Must watch : ARE YOU HURTING YOUR FERTILITY? Ammayilu Tappakunda Chudalsina Podcast! | #tunein
Author Name:Tunein
Youtube Channel Url:https://www.youtube.com/@Tuneinnevergetbored
Youtube Video URL:https://www.youtube.com/watch?v=zDhHoa4uV-Q
Title: Must watch : ARE YOU HURTING YOUR FERTILITY? Ammayilu Tappakunda Chudalsina Podcast! | #tunein
Author Name: Tunein
Description: Can masturbation affect fertility? Can porn-related masturbation affect future sexual life? Can gym steroids, testosterone boosters or performance supplements affect sperm count and sperm quality?
These are some of the important questions discussed in this podcast on sexual and reproductive health for both men and women.
The conversation covers much more than fertility. We discuss masturbation, porn, erectile dysfunction, performance anxiety, premature ejaculation, sperm health, semen analysis, vaginal hygiene, vaginal discharge, first-time sex pain, periods, endometriosis, fibroids, infertility, egg freezing, menstrual health, menopause, pregnancy and family planning.
This podcast is an open conversation about the sexual and reproductive health questions people often hesitate to discuss.
If you found this conversation useful, Like, Share and Subscribe for more health and wellness conversations.
This content is for general educational information and is not a substitute for individual medical advice.
Time stamps
0:00 to 1:55 Promo
1:56 : 6:47 Mastrubation and Male health
6:47 : 8:38 performance, anxiety And erectile disfunction
8:38 : 10:35 premature ejaculation
10:35 : 10:44 Gym & steroids
10:44 : 14:10 Anxiety And Depression
14:10 : 14:44 Semen analysis & fertility
14:44 : 16:46 First time sex
16:46 : 20:04 vaginal health and hygeine
20:04 : 23::40 period pain
23::40: 28:51 Endometriosis, fibroids and Hysterectomy
28:51 : 34:53 Fertility issues & Egg freezing
34:53 : 39:33 Menarche & Menstrual hygiene
39:33 : 48:33 Menopause
48:33 : 51:31 pregnancy detection & warning signs
51:31 : 54:20 Gestational diabetes and hypertension
54:20 : 56:16 (PPH) postpartum hemorrhage
56:16 : 59:00 STD
59:00 : 1:01:05 Consanguineous marriages & Genetic screening
1:01:05 : 1:05:58 Family planing & contraceptive methods
🎥 Credits
🎙️ Guest: Dr. Srinidhi Chirala MBBS, MS Obstetrics & Gynaecology ,Fellowship in Advanced Infertility Techniques and Cosmetic, Aesthetic, Functional & Regenerative Gynaecology
🎧 Host: Akarsh Agastya
📽️ Produced by: Suruguri kavitha
🎬 Production & Directed : Suruuguri Taran { Bablu }
🎞️Editing partner – Veda Creative cloud
📟PROMO Design – Taran
🖥️ THUMBNAIL Design - Joseph Kishore
🎥 DOPs – Chandu Avunoori & Mallesh
#Fertility #SexualHealth #ReproductiveHealth #Masturbation #SpermCount
Keywords
PCOS vs PCOD, cosmetic gynecology, gynecologist advice, early puberty, pregnancy tips, women's health, period delay pills, I-pill side effects, pregnancy care, hormonal health, normal delivery, pre marital tests, laser treatment, doctors desk podcast, telugu health podcast
masturbation, porn, steroids, sperm count, sexual health, reproductive health
Transcript:
(00:00) First time sex they'll have pain. >> First time sex is not anis after trying unprotected sex. They're not having children. We'll ask them to get couple of testile dysfunction. Whenever you are putting that psychological pressure on you or your partner, it will never work. People who are into constant masturbation everyday frequent they face this real life issues when they actually had a partner with them.
(00:56) issues if they're landing up into infections there can be chances of transmitting it for their partners to masturbate. So when you are watching porn you are setting some [music] kind of awaren [music] they'll come and tell you multiple sexual partners [music] family planning is there any particular times contraceptive pills to avoid pregnancy.
(01:50) So what are those symptoms? masturbation because masturbation it is projected in a very wrong way. Most of the people feel so shy and to talk about masturbation actually. But uh it is also uh like two-sided thing. It is also having a positive side and a negative side. People who are into like constant masturbation everyday frequent they face this uh real life issues when they actually had a partner with them
(02:36) they faces issues of unrealistic expectations from their partner. So this is the you know negative side of masturbation but once in a while when you are like stressed people usually choose to masturbate when they're stressed and when they're longing for their partner. These are the reasons these also have this negative side like I've said unrealistic expectations and also some doesn't maintain these are the health negative points after masturbation important because it might be cause of P infection in females also will cause
(03:15) infection so this is really important regular masturbate And what are the effects on your relationship? So how it is going to affect frequency >> frequency fixed frequency it's psychological again masturbation or sex anything is a psychological thing like I've already said as long as it is not affecting your personal life relationships it is fine between couples. So
(04:09) unless until they are fine, it is fine. So there's nothing like textbook thing. But again like I've said if you are not taking care of when your partner is with you equal emotions both males and females important like you are only because you can masturbate so many times in a day but one can't have sex like they can't be having sex in a day so that should not be affecting so as long as that is fine between couples it's okay masturbation sperm multiple times like I've said
(04:53) is if they landing up into infections there can be chances of transmitting it for their partners when they are actually having sex some are not aware sexually transmitted dises from males to females or females to males that is tricky >> and also masturbate in terms of partners in terms of girlfriend or your wife spouse like they expect because you're somehow porn is something which is not realistic.
(05:30) I say it is not realistic because Indian body type is different and Indian women or men both have like the different body parts, shapes, colors, so when you are watching porn you are setting some kind of a beauty standards for both males and females somewhere you are disappointed you may not be liking when you are actually doing it with your partner that is again the negative side but when you understand it is not like that like I've already discussed previously also pigmentation issues private parts somebody is so beautiful this kind of prefixed mindset if they're
(06:21) participating in sex when they after watching porn that would create a little mess in their relationships. So this should not be the psychological thing that uh you focus on but it should be just or masturbation should be when your partner is not around and you wanted some kind of this thing then you can do it but is not right and also performance anxiety erectile dysfunctiones So is it a permanent thing or is it an
(07:06) normal which is very treatable performance anxiety again it is a psychiatric thing it's a psychological so first of all for any couple what I say is we have to have kids whenever you are putting that psychological pressure on you or your partner it will never work first of all. First of all, you and your partner has to be psychologically and mentally while prepare you should go for it.
(07:36) >> Be it a normal sex or sex for kids or whatever it is then only it will be pleasurable and without any this performance anxiety. performance anxiety usually young when their first time doing it of if they're afraid of something uh seeing porn again porn juicy it can be for both males and females okay for males especially influenced performance anxiety and for them we have to sit make them sit and explain it is not like that first First the foreplay thing.
