Monday, August 31, 2020

Common Mistakes and Problems in Rhinoplasty Operations

Some Problems That Can Be Seen After Aesthetic Nose Surgeries


Although the face is the most visible area of a person at first glance, correction of deformities found in this area is very important from an aesthetic and psychological point of view. Thanks to the development of techniques applied in the field of Medicine and the application of innovative methods, nose surgery related to nasal aesthetics can be performed in today's conditions in the form of much simpler operations than in the past. Rhinoplasty, called rhinoplasty, can be an important requirement both with aesthetic expectations and in terms of Health. As a result of eliminating the disorder in the area with aesthetic surgery, the person can breathe in a healthier way and have the nose that they want.

Common Mistakes and Problems in Rhinoplasty Operations


Recently, everything from fashion to beauty to aesthetics turns to nature. Aesthetic concepts also change with the return to naturalness. For example, the upturned, nostrils that we used to like are now found far from naturalness, while the noses that seem to be corrected with small touches are preferred. Among the reasons why patients have rhinoplasty is to repair deformities in an injury or to change the physical appearance of the nose to correct a birth defect, or to facilitate breathing by improving some breathing difficulties.

Rhinoplasty is one of the most common in aesthetic operations. It is done in order to eliminate deformities that exist naturally in the nose, occur later or occur due to trauma. Disfigurement should be corrected in some cases only because it causes visual discomfort, while in most people it also causes problems such as respiratory disorders. No matter what reason aesthetic surgery will be applied, the primary goal in nasal aesthetics is to make the respiratory tract in the nose work best at the end of the operation. During the operation, one or more of the procedures for reshaping the nose, removing disfigurements, or changing the shape of a part are applied.

Pinch Deformity


Rhinoplasty is a procedure performed in the nose aesthetics (rhinoplasty) to reshape the nose by changing the structure of cartilage and bones. In order to create a more aesthetic nose shape, sometimes it is necessary to cut the bones and cartilage, sometimes on the contrary, complete their missing places and change their shape. 

The fact that the tip of the nose looks like it is squeezed with a latch is called a pinch deformity. In fact, many people who have had nose surgery can experience this problem with the tip of the nose. Because in aesthetic nose surgeries, the tip of the nose is usually politely and clearly desired. There are 2 reasons why this problem occurs. In previous techniques, the tip of the nose and wing cartilage are narrowed as much as possible, and the tip of the nose was tapered by stitches thrown at the angles of the cartilage that make up the tip of the nose. Although it looked beautiful in the early period, in the late period when the payments passed, the tip of the nose formed an image of being squeezed with a latch. Internal collapses in the wings could also narrow the airway and disrupt a person's breathing. But in newly applied aesthetic operations, less is taken from cartilage to make the tip of the nose obvious and elegant. Three vertices of cartilage and the cartilage become an entirely different anatomical point thanks to the stitches and the cartilage is getting into a more open airway position, and this position squeezed from tip of nose to suppress the image of the collapse with the latch is to run. Pinch nose rhinoplasty is a complication of the tip of the nose. The tip of the nose looks extremely narrow, as if it is tight with the latch. Excessive removal of nasal cartilage and close and tight removal of nasal tip forming sutures form pinch deformity. In rhinoplasty, the support tissue and roof are one of the most important elements. A bad shape and a decrease in breathing occurs when there is also weakness in this supporting tissue at the tip of the nose. This deformity can be corrected with adding missing cartilage tissues to the tip of the nose, reshaping it. Here, nasal tip techniques such as batten graft, lateral krural strut, and lateral krural reconstruction can be used. Extra cartilage tissue can be taken from the cartilage of the septum or auricle. The skin at the tip of the nose can also be thickened with chopped cartilage or a thin fascia.

Inverted V deformity


Inverted-V Deformity


Especially in photos taken with flash, the formation of an inverted V-shaped shadow on the back of the nose is called an inverted V-deformity. It can often be seen on surgical noses. This problem arises for 2 reasons. In our nose, where the bone ends and the cartilage begins, the lack of cartilage tissue can cause this. This problem can be caused by excessive cartilage removal or lack of necessary support. The second reason is that the bone roof, which opens after the nasal arch is removed, cannot be adequately closed. In order to prevent reverse V deformity, it is necessary to make sure that the nasal bones are shaped to close the roof. In addition, long cartilage supports in the form of beams are placed on both sides of the septum cartilage in the back of the nose. In this way, both the natural width of the back of the nose is formed, and the bone – cartilage transition line softens, preventing the formation of Shadows. These supporting cartilage also contribute to the opening of the airway by increasing the angle called the internal nasal valve.

