Skin & Hair – How Your Pregnancy Affects Them

Author: Dr. Preethika Shetty MBBS, DNB, M.S(OBGY), Fellowship in Reproductive Medicine (ICOG)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Kharadi

Hairfall During Pregnancy

So you are pregnant! You are excited, so is the family and your days of anticipation begin. But along with it are surprises, some comfortable and some not so comfortable that begin to happen day after day. To begin with, the first sign of pregnancy is that there will be an increase in breast size. This will be due to a higher level of production of hormones – estrogen and progesterone. The woman’s breasts could continue to grow throughout the pregnancy and there may be a need for a replacement of the bras more than once. Of course this apart, there could be nausea, bloating, morning sickness and a craving for foods that are intense in terms of their taste such as saltiness, sourness and spice.

Skin and hair changes – the most visible ones

Pregnant women will have an increase in blood volume that aids additional blood supply to the uterus, kidneys, and other organs. The increase results in extra supply of blood to the vessels and further activates the oil glands. Sure, friends congratulate on that pregnancy glow! That’s one among the many effects that come from hormonal changes and the stretching of the skin. This stretching could also cause itching and flaking. The woman is advised to use a moisturizer cream or something appropriate to soothe the dry skin.

Some women could also develop brown or yellow patches, referred to as chloasma, also called the ‘mask of pregnancy’ on their faces. In some cases a dark line will appear in the centre, usually from the navel to the lower abdomen called linea nigra. There could also be a hyperpigmentation (darkening of the skin) of the nipples, external genitals and the anal region. It is the hormones that cause the body to produce more pigment. Although Chloasma cannot be avoided, a sunscreen could be used to reduce its impact.

The other side effect of pregnancy is acne. The sebaceous glands get activated and produce more oil resulting in moles or freckles becoming more pronounced as the pregnancy progresses. These skin changes subside post-delivery. Pregnant women could also suffer from heat rashes caused due to dampness and sweating.

Hair

Several women experience changes in their hair texture and the volume of hair growth during pregnancy. The hormones encourage denser hair growth and also reduce hair fall. These changes are not permanent however and women usually lose some hair post-delivery or after they stop breast feeding the child. Hair could also grow in unwanted areas for example on the hair, belly or around the nipples.

Nails too change during pregnancy. The hormones enhance the rate of growth and the nails also tend to get a bit stronger. Nails could also split more during pregnancy.

‍Most changes subside post-delivery although changes on the skin such as stretch marks could remain. It is advisable to consult a specialist on how best to minimize it and get back the flexibility and suppleness. In all, pregnancy is an unforgettable phase and the woman would find it really interesting to observe the changes in her body, all the way to the D-day, when she would welcome her bouncing bundle of joy. A gynecologist would be the best suited to offer advice on these matters to ensure the woman experiences a memorable phase.

At Motherhood Hospitals we have a team of doctors and super-specialists with the expertise to investigate, identify and treat a range of conditions related to girl children and women. All our centres are equipped with modern equipment and dedicated staff and strategically located across India. Do take an appointment with our doctor who will ensure the right tests and treatment to help you get back to an active life.

Book your Appointment with Dr. Preethika Shetty for all Gynaecological issues.

Dos and Don’ts Of Postpartum

Postpartum Recovery

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

 

Medical Director (Gurgaon)- Obstetrics and Gynaecology at Motherhood Hospitals, Lullanagar

Post pregnancy care

So, you’ve finally delivered your bouncing bundle of joy. Your family is ecstatic, you are relieved, and things are relaxed. Soon, you want to get back to your normal routine – work, chores, regular activities etc. But wait, let it take time. Take it easy. Your recovery postpartum cannot happen in a few days. In fact a full recovery from delivery can take months. While you will begin to feel normal in about 6-8 weeks, it does take a longer time to heal completely.

Usually the postpartum period is referred to as the six week period post-delivery. This is a delicate time for you, the mother, the baby, and the members of the family. Slowly adjust to the fact that you are a mother. There is a certain rhythm that needs to fall into place. Discover it. Firm it up. Adjust it in such a way that it works for you and your baby. Here is what you need to do postpartum.

Get plenty of rest. Sleep as much as you can. Take your time as you cope with the fatigue and tiredness.

Take the help of people around you. If you have relatives or professional help do ask them to do things for you. You need all the help you can get.

Food is extremely important. Maintain a healthy diet consisting of proteins and carbs. Eat in time and follow the same time each day. Ensure you are consuming fibre-rich foods (whole grains, vegetables and fruits). Use stool softeners to ensure a regular bowel movement and avoid straining. This is not good for your perineal tears or C-section scar if you have one.

As your recovery progresses, do begin to walk/ exercise after talking to your doctor. Don’t overdo it. Definitely do not ignore it.

Here are a few things you are advised not to do in this period.

Do not insert anything into the vagina – Based on the kind of delivery you have had, you will be surprised at the kind of changes in your vagina. This includes the stress, stretching and the bleeding. You may feel you are back to normal, opt to resume sex or using tampons. Do wait till your doctor approves these activities. The important thing is the risk of infection.