(08:18) Foreplay is also a verbal flow foreplay. You have to ask and uh you have to see what the other person likes. It is a stepwise thing. So that is more like psychological performance anxiety when they're relaxed everything would be good. So and also premature problems evenffect. [snorts] So in that case problem like it is treatable. It has both
(09:06) conservative medicine and again behavioral therapy system actually who are into premature ejaculation like performance anxiety we usually advise them to visit a psychiatrist talk to them and tell why and where exactly they're feeling we'll ask them so it is completely treatable it is not like but again uh if it is stress related we ask them both of you have to be like taking time for this and who are software engineers who work in the late night 2:00 they have the screen time issues almost anxiety that will show up on the
(09:52) personal life. So we'll ask them for lifestyle modification changes at least your mind should be calm 1 hour 2 hours before you are sleeping that's when everything will fall in place. So we'll ask them to change a little bit in their lifestyle. So this can be managed >> right and also pre premature ejaculation STI STDs your partner disappointes who come and explain both of them not feeling it and it is not infections.
(10:33) It is not the reason of infections >> and also gym le steroids testosterone boosters effect in terms of you know sperm quality or else in terms of stamina how it is going to affect if you're normally working out it will it is a very good thing okay it doesn't affect your sperm quality or anything but uh using of steroids Smoking, drugs, alcohol will always affect your sperm count and also the morphology than your size, shape differences of if you are a smoker, chronic alcoholic
(11:17) and if you are using steroids when you're going for gym. >> So that will definitely affect your sperm quality. So future when you are planning for kids that would be one of the cause of infertility. Some it is not always females problem but this sperm thing is also male infertility is also common these days >> and also anxiety and depression.
(11:47) So the male and female effect in terms of sexual life in terms of emotional balance how it is going to affect or depression psychological when you are not okay definite that will lead into so many different problems especially females they might land up in PCOS raani and males like I've said they will be addicted for smoking a stress law like excessive mass ation, excessive smoking, alcoholic single problem for both males and females.
(12:29) It will lead into multiple issues in their sexual life and also while lifestyle they tend to have a lot of junk food in a way they'll become obesity. When you are not fit enough again your sexual life will also be hampered. There are multiple uh issues because of anxiety and depression. They're two different thing who feel extremely anxious before anything happening, new happening, any project happening.
(12:56) [snorts] And they're different. Depression. Most of the patients I saw are having this unexplained depression. They they will not be able to say that. But some people are really feeling depressed but they don't know the reason at the end of the day we feel we don't feel like doing anything we don't feel like sitting and talking to our partner also some do this scrolling of mobile so these are the different things that they face so they ultimately show up in the lifestyle and also sleep cortisol levels will go up that is a
(13:43) stress hormone hormone. So that is again it is uh killing all the good hormones in your body and it is causing lot of antioxidants stress related hormone. So that will not let you sleep properly. So sleep then again all your this sexual related issues hair fall looks issues body dysmorphism.
(14:07) So these are multiple things. So everything is related to sleep and lifestyle >> and also analysis. So >> an analysis usually uh who are a couple who visit us having this problem of infertility one year after trying unprotected sex they're not having children we'll ask them to have both females we'll ask them to get couple of tests and also for males we ask them to get the semen analysis like I've said the male problem we'll ask them to get se analysis This is for males >> and also first time sex they'll have pain.
(14:51) So, so when you suggest someone so what are those myths and how you will uh tell them what are the facts are? >> First time sex is not always painful in everybody and uh it also depends upon the age of the female and also the body how fit she is. If she is into fitness, if she is into athletic or whatever body type she is having a different kind of females it would be different but pain I can't say it is same for everybody but whenever they are having sex they'll be having pain so that is something pathological it can be because of pelvic inflammatory
(15:37) endometriosis. So it is a different thing but first time no it can't be because to some can be already broken because of if they might be into sports horse riding jumping people females young females they'll be into sports it can't be there but to prevent pain again uh it can be because of a condition called as vaginismas and it is also a psychological condition where the vaginal mus so for that again psychological both of
(16:23) them should be prepared and it should be organic and then prepared so that will prevent this pain first these are the some things that couple has to keep in mind that well prepared It should be naturally through talking uh emotional bondage when they do it will not be that much pain >> and also vagina hygiene.
(16:49) So vagina hygiene whitening. So how how is that? [laughter] Yeah. How is that how is that you know maintained well? Ina is first of all a self-cleing organ. It will take care of itself first of all and no there is nothing called whitening products that should be used there because vagina an it is a very very sensitive organ.
(17:17) >> Uh so you can't be using any kind of harsh chemicals into your vagina except that uh creams estrogen creams we give and uh the lubricants Nothing should be put inside the vagina. It is definitely fairness. I'm against that. It is only your inner thighs can be brightened. whitening creams I don't suggest as a cosmetic gynecologist I suggest to some patients just inner thighs work we can whiten
(18:02) through chemical pills but nothing for vagina vagina if somebody is having any kind of white discharge smelling itching then you should come and consult a gynecologist. Apart from that it is self cleaning and also if you want once in a while we can use V wash that can be used once in a while if you wanted to clean it once in a while you can use it.
(18:41) So normal water to clean it will be cleaned. Okay. So no whitening creams are endorsed. Yeah. >> Right. >> Right. And also vaginal discharge normal count. So when to consult a doctor? Like I've said vaginal discharge one week before your periods a female period one week before and one week after their periods little amount of white discharge is common that is common that is because of the hormonal change your hormones will be changed in your body that is the sign discharge hormonal change that will be showed a little
(19:26) And it can be again whenever you see it would be it will be fine. And after your periods one week it will be fine. But if you are seeing white discharge throughout the month and false to that level where everyday When we ask them to get couple of testin we'll treat them according to the and also periods or else heavy
(20:22) first day that all of you also should know and should be very much aware. You might be having your sister or girlfriend or wife at your home. So on your second day of your periods especially patients experience lot of pain and they will tend to take tablets which is called they take that and it is fine and pain Right.
(21:17) They can't even get up of bed. pain. So that is when it is really uh alarming sign that you have to come and visit a gynecologist because it can be because of any other reason like I've said endometriosis which is commonly seen in young females reprodive age groups. So that is one of the most common reason Pelvic inflammatory disease infection.