Saddle Nose Deformity


Saddle Nose Deformity
Image source: Saddle Nose Rhinoplasty - 
https://emedicine.medscape.com/article/840910-overview

From the side, the collapse of the back of the nose is called the saddle nose. The reason for this is due to 2 applications. First, trying to make an overly curved nose can cause this nose. Already now the overly curved nose is desired by very few people. In recent years we have been making more natural, balanced height and flatter noses. The second reason is that during the treatment of curvature of the septum (the basic support structure of the nose, consisting of bone and cartilage in the middle of the nose), very aggressive surgery on the septum or removal of close to the entire septum also causes the appearance of a saddle nose. We know that the septum is the basic support of the nose. Minimalist approaches are now exhibited during surgical procedures applied to the septum. Only the curved part of the septum is corrected without disturbing the support function. But it is necessary to correct the curvature of the septum. Because a septum that is not in the middle both prevents breathing and causes the nose to appear curved from the outside. 

Dorsum Irregularities


Indentations and protrusions on the back of the nose, especially seen from the side, are called dorsum irregularities. It can occur especially in late periods when payments pass. In order for this not to happen, it is necessary to shape the back of the nose with rasps, chisels, scalpels and scissors with very thin and precise techniques. It's been checked over and over. Op. In addition, a paste made from bone and cartilage powders, a series of six tissues or a temporal novelization fascia can be used to remove these pummels.

Pollybeak Deformity


The nasal tip region is called the" nasal type region "and the region immediately above the nasal tip is also called the" supratip region". After rhinoplasty operations, when the natural ratio of these two regions is disrupted, an image of the tip of the nose similar to the appearance of a parrot's beak (parrot's beak) may appear. This deformity, which occurs because the Supratip region is ahead of the type region, is called "beak nasal deformity" or "Pollybeak deformity". This deformity can occur due to more than one cause.

Causes Of Pollybeak Deformity


The most commonly known cause is insufficient resection from the supratip region. In other words, beak nasal deformity is a complication of rhinoplasty. In addition to insufficient removal during surgery, excessive wound healing that can occur in the supratip area can also occur due to proper growth in the front due to tissues. In this case, re-surgical reduction of this area may be sufficient for treatment. Especially in patients with thick skin, after rhinoplasty surgery, excessive healing tissue (scar tissue) may occur in the supratip area, and in this case this appearance in the form of a parrot's beak may occur.

Another cause of beak nasal deformity may be a collapse at the tip of the nose. Nasal deformity can occur again when the tip of the nose is further behind the supratip area.

Excess in the Supratip region pushes the tip of the nose down, causing a downward rotation of the "type" region. This deformity is also known as" Parrot beak deformity "or" supratip fullness".

According to their cause, beak nasal deformity can be classified as follows: in general, pollybeak deformity can be classified in two main ways:

1. Cartilaginous beak nasal deformity (cartilaginous polly beak)

- Supratip region remains ahead due to excessive resection of the nasal bone
- Supratip region remains ahead due to incomplete resection of Supratip region
- Lag of the type area due to excessive resection of the lower lateral cartilage (loss of nasal tip support)


- Lack of proper bandaging of the skin in the Supratip area or the appearance of overly soft tissue in the supratip area during recovery, depending on skin characteristics
- Excessive thick skin on the tip of the nose and supratip
- Improper resection of the vestibular mucosa 
- Excessive scar tissue in supratip area of the nose deformitesin the emergence of Gaga, in fact, something that's misleading physicians who have a nose job during the surgery paid for this supratip deformity after surgery and the edema in the region, conceal, is to reveal this deformity is replaced by scar tissue.

Patients with a beak nasal deformity often complain the most because of the "beak look". If the support of the tip of the nose is also weak; this appearance may appear exaggerated when laughing.

In patients with a deformity classified as" cartilaginous beak nasal deformity (cartilaginous polly beak deformity)", treatment can be provided by planning revision rhinoplasty (secondary rhinoplasty). Tissue resection and other interventions can be performed according to the amount and cause of the deformity. As can be seen from the side, the low downward appearance of the tip of the nose caused by this deformity disappears by reducing the height of the supratip section, which is excessive, and removing some of the tip of the nose.

In patients with deformities classified as" soft tissue beak nasal deformity (soft-tissue polly beak)", steroid injection and bandaging may be recommended to the supratip area.

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Tuesday, August 25, 2020

What is Colposcopy? How is it done?

Colposcopy is a procedure performed using a powerful light source and lenses for a detailed examination of the lower genital area. Let us state that colposcopy is actually the name given to the microscope that provides this examination. The examination is also called "colposcopic examination".

However, the procedure is also known as colposcopy among the people. This procedure is frequently performed to diagnose lesions in the cervix, vagina, vulva and perinal region. However, we can state that this procedure is needed in order to plan the treatment in the most accurate way. We will talk about why colposcopy is performed or whether anesthesia is applied before the procedure. But first, let's review who is doing this.

