused by excessive levels of prostaglandins, hormones that make your uterus contract during menstruation and childbirth. The pain results from the release of these hormones when the lining (endometrium) is sloughing off during your menstrual period. This leads to uterus contraction and decreased blood flow to the uterus. Factors that may make the pain of primary dysmenorrhea even worse include a uterus that tilts backward (retroverted uterus) instead of forward; longer, heavier, or irregular menstrual periods; lack of exercise; psychological or social stress; smoking; drinking alcohol; being overweight; a family history of dysmenorrhea; and starting menstruating before age 12. Secondary dysmenorrhea may be caused by a number of conditions, including: fibroids – benign tumours that develop within the uterine wall or are attached to it adenomyosis – the tissue that lines the uterus (called the endometrium) begins to grow within its muscular walls a sexually transmitted infection (STI) endometriosis – fragments of the endometrial lining that are found on other pelvic organs pelvic inflammatory disease (PID), which is primarily an infection of the fallopian tubes, but can also affect the ovaries, uterus, and cervix an ovarian cyst or tumour the use of an intrauterine device (IUD), a birth control method Symptoms and Complications The main symptom of dysmenorrhea is pain. It occurs in your lower abdomen during menstruation and may also be felt in your hips, lower back, or thighs. Other symptoms may include nausea, vomiting, diarrhea, lightheadedness, headache, or fatigue. For most women, the pain usually starts shortly before or at the beginning of their menstrual period, peaks around 24 hours after the start of bleeding, and subsides after 2 to 3 days. Sometimes clots or pieces of bloody tissue from the lining of the uterus are expelled from the uterus, causing pain. Dysmenorrhea pain may be spasmodic (sharp pelvic cramps at the start of menstrual flow) or congestive (deep, dull ache). The symptoms of secondary dysmenorrhea often start sooner in the menstrual cycle than those of primary dysmenorrhea, and usually last longer. In 5% to 15% of women with primary dysmenorrhea, the pain is severe enough to disturb their daily activities and may result in missed work or school. Making the Diagnosis If you experience painful periods, check with your doctor to see whether you might have an underlying disorder that is causing secondary dysmenorrhea. You may be given a pelvic examination, and your blood and urine may be tested. A doctor may also wish to use ultrasound to get a picture of your internal organs or even use the technique of laparoscopy for a direct look into your uterus. Treatment and Prevention Your doctor may prescribe medications or other remedies depending on the cause of the dysmenorrhea. Primary dysmenorrhea is usually treated by medication such as an analgesic medication. Many women find relief with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.* Some doctors may prescribe hormone medications. Oral contraceptives also may also help reduce the severity of the symptoms. Nausea and vomiting may be relieved with an antinausea (antiemetic) medication, but these symptoms usually disappear without treatment as cramps subside. Implantable contraception and progesterone IUDs, which release low levels of the hormone progesterone, have also been found to be very helpful in decreasing pain. Women who do not respond after three months of treatment with NSAIDs and hormonal contraceptives may have secondary dysmenorrhea. Treatment for secondary dysmenorrhea will vary with the underlying cause. Diagnostic laparoscopy, other hormonal treatments, or trial of transcutaneous electrical nerve stimulation (TENS) are potential next steps. Surgery can be done to remove fibroids or to widen the cervical canal if it is too narrow. In addition to the above, other non-medicinal treatments for the pain of dysmenorrhea include: holding a heating pad or hot water bottle on your abdomen or lower back taking a warm bath doing mild exercises like stretching, walking, or biking – exercise may improve blood flow and reduce pelvic pain getting plenty of rest and avoiding stressful situations as your period approaches yoga You may also wish to consider alternative therapies such as hypnosis, herbal medications, or acupuncture. Be cautious with herbal medications. They may be "natural," but they are not necessarily safe or free of side effects. They can also interact with other medications you may be taking. Check with your doctor or pharmacist before trying any herbal medications. Primary Homoeopathic Remedies Belladonna Symptoms that are very intense and come and go suddenly, accompanied by a feeling of heat, often indicate a need for this remedy. The menstrual flow is typically bright red, profuse, and may have begun too early. Pain and cramping are worse from jarring and from touch, yet applying steady pressure often brings relief. Walking or bending over can make things worse, and sitting may be the most tolerable position. A woman who needs this remedy may feel restless and flushed, with pulsing or pounding sensations, and eyes that are sensitive to light. Chamomilla This remedy is indicated when the person's mood and nerves are so sensitive that pains seem almost unbearable. Anger