(22:06) Past this chronic size big size clots and past abdominal pain and also number of pads they change in a day normal frequency but first day second day third day to fifth day periods flow. So first day, second day especially females tend to change lot of pads lot three to four pads per day it is okay more than six and also as a doctor whenever we are losing blood we tend to
(22:54) become enemic and they look pale face low nails. So signs of anemia immediately it is a sign for evaluation we have to avate fibroid. Fibroid will cause this kind of excessive bleeding in females. fibroid, thyroid, hyperyroidism well they will show up so immediately endometriosis. So endometriosis,
(23:44) fibroids, ovarian cysts and symptoms. So typical endometriosis patient will be having severe pain uncontrollable pain like ovaries. will cause lesions. Young females before even having kids
(24:33) age group fibroid after 40 40 and who are little fat females and adults symptoms problems first of diagnosis we have help of radological examinations like ultrasound laparoscopy MS we will ask them to get this radiological investigations once we'll treat according to the disease
(25:20) right and also early diagnosis If the the patient is having endometriosis, they will be having difficulty in conceiving. If they are not aware and get got treated early when they are planning for pregnancy, they'll not be able to conceive and psychological disease also will be having grades. Anything will have like it would be little difficult.
(25:56) So something immediately it is always advisable to come and visit a gynecologist. Right. Right. And also if we effect is there any possibility to remove uterus uterus even where there is not proper education unwanted Pregnancy
(26:45) uterus has a lot of hormones in them. Uerus along with fallopian tubes, ovaries and it is one of the anatomical structure that god has given. So this has a lot of hormones which help the females to maintain their entire life flow different. So It should only be after your menopause is what I suggest. We'll only suggest them for go for hyctomy only after treat them for the hyctomy which is the rem of
(27:33) entire uterus with tubes. Okay. only because it has hormones and estrogen progesterone they'll be experiencing back hormones when your body doesn't have hormones you'll be having lot of side effects in you so hyctomy treat for endometriosis we can go for the we'll give the them the fertility
(28:18) treatment system if they're planning for pregnancy fibroid we can ask them to go for device which will control the excessive bleeding in patients fibroid excessive bleeding so these are there are multiple medical management And also will be the last option for us especially we'll try to preserve ovaries right uterus tubes and also fertility issues do we have any chance any signals that okay fertility issues so conceptions
(29:06) So when to consult a doctor? >> To some people uh who are like already trying from last one unprotected sex we are not able to conceive. First of all they'll come and tell you most of the couples it is very simple. change that can be because of polycystic some couples they'll come to you who are like married a little late
(29:53) some who are aware some come to And they say old 35 what do you sgest if everything is normal you can try for the natural pregnancy they'll say we we wanted to go for artificial techniques so is it okay to So we will offer treatments mostly patients they'll come and say
(30:42) what would be the reason then we'll ask them again like you asked before analysis both the partners have to be evaluated for infertility then but we'll offer treatment and also artificial pregnancy. So when you suggest your uh you know patients to do it >> first of all they are not aware and also uh they like it is very costly procedure also not many can afford for egg freezing and egg freezing especially for females who are
(31:28) above 35 they'll come and they'll say ma'am I'm thinking to freeze my ex what do you say and some directly again they'll come and ask you then we'll Yes, go for it. You go for because we are not planning for kids for whatever reasons and that is something normal. But there are also some other causes like cancer patients.
(31:54) We'll suggest them for freezing their eggs who are going for this radiation therapies and ovaries are so sensitive where it can damage this ovaries damage fertility. They're going for cancer treatments. So you go for egg freezing for the future fertility purpose and autoimmune problems. So some come up to us who are like little 35 and above they they themselves they go for egg freezing right it is again about affordability you can always go for Pregnancy
(32:42) do they sperm count after you're 40 your quality of egg or the sperm will it is same for both males and females I'm saying it will come down a little bit quality production both males and females [snorts] so it is not that you can't become pregnant after 40 We have seen so many celebrities examples but uh and it is also availability of the medical services around them.
(33:21) She became pregnant. They also are being assisted with the the well medical management team gynecologist experienced fertility they will be helping them but no it doesn't work like that and it is also different with the each female to female body after 40 if you're trying to there will So many complications with that complications.
(34:03) Some go into hyper stimulation. Excess hyper stimulation that would be again lifeing complication some will be diabetic in pregnancy some of the complications 100% 85 to 90% yeah it will be beneficial for But first of all as a gynecologist to explain them these are the pros and cons. It is never 100% sure that you will be having happy pregnancy
(34:52) right and also first body particular age. So how how it is >> 11 to 13 years normal age of when you first see your menal bleeding puberty changes body like they see development of hair breast pubic hair first time when they are seeing. So this is also depending upon their uh uh family and genetics while motherarch
(35:43) and their lifestyle and food again age of now it is being more little early than before because of lifestyle and this food changes the more heavy fatty foods So that is called also clear. So menural hygiene daily. First of all uh one should know when to
(36:32) change their pads school because the age of manarchy is little in the school age group. That is called the lack of education. It will have a lot of collected blood. This will again lead into infections in their kids school and whenever they're they have to clean it properly with normal water. They are in a very tender age.
(37:17) It is again the responsibility of mother to explain them. You have to change pads in 4 hours, 3 hours go change your pads and also clean yourself properly with the normal water, soap water. It is fine. It is always when they are in school age group, it is the responsibility of mother to keep a check on the kids pattern of bleeding frequent changes.
(37:46) If the child is aware, it is fine. Mother has 100% responsibility to take care of all these things, >> right? And also age groups and when to consult a doctor and pains will bring them to us. actually mothers they're very concerned and also I wanted to say in the initial stages of their menstrual cycles until like first adult group periods are little more painful and also excessive bleeding
(38:35) cycles initial stages some are underweight some are thyroid hyperyroidism so again like I've said pain they will bring to us bleeding like I've said when you are keeping a check on them when you ask them you will Understand we can always check and they'll come to school. They'll come back from school crying. She came back with all bleeding in her
(39:26) uniforms. So these are all the things that we have to be concerned about. also menopause hormonal changes. So treatment or else how to identify them uh menopause and your uh levels of hormones are coming down when we are gradually growing old it will come down. So when the hormones are coming down like I've said estrogen or the testosterone in males are giving the energy required support for both the males and females hormones do this thing. So
(40:13) estrogen it gives you that it is a happy hormone age group they feel hot because the level of estrogen is coming down they are attaining towards sorry menopause. So when they're reaching menopause first of all some are forgetful kind of insomnia
(40:59) forgetful but these are actually they'll be facing these things. Some some experience weakness around menopause females, right? Some face these things in a mild way. Hot flush, right? So we can offer hormonal replacement but hormone replacement therapy.
(41:50) Okay. But we should see if the endometrial thickness. So 6 months level of complaints right soya milk soya supplementation which is good for estrogen treat so bone health mental health bone mineral density First of all,
(42:37) back lower back pain and that is because simple [clears throat] calcium levels. So we offer them calcium supplementation so that we'll ask them to take milk to fight all these symptoms and also sexual health will have vaginal dryness. To have a better sexual life, it is always advised to have vagina prepared with lot of lubrication and lubrication around menopause.