Postpartum Recovery

Your uterus would still be healing post-delivery and if you had vaginal stress, that region would be healing too. It is advised not to use any internal devices such as menstrual cups or tampons considering that there could be an infection on these wounds. Usually bleeding post birth lasts up to 6 weeks. So use pads during this period and remember to change them frequently and wash your hands to prevent infections. As for resuming sex, doctors may recommend waiting for up to 6 weeks after delivery.

Do not overexert yourself – Of course you want to do the best for your baby. Feedings, diaper changes, cleaning all resulting in very little sleep. Take rest and recharge yourself. If you stress yourself too much, you might bleed, cause muscle strain and suffer from anxiety. Take it easy. Do only what you can. Walk gently and do not exercise heavily. Stop exercising if you feel pain. Rest to the maximum.

If there is pain, speak to your doctor – Women could have some pain after delivery but the duration could vary. The usual pain includes:

  • Cramping as a result of the uterus shrinking to its previous (pre delivery) size
  • Pain between the vagina and anus
  • Pain in the region of the incision and sutures
  • Pain or stiffness in the neck, back, and joints
  • Pain due to swelling of breasts

It is advisable to see the doctor if you have: 

  • A headache that cannot be addressed with medication or one that affects your vision
  • Pain and fever over 100.4°F
  • Pain when passing urine
  • Heavy bleeding
  • Pain in a specific region of the breast with reddishness or fever
  • Smelly discharge
  • Pain along with swelling in the legs
  • Difficulty in breathing

Do speak with the doctor who may examine and recommend OTC pain relievers or other medications.

Do not ignore if you are feeling depressed – If you are feeling sad or anxious or stressed in the first fourteen days postpartum, speak to your doctor. Remember you are not alone. Several women go through these symptoms and you must be checked for postpartum depression. Symptoms could include crying, anger, feeling withdrawn, not willing to interact with others or feeling positive.

Don’t fail to use birth control – Remember you could get pregnant after 6-8 weeks post-delivery. Do speak to your doctor about birth control and the options available to you and use them as you resume having sex. Options include: Intrauterine Device (IUD), birth control implant, birth control injection, sterilization or progestin-only birth control.

Stop smoking and drug usage – If you or your partner is a smoker, get immediate support to quit. Smoking damages your health and secondhand smoke is a key risk factor for Sudden Infant Death Syndrome (SIDS). Smoking could also cause asthma or other respiratory problems in babies.

With usage of drugs too, you risk your or your baby’s life Stop using opioids, cocaine, cannabis or other commonly used recreational drugs and practice a clean and healthy lifestyle.

Remember, the first few months post-delivery, is a period of learning for you and your family. Take it easy and adjust slowly, as your new life falls into a routine. Enjoy the experience without stressing yourself too much and just be mindful and aware.

At Motherhood Hospitals, we have a dedicated team of experts and super specialists with years of experience in addressing a variety of issues related to women and children. If you have an issue you wish to discuss, do take an appointment with one of our experts at a centre near you. You are assured of an accurate investigation, effective diagnosis and treatment ensuring you lead an active life.

Book your Appointment with Dr Preety Aggarwal for all Gynaecological issues.

Laparoscopy – The Miracle Of Keyhole Surgery And Its Benefits

Best Minimal Access and laparoscopic Surgery

Author: Dr. Beeresh C.S MBBS, MS(OBG), Fellowship in Minimal Invasive Surgery

Consultant – Obstetrician & Gynaecologist Surgeon at Motherhood Hospitals, Banashankari

Best Minimal Access and laparoscopic Surgery

In recent years, Laparoscopy has been widely used as a surgical procedure of choice to address a range of ailments and conditions. The surgery has become widely popular with doctors and patients alike considering the large number of benefits it offers and the faster time to recovery. Let’s look at what exactly this procedure involves and where it can be deployed.

Laparoscopy as a surgery has become widely popular in recent years. It takes a revolutionary approach to conducting the procedure wherein several smaller cuts are made instead of the traditional approach of making one large incision to access the site to be operated. The procedure uses a device called the laparoscope, a narrow tube with a tiny video camera and a bright light at the tip. The doctor inserts this tube through a small cut of width of about 1 cm to take a clear look at the internal organs.

A few more incisions are made in other regions in and around the site through which a few other tools are inserted to perform the surgery. Laparoscopy is also known as ‘minimally invasive’ surgery. This kind of surgery was initially used for gallbladder surgery and a few gynaecological operations but it is widely used now to operate various other organs such as intestines, liver, abdomen and other organs.

Best Laparoscopic Treatment

Benefits of laparoscopic surgeries

  • The patient can get discharged from the hospital quicker
  • There will be less scars post-surgery
  • The patient experiences less discomfort as the scars heal, and they heal quicker
  • The patient can resume normal activities quicker

To elucidate the advantages of laparoscopic surgery, let’s take an example of a typical intestinal procedure.  If a patient stays in the hospital for around a week with a traditional surgery and takes about 4 to 8 weeks to recover, under a laparoscopic surgery, the patient would have to stay for 2 nights in the hospital and the recovery could be as little as 2 – 3 weeks. A shorter hospital stay translates to less cost and the patient can also resume his/ her activities within a shorter time. 

