Gynecology

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Asked: 6 years agoIn:
Nasim

cryptomenorrhoeapatho-physiology
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Cryptomenorrhea, also known as "hidden menstruation," occurs when menstrual blood is produced but cannot exit the body due to an obstruction, such as an imperforate hymen or vaginal septum. Here’s a breakdown of the pathophysiology: 1. Menstrual Blood Production: The endometrium (lining of the uteruRead more

    Cryptomenorrhea, also known as “hidden menstruation,” occurs when menstrual blood is produced but cannot exit the body due to an obstruction, such as an imperforate hymen or vaginal septum. Here’s a breakdown of the pathophysiology:

    1. Menstrual Blood Production: The endometrium (lining of the uterus) sheds its lining during menstruation, producing menstrual blood.
    2. Obstruction: A congenital obstruction, such as an imperforate hymen or vaginal septum, blocks the outflow of menstrual blood.
    3. Accumulation: The menstrual blood accumulates in the vagina (hematocolpos) or uterus (hematometra), leading to symptoms.
    4. Symptoms: Symptoms include cyclic lower abdominal pain, a bulging bluish membrane at the vaginal opening, and sometimes urinary retention.
    5. Complications: If untreated, it can lead to complications like endometriosis, infertility, and urinary retention.

    Treatment typically involves surgically removing the obstruction to allow menstrual blood to flow normally.

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Asked: 6 years agoIn:
Nasim

amenorrhoeadiagnosisprimary amenorrhoea
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Diagnosing primary amenorrhea (the absence of menstruation by age 15 or within three years of the onset of puberty) involves several steps: 1. Medical History: Gathering detailed information about the patient's menstrual history, growth patterns, and any signs of puberty (such as breast developmentRead more

    Diagnosing primary amenorrhea (the absence of menstruation by age 15 or within three years of the onset of puberty) involves several steps:

    1. Medical History: Gathering detailed information about the patient’s menstrual history, growth patterns, and any signs of puberty (such as breast development and pubic hair growth).
    2. Physical Examination: Assessing physical development, including checking for secondary sexual characteristics and any signs of hormonal imbalances.
    3. Blood Tests: Measuring levels of hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), thyroid-stimulating hormone (TSH), prolactin, and androgens to check for hormonal disorders.
    4. Imaging Tests: Using ultrasound to examine the reproductive organs for any structural abnormalities. In some cases, MRI may be used to check for pituitary or hypothalamic disorders.
    5. Karyotyping: Analyzing the patient’s chromosomes to identify any genetic conditions, such as Turner syndrome, that might be causing the amenorrhea.

    A comprehensive evaluation by a healthcare provider, often a specialist in reproductive medicine, is essential to determine the underlying cause and develop an appropriate treatment plan.

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Asked: 6 years agoIn:
Nasim

amenorrhoeacause
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Common causes of amenorrhea (absence of menstruation) in Bangladesh include: 1. Pregnancy: This is the most common cause of secondary amenorrhea. 2. Lactation: Breastfeeding can suppress ovulation and menstruation. 3. Stress: High levels of stress can disrupt the hormonal balance, leading to missedRead more

    Common causes of amenorrhea (absence of menstruation) in Bangladesh include:

    1. Pregnancy: This is the most common cause of secondary amenorrhea.
    2. Lactation: Breastfeeding can suppress ovulation and menstruation.
    3. Stress: High levels of stress can disrupt the hormonal balance, leading to missed periods.
    4. Low Body Weight: Being underweight can affect the hypothalamus and pituitary gland, leading to functional hypothalamic amenorrhea.
    5. Chronic Illnesses: Conditions like polycystic ovary syndrome (PCOS) and thyroid disorders can cause hormonal imbalances.
    6. Excessive Exercise: Intense physical activity can also disrupt menstrual cycles.
    7. Medications: Certain medications, including some birth control pills, can cause missed periods.

    It’s important to consult a healthcare provider for a proper diagnosis and treatment plan.

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Asked: 6 years agoIn:
Nasim

diagnosisleucorrhoea
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Diagnosing leucorrhoea (vaginal discharge) involves several steps to determine the underlying cause and ensure appropriate treatment: 1. Medical History: The healthcare provider will ask about symptoms, their duration, and any potential triggers or changes in lifestyle. 2. Physical Examination: A thRead more

    Diagnosing leucorrhoea (vaginal discharge) involves several steps to determine the underlying cause and ensure appropriate treatment:

    1. Medical History: The healthcare provider will ask about symptoms, their duration, and any potential triggers or changes in lifestyle.
    2. Physical Examination: A thorough examination of the vulva and vaginal area to check for visible signs like redness, swelling, or discharge.
    3. Laboratory Tests: Tests such as vaginal swabs or urine samples to check for infections (e.g., yeast, bacterial vaginosis, sexually transmitted infections).
    4. Microscopic Examination: Examining vaginal fluid under a microscope to look for white blood cells, bacteria, or other pathogens.
    5. Culture Tests: Culturing samples to identify specific bacteria or fungi causing the infection.
    6. Additional Tests: Depending on the symptoms, tests for sexually transmitted infections, hormonal imbalances, or other underlying conditions may be conducted.

    These evaluations help in identifying the cause of leucorrhoea and guiding the treatment plan. Consulting a healthcare professional is essential for an accurate diagnosis and personalized care.

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Asked: 6 years agoIn:
Nasim

diagnosispruritus valvae
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Diagnosing pruritus vulvae (itchy vulva) involves a combination of clinical evaluation and tests to identify the underlying cause. Here’s a general approach: 1. Medical History: The healthcare provider will take a detailed medical history, including questions about symptoms, duration, and any potentRead more

    Diagnosing pruritus vulvae (itchy vulva) involves a combination of clinical evaluation and tests to identify the underlying cause. Here’s a general approach:

    1. Medical History: The healthcare provider will take a detailed medical history, including questions about symptoms, duration, and any potential triggers.
    2. Physical Examination: A thorough examination of the vulvar area to check for visible signs like redness, swelling, discharge, or lesions.
    3. Lab Tests: Tests such as vaginal swabs or urine samples to check for infections (e.g., yeast, bacterial vaginosis, sexually transmitted infections).
    4. Patch Testing: To identify potential allergens causing contact dermatitis.
    5. Biopsy: In rare cases, a small sample of vulvar tissue may be taken for microscopic examination to rule out conditions like lichen sclerosus or other dermatological conditions.

    Based on these evaluations, the healthcare provider can determine the cause and recommend appropriate treatment. It’s always best to consult a healthcare professional for an accurate diagnosis and personalized treatment plan.

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