(43:19) Vagina secretions like I've said secretions are related to hormones will face dryness issues when they're trying to have sex they'll be facing pain friction. So for them we'll ask them to use estrogen creams. We can put them into through the vagina. So that will help them when they are having sex to have a better experience >> and and also uterus remove you know headaches back she won't sleepves
(44:07) so what what would you suggest like I've said Menopause right you are attain you attain menopause what kind of hyerectomy that we have done is also important they'll feel better they complete completely menopause. First of all, vitamin B12
(44:53) first vitamin B12 deficiency vitamin B12 vitamin B12 system vitamin D levels most of the Indian females have vitamin D deficiency All right. So effects like as a tablet or as a nutrition if you can maintain nutrition very well and good if they can take it through the nutrition if you are taking adequate amount of protein calcium foods fiber foods
(45:39) protein when you're around menopause I ask them to cut down your carbohydrates because my carbohid hydrates around when you're gaining weight that will also cause. So menopausal woman has to be fit and healthy in a way nutrition or supplementation is also fine kind of fitness. Either you go for walk
(46:27) 30 minutes to 40 minutes of brisk walking every day for the women around menopause or menopause is compulsory >> shoes will help them mentally and these are the changes that they have to make and and also menopause they also suffer with some other diseases like diabetes combination of treatments. Combination of treatments first of all hyperyroidism estrogen is first of all how many females
(47:18) quite less compared to men. Yeah. Estrogen is a cardoprotective hormone. Females sugar. Yes. If they're not aware of their lifestyle, they can land up into diabetes and also PCOS. If they are not maintaining healthy body weight that they can develop insulin resistance and type two diabetes >> and once around their menopause like they can develop hypertension also. So
(48:11) insulin once it is developed it is same for males and females but hypertension around menopause or after menopause because again like I've said estrogen side effects they tend to develop All of this, >> right? And and also early pregnancy symptoms. So So what are those symptoms? And early pregnancy signs like body people will have this nausea morning.
(49:02) patients and usually first three months until 12 weeks lot of body after 12 weeks you can see 12 weeks early pregnancy some will show a little bit of uh spotting, bleeding around their period of menstrual cycle very very less
(49:54) righted regular This is also one of the warning sign that they should be aware of immediate ultrasound if they have this thing collection. We ask them for strict bed rest at least one week bed rest and also uh we'll do the progesterone supplementation because progesterone estrogen progesterone ren hormones progesterone is a pregnancy maintaining hormone.
(50:32) So injection system weekly doses through injections and also oral medication system. So these are the some of the warning signs danger signs that they have to be aware of emotion sorry morning that can be managed all of this has to be again taken care if they're vomiting loss of electrolytes dehydrate dehydration First it is not safe for pregnancy.
(51:24) So electrol has electrolytes. Solement that is also one of the important thing gestational hypertension. diabetes, gastational diabetes, thyroid, gastational hypothyroidism. Right? >> So, pregnancy. It's a complete new thing. a baby. So when you are not properly
(52:15) taking carele is not healthy are the multiple reasons for developing the hypertension, diabetes, hypothyroidism all these are hormone related except hypertension. It is because of the stress related and also the changes that has to happen. Trophoblastic invasion preeacclampsia BPA females if they're not having proper sleep and if they're having any kind of stress family and also
(53:06) in a way it will develop slowly. into hypertension and preeacclampsia and diabetes who are at risk diabetes can again get severe uh increased level of sugars in pregnancy and also weight on the heavier side they can develop diabetes in pregnancy and also who are who have conceived through artificial techniques like IVF PCOS ovarian diabetes and also maternal factors diabetes.
(53:50) These are the multiple reasons that they'll develop in pregnancy if they are not taking again care of themselves properly after the delivery of the baby. they'll come back to the normal state. It will be carried because of the lack of proper maintaining medication and also heavy bleeding.
(54:24) I mean in terms of you know pregnancy timeed postpartum hemorrhage so immediate protocols So we controlling bleeding controlling medication. So India most common cause of mortality maternal mortality rate which is because during the time of pregnancy during the
(55:09) time of delivery mismanagement females common cause at the time of delivery. So that is the same thing. Identification and immediately controlling the bleeding important which is called active management. important and also medical support there are drugs to maintain the tone of
(56:05) uterus csection exced is the only management protocol right and also So pregnancy and also STD it is sexually transmitted disease. First of all, first of all, you have to go and get yourself checked and your treatment is treat it will be transmitted to the baby.
(56:58) Okay. One of the reason infections infection infection pre-term labor premature rupture of membranes water and
(57:45) precautions and how to avoid it before [snorts] first of all. Second thing multiple sexual partners like HIV is transmitting a lot because of the multiple sexual partners. >> HPV virus which is a cause of cervical cancer and cervical cancer HPV it is also again sexually transmitted because of again having sex multiple sexual partners.
(58:26) So first of all what kind of virus is causing this infection virus bacteria fungalis common fungal infection in antibiotic antifungal treat both husband and wife we'll ask them you can go for cons planning for pregnancy [snorts] >> and also even in the cities I mean is that going to really affect
(59:25) One of the most common marriages some of the common disorders. Okay. First generation relation. But we prevent scan through scan. Prenatalis.
(1:00:29) No, definitely not. Right. A lot of changes in the sky, radiation, even lighting changes. It will change [ __ ] and also family planning is there any particular time family planning if it is C-section
(1:01:19) delivery once if it is after your second pregnancy you don't want kids during the C-section only which is called tubectomy tub tubectomy tubilation we put rings or else we cut and we cordize. So single sitting surgery normal delivery mini after 6 weeks we'll ask them to come and plan for this tubation surgery same.
(1:01:53) >> So very dumb question. So how it is different from removing a uterus and doing this tubectomy uterus tube and ovaries complete you are removing the organ. You are just putting a ring sperm. Okay. So basically tubectomy
(1:02:40) so that she will not get pregnancy and also pills contraceptive pills to avoid pregnancy and and is it really that safe? How is it? Everyone is taking a lot of pills. who are married. Okay. when until they plan for pregnancy like condom is the most safest and commonly used that will prevent unwanted pregnancies but 100% pregnancy there are chances of failure for every
(1:03:26) kind of contraceptive method even for tubilation also there are chances 5% definite chances and when it comes to eye pills emergency pills which taken post within 72 hours. Emergency content the frequency is getting more and taking of pills are also increasing. One contraceptive pill has a lot of hormones in it >> to prevent the pregnancy.
(1:04:08) That one pill it is about 150 mg. It is very very high dose. [snorts] your body will at once have a lot of changes hormones if you're taking IP or even if you're getting one DNC done post MTP termination of pregnancy they'll use this unwanted it is all lot of hormones patients they came and they said their periods are irregular or the pattern has changed the date has changed type of
(1:04:53) flow right so one or one empty can also has a lot of disturbance in your next few cycles so Fore pregnancy it will be little problemat. proper regular cycle for to get a normal healthy conceiving natural conceptional right.