and irritability may be extreme (or pain and cramping may come on after the woman has been angry). The menstrual flow can be heavy, and the blood may look dark or clotted. Pain often extends from the pelvic area into the thighs, and may be worse at night. Heating pads or exposure to wind can aggravate the symptoms. Vigorous walking or moving around in other ways may help relieve the pain. Cimicifuga (also called Actaea Racemosa) Cramping and pain that get worse as the flow increases, back and neck pain with muscle tension, and sharp pains like shocks that shoot upward, down the thighs, or across the pelvis, are all indications for this remedy. The woman is likely to be nervous, enthusiastic, and talkative by nature, yet feel pessimistic and fearful when unwell. Cocculus This remedy is indicated when a woman has cramping or pressing pain in the pelvic or abdominal region, along with weakness or dizziness. She may be inclined toward headaches or nausea, and parts of her body can feel numb or hollow. Feeling worse from standing up or from any kind of exertion and feeling better from lying down and sleeping are typical. (Cocculus is often indicated when a person has not been sleeping well and then feels weak or ill.) Magnesia phosphorica Painful cramps and pain in the pelvic region that are relieved by pressure and warmth often respond to this remedy. Periods may start too early, often with a dark or stringy discharge, and pain is usually worse on the right side of the body. The woman is sensitive and inclined toward "nerve pain"—feeling worse from being cold and also worse at night. Other Remedies Bovista Women needing this remedy tend to have problems with puffiness and edema during times of menstrual stress, and can feel very awkward and clumsy. Pain may be felt in the pelvic region, often with soreness near the pubic bone. Menstrual flow increases at night (and may even be absent during the day). Diarrhea occurring at the time of the menstrual period is a strong indication for this remedy. Caulophyllum thalictroides This remedy relieves menstrual cramps occurring at the onset of periods, with scanty flow. Colocynthis This remedy relieves abdominal and menstrual cramps improved by bending over, strong pressure and heat. Ipecac This relieves heavy menstruation with many clots, associated with cramps and nausea. Lachesis Women who have intense discomfort and tension before the menstrual period begins and feel much better when the flow is established may benefit from this remedy. Symptoms include a bearing-down sensation in the pelvis, flushes of heat, headache, and an inability to tolerate the touch of clothing around the waist or neck. A person who needs this remedy may feel "like a pressure cooker": intense and passionate, needing an outlet both physically and emotionally. Lilium tigrinum Indications for this remedy include great premenstrual irritability (making other people "walk on eggs") and cramping pain with a bearing-down feeling during periods. The woman may feel as if her uterus is pushing out, and may need to sit a lot or cross her legs. She is likely to feel worse from strong emotions or excitement and be better from fresh air. Nux vomica This remedy may be indicated when a woman has irregular menstrual periods with constricting pains that can extend to the rectum or the area above the tailbone. The woman tends to be impatient, irritable, and easily offended. Chilliness and constipation are also common. Mental strain, anger, physical exertion, stimulants, strong foods, and alcohol are likely to make things worse. Warmth and rest often help. Pulsatilla Delayed or suppressed menstrual flow accompanied by nausea or faintness suggests the use of this remedy. Getting too warm or being in a stuffy room make things worse. Cramping pain with a bearing-down feeling, either with scanty flow or thick, dark, clotted discharge, can also occur—symptoms that are changeable often point to Pulsatilla. The woman's moods are changeable as well, and a desire for attention and sympathy, along with a sensitive (even tearful) emotional state are typical. This remedy is indicated during many conditions involving hormonal changes and is often helpful to girls who have recently started having periods. Sabina This remedy relieves profuse and painful periods with red blood clots, and pain spreading to the root of the thighs. Sepia Indications for this remedy include painful, late, or suppressed menstruation, sometimes with a feeling that the pelvic floor is weak or as if the uterus is sagging. The woman may feel irritable, dragged out, and sad—losing interest temporarily in marital and family interactions, wanting to be left alone. Dampness, perspiring, and doing housework may aggravate the symptoms. Warmth and exercise, especially dancing, often brighten the woman's outlook and restore some energy. Veratrum album Menstrual periods with a very heavy flow and cramping, along with feeling of exhaustion, chilliness, and even vomiting and diarrhea, are indications for this remedy. The periods may start too early and go on too long. Discomfort is often worse at night and also in wet, cold weather. Warm drinks, exercise, or moving the bowels may make things worse. Small meals, cold drinks, and wrapping up in warm clothes or covers will tend to bring relief.Dr. Rajesh Gupta8 Likes7 Answers