The following surgeries are done using a laparoscopic procedure: 

Hernia Surgery: Hernias occur when an internal organ pushes against a wall of muscle or tissue that it is contained in. Usually hernias occur within the abdomen or between the hips and chest. The common hernias are: 

Inguinal Hernia: The inguinal canal consists of a ligament that supports the womb. With an inguinal hernia the fatty tissue or portion of the intestine pushes into the groin at the upper end of the inner thigh. This type of hernia usually affects women more than men. 

Hiatal (hiatus) Hernia: In this case a portion of the stomach pokes against the chest cavity through a gap in the diaphragm.

Umbilical Hernia: Another very common type of hernia usually occurring in women, in this case the fatty tissue or portion of the intestine pushes out of the abdomen near the navel.

Femoral Hernia: In this case fatty tissue or a portion of the intestine pushes into the groin at the upper end of the inner thigh. This commonly affects older women.

Appendectomy: An appendectomy is the process of surgically removing the appendix. It is a small, tube-shaped sack attached to the large intestine and situated in the lower right side of the abdomen. The functioning of the appendix is not very clear though it is presumed that it may help us to recover from infections of the small and large intestines. Usually, appendectomy is performed as an emergency surgery to address appendicitis, a condition that causes the inflammation of the appendix.

Gallbladder removal: The gallbladder is a pear-shaped organ positioned just below the liver on the right side of the abdomen. A cholecystectomy is performed to surgically remove the bladder using a laparoscopic procedure.

Colon Surgery: Laparoscopic procedures are commonly used to treat Fistulas, Haemorrhoids and other colorectal conditions.

Bariatric Surgery: A Bariatric Surgery is performed when diet and exercise do not yield the expected results and the patient is posed with serious health problems due to excessive weight. Some procedures govern and limit the amount of food the patient can consume while some work to reduce the body’s capacity to absorb nutrients.

Anti-reflux Surgery: Anti-reflux surgery, also referred to as Laparoscopic Nissen Fundoplication is a decisive approach for GERD when regular medication fails to offer relief towards stopping acid reflux into the stomach. Here the upper portion of the stomach is wrapped around the LES to reinforce the sphincter and prevent acid reflux.

At Motherhood Hospitals, we deliver exceptional healthcare services to women and children with highest standard of care and competence.

Book your Appointment with Dr.Beeresh C.S for all the Gynaecological issues.

Nutrition and Exercise Until D Day – Pregnancy Tips

Healthy Pregnancy Diet

Author: Dr. Preethika Shetty MBBS, DNB, M.S (OBGY), Fellowship in Reproductive Medicine (ICOG)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Kharadi – Pune

Healthy Pregnancy Diet

Maintaining good health during the weeks of pregnancy provides your baby with the nutrition it needs as it steps into the world. Doing regular exercise, following a balanced diet and keeping up with scheduled appointments with your doctor are some of the pregnancy care tips that help you to have a healthy pregnancy. Let’s learn more about the steps you could take right from the first month of pregnancy:

1. Focus on eating healthy – Inculcate a healthy and balanced diet in your regime: Here is what you could include:

  • Have five portions of fresh fruits and vegetables daily. Consume fresh fruits or fresh juices and avoid drinking packaged or canned ones. Along with this, also avoid vegetables that come packed in saltwater. Do not forget to drink plenty of water.
  • Starchy foods such as pasta, rice, bread and potatoes should make more than one-third of all the food you are eating. Furthermore, always choose whole grain variants instead of the white ones since you need plenty of fibre. Also, leave the skin on potatoes while cooking to provide more nutrition for you and your baby.
  • Have daily servings of protein from good sources like eggs, fish (two portions weekly should be oily such as mackerel, salmon or sardines), pulses, lean meat, beans, or nuts.
  • Consuming dairy foods such as yoghurt, milk and cheeses is also recommended right from the first trimester of your pregnancy.

2. Take your supplements

During your pregnancy, you and your growing baby need to have regular folic acid and Vitamin D supplements. These will be required even if you are having a well-balanced diet. Although it is recommended to eat healthily and have your daily quota of vitamins, minerals and nutrients from your diet, if you are having issues with consuming the right kind of food, talk to your doctor for all the required supplements your body might need for a healthy pregnancy.

3. Regular exercise

Regular exercise gives your body several benefits not only during pregnancy but also in post-pregnancy care. Make sure to include the following exercises during your pregnancy weeks:

  • Brisk walking
  • Yoga
  • Swimming
  • Pilates
  • Aquanatal classes

Get in touch with your exercise instructor and inform that you’re pregnant so he/ she can tailor classes or exercises specifically for you.

4. Perform pelvic floor exercises

The wide sling of muscles present at the base of your pelvis is what’s known as your pelvic floor. The functionality of these muscles is to support your bladder, vagina and back passage. During the weeks of pregnancy you may feel these muscles are getting weaker because of the extra pressure on them. To ensure adequate strength is maintained in these muscles, perform pelvic floor exercises including Kegel exercises regularly. Do take your doctor’s advice on which type of exercise best benefits you. The benefit will be experienced once you start building up to 10 long squeezes of 10 seconds followed by 10 short squeezes thrice a day.