(1:05:47) [music]
Author Name:Tunein
Youtube Channel Url:https://www.youtube.com/@Tuneinnevergetbored
Youtube Video URL:https://www.youtube.com/watch?v=zDhHoa4uV-Q
Title: Must watch : ARE YOU HURTING YOUR FERTILITY? Ammayilu Tappakunda Chudalsina Podcast! | #tunein
Author Name: Tunein
Description: Can masturbation affect fertility? Can porn-related masturbation affect future sexual life? Can gym steroids, testosterone boosters or performance supplements affect sperm count and sperm quality?
These are some of the important questions discussed in this podcast on sexual and reproductive health for both men and women.
The conversation covers much more than fertility. We discuss masturbation, porn, erectile dysfunction, performance anxiety, premature ejaculation, sperm health, semen analysis, vaginal hygiene, vaginal discharge, first-time sex pain, periods, endometriosis, fibroids, infertility, egg freezing, menstrual health, menopause, pregnancy and family planning.
This podcast is an open conversation about the sexual and reproductive health questions people often hesitate to discuss.
If you found this conversation useful, Like, Share and Subscribe for more health and wellness conversations.
This content is for general educational information and is not a substitute for individual medical advice.
Time stamps
0:00 to 1:55 Promo
1:56 : 6:47 Mastrubation and Male health
6:47 : 8:38 performance, anxiety And erectile disfunction
8:38 : 10:35 premature ejaculation
10:35 : 10:44 Gym & steroids
10:44 : 14:10 Anxiety And Depression
14:10 : 14:44 Semen analysis & fertility
14:44 : 16:46 First time sex
16:46 : 20:04 vaginal health and hygeine
20:04 : 23::40 period pain
23::40: 28:51 Endometriosis, fibroids and Hysterectomy
28:51 : 34:53 Fertility issues & Egg freezing
34:53 : 39:33 Menarche & Menstrual hygiene
39:33 : 48:33 Menopause
48:33 : 51:31 pregnancy detection & warning signs
51:31 : 54:20 Gestational diabetes and hypertension
54:20 : 56:16 (PPH) postpartum hemorrhage
56:16 : 59:00 STD
59:00 : 1:01:05 Consanguineous marriages & Genetic screening
1:01:05 : 1:05:58 Family planing & contraceptive methods
🎥 Credits
🎙️ Guest: Dr. Srinidhi Chirala MBBS, MS Obstetrics & Gynaecology ,Fellowship in Advanced Infertility Techniques and Cosmetic, Aesthetic, Functional & Regenerative Gynaecology
🎧 Host: Akarsh Agastya
📽️ Produced by: Suruguri kavitha
🎬 Production & Directed : Suruuguri Taran { Bablu }
🎞️Editing partner – Veda Creative cloud
📟PROMO Design – Taran
🖥️ THUMBNAIL Design - Joseph Kishore
🎥 DOPs – Chandu Avunoori & Mallesh
#Fertility #SexualHealth #ReproductiveHealth #Masturbation #SpermCount
Keywords
PCOS vs PCOD, cosmetic gynecology, gynecologist advice, early puberty, pregnancy tips, women's health, period delay pills, I-pill side effects, pregnancy care, hormonal health, normal delivery, pre marital tests, laser treatment, doctors desk podcast, telugu health podcast
masturbation, porn, steroids, sperm count, sexual health, reproductive health
Transcript:
(00:00) First time sex they'll have pain. >> First time sex is not anis after trying unprotected sex. They're not having children. We'll ask them to get couple of testile dysfunction. Whenever you are putting that psychological pressure on you or your partner, it will never work. People who are into constant masturbation everyday frequent they face this real life issues when they actually had a partner with them.
(00:56) issues if they're landing up into infections there can be chances of transmitting it for their partners to masturbate. So when you are watching porn you are setting some [music] kind of awaren [music] they'll come and tell you multiple sexual partners [music] family planning is there any particular times contraceptive pills to avoid pregnancy.
(01:50) So what are those symptoms? masturbation because masturbation it is projected in a very wrong way. Most of the people feel so shy and to talk about masturbation actually. But uh it is also uh like two-sided thing. It is also having a positive side and a negative side. People who are into like constant masturbation everyday frequent they face this uh real life issues when they actually had a partner with them
(02:36) they faces issues of unrealistic expectations from their partner. So this is the you know negative side of masturbation but once in a while when you are like stressed people usually choose to masturbate when they're stressed and when they're longing for their partner. These are the reasons these also have this negative side like I've said unrealistic expectations and also some doesn't maintain these are the health negative points after masturbation important because it might be cause of P infection in females also will cause
(03:15) infection so this is really important regular masturbate And what are the effects on your relationship? So how it is going to affect frequency >> frequency fixed frequency it's psychological again masturbation or sex anything is a psychological thing like I've already said as long as it is not affecting your personal life relationships it is fine between couples. So
(04:09) unless until they are fine, it is fine. So there's nothing like textbook thing. But again like I've said if you are not taking care of when your partner is with you equal emotions both males and females important like you are only because you can masturbate so many times in a day but one can't have sex like they can't be having sex in a day so that should not be affecting so as long as that is fine between couples it's okay masturbation sperm multiple times like I've said
(04:53) is if they landing up into infections there can be chances of transmitting it for their partners when they are actually having sex some are not aware sexually transmitted dises from males to females or females to males that is tricky >> and also masturbate in terms of partners in terms of girlfriend or your wife spouse like they expect because you're somehow porn is something which is not realistic.
(05:30) I say it is not realistic because Indian body type is different and Indian women or men both have like the different body parts, shapes, colors, so when you are watching porn you are setting some kind of a beauty standards for both males and females somewhere you are disappointed you may not be liking when you are actually doing it with your partner that is again the negative side but when you understand it is not like that like I've already discussed previously also pigmentation issues private parts somebody is so beautiful this kind of prefixed mindset if they're
(06:21) participating in sex when they after watching porn that would create a little mess in their relationships. So this should not be the psychological thing that uh you focus on but it should be just or masturbation should be when your partner is not around and you wanted some kind of this thing then you can do it but is not right and also performance anxiety erectile dysfunctiones So is it a permanent thing or is it an
(07:06) normal which is very treatable performance anxiety again it is a psychiatric thing it's a psychological so first of all for any couple what I say is we have to have kids whenever you are putting that psychological pressure on you or your partner it will never work first of all. First of all, you and your partner has to be psychologically and mentally while prepare you should go for it.
(07:36) >> Be it a normal sex or sex for kids or whatever it is then only it will be pleasurable and without any this performance anxiety. performance anxiety usually young when their first time doing it of if they're afraid of something uh seeing porn again porn juicy it can be for both males and females okay for males especially influenced performance anxiety and for them we have to sit make them sit and explain it is not like that first First the foreplay thing.
