PCOD వల్ల నెలసరి మార్పులు | సెక్స్ & హార్మోనల్ ప్రభావం | Dr Nikhila Reddy | Gynecologist | Vamshi

PCOD వల్ల నెలసరి మార్పులు | సెక్స్ & హార్మోనల్ ప్రభావం | Dr Nikhila Reddy | Gynecologist | Vamshi

Author Name:Anantra Media

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Transcript:
(00:11) Hi. Hello. Welcome to Anantra Media. Gynecologist Dr. Nicolar. Hello. Hello. Hello. I'm fine. So, as a gynecologist and what inspired you to choose this profession? My journey started from 2006. I have to take it from my MBS days and japali. So I have been in this field since more than 15 years. Okay. Fortunately, my father is also a doctor.
(00:55) Okay. But daddy specificologistship. So government hospital when I used to deliver a baby so a happiness which I had seen in a mother's face I think that had inspired me more towards this journey okay so different different cases there are very highrisisk pregnancies so high complicated pregnancies I think that influenced
(01:42) women most problems heavy bleeding most. Okay. PC problem. What is the exact reason behind it? Maybe work pressure maybe because they have to achieve their goals in the work like you have to achieve that because
(02:29) they have to gain that income and uh sedentary lifestyle, obesity, no physical activity, uh junk foods, so many fashion foods by wherever we see there are too many restaurants, too many fast foods. So I think the lifestyle has changed a lot which is leading to PCOS or PCOD like cravings they can have it they should take it in limited quantity during periods or maybe before periods hormonal changes estrogen and progesterone ups and downs they will
(03:14) have these cravings. So excessive bloating, water retention but they can have in limited portion there's nothing wrong. So magnesium contents antioxidants vitamin C, zinc, magnesium. So foods it is good during periods or before periods. So premenstrual symptoms mood swings complaints. So if you have physical activity and a healthy diet, you can definitely overcome this problem.
(03:55) Hormone imbalance hormone periods infertility issue. Okay. So infertility issue is the main problem regular period you can manage with medications after marriage when you have to conceive or plan for a pregnancy then you will start facing the problem with hormonal imbalance pregnancy depending upon what type or which kind of high risk Pregnancy first thing
(04:51) uncontrolled previous history exercises all pregnant women can do exercise. There is no doubt in that it has to divide first trimester first 3 months exercises next to 3 months last 3 months frequency. So this all has to be dealt with. So when you come and get educated with a physiotherapist, child birth educators.
(05:30) So if they come and take classes then they will understand person to person. Yes. Woman to woman it varies pregnant woman to pregnant women it varies. Pregnancy. Yeah. It is safe before pregnancy. It is very safe because a woman has to decide when she wants to get pregnant. So kabati she has all the rights to take a contraception because uh they can use condoms, they can use uh OC pills or hormone tablets or injections.
(06:13) Ki it depends upon uh and if they are newly married is she unmarried previously already. So depending upon that we have to decide but otherwise contraception is safe 14 years what is the exact reason behind it exact it is basically upon the bad food what they are having okay that's why I think uh uh the hormonal changes that is happening in the body second thing college specific but that is not wrong because education is also equally
(06:58) important we have to balance [Music] it I think after 20s they don't get used to that so we have to train themaceful I think they can study more they can gain more they can retain more before the exams and all so lack of sleep is very important throughout the night mobile phones addiction I think second mobile depression. Exactly.