5. Stop smoking and drinking alcohol

Regardless of the concentration, alcohol of any type will reach your baby rapidly via your bloodstream and placenta. Hence, there is no safe or minimum level of alcohol to drink during your pregnancy and one should avoid drinking to put the baby under any harm. Similarly, smoking during pregnancy can expose you and your baby to serious health problems such as miscarriage, ectopic pregnancy or placental abruption.

6. Stop caffeine intake

High caffeine content elevates the risk of stillbirth and miscarriage late in pregnancy. Hence try not to consume too much coffee, energy drinks, cola, tea or chocolates. Apart from the mentioned risks, caffeine can also contribute to having a low-birth-weight baby or premature birth.

At Motherhood Hospitals, we have a team of expert doctors, super specialists and highly trained nurses backed by the latest in infrastructure and facilities. We ensure complete care and advice to ensure a safe delivery at any of our centres. All our centres are equipped with modern equipment and the expertise to handle complex deliveries. Do take an appointment at a centre closest to you with our doctor and have a safe delivery of your baby.

If you wish to get in touch with Dr. Preethika Shetty, please book your appointment here

How Accurate Are Pregnancy Calculators

Pregnancy Weeks Calculator Online
Author: Dr. Padma Srivastava, MBBS, MD(OBG)

Consultant – Obstetrician & Gynaecologist Lullanagar, Pune

Pregnancy Weeks Calculator Online

Once you skip your period, the excitement sets in. Have you conceived? Is it finally happening? Next is a visit to the doctor, who will test you to confirm it and then calculate a date. By that time, you would definitely have come across a pregnancy calculator online, something that would be advised by friends or relatives.

So how accurate are pregnancy calculators? According to BabyCenter, an online media company, only one in twenty women deliver on their due dates. To begin with, it is important to understand that a pregnancy calculator at best offers an approximation of your delivery date based on your date of conception.
The weeks of pregnancy are dated from the first day of your last period. This actually means that in the first two weeks, you would still not have conceived. The body would just be preparing to ovulate which means, realising an egg from your ovaries.

It is indeed a logical question and one of the first any woman would ask on being informed she is pregnant – “What’s the due date?” It is important to estimate the due date as it can help you plan your pregnancy and for the baby’s arrival. From this context, a pregnancy calculator can be helpful even if it is an estimate at best and cannot be on point always. Now let’s explore how it works.

  Typically there are two methods of calculating a delivery due date. One is to estimate the date based on the last menstrual period. The second is to estimate based on the date of conception. Now, the due date based on the menstrual cycle is calculated as forty weeks from the date of the last period. The due date based on the date of conception is arrived at by adding thirty eight weeks to the exact/ approximate date of conception, which is a presumption again. The issue is that most women won’t know their exact date of conception. This makes the calculation of the delivery date an approximation. There is a possibility that the conception would not have happened on the day when the woman was sexually active and the egg could have been fertilized a day or two days later by the sperm that was lodged in the fallopian tube. Considering this variation, most healthcare specialists recommend that a calculation based on the last menstrual period is reasonably more accurate. Even with this, one can arrive at only an estimated due date. The doctor could reassess this date based on the results of an ultrasound that would indicate the size of the baby. So it is advised that you use the pregnancy calculator as a guide, but be prepared to welcome your little one anytime within one to two weeks around the due date. It could be a couple of days after the specified date too. It would be a surprise but a pleasant one, isn’t it? At Motherhood Hospitals, we have a team of gynecologists and super specialists capable of addressing a range of health issues and conditions related to women and children. Do take an appointment with our doctor at a centre close to you and you are assured of effective investigations, diagnosis and treatment enabling you to lead an active life. 
If you wish to get in touch with Dr. Padma Srivastava, please book your appointment here

Dos and Don’ts For A Safer And Healthier Pregnancy

Author: Dr. Nusrat A H, MBBS, M.S.

Consultant – Obstetrician & Gynaecologist at Bangalore, Banashankari

Becoming a mother and expecting your newborn is an overwhelming experience for a woman. This experience brings along various responsibilities that need to be followed even before the baby is born to ensure the newborn comes safe and healthy. In this segment, we’ll talk about the healthy pregnancy tips that you should focus on to take care of your unborn baby and how you can be prepared to make parenthood easier.

Start with the preconception period

Your body should be prepared mentally and physically before you look to conceive and it starts from knowing about the potential risk factors and health conditions that may affect you or your baby.
Many pregnancies take place without planning. No matter how advanced the prenatal care and medicine available are in today’s time, unplanned pregnancies come with the risk of low birth weight or preterm birth of the baby. Experts suggest women should focus on leading a healthier lifestyle before they plan to conceive, so they can avoid any risk or problems that may occur with the mother or her baby.
 

Taking care of the mother and baby’s health during pregnancy

A mother encounters a lot of doubts and questions during pregnancy – What should I eat? What are the must-haves? What do I avoid? How do I change my routine to ensure best safety and health for my baby?