(08:18) Foreplay is also a verbal flow foreplay. You have to ask and uh you have to see what the other person likes. It is a stepwise thing. So that is more like psychological performance anxiety when they're relaxed everything would be good. So and also premature problems evenffect. [snorts] So in that case problem like it is treatable. It has both
(09:06) conservative medicine and again behavioral therapy system actually who are into premature ejaculation like performance anxiety we usually advise them to visit a psychiatrist talk to them and tell why and where exactly they're feeling we'll ask them so it is completely treatable it is not like but again uh if it is stress related we ask them both of you have to be like taking time for this and who are software engineers who work in the late night 2:00 they have the screen time issues almost anxiety that will show up on the
(09:52) personal life. So we'll ask them for lifestyle modification changes at least your mind should be calm 1 hour 2 hours before you are sleeping that's when everything will fall in place. So we'll ask them to change a little bit in their lifestyle. So this can be managed >> right and also pre premature ejaculation STI STDs your partner disappointes who come and explain both of them not feeling it and it is not infections.
(10:33) It is not the reason of infections >> and also gym le steroids testosterone boosters effect in terms of you know sperm quality or else in terms of stamina how it is going to affect if you're normally working out it will it is a very good thing okay it doesn't affect your sperm quality or anything but uh using of steroids Smoking, drugs, alcohol will always affect your sperm count and also the morphology than your size, shape differences of if you are a smoker, chronic alcoholic
(11:17) and if you are using steroids when you're going for gym. >> So that will definitely affect your sperm quality. So future when you are planning for kids that would be one of the cause of infertility. Some it is not always females problem but this sperm thing is also male infertility is also common these days >> and also anxiety and depression.
(11:47) So the male and female effect in terms of sexual life in terms of emotional balance how it is going to affect or depression psychological when you are not okay definite that will lead into so many different problems especially females they might land up in PCOS raani and males like I've said they will be addicted for smoking a stress law like excessive mass ation, excessive smoking, alcoholic single problem for both males and females.
(12:29) It will lead into multiple issues in their sexual life and also while lifestyle they tend to have a lot of junk food in a way they'll become obesity. When you are not fit enough again your sexual life will also be hampered. There are multiple uh issues because of anxiety and depression. They're two different thing who feel extremely anxious before anything happening, new happening, any project happening.
(12:56) [snorts] And they're different. Depression. Most of the patients I saw are having this unexplained depression. They they will not be able to say that. But some people are really feeling depressed but they don't know the reason at the end of the day we feel we don't feel like doing anything we don't feel like sitting and talking to our partner also some do this scrolling of mobile so these are the different things that they face so they ultimately show up in the lifestyle and also sleep cortisol levels will go up that is a
(13:43) stress hormone hormone. So that is again it is uh killing all the good hormones in your body and it is causing lot of antioxidants stress related hormone. So that will not let you sleep properly. So sleep then again all your this sexual related issues hair fall looks issues body dysmorphism.
(14:07) So these are multiple things. So everything is related to sleep and lifestyle >> and also analysis. So >> an analysis usually uh who are a couple who visit us having this problem of infertility one year after trying unprotected sex they're not having children we'll ask them to have both females we'll ask them to get couple of tests and also for males we ask them to get the semen analysis like I've said the male problem we'll ask them to get se analysis This is for males >> and also first time sex they'll have pain.
(14:51) So, so when you suggest someone so what are those myths and how you will uh tell them what are the facts are? >> First time sex is not always painful in everybody and uh it also depends upon the age of the female and also the body how fit she is. If she is into fitness, if she is into athletic or whatever body type she is having a different kind of females it would be different but pain I can't say it is same for everybody but whenever they are having sex they'll be having pain so that is something pathological it can be because of pelvic inflammatory
(15:37) endometriosis. So it is a different thing but first time no it can't be because to some can be already broken because of if they might be into sports horse riding jumping people females young females they'll be into sports it can't be there but to prevent pain again uh it can be because of a condition called as vaginismas and it is also a psychological condition where the vaginal mus so for that again psychological both of
(16:23) them should be prepared and it should be organic and then prepared so that will prevent this pain first these are the some things that couple has to keep in mind that well prepared It should be naturally through talking uh emotional bondage when they do it will not be that much pain >> and also vagina hygiene.
(16:49) So vagina hygiene whitening. So how how is that? [laughter] Yeah. How is that how is that you know maintained well? Ina is first of all a self-cleing organ. It will take care of itself first of all and no there is nothing called whitening products that should be used there because vagina an it is a very very sensitive organ.
(17:17) >> Uh so you can't be using any kind of harsh chemicals into your vagina except that uh creams estrogen creams we give and uh the lubricants Nothing should be put inside the vagina. It is definitely fairness. I'm against that. It is only your inner thighs can be brightened. whitening creams I don't suggest as a cosmetic gynecologist I suggest to some patients just inner thighs work we can whiten
(18:02) through chemical pills but nothing for vagina vagina if somebody is having any kind of white discharge smelling itching then you should come and consult a gynecologist. Apart from that it is self cleaning and also if you want once in a while we can use V wash that can be used once in a while if you wanted to clean it once in a while you can use it.
(18:41) So normal water to clean it will be cleaned. Okay. So no whitening creams are endorsed. Yeah. >> Right. >> Right. And also vaginal discharge normal count. So when to consult a doctor? Like I've said vaginal discharge one week before your periods a female period one week before and one week after their periods little amount of white discharge is common that is common that is because of the hormonal change your hormones will be changed in your body that is the sign discharge hormonal change that will be showed a little
(19:26) And it can be again whenever you see it would be it will be fine. And after your periods one week it will be fine. But if you are seeing white discharge throughout the month and false to that level where everyday When we ask them to get couple of testin we'll treat them according to the and also periods or else heavy
(20:22) first day that all of you also should know and should be very much aware. You might be having your sister or girlfriend or wife at your home. So on your second day of your periods especially patients experience lot of pain and they will tend to take tablets which is called they take that and it is fine and pain Right.
(21:17) They can't even get up of bed. pain. So that is when it is really uh alarming sign that you have to come and visit a gynecologist because it can be because of any other reason like I've said endometriosis which is commonly seen in young females reprodive age groups. So that is one of the most common reason Pelvic inflammatory disease infection.