Colposcopy

Who Can Have Colposcopy?

The answer to the question of who can undergo colposcopy actually covers a wide range of patients. Because, if necessary, this procedure can be performed on many patients. The most common situations can be listed as follows:

  • The patient's smear test results are not normal
  • The patient's HPV test result is positive
  • Abnormal smear test result during pregnancy
  • Evaluation of existing lesions before starting treatment

Of course, apart from these conditions, a more detailed examination of the lower genital system may be needed for some specific reasons. In this case, colposcopic examination will be used.

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How Is Colposcopy Performed?

Women can sometimes think that this procedure is one of the tough examinations. However, even local or general anesthesia is not needed before colposcopic examination. Because the procedure does not cause any pain or ache. We can say that it is not much different from a routine gynecological examination for the patient. The patient is asked to lie on the gynecology examination table on his back. Afterwards, an instrument used in the examination is placed in the vagina area in order to visualize the cervix much more clearly.

The currents in the cervix are cleaned and a special liquid is applied immediately afterwards. Thanks to this liquid, problematic tissues in the cervix take a color close to white. The gynecologist and obstetrician examines these tissues with color change and if necessary, cervical biopsy is performed. In this process, a very small piece of tissue is taken and sent for pathological examination. As a result, we can say that colposcopic examination is completed in a short time and with a very comfortable process for the patient.

Why Is Colposcopy Performed?

Why Is Colposcopy Performed

Of course, colposcopy procedure is not performed for only one reason. First of all, let us state that this procedure is performed when it is necessary to examine in detail the inflammatory lesions, condylomas (warts), polyps and precancerous lesions. This procedure may also be required before the treatment of the lesions is planned.

Abnormal pap smear tests of the patients during pregnancy or outside of pregnancy are among the reasons for this detailed examination. However, if the HPV test is positive, we can say that colposcopic examination enters the circuit.

We can say that one of the most common types of cancer in women is cervical cancer. As in all types of cancer, early diagnosis is of great importance in cervical cancer. For this reason, even if not in every woman, some patients may need to enlarge the cervix with a colposcope and examine it in more detail. If deemed necessary by the physician, endocervical curettage can be applied and pathological examination can be performed.

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Is Colposcopy Performed With Anesthesia?

One of the frequently asked questions is whether or not anesthesia was performed before colposcopy. Anesthesia is absolutely not required before this procedure. Because the procedure does not contain any intervention that may cause distress for the patient. For this reason, local or general anesthesia is not required.

What are the Colposcopy Indications?

We can list the colposcopic examination indications as follows:

  • CIN, HSIL, LSIL or cancer
  • HPV infection suspected
  • ASCUS
  • Recurrent infection status
  • An abnormal appearance in the cervix

 

When Will The Colposcopy Result Be Determined?

The colposcopy procedure applied to the patient is completed within approximately 30 minutes. If tissue sample is taken from the patient and sent for pathological examination, the time for the result may vary depending on the density in the laboratory. This period can be only 1 day or up to 5 days. For this reason, it would not be correct to talk about a clear time frame.

Is Colposcopy Procedure Painful?

This procedure does not cause pain, and it is because of this that there is no need for anesthesia before the procedure. Sometimes, women may wonder if there is pain after the procedure. We can say that no pain is felt after the colposcopic examination.

However, sometimes it may be necessary to take a tissue sample from the patient after this procedure and undergo pathological examination of this tissue. In this case, a very mild pain sensation may occur. However, we should state that this feeling can also be controlled with the use of pain medication prescribed by the doctor. Because when the tissue sample is taken from the cervix, there is usually no pain. Only a feeling of discomfort may occur.

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What Does Colposcopic Biopsy Mean?

What Does Colposcopic Biopsy Mean

In its most general form, colposcopic biopsy is taking a tissue sample from the patient after the colposcopy procedure. The purpose of taking this tissue sample is to send it for pathological examination. In which situations colposcopic biopsy is needed, we can list as follows:

  • Observing an abnormal tissue condition during the examination
  • ASCUS, CIN 1, CIN 2, CIN 3, LSIL, HSIL or AGUS in the pap smear test applied
  • Smear result of patients with HPV not being normal
  • Continuous inflammation and infection detection in smear tests
  • There is a suspicion of cancer precursor lesion
  • New items can also be added to this list. Sometimes, biopsy may be required only if the patient has some complaints.

What is a Cervical Biopsy?

If the tissue sample is taken from the patient's cervix for pathological examination, this is called cervical biopsy. Generally, this procedure is needed if there is a finding of cervical cancer. We can state that cervical biopsy may be required to diagnose cancer at the earliest possible period.