Let’s talk about the important things to take care of:

Diet: There is endless advice on how much a pregnant woman should eat or avoid eating. However one needs to note that when you are “eating for two” your diet shouldn’t be doubled! In reality, it’s all about including the foods in your diet that are rich in nutrients for both mother and baby – where eating a balanced meal is enough for both.

Food items that are good for both mother and baby:

  • Fruits and vegetables
  • Grains, cereals, and wheat germ
  • Low or no-fat dairy products (milk, yoghurt)
  • Meats, poultry, and a few selective fishes

Food items that are best avoided:

  • Refrigerated meat spreads and refrigerated smoked seafood such as mackerel, salmon, or fishes that have a high concentration of mercury
  • Unpasteurised milk, juices, and cheeses such as feta or blue cheese
  • Trying new variations of herbs and plants
  • Raw sprouts

Stop smoking: Apart from damaging your body and increasing the risk of cancer and heart diseases, smoking is bad for the health of your unborn baby too. Smoking during pregnancy contributes to having a baby with low-weight or heart problems that may take place soon after birth. Along with this, the baby can suffer from cleft lip/palate, and has an elevated risk of Sudden Infant Death Syndrome (SIDS). Smoking has also been the cause of miscarriages in certain women.

Improve your oral health:  Apart from the usual dental check-ups that most women go through before getting pregnant, it is advised for them to undergo a complete oral exam during the initial stages of pregnancy. This is because pregnancy gingivitis is very common. It is a condition where gums become swollen and bleed easily. It could be the result of both poor oral hygiene and increased hormone levels during pregnancy. Though there’s little evidence to support this, gum diseases may contribute to having a baby with low birth weight.

Stop drinking Alcohol:  Lastly, drinking alcohol during pregnancy can put your baby at high risk of developing Foetal Alcohol Spectrum Disorder (FASD), which results in learning disability, behavioural issues, and abnormal facial features. This damage can take place during the earliest stages of pregnancy, even before the mother is aware that she is pregnant.

If you are looking for the best maternity hospital for normal delivery in Bangalore, then Motherhood Hospital is the answer for you. We have an excellent team of experienced super specialists backed by the latest in infrastructure. We have the expertise to handle complex deliveries, gynaecological, and various other surgeries. Do take an appointment at a centre closest to you and our doctors will make the required investigations, diagnose the issue, and recommend the most appropriate treatment – enabling you to lead an active life.


If you wish to get in touch with Dr. Nusrat A H, please book your appointment here.
 

Experiencing Pain During Intercourse

Dr. Sushruta Mokadam - Best Gynaecologist near me

Author: Dr. Sushruta Mokadam, MBBS, MD

Senior Consultant – Obstetrician & Gynaecologist, Motherhood Hospitals, Kharadi

Dr. Sushruta Mokadam - Best Gynaecologist near me


Many women go through painful intercourse at some point in their lives which could be because of various issues, from structural problems to psychological concerns. The medical term for this condition is dyspareunia, which is defined as recurrent or persistent genital pain that can be experienced before, during or after intercourse. Get in touch with your doctor for dyspareunia treatment if you’re facing the same. The treatment includes finding the cause and eliminating to counter the problem.

Symptoms

In case of painful intercourse, women may experience these symptoms:

  • Pain only during penetration
  • Pain during each penetration (including putting in a tampon)
  • Severe pain during thrusting
  • Burning or aching pain
  • Throbbing pain that may last hours after intercourse
Causes
From experiencing pain during penetration to the pain with deep thrusting, different women may face different physical causes of intercourse pain. In some cases, even the emotional factors might be associated with the pain.
Pain during penetration
Entry pain might be associated with various factors, such as:
  • Absence of required lubrication: not indulging in enough foreplay may often result in the absence of lubrication. Additionally, a drop in estrogen levels post-menopause or childbirth or during breastfeeding is another potential cause. There are medications available in the market such as birth control pills, high blood pressure medication, antihistamines and sedatives that hampers the sexual desire or arousal in the woman which reduce the lubrication causing painful sex.
  • Irritation, Injury or Trauma: Any injury or irritation due to an accident, female circumcision, pelvic surgery or cut made during baby delivery to enlarge the episiotomy at best gynaecologist obstetricians in Bangalore.
  • Skin disorder, inflammation or infection: Infection in the urinary tract or genital area can lead to painful intercourse. Along with this, skin problems such as eczema or more can also pose trouble.
  • Vaginismus: the involuntary spasms of the vaginal wall muscles make penetration painful for women.
  • Congenital abnormality: Problem that exists since birth such as the development of a membrane that blocks the vaginal opening or the absence of a fully formed vagina can result in dyspareunia.
Deep Pain
  • Various illnesses or conditions: deep pain can be caused because of illnesses or conditions such as ovarian cysts, endometriosis, haemorrhoids, pelvic inflammatory disease, adenomyosis, uterine prolapse, pelvic floor dysfunction, retroverted uterus, irritable bowel syndrome, cystitis and uterine fibroids.
  • Medical treatments or any surgery: any damage from pelvic surgery, including hysterectomy can result in painful intercourse. Additionally, medical treatments for cancer which includes radiation and chemotherapy contributes to making your sex experience painful.
Best Gynaecologist Motherhood Hospitals, Kharadi


Emotional factors 

  • Psychological issues: worrying about self-appearance, constant depression or anxiety or stressing on relationship or lack of physical intimacy can result in low-level arousal along with discomfort or pain.
  • Stress: high level of stress in your life can cause your pelvic floor muscles to tighten up which contributes to painful intercourse.
  • Sexual abuse history: this is not a mandate cause but if a woman has been abused sexually in the past then it may play a role.