(07:54) Mother's grandmother's electm how they have to maintain because so that's the only thing before 20 years after correct pregnancy but this is also one of the
(08:41) factor for infertility because they keep postponing iter thoughts it is good to have that thought but age personal opinion but it is we are we have to respect uh each individual's opinion so we can't comment on that like pregnancy yeah they can plan okay but they have to maintain a healthy lifestyle okay what is the reason obesity bad food and different different medicines different
(09:26) factor medications. Yeah. So without any guidance little dangerous doctorments they are okay because you can take that over the counter they will be available. So you can take anyways they're going to come to the hospital but medications like hormonal tablets because contraception different
(10:10) different videos is very dangerous hormone tablets history of cancers individual to individual it varies. Okay. So we have to prescribe pregnancy once or maybe rare once in a while if they take doesn't affect much but regular basis it definitely affects on the reproductive health. Okay. So I it is
(10:55) not very safe. So definitely sex education is very important for all the children who are there at school and because they should definitely know how they have to have a safe and a protected sex like school unwanted unwanted pregnancies again they have to suffer later because they're very small they don't know the future they have to think about that reproduction I think from 9th class onwards it has to be there in the subject generally because by then the girls will be
(11:40) matured. So maturity anxiety because they don't know about that. So parents open up I think parents also should uh be friendly with the women and they should talk with the girls so then only they can ask and they can open up exactly it shouldn't be like a so I think the guidance also is very important from the family injection
(12:24) proven evidence. So without that we can't talk about it. So maybe few people are doing like that like hormone imbalance. So maybe everyone are talking about that but maybe without evidence we can't talk mostly hormonal imbalance mostly hormonal imbalance PC changes baby mothers. So
(13:13) maybe already sedentary lifestyle junk foods, excessive deep fried and oil foods, ecoplastic boxes, storage. So add on factors. So together it will show you on the hormones. uh what birth control method would be best for healthy life? Condoms are very safe and then birth control uh depending upon the individual.
(13:44) Suppose if a woman has come to us we should see the age and then we have to see her marital status. So married unmarried previous already children. So years we have to see her chronic health issues blood clot previous history chronic liver disease cancer already suffering treat we use different different methods in hormonal tablets contraception hormonal medicine we will say against okay so family complete type different health issues only heavy bleeding and they don't want children and they want
(14:28) to use contraception maybe we will go for surgery also we might advise so depending upon the individual okay so condition we have to decide diabetes like generations like that's why it is called genetical factor so like technology like implement see PC it is like a triangle you have to use medication you should do exercise and follow the diet so if you miss and if you use medication for 6 months if you don't follow your regular and healthy diet and exercise again you will come back to square one okay so it is always
(15:11) important that you follow it it's a normal girls age gynecologist the age of maturity suppose maybe 13 years years. So what kind of parts are healthy? We can also educate them with regarding the menstrual cups. So 18 years because they will have a lot more doubts maybe regarding the acne, regarding hair fall, irregular cycles, about the sex.
(15:48) So there are so many things contraception what they can use uh about the pubic hair cosmetic parangagani. So there are so many doubts especially they have to come and visit so that we can also educate them regarding cervical cancer vaccine. Okay. So I feel that a woman who attains a menarch or if they doesn't attain menarch also by the age of 14 they should visit a gynecologist and the only problem because we are also not devils let's just simple problems no I think we can also to guide and support and give knowledge so what is good what is not
(16:23) and all girls like regular processed food, stored food. See like uh if you go for a restaurant or restaurant, if you go to a supermarket, there are stored foods in that and ready. You can go home and prepare it. There is some preservative in it. So I think this is what they have to avoid. Okay.
(16:53) My opinion it is how to deal with UTI UTI hydration is very important. So to maybe that's what six l So it's not like that everything you have to take it in a certain specified quantity. So maybe two to three liters of water you're hydrating having fruit juices, barley water like she like so water. So if you take repeatedly and UTI not only for this repeated discharge infection history of diabetes which is
(17:40) uncontrolled UTI so health they're anemic maybe other infections like HIV hepatitis. So infection we have to treat them. Okay. [Music] It is safe. It is we don't say that it is unsafe during period. It depends upon the comfort of a woman. Okay. If she is comfortable then she can have like problem. So latest
(18:28) gynecology. So what about it exactly? Women who cannot open up and talk few problems like vaginismas and painful sex and first time they have not exposed to the sex after marriage they'll come to know this after marriage. So elant problems excessive vaginal discharge postmenopause dryness. So problems but they're coming they're opening up and they're talking about these problems.
(19:07) So skin hair face beautiful. So vagina is also like same. So some woman prefers that area to be beautiful and look beautiful. So like skin whitening area we can do vagis problem special painful sex we have physiootherapy then we use bio feedback mechanism then we use dilators so they train the vagina. laser treatments.