At this point, the most common concern of women is whether the biopsy has damaged the cervix. Of course, this procedure does not cause any damage to the cervix. Therefore, women never need to worry about cervical biopsy.

It should be noted that the piece of tissue taken in the biopsy procedure is extremely small and the cervix area is restored in a short time. Cervical biopsy does not change the probability of pregnancy in women. In other words, it does not prevent pregnancy and is not a procedure that prevents women from having vaginal delivery in the future.

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Colposcopy Pathology Results

Taking tissue from the patient after colposcopy and undergoing pathological examination provides access to extremely important data. Let us state that pathology results are generally evaluated as "normal" or "abnormal". If an abnormal situation is not found, it will be sufficient only to perform smear tests regularly and not to disrupt routine examinations. Sometimes it may be necessary to wait for a while and then perform a colposcopic examination again.

How Much Are Colposcopy Prices?

One of the frequently wondered issues is colposcopy prices. However, talking about the price will be misleading for patients. Because we can say that the prices also vary depending on various factors such as which physician is preferred, whether the tissue sample is taken from the patient during the procedure. However, to give an idea, let us state that the prices can vary between 2500 TL and 6000 TL. You can write your questions about colposcopic examination in the comments section.




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Friday, August 21, 2020

What is Estrogen Hormone?

Estrogen hormone is a sex hormone secreted from the ovaries. Excessive or deficiency of estrogen hormone levels cause different problems. The complaints of women who experience both estrogen deficiency and estrogen excess can be eliminated by hormone therapy methods, also called hormone replacement therapy. So what is this estrogen

What is the estrogen hormone, what does it do?

Estrogen hormone, which is one of the two sex-determining hormones in humans, is the most prominent hormone that is secreted from the ovaries in women, thrusts the menstrual cycle, breast growth, hip shaping, preparing the inner lining of the uterus to an environment where the baby can hold and grow.

What is Estrogen Hormone

What causes estrogen excess?

The egg cell begins to develop on the first day of menstruation and ovulation occurs approximately 12-16 days later. It also responds to estrogen by secreting progesterone hormone by the tissue called corpus luteum, which is released after ovulation. If ovulation does not occur, the hormone level will increase rapidly and estrogen will increase in the body.

Women's lifestyles can also cause estrogen excess. The excess of hormones appears to be more in women with lifestyles such as low fiber diet, smoking and alcohol use, excessive caffeine consumption. At the same time, drugs such as hormone replacement therapies, cortisone use, phenothiazines (neuroleptic psychiatric drugs) also cause hormone accumulation. On the other hand, chemicals that act as hormones by imitating estrogen called xenoestrogen also cause a serious increase in estrogen.

These types of chemicals, acting as estrogens, increase insulin resistance and cause liver dysfunction by increasing the fat ratio in the body. At the same time, granulosa cell ovarian tumors are tumors that cause hormone increase by secreting estrogen.

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What causes estrogen deficiency?

It is necessary for the production of certain hormones by the hypothalamus and pituitary glands, for the development of the egg cell and for the hormone synthesis. Some dysfunctions in the hypothalamus and pituitary glands in the brain may prevent the production of these hormones. In this case, because estrogen production is not triggered in the ovaries, hormone deficiency occurs.

With menopause, estrogen deficiency can also be observed as ovarian reserve is depleted and there are no active egg cells left. It is possible to experience the same situation whether it is during the natural process of menopause or surgery.

What are the symptoms of excess estrogen?

The first symptom of estrogen excess is menstrual irregularity. Since there is no ovulation, the increased estrogen level causes the inner layer of the uterus to grow continuously, but the egg does not crack without progesterone, so menstruation does not start.

Menstrual delay lasts quite a long time and eventually menstruation appear in the form of pieced, clotted bleeding. Long years of estrogen excess causes thickening of the uterine lining. Thickening of the uterine lining is one of the main causes of endometrium cancer in women close to menopause or after menopause.

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What are the symptoms of estrogen deficiency?

The primary symptoms of estrogen deficiency are menstruation. Although the brain fails to deliver the necessary signals or gives warnings, the first symptom of menstrual delay in return is menstruation. Lack of egg cells means that estrogen cannot be synthesized, and this causes inability to develop menstruation as a result of the uterine lining.

Is there a link with hair loss?

Among the causes of hair loss, hair loss due to androgen hormone is seen. The male hormone androgen is a hormone responsible for the causes of hair loss in women. Polycystic ovary syndrome causes an increase in androgen hormone together with estrogen. In polycystic ovary syndrome, male pattern hair loss can be seen frequently due to increased androgen levels.

What are the functions of estrogen in the body?

Estrogen, known to be the most important hormone in determining the female gender, is responsible for numerous female characteristics such as female hair growth, breast growth, ensuring the menstrual cycle and conception.

