OBGY OPEN BLOG

Levonorgestrel– 0.75 mg stat (within 72 hours) and after 12 hours OR 1.5 mg single dose.  Ethinyl estradiol 50 microgram + Norgestrel 0.25 mg- 2 tabs stat and 2 tabs after 12 hours Ethinyl estradiol- 2.5 mg BD for 5 days  Conjugated estrogen – 15 mg BD for 5 days Ulipristal– 30 mg within 72 …

Emergency contraceptives Read More »

Click to download the file Prostaglandins By Ashwin Mascarenhas (Goa Medical College)

Ovulation occurs because of LH surge. Onset of LH surge to ovulation – 36hrs Onset of LH peak to ovulation – 12hrs Diagnosis of ovulation :- Conclusive – pregnancy Direct – laparoscopy Indirect :- 1) Ultrasonography – collapsed follicles and fluid in pouch of douglas 2) Vaginal cytology – maturation index shifts to left 3) …

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Management of fibroids includes investigations and treatment Investigations •Hb, blood group •Ultrasound: location, size, number,for follow up of fibroids after menopause and during GnRH therapy •Hysterosalpingography and salpingography: to identify submucous fibroid and to check patency of fallopian tubes in infertility. •Hysteroscopy: to identify a submucous polyp and excising it under direct visualisation. •D and …

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Clinical features of uterine fibroids include : Symptoms -About 50% fibroids are asymptomatic –Menorrhagia, polymenorrhea, metrorrhagia, continuous bleeding. postmenopausal bleeding –infertility -Pregnancy complications: recurrent abortions, malpresentation, preterm labor, obstructed or prolonged labor, IUGR. -pain: abdominal pain, backache, spasmodic dysmenorrhea -abdominal lump, mass protruding at introitus –pressure symptoms: on bladder, ureters, rectum -vaginal discharge Signs –Anemia …

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Fibroids are also called myoma/leiomyoma/fibromyoma Features of fibroids: -benign smooth muscle tumour of the uterus -estrogen dependent -whorled appearance -pearly white in colour Anatomy of fibroids -well circumscribed -pseudocapsule (contain blood vessels) -cut surface: whorled appearance, pinkish white Types of uterine fibroids a. Cervical– anterior, posterior, central, lateral b. Body of uterus– intramural: the tumour …

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It is a condition when the tail of the IUCD is not seen through the os. Causes: 1.uterus has enlarged through pregnancy 2.it has been expelled 3.thread has curled inside the uterus 4. perforation has occurred and IUCD is buried in the myometrium Methods of identification : 1.Plain radiograph or ultrasound to check if IUCD …

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IUCD is a device made of polyethylene which is impregnated with barium sulphate (which is radiopaque) so that the presence or absence can be detected by ultrasound or radiograph. It has a nylon thread attached to it’s lower end which protrudes through the cervical canal into the vagina. The thread can be felt by the …

Intrauterine Contraceptive Device Read More »