Stop suffering in Silence

Painful sex is not something to be ashamed about, it has a cause that can be treated once identified. If you have been avoiding sex because of the pain then it’s time to see visit Motherhood Hospital and see the best gynaecologist to accurately diagnose the cause of the pain. We have an excellent team of experienced super specialists backed by the latest in infrastructure who will answer your problems with utmost care and attention.

We have the expertise to handle complex deliveries, gynaecological, and various other surgeries. Do take an appointment at a centre closest to you and our doctors will make the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

At Motherhood Hospitals, we deliver exceptional healthcare services to women and children with highest standard of care and competence.

Book your Appointment with Dr. Sushruta Mokadam, for all the Gynaecological issues.

PMS and hygiene for teenage girls – staying clean during and after

Dr. Archana Dubey- Best Gynaecologist near me

Author: Dr. Archana Dubey, MBBS, MS (OBG)

Consultant – Gynecologist, Infertility and Laparoscopy at Motherhood Hospitals, Indore

Dr. Archana Dubey- Best Gynaecologist near me

 

When a teenage girl enters puberty, her body goes through several changes both physical and biological. This includes significant changes to the reproductive system which also marks the beginning of her monthly menstrual cycles, to continue till the woman reaches her 50s and menopause. This is also a phase of excitement and confusion for the girl who has stepped into womanhood. She is experiencing a lot of things, has a lot of questions and is too shy to ask someone. While the mother does answer a few, a lot more remain a mystery, waiting for her to discover by herself. Friends and the internet are another source.

What are periods?

A girl child will go through several changes once she reaches puberty, and the most significant milestone in her life is her first period. Periods are an integral part of the menstrual cycle that occur because of changing hormone levels in the ovaries, which influence the uterus. 

The following changes happen during a menstrual cycle:

  • The ovaries produce the hormone oestrogen in cysts or sacs called follicles. This stimulates the follicles to produce eggs. Usually, a single egg matures and this is let out after which the ovaries produce progesterone, another hormone.
  • This egg travels from the ovary through the fallopian tube towards the uterus.
  • The hormones oestrogen and progesterone activate the uterus to create a lining to receive and implant a fertilised egg.
  • In case the egg is not fertilised, there will be a drop in hormone levels which results in the lining of the uterus, consisting of blood and other tissue, being discharged through the vagina – this step is referred to as period.

For most young women, their first periods start between the ages of 11 and 14, but the beginning of a period anywhere between 9-16 years is normal.

Premenstrual Syndrome (PMS) and hygiene

Premenstrual Syndrome (PMS) is what the girl experiences in her body and her mood before or during her periods. It is usually very intense for 4 days before her period and tapers down 2-3 days after her period begins. Hygiene is a very important aspect that teenage girls need to learn and practice as they enter womanhood. Here are a few important things they need to know.

Choosing between pads, tampons and menstrual cups

Children must discuss this with their mothers or doctors, or at school with counselors. They must learn of the advantages and disadvantages of the various options available for them to use during their periods such as sanitary pads, tampons or menstrual cups. It is important to know what pads, tampons, period-proof underpants, and sanitary cups look like and how to use and dispose them, and also how to use and clean a menstrual cup. It is better for the child to start with period-proof underpants or pads before she goes on to try menstrual cups or tampons. A good thing would be for the child to practice using a tampon or a menstrual cup between periods, by inserting and removing them.

Pads, tampons, period-proof underpants or menstrual cups – how many would be needed

A child will need about 3-6 sanitary pads or tampons a day, although fewer may be necessary when the flow is lighter. Pads or pads with wings could also be used.

1 to 2 period-proof underpants could be needed each day although this depends on how heavy the bleeding is. These underpants must be washed and dried between each use so one may need about 2 to 3 pairs.

Home-made cloth pads carry the risk of infections including severe white discharge, smelly discharge, burning, etc. If these are being used, they have to be washed thoroughly and dried before they are ready for use again.

If using a tampon, one cannot be used for more than 4 hours. It has to be replaced and the used one disposed, by wrapping it in a piece of paper.