(19:37) We use a laser probe and we treat vagina so that dryness postmenopausal women early stages of menopause menopause we'll use it PRP treatments we do okay like how we do for the hair so this is all is what we are doing now latest in gynecology okay so tight okay to have sexual satisfaction so to improve the mood uh like who who are not having the pleasure.
(20:10) So anticon treatments now we are doing. Previously they used to not talk about that but now definitely they have right to talk about itmonal problems like they cannot there are different conditions. So we also have to look into male partner and female partner. So females PC tubes obesity ovelation. So multiple factors count analysis. So multiple
(20:55) factors we have to treat a woman it comes under unexplained infertility. It is very less but there is five to 8% of unexplained infertility definite only. So again for them we have to give them options IUI IVF options depending upon the age 35 years plus 30 years like 40 years how many years of married life 10 years 15 years.
(21:20) So, so we have to look into all the factors and then we have to give them options. like 10 15 cm fibroids. So that is what is advanced in endometriosis. So this is also one of the cause for infertility main cause. So women because they have very painful menstrual bleeding excessive bleeding and all. So laparoscopical we are able to remove
(22:06) it. This is advanced. So laparoscopy next step what we are doing is robotics. Okay. So robotics is more doctor convenient because it we can sit and do the surgery comfortable uh bleeding less it is very it has very less bleeding in it and recovery is very fast. So this is more advanced like pain medic. So second thing every month simple medic is not good and that is not an ultimate treatment without
(22:53) your diagnosis you can't treat. So once if you are diagnosed ultround if you are facing severe pain you can have a tablet there's nothing wrong because me daytoday life activity also should not affect with this so there's nothing wrong in taking medication after diagnosing laparoscopic surgery pain completely there is nothing like there is nothing. So laparoscopy.
(23:27) Okay. So there is not no role for laparoscopy in that. If there is any specific uh disease in it then only the laparoscopy can help it will decrease. Okay. Otherwise it is just the hormonal changes that happens in the body proins during periods. So the muscle will have the cramps and all in years of journey most.
(23:51) So challenging cases fibroids like 20 cm fibroids with pregnancy is very challenging because cancer you have to treat at the same time we also have to give the baby after chemotherapy Over quality and quantity cancer delivery maybe nth month we can't
(24:39) wait because they have to undergo chemotherapy radiation therapy. So we have to deliver early depending upon the count and a type of cancer and uh what is her condition and how fast she has to take the treatment. So we have to decide the pregnancy. So it is just like smoking drinking it depends upon the genes the genetical history.
(25:19) So and maybe exposure also to the pollution to the toxins chemicals and all what we are exposing daytoday like most toughest pregnancy one thing IVF pregnancy is challenging because deliveran lit lit blood she will pump. So within 15 minutes we have to act and we have to remove the uterus or treat her. So this is most challenging women
(26:05) proper pregnancy like men and women ovelation time. Soation we can have a tracker calendar or app they can also use. Okay. So depending upon that they have to track their ovelation. Okay. So you can follow these methods but otherwise the most fallen periods bleeding normally fifth or sixth day from nth day onwards if they have intercourse daily till she gets next period or at least alternate
(26:50) day the success will be more like pregnancy. So definitely there can be false kids. So which is 100% sure. Okay. So this is and to be reassured early morning treatical cancer treatment. Okay. So, prevention is
(27:46) better than cure. We'll take it and% two types 15
(28:29) years two doses vaccin. So like 13 years to 15 years age two doses 15 years above three do vac 2 and six three doses two doses 0 and six. So zero and six months. So this is a gap first intercourse protection is more 90% of protection it will have already mar they are exposed to sexual life yes definitely they can have it will also have 50 to 60% protection till what age they can take till 55 years age of women they can take cervical cancer vaccine problem monthly two times oh
(29:18) So monthly two times that is something which is abnormal progesterone hormone. Okay. Normal period 25 to 35 days we accept it as normal like treatments. Yeah. So again depends upon various factors.
(30:10) Thank you madam. Thank you so much. It's my pleasure.