(22:06) Past this chronic size big size clots and past abdominal pain and also number of pads they change in a day normal frequency but first day second day third day to fifth day periods flow. So first day, second day especially females tend to change lot of pads lot three to four pads per day it is okay more than six and also as a doctor whenever we are losing blood we tend to
(22:54) become enemic and they look pale face low nails. So signs of anemia immediately it is a sign for evaluation we have to avate fibroid. Fibroid will cause this kind of excessive bleeding in females. fibroid, thyroid, hyperyroidism well they will show up so immediately endometriosis. So endometriosis,
(23:44) fibroids, ovarian cysts and symptoms. So typical endometriosis patient will be having severe pain uncontrollable pain like ovaries. will cause lesions. Young females before even having kids
(24:33) age group fibroid after 40 40 and who are little fat females and adults symptoms problems first of diagnosis we have help of radological examinations like ultrasound laparoscopy MS we will ask them to get this radiological investigations once we'll treat according to the disease
(25:20) right and also early diagnosis If the the patient is having endometriosis, they will be having difficulty in conceiving. If they are not aware and get got treated early when they are planning for pregnancy, they'll not be able to conceive and psychological disease also will be having grades. Anything will have like it would be little difficult.
(25:56) So something immediately it is always advisable to come and visit a gynecologist. Right. Right. And also if we effect is there any possibility to remove uterus uterus even where there is not proper education unwanted Pregnancy
(26:45) uterus has a lot of hormones in them. Uerus along with fallopian tubes, ovaries and it is one of the anatomical structure that god has given. So this has a lot of hormones which help the females to maintain their entire life flow different. So It should only be after your menopause is what I suggest. We'll only suggest them for go for hyctomy only after treat them for the hyctomy which is the rem of
(27:33) entire uterus with tubes. Okay. only because it has hormones and estrogen progesterone they'll be experiencing back hormones when your body doesn't have hormones you'll be having lot of side effects in you so hyctomy treat for endometriosis we can go for the we'll give the them the fertility
(28:18) treatment system if they're planning for pregnancy fibroid we can ask them to go for device which will control the excessive bleeding in patients fibroid excessive bleeding so these are there are multiple medical management And also will be the last option for us especially we'll try to preserve ovaries right uterus tubes and also fertility issues do we have any chance any signals that okay fertility issues so conceptions
(29:06) So when to consult a doctor? >> To some people uh who are like already trying from last one unprotected sex we are not able to conceive. First of all they'll come and tell you most of the couples it is very simple. change that can be because of polycystic some couples they'll come to you who are like married a little late
(29:53) some who are aware some come to And they say old 35 what do you sgest if everything is normal you can try for the natural pregnancy they'll say we we wanted to go for artificial techniques so is it okay to So we will offer treatments mostly patients they'll come and say
(30:42) what would be the reason then we'll ask them again like you asked before analysis both the partners have to be evaluated for infertility then but we'll offer treatment and also artificial pregnancy. So when you suggest your uh you know patients to do it >> first of all they are not aware and also uh they like it is very costly procedure also not many can afford for egg freezing and egg freezing especially for females who are
(31:28) above 35 they'll come and they'll say ma'am I'm thinking to freeze my ex what do you say and some directly again they'll come and ask you then we'll Yes, go for it. You go for because we are not planning for kids for whatever reasons and that is something normal. But there are also some other causes like cancer patients.
(31:54) We'll suggest them for freezing their eggs who are going for this radiation therapies and ovaries are so sensitive where it can damage this ovaries damage fertility. They're going for cancer treatments. So you go for egg freezing for the future fertility purpose and autoimmune problems. So some come up to us who are like little 35 and above they they themselves they go for egg freezing right it is again about affordability you can always go for Pregnancy
(32:42) do they sperm count after you're 40 your quality of egg or the sperm will it is same for both males and females I'm saying it will come down a little bit quality production both males and females [snorts] so it is not that you can't become pregnant after 40 We have seen so many celebrities examples but uh and it is also availability of the medical services around them.
(33:21) She became pregnant. They also are being assisted with the the well medical management team gynecologist experienced fertility they will be helping them but no it doesn't work like that and it is also different with the each female to female body after 40 if you're trying to there will So many complications with that complications.
(34:03) Some go into hyper stimulation. Excess hyper stimulation that would be again lifeing complication some will be diabetic in pregnancy some of the complications 100% 85 to 90% yeah it will be beneficial for But first of all as a gynecologist to explain them these are the pros and cons. It is never 100% sure that you will be having happy pregnancy
(34:52) right and also first body particular age. So how how it is >> 11 to 13 years normal age of when you first see your menal bleeding puberty changes body like they see development of hair breast pubic hair first time when they are seeing. So this is also depending upon their uh uh family and genetics while motherarch
(35:43) and their lifestyle and food again age of now it is being more little early than before because of lifestyle and this food changes the more heavy fatty foods So that is called also clear. So menural hygiene daily. First of all uh one should know when to
(36:32) change their pads school because the age of manarchy is little in the school age group. That is called the lack of education. It will have a lot of collected blood. This will again lead into infections in their kids school and whenever they're they have to clean it properly with normal water. They are in a very tender age.
(37:17) It is again the responsibility of mother to explain them. You have to change pads in 4 hours, 3 hours go change your pads and also clean yourself properly with the normal water, soap water. It is fine. It is always when they are in school age group, it is the responsibility of mother to keep a check on the kids pattern of bleeding frequent changes.
(37:46) If the child is aware, it is fine. Mother has 100% responsibility to take care of all these things, >> right? And also age groups and when to consult a doctor and pains will bring them to us. actually mothers they're very concerned and also I wanted to say in the initial stages of their menstrual cycles until like first adult group periods are little more painful and also excessive bleeding
(38:35) cycles initial stages some are underweight some are thyroid hyperyroidism so again like I've said pain they will bring to us bleeding like I've said when you are keeping a check on them when you ask them you will Understand we can always check and they'll come to school. They'll come back from school crying. She came back with all bleeding in her
(39:26) uniforms. So these are all the things that we have to be concerned about. also menopause hormonal changes. So treatment or else how to identify them uh menopause and your uh levels of hormones are coming down when we are gradually growing old it will come down. So when the hormones are coming down like I've said estrogen or the testosterone in males are giving the energy required support for both the males and females hormones do this thing. So
(40:13) estrogen it gives you that it is a happy hormone age group they feel hot because the level of estrogen is coming down they are attaining towards sorry menopause. So when they're reaching menopause first of all some are forgetful kind of insomnia
(40:59) forgetful but these are actually they'll be facing these things. Some some experience weakness around menopause females, right? Some face these things in a mild way. Hot flush, right? So we can offer hormonal replacement but hormone replacement therapy.
(41:50) Okay. But we should see if the endometrial thickness. So 6 months level of complaints right soya milk soya supplementation which is good for estrogen treat so bone health mental health bone mineral density First of all,
(42:37) back lower back pain and that is because simple [clears throat] calcium levels. So we offer them calcium supplementation so that we'll ask them to take milk to fight all these symptoms and also sexual health will have vaginal dryness. To have a better sexual life, it is always advised to have vagina prepared with lot of lubrication and lubrication around menopause.