Scented products must be avoided for genital hygiene

Best Gynaecologist Motherhood Hospitals, Indore
  The PMS impact and managing it During PMS, the girl might go through sadness, mood swings, crankiness, fatigue, anxiety, irritation, food cravings, bloating, backache, pimples, diarrhoea, sore breasts or other kinds of discomfort. For food cravings a balanced diet consisting of fresh fruit and vegetables is recommended. To reduce bloating, practice a low salt diet.
  • To reduce anxiety, it is good to avoid caffeine and get plenty of exercise
  • For sore breasts, backache, and headache a warm heating pad could be used or a pain killer (only if necessary).
  • Yoga helps in keeping the mind calm and the body flexible
During the period, particularly in the first few hours, many girls experience severe cramps, caused by prostaglandin, a chemical that contracts the muscle in the uterus. A warm pad or a pain killer can alleviate the situation (it is better to manage naturally unless it is imperative or pain killers could become a habit). Post their first period, most girls settle into a regular cycle and are able to manage their symptoms at home. It is advisable to have a healthy diet, sleep cycle, and an exercise routine. It is advised to rest well during periods and keep active so the monthly cycle can be managed well over time. However in case you are not able to manage the symptoms or are experiencing any other discomfort, it is best to contact your family doctor or a gynaecologist for advice. At Motherhood Hospitals, we have a team of excellent doctors and super specialists specialising in women and children care. Do take an appointment with our doctor at any centre close to you and discuss your PMS related issues with her. You are assured of sound advice to help you/ your child manage the condition effectively and lead an active life. At Motherhood Hospitals, we deliver exceptional healthcare services to women and children with highest standard of care and competence. book your appointment with Dr. Archana Dubey, for all the Gynaecological issues.

The dreaded, “M” is here! Fatigue. Hot Flashes. Body Ache.

Best Gynaecologist Motherhood Hospitals, Lullanagar, Pune

Author: Dr. Payal R. Narang MBBS, DGO 

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Lullanagar, Pune

Best Gynaecologist Motherhood Hospitals, Lullanagar, Pune


As women reach their 40s and move on towards early 40s, most of them realise their levels of activity and energy is not at its peak. Coupled with this would be lack of interest, fatigue, body ache, hair fall and other niggling issues. They tend to feel they don’t have the kind of enthusiasm to do things like they did in the past – work, children, household chores etc. Talk to friends, elders the family doctor, they all have one thing to say, ‘You must be reaching menopause’. Now the questions begin. Will it get worse? What else would I have to endure? How long would it last? How much suffering would I have to bear? And so on…

Let’s dry to decipher the dreaded M that all women have to go through with some suffering and the lucky ones just about scraping through.

Dr. Payal R. Narang, Best GDr. Payal R. Narang, Best Gynaecologist near meynaecologist near me

 

Typically, menopause occurs in three stages – perimenopause, menopause and postmenopause. Perimenopause is the time before menopause – it is the period when the body is approaching menopause which means the hormones are reducing and the menstrual cycles are becoming irregular. A woman would know she has reached menopause when she has skipped a period for 12 consecutive months.

Once you enter menopause, you could have a slew of symptoms for an average of 4 to 5 years which could usually reduce in intensity over time. There are a few women who could experience a menopause for up to 10 years too. The average age for menopause is 51 though it could vary in case of people from region to region across the world. About 1 percent of the women have a menopause before they are 40 which is referred to as premature menopause or primary ovarian insufficiency. Early menopause is when women undergo menopause between the ages of 40 and 45. When a lady begins menopause, depends on genetics and the health of her ovaries. Many women begin perimenopause and enter menopause quite quickly.

Symptoms of Menopause

Each woman will have a different menopause experience. Some will have severe symptoms particularly if menopause occurs over a shorter period of time. Factors like health of the ovaries, surgeries like hysterectomy or lifestyle habits like smoking could aggravate the symptoms.

Apart from variations in menstruation, the symptoms of perimenopause, menopause and postmenopause are more or less similar.

These include:

  • Erratic menstruation cycles
  • Variation in the intensity of cycles – heavy or light
  • Hot flashes, night sweats, flushing – referred to as vasomotor symptoms In fact 75% of all women experience hot flashes with menopause

Other symptoms of Menopause are:

  • Insomnia – lack of sleep or disturbed sleep
  • Vaginal dryness
  • Weight gain
  • Depression or mood swings
  • Anxiety
  • Memory recall issues
  • Reduced sex drive
  • Dry mouth and eyes
  • Hair loss
  • Frequent urination
  • Soreness of the breasts
  • Racing heart
  • Urinary Tract Infection (UTI)
  • Stiff joints
  • Increased hair growth on other areas – neck, face, chest, back etc.

Other Impact could include:

  • Vulvo-vaginal atrophy
  • Pain at the time of intercourse
  • Reduction in the rate of metabolic function
  • Osteoporosis or weakening of bones
  • Heart or blood vessel disease
  • Body weight gain and diabetes

The Reason for Menopause

Menopause is a natural process – the result of the aging of ovaries leading to a drop in the production of reproductive hormones. The body begins to undergo several changes as there is a drop in the levels of Estrogen, Progesterone, Testosterone, Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH).

Among the key changes is the reduction in the number of active ovarian follicles, structures that produce eggs from the wall of the ovary causing menstruation and fertility.

The onset of menopause is heralded when the woman first notices the frequency of her periods dropping in consistency and the flow becomes heavy. This begins to occur in her mid to late 40s and her menopause sets in in her early 50s. A menopause could also be induced due to injury or surgical removal of the ovaries.