How is low estrogen treated?

How is low estrogen treated

It is investigated whether there is a problem with the brain as a result of hormone tests applied for the symptoms of low estrogen. It is treated externally with hormone supplements for estrogen deficiency, which is mostly caused by menopause.

With replacement therapy, which is the method used from low estrogen levels, the decreasing hormone in the body is balanced by external administration. Hormone therapy can be given orally, vaginally or topically. Hormone therapy, which is a treatment method that is mostly used for the relief of menopausal or post-menopausal complaints, provides relief of menopausal symptoms.

It is known that hormone therapy, which was used much more in previous years, caused cancer development, vascular occlusion and clot formation. Therefore, your doctor will determine a treatment method according to the benefit / harm ratio before hormone therapy. For example, if a woman whose uterus is removed does not have breast problems or other additional risks, only estrogen-containing drugs are given. Progesterone + estrogen-containing treatments are applied to a postmenopausal patient whose uterus has not been removed. These hormone treatments are kept at a minimum dose and a short course of treatment should be applied as possible.

Due to such side effects of hormone drugs, the search for different treatment methods without risks and side effects is still ongoing. Herbals called phytoestrogens show estrogen-like effects in the human body and are one of the main methods used to balance the hormone level.

There are 2 different types of phytoestrogens, isoflavones and lignans. Dry legumes such as soybeans and isoflavones in soy products are known to reduce menopausal symptoms. Although lignan containing flax seeds, whole grains, some legumes, vegetables and fruits are known to be good for menopausal symptoms, there are not enough studies on them.

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What precautions should be taken for estrogen excess?

With the regulation of the ovulation cycle, young women can be restored to their menstrual cycle. However, hormone therapy or hormone-containing spiral application are options to regulate the hormone level of middle-aged women. Hormone therapy is also very important for the prevention of intrauterine cancer, as it will prevent intrauterine thickening.

What are the causes of abdominal bloating and breast tenderness?

Estrogen is a hormone that causes water retention in the body, ie edema. This is the reason for swelling in the hands and feet, especially in cases such as lack of menstruation, menstrual delay. It is known that high estrogen levels, which cause conditions such as abdominal bloating, gas problems, breast tenderness, mood disorders, cellulite in the legs and hips, and decreased libido, are also closely related to breast cancer and uterine cancer.

Complications such as frequent hot flashes, migraine, chronic headache, vaginal dryness, urinary incontinence, muscle weakness, back and joint pain, distraction, anxiety, osteoporosis and cardiovascular diseases also result from low estrogen levels.

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Monday, August 17, 2020

What is Vaginismus? Why Does It Happen? How to Solve?

Vaginismus is generally an inability  to have sexual intercourse. Vaginismus treatment protocol to be applied may vary depending on the patient's condition. At the same time, the most appropriate treatment option is preferred depending on the type of disabling disease. Sometimes, just giving information to the patient can provide much more successful results than treatment.
 
However, we should also mention that the treatment requires teamwork, and the patient may need cognitive and behavioral therapy after gynecological examination by gynecologists and obstetricians. However, let's add information that the prices of vaginismus treatment are not as high as thought.

What is Vaginismus

What Causes Vaginismus? 

Of course, before the treatment of inability to have sexual intercourse, it is necessary to determine the factor or elements that cause this discomfort. In general, the inability to have intercourse disease is evaluated in 2 different frameworks in terms of cause. These; structural reasons and psychological reasons.

  • Structural Causes
  • Short vagina
  • Having a septum in the vagina
  • If the hymen is hard or thick
  • Bartholin's cyst
  • Vaginal infection
  • Pelvic inflammatory disease
  • Vulvar vestibulitis disease
  • Psychological Causes
  • Fear of the first night
  • Misinformation from the environment
  • Thought that sexual intercourse is a painful act
  • Previous sexual abuse
  • Thoughts such as insufficient self-esteem, dislike of your body
  • If there is a disease of inability to have intercourse due to structural reasons, a vaginismus treatment procedure should first be applied to eliminate these structural factors.

What are the symptoms of vaginismus?

What are the symptoms of vaginismus
Generally, the inability to have sex can manifest itself with different symptoms. However, the common situation is inability to have sexual intercourse or difficulty in intercourse due to involuntary vaginal contractions. In some patients, sexual intercourse may be painful. Because vaginismus treatment is applied by taking into account the symptoms of the patient.
 