(43:19) Vagina secretions like I've said secretions are related to hormones will face dryness issues when they're trying to have sex they'll be facing pain friction. So for them we'll ask them to use estrogen creams. We can put them into through the vagina. So that will help them when they are having sex to have a better experience >> and and also uterus remove you know headaches back she won't sleepves
(44:07) so what what would you suggest like I've said Menopause right you are attain you attain menopause what kind of hyerectomy that we have done is also important they'll feel better they complete completely menopause. First of all, vitamin B12
(44:53) first vitamin B12 deficiency vitamin B12 vitamin B12 system vitamin D levels most of the Indian females have vitamin D deficiency All right. So effects like as a tablet or as a nutrition if you can maintain nutrition very well and good if they can take it through the nutrition if you are taking adequate amount of protein calcium foods fiber foods
(45:39) protein when you're around menopause I ask them to cut down your carbohydrates because my carbohid hydrates around when you're gaining weight that will also cause. So menopausal woman has to be fit and healthy in a way nutrition or supplementation is also fine kind of fitness. Either you go for walk
(46:27) 30 minutes to 40 minutes of brisk walking every day for the women around menopause or menopause is compulsory >> shoes will help them mentally and these are the changes that they have to make and and also menopause they also suffer with some other diseases like diabetes combination of treatments. Combination of treatments first of all hyperyroidism estrogen is first of all how many females
(47:18) quite less compared to men. Yeah. Estrogen is a cardoprotective hormone. Females sugar. Yes. If they're not aware of their lifestyle, they can land up into diabetes and also PCOS. If they are not maintaining healthy body weight that they can develop insulin resistance and type two diabetes >> and once around their menopause like they can develop hypertension also. So
(48:11) insulin once it is developed it is same for males and females but hypertension around menopause or after menopause because again like I've said estrogen side effects they tend to develop All of this, >> right? And and also early pregnancy symptoms. So So what are those symptoms? And early pregnancy signs like body people will have this nausea morning.
(49:02) patients and usually first three months until 12 weeks lot of body after 12 weeks you can see 12 weeks early pregnancy some will show a little bit of uh spotting, bleeding around their period of menstrual cycle very very less
(49:54) righted regular This is also one of the warning sign that they should be aware of immediate ultrasound if they have this thing collection. We ask them for strict bed rest at least one week bed rest and also uh we'll do the progesterone supplementation because progesterone estrogen progesterone ren hormones progesterone is a pregnancy maintaining hormone.
(50:32) So injection system weekly doses through injections and also oral medication system. So these are the some of the warning signs danger signs that they have to be aware of emotion sorry morning that can be managed all of this has to be again taken care if they're vomiting loss of electrolytes dehydrate dehydration First it is not safe for pregnancy.
(51:24) So electrol has electrolytes. Solement that is also one of the important thing gestational hypertension. diabetes, gastational diabetes, thyroid, gastational hypothyroidism. Right? >> So, pregnancy. It's a complete new thing. a baby. So when you are not properly
(52:15) taking carele is not healthy are the multiple reasons for developing the hypertension, diabetes, hypothyroidism all these are hormone related except hypertension. It is because of the stress related and also the changes that has to happen. Trophoblastic invasion preeacclampsia BPA females if they're not having proper sleep and if they're having any kind of stress family and also
(53:06) in a way it will develop slowly. into hypertension and preeacclampsia and diabetes who are at risk diabetes can again get severe uh increased level of sugars in pregnancy and also weight on the heavier side they can develop diabetes in pregnancy and also who are who have conceived through artificial techniques like IVF PCOS ovarian diabetes and also maternal factors diabetes.
(53:50) These are the multiple reasons that they'll develop in pregnancy if they are not taking again care of themselves properly after the delivery of the baby. they'll come back to the normal state. It will be carried because of the lack of proper maintaining medication and also heavy bleeding.
(54:24) I mean in terms of you know pregnancy timeed postpartum hemorrhage so immediate protocols So we controlling bleeding controlling medication. So India most common cause of mortality maternal mortality rate which is because during the time of pregnancy during the
(55:09) time of delivery mismanagement females common cause at the time of delivery. So that is the same thing. Identification and immediately controlling the bleeding important which is called active management. important and also medical support there are drugs to maintain the tone of
(56:05) uterus csection exced is the only management protocol right and also So pregnancy and also STD it is sexually transmitted disease. First of all, first of all, you have to go and get yourself checked and your treatment is treat it will be transmitted to the baby.
(56:58) Okay. One of the reason infections infection infection pre-term labor premature rupture of membranes water and
(57:45) precautions and how to avoid it before [snorts] first of all. Second thing multiple sexual partners like HIV is transmitting a lot because of the multiple sexual partners. >> HPV virus which is a cause of cervical cancer and cervical cancer HPV it is also again sexually transmitted because of again having sex multiple sexual partners.
(58:26) So first of all what kind of virus is causing this infection virus bacteria fungalis common fungal infection in antibiotic antifungal treat both husband and wife we'll ask them you can go for cons planning for pregnancy [snorts] >> and also even in the cities I mean is that going to really affect
(59:25) One of the most common marriages some of the common disorders. Okay. First generation relation. But we prevent scan through scan. Prenatalis.
(1:00:29) No, definitely not. Right. A lot of changes in the sky, radiation, even lighting changes. It will change [ __ ] and also family planning is there any particular time family planning if it is C-section
(1:01:19) delivery once if it is after your second pregnancy you don't want kids during the C-section only which is called tubectomy tub tubectomy tubilation we put rings or else we cut and we cordize. So single sitting surgery normal delivery mini after 6 weeks we'll ask them to come and plan for this tubation surgery same.
(1:01:53) >> So very dumb question. So how it is different from removing a uterus and doing this tubectomy uterus tube and ovaries complete you are removing the organ. You are just putting a ring sperm. Okay. So basically tubectomy
(1:02:40) so that she will not get pregnancy and also pills contraceptive pills to avoid pregnancy and and is it really that safe? How is it? Everyone is taking a lot of pills. who are married. Okay. when until they plan for pregnancy like condom is the most safest and commonly used that will prevent unwanted pregnancies but 100% pregnancy there are chances of failure for every
(1:03:26) kind of contraceptive method even for tubilation also there are chances 5% definite chances and when it comes to eye pills emergency pills which taken post within 72 hours. Emergency content the frequency is getting more and taking of pills are also increasing. One contraceptive pill has a lot of hormones in it >> to prevent the pregnancy.
(1:04:08) That one pill it is about 150 mg. It is very very high dose. [snorts] your body will at once have a lot of changes hormones if you're taking IP or even if you're getting one DNC done post MTP termination of pregnancy they'll use this unwanted it is all lot of hormones patients they came and they said their periods are irregular or the pattern has changed the date has changed type of
(1:04:53) flow right so one or one empty can also has a lot of disturbance in your next few cycles so Fore pregnancy it will be little problemat. proper regular cycle for to get a normal healthy conceiving natural conceptional right.
(1:05:47) [music]
No comments:
Post a Comment