Diagnosing Menopause 

You are advised to speak to your doctor if you are experiencing any of the symptoms mentioned and are 45 years of age or younger. A recently approved blood test named PicoAMH Elisa diagnostic test can determine whether a woman is approaching menopause, or has entered menopause. The doctor may also advise tests to measure the levels of hormones in the blood – FSH which is a kind of estrogen and estradiol.

A menopause is confirmed when FSH blood levels are consistently elevated with levels of above 30 mlU/ mL coupled with no menstruation for one full year. In the case of perimenopause, the levels of FSH and Estrogen vary daily and doctors will diagnose menopause based on the medical history and symptoms. Additional blood tests initiated during menopause include thyroid test, lipid profile, kidney function tests and hCG tests.

Treatment for Menopause

Menopause is addressed by treating specific symptoms such as hair loss, vaginal dryness, excessive hair growth, depression and anxiety, sleep medications for insomnia, antibiotics for recurring UTIs, and calcium supplements to counter osteoporosis. In a few cases the doctor could also recommend hormonal treatment.

Home remedies include comfortable clothing to manage hot flashes, avoiding heavy blankets, using a fan, exercising to reduce weight, stretches to manage muscle aches and controlled food and diet. You could speak to a psychologist or a counsellor if you are feeling depressed or anxious. Also recommended are yoga, meditation and breathing techniques.

At Motherhood Hospitals, we deliver exceptional healthcare services to women and children with highest standard of care and competence.

Book your Appointment with Dr. Payal R. Narang, please here.

When should I seek medical help for my newborn?

Dr. Sunil Puraswani  - Best Pediatrician near me

Author: Dr. Sunil Puraswani  MBBS, MD (Paediatrics), Fellowship in Neonatology

Consultant – Paediatrician and Neonatologist at Motherhood Hospitals, Indore

Dr. Sunil Puraswani  - Best Pediatrician near me


Parenthood is an exciting phase but along with it comes several challenges as well. Providing neonatal care is not an easy task since newborns don’t come with any instruction manual. With so many self-proclaimed newborn caring experts present around, you may often find yourself in a situation where you may not what’s the best. And times like being clueless about the right action for your baby’s health is something you want to avoid. 

It’s fine if you are worried after seeing certain symptoms in your newborn which may be harmless. On the other hand, it’s also risky to avoid these symptoms and not look for the best neonatal services in Bangalore since it may lead to serious health conditions. Your thumb role should be “When in doubt, consult your doctor”. Also, avoid going to hospitals for every small matter since it may put an effect on your savings while also exposing your newborn to various infections with frequent health care visits.

Best Pediatrician Motherhood Hospitals, Indore


Symptoms and signs of sickness in your newborn

Practically it is not possible to call your doctor every single moment during the small issues but the following symptoms and signs are something which you shouldn’t avoid:

1. Your baby is avoiding required feed

The first sign of a sick baby is avoiding the required dose of feed. Since babies have small stomachs, they need to be fed at small and frequent intervals along with having very little energy reserves. If your newborn is not showing interest in feeding then you need to get in touch with your doctor.

2. Your baby’s skin is too warm or cold

A small baby’s body is capable of catching a cold or fever very quickly. In case your baby’s skin is too cold or too warm then start with checking their temperature. A temperature of 100.4 F or higher is the sign of fever while 97.7 F or lower is too low for your baby. Contact the child doctor or best fetal medicine specialist for further advice.

3. Your baby is dehydrated

If you want to check whether your baby is dehydrated then you can look for lack of tears when the baby cries, reduced number of wet diapers (normal frequency is 6-8 diapers a day), sunken soft spot on the baby’s head, dry mouth and sunken eyes. Dehydration can be a dangerous situation for your baby and should be addressed immediately with the best neonatal intensive care unit.

4. Disturbed bowel movements

Take note of the number of wet and messy diapers your child makes, too few or too many is the sign of disturbed bowel movements. In case of signs like hard or scanty stools, loose or watery stools or a baby struggling during bowel movements, get in touch with your child’s paediatrician.

5. Change in behaviour

In case you see your baby being too lethargic, floppy, sleepy or crying inconsolably, it is a sign for you to get in touch with your child’s doctor.

6. Rashes on the skin

Contact your child specialist if you see your child’s skin developing rashes, mottled or pale on the body with a temperature that’s higher or lower than normal. Apart from this, your baby’s doctor needs to be contacted in case of developing jaundice that doesn’t go away or spreads throughout the body parts.

7. Difficulty in breathing

Rapid breathing, grunting, stuffy nose, flaring nostrils, coughing, retraction of the ribs or bluish skin colour are the signs to contact your paediatrician immediately.

8. Eye or ear discharge

Sticky discharge from one or both eyes or ear drainage needs immediate attention from your paediatrician.

9. Appearance of blood

Blood appearing in the baby’s spit-up, poop, nose discharge or navel should be immediately addressed by the doctor. Apart from this, pain or bleeding from the penis is also a concerning situation.

At Motherhood Hospitals, we deliver exceptional healthcare services to women and children with highest standard of care and competence.

Book your Appointment with Dr. Sunil Puraswami for all the paediatrics related issues.