In this way, the treatment of inability to have sexual intercourse is completed as soon as possible, and it is aimed to eliminate all of the troubles experienced by the patient. Thanks to the very low vaginismus treatment prices, all patients can have a comfortable sexual life by taking advantage of the treatment options. The most common symptoms of the disease can be listed as follows:
  • Inability to have sexual intercourse due to fear
  • Having sexual intercourse but experiencing pain
  • Sudden vaginal contraction after foreplay and difficulty in intercourse
  • Sudden shivering, spasm, leaving the intercourse position before intercourse
  • Being able to have sexual intercourse by force in only one or a few positions
  • Inability to have a gynecological examination
  • Don't be afraid of using pads or tampons
  • Not being able to touch or even look at the vagina
  • Loss of sexual desire
  • Don't be afraid of seeing the partner's body naked, don't be shy

Who Has The Problem Of Not Having Sex?

Studies reveal that the incidence of the disease is higher in some societies due to cultural reasons. We can say that it is a common disease in our country. There may also be some characteristic features in patients who usually receive vaginismus treatment. For this reason, we can give the following answer to the question of who is more common in having sexual intercourse disease:
  • People with many fears (darkness, heights, blood, loneliness, bugs, etc.)
  • People with a low body pain threshold
  • People with excessive self-control
  • People with extreme difficulty trusting others
  • People with a history of sexual abuse
  • People who have been brought up under extreme pressure by their family
  • Persons raised under strict moral and religious rules
  • People who do not have the features listed above can also be treated for vaginismus due to this discomfort. For example, vaginismus disease can be seen after sexual abuse in a woman who has a problem-free sexual life.

What are the Diagnostic Methods?

First of all, making the right choice among the vaginismus treatment methods depends on clearly determining the causes of the disease. Gynecological examination is required for diagnosis. Gynecological examination can be alarming for patients, but we must state that this examination is essential for the treatment of vaginismus.
 
It is important that the patients are comfortable during the examination, which will take a few minutes at most. Unnecessary panic and fear may prolong the examination period and make the diagnosis of an inability to have sex difficult. It should also be noted that no tools were used during the examination, and this examination never pained the patient.
 
After a simple observation examination, the patient's complaints are also listened to and the patient's complaints are also important in the diagnosis of the inability to have sex. At this stage, you should not hesitate to share your troubles with your doctor.

How Does Vaginismus Treatment Work?

How Does Vaginismus Treatment Work
The patient's willingness to be treated, cleansing himself of all negative thoughts is considered as the first step in the treatment of inability to have sexual intercourse. If a physical factor is detected in the gynecological examination, this factor is eliminated. 

Apart from this, vaginismus treatment can be done with different methods depending on how the patient experiences this problem. We can say that exercises are also of great importance in treatment. General exercises can be:
  • Mirror exercise
  • Massage
  • Kegel exercise
  • Pelvic floor rehabilitation
  • Finger exercises
  • dilator
Your doctor decides which of the exercises and exercises listed above will be done, and vaginismus treatment is also supported by exercise programs. The support of spouses is also needed in order to achieve a successful result with cognitive and behavioral treatment methods. It is possible to say that the treatment can be determined completely specific to the patient.
 
Not all types of treatment are suitable for every patient. Finger exercises can be unattractive for some patients and this can even cause them to stop treatment. In some patients, dilator studies are seen more unattractive. As a result, the treatment may not be applied in the same way, just as the inability to have intercourse disease does not proceed the same in every individual.
 
What is included within the scope of the treatment affects the prices of vaginismus treatment. However, exercises are generally self-administered methods. Therefore, it cannot be said that the recommended exercises affect the prices. Different factors determine treatment fees.

What is Secondary Vaginismus?

Vaginismus, that is, the inability to have intercourse disease is divided into 2. These are primary and secondary vaginismus. Of course, the treatment of inability to have sexual intercourse can be applied differently in both. The primary type is the contraction of the vagina during the first sexual intercourse and the absence of sexual intercourse. Vaginal contraction is a characteristic symptom of this type.
 
The secondary is to get vaginismus disease after a situation experienced by a woman whose sexual life is normal. This is usually painful sexual intercourse, abortion, a forced labor or sexual abuse. Fear is also the basis of the secondary type, and vaginismus treatment can be performed with therapy support. Of course, the prices of vaginismus treatment also vary in this case.

Prices of Vaginismus Treatment

First of all, vaginismus treatment prices are variable. Because vaginismus treatment can be done by many different methods. Sometimes surgery and sometimes therapies can accompany the treatment. Therefore, the prices of vaginismus treatment also vary by being affected by these factors. 

Although it consists of reasonable numbers in general, we can say that the severity of the disease also affects the prices of vaginismus treatment. However, the following should not be forgotten; The inability to have sex can be treated 100% and patients can have a comfortable sexual life in a short time.


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Thursday, August 13, 2020

The Melatonin - Definition, Benefits, Effects and Secretion

What is Melatonin? What Are The Benefits of Melatonin?


The Melatonin - Definition, Benefits, Effects and Secretion


Melatonin is a hormone secreted by the brain, especially at night. The release of the hormone melatonin, whose main tasks include maintaining the body's biological clock and adjusting its rhythm, begins early in the night after dark and reaches its highest level, such as 02.00-04.00. The production and release of melatonin, also known as the’ dark hormone', ends with light. Melatonin is a hormone that regulates the sleep cycle and the body's biological clock, defined as the circadian rhythm, secreted by the pineal gland or pineal gland, located in the central region of the brain and located between both hemispheres. The digestive system begins to synthesize the hormone, which is produced at low levels by the organs of the stomach and intestine as well as by the bone marrow, retina, skin and white blood cells, as well as by darkening the air. In addition to regulating sleep rhythm, Melatonin plays an important role in biological and physiological processes such as strengthening the immune system, adjusting body temperature, and cell renewal. Melatonin is the most powerful antioxidant known because it has the ability to dissolve in lipophilic or, in other words, fat-type solvents. With this feature, melatonin, which can reach all parts of the body and is secreted in an intense amount during a person's sleep in a dark environment, supports the mechanisms of maintaining the vital activities of the metabolism. Melatonin has a positive effect on sleep quality, regardless of sleep duration. Therefore, the invention of the lamp, industrialization and the effect of modern life between 23.00 and 05.00 hours of light exposure to sleep or do not sleep at all in people who are limited to the secretion of melatonin this condition leads to sleep disorders.

The most important factor affecting the synthesis and release of melatonin is light. Night Lights should be removed during sleep in order to benefit from melatonin, whose synthesis is blocked in illuminated environment.

Definition of Melatonin Hormone


Melatonin, which is secreted from the pineal gland in the brain dark at night during sleep, is a hormone that acts as a shield against cancer as well as protecting the person against various diseases. Melatonin is derived from a substance called tryptophan.

The light at the beginning or end of the dark phase suppresses the release of melatonin, even if it is of sufficient intensity for a short period of time. Melatonin production is directly related to the length of the night. The longer the night, the longer the production of the hormone melatonin. As a matter of fact, melatonin, which is produced more during the winter season when the nights are longer, decreases during the summer days when the days are longer.

To release enough melatonin, you need to sleep in dark environments. If Night Light is used, pale red light should be preferred. Taking tablets/computers before falling asleep at night can cause disruption of the release of the hormone melatonin.

During sleep in front of the television television should not be left on, enough for body health and a regular sleep pattern should be established, work in the daytime hours should be preferred in life. If there is no solution, drug treatments such as melatonin supplements should be preferred.

Melatonin "Hormone of Darkness"


The hormone melatonin, which is secreted from the pineal gland in the brain, has a serious effect on human health. Its main task is to adjust the circadian rhythm of the body. But it also has a significant share on the regulation of sleep rhythm and body temperature. All structures in the body due to lipophilic property that enables access to the most powerful antioxidant, melatonin, allows the fulfillment of several important tasks such as cell renewal and boost the immune system. The air must be dark for the release of the hormone melatonin from the brain. This condition is controlled by pinealocytes or, in other words, light-sensitive cells in the brain. So when it's light, the release of melatonin stops, and when it's dark, it starts again. That's why melatonin is also known as the hormone Dracula. Melatonin, whose release begins to increase between 21.00 and 22.00 hours in the evening, peaks by reaching its highest level between 02.00 and 04.00 hours. It decreases again between 05.00 and 07.00 hours, and after this hour interval it is drawn towards the lower bound, either basal or with a different expression. On average, a total of 30 mg in a person's body overnight. melatonin is synthesized. Thus, the level of melatonin, which is 0-20 pg/dl in the blood during daylight hours, rises to 50 to 200 pg/ml during night hours.

Approximately 85% of the hormone melatonin is secreted from the pineal gland, while the remaining 15% is released by the stomach, intestine, bone marrow, retina, skin and white blood cells. Melatonin, which is associated with the presence of many diseases from cancer to heart disease, is a must for physiological and psychological health because it is the most potent antioxidant known to cause an antidepressant effect in people. Therefore, watching television at night during the hours of melatonin secretion, spending time with cell phones, exposure to light and especially blue light are among the factors that decrease sleep quality and the body's resistance to diseases.

Sleeping in the dark doesn't just provide deep sleep. Dark environments are also essential for the secretion of melatonin. Although it varies from person to person, this hormone is most secreted between 23:00 – 05:00 hours. The basic logic is that the hormone melatonin is secreted from pineolacite cells of the pineal gland. These cells are sensitive to light and interrupt the secretion of melatonin when a light stimulus reaches the brain. This hormone is also the cause of the event called Jetlag ( a problem with the biological rhythm).

Melatonin hormone and light


For millions of years, people have been living according to latitude and seasonal conditions, adapting to an average of 12 hours of light and 12 hours of dark days.  The use of artificial light during night hours was made possible by the discovery of fire 250 thousand years ago. Going back 5 thousand years, it is seen that oil lamps are used at night. While the lighting of the streets with gas lights at night took place in the 1700s, with the invention of electricity, artificial lighting has reached its present dimensions.

Light has extensive effects on human physiology and behavior. Light can cause change in human physiology by an inappropriate timing. An example of body organizations being affected by the distortions triggered by light can be given. Indeed, light acutely affects neuroendocrine systems, while reducing melatonin production and increasing cortisone production.

The biological clock regulates the order and distribution of sleep during the day. It depends on the biological clock at which time the sleep-inducing substances or hormones that increase the hours of Stay Awake will be active. One of the most important factors guiding the biological clock is light.

The light detected by the retinal layer reaches the relevant Center in the brain, which sends stimulating messages to the centers that miss sleep or secrete sleep-inducing substances and hormones, depending on what amount of light is present during the day and night. In this context, people are more prone to sleep during the day, or although they want to sleep easily, there are slices. The person who cannot sleep during the night hours, who is very tired, can not fall asleep easily in the morning and noon hours, even though he wants to or needs to, and although he is tired, he seems talkative and energetic.  In contrast, melatonin, one of the hormones that brings sleep, is secreted more after the evening hours and makes it easier to fall asleep at night.

The Relationship Between Sleep Patterns and Melatonin


A regular and adequate sleep pattern, the habit of going to bed at the same time makes more use of the hormone melatonin.

For human health, it is important for the brain to live 4 seasons and to perform night and day at the appropriate hours of bioritme. People with sleep patterns, such as tarlak birds, who tend to get up early, start their day with an energetic, high perception of the brain, thanks to the hormones secreted together with the breakfast made with the proper nutrients after waking up early. As a matter of fact, when you go to bed early and start the day early, you have the opportunity to benefit from hormones like melatonin that the body secretes at the highest level.

How is Melatonin Secreted?


Melatonin is secreted by pineolacite cells located in the pineal gland in the brain. Light-sensitive pineolacite cells increase hormone release in a linear manner with darkening of the air. Tryptophan, expressed as the main ingredient used in the making of the hormone Melatonin, primarily converts to serotonin. Serotonin, which is secreted throughout the day and is also known as the happiness hormone, is replaced by melatonin hormone with darkening of the air. Photoreceptors, identified as photosensitive retinal cells, are thought to be linked to pinealocytes located in the brain. With the disappearance of daylight, these cells transfer information that there is a decrease in the amount of light to the pineal gland in the brain. In our country, melatonin is secreted for longer periods of time due to the longer nights during the winter months. However, this situation is directly related to the age of the person. In other words, the amount of release of the hormone melatonin decreases as the person gets older. Exposure of the human body to light is the key mechanism in the differentiation of sleep patterns. The light source stimulates nerves that extend from the retina to the hypothalamic area in the brain. After the suprachiasmatic nucleus (SCN) region in the hypothalamus receives information about the change of light, it sends this information to the pineal gland and initiates the release of melatonin. This creates a feeling of sleep and wakefulness. As melatonin release increases, warnings to the brain are less perceived and sleep sensation occurs. High levels of melatonin continue to be present in the blood level until the end of sleep. 

What Are The Benefits of Melatonin?


There are many studies that have shown that melatonin increases life expectancy and reduces signs of aging by positively affecting the immune system and reducing stress.

Many studies have also been conducted for the relationship of the hormone melatonin, which is thought to have a positive effect on immunity, to cancer. In the light of scientific studies, it has been experimentally observed that melatonin limits growth in many types of tumors. Melatonin plays a suppressive role in experimental breast tumors. When Melatonin is given in therapeutic doses, it has the effect of directly killing tumor cells.

The increase in breast cancer risk is thought to be associated with the interruption of the hormone melatonin, which is secreted in the dark, due to light. Studies of women who work at night to decrease the secretion of melatonin at night because it's Bright, has quite a lot of developing breast cancer than women working during daylight hours. Night-time employees are at increased risk of cancer when melatonin levels are suppressed as a result of dark environments lighting up. In order to make enough use of melatonin, the time of falling asleep should not be delayed as much as possible and should be passed to sleep no later than 23.00.

There is also an association between melatonin levels and depression. Melatonin levels were low and cortisol levels were high in depression patients. A parallel can be established between the increase in Melatonin levels and the use of treatment. In fact, many depression drugs used to treat depression increase the secretion of melatonin through the brain chemicals it affects.

Melatonin, which allows the body to determine the time of sleep and wakefulness, is a hormone that begins to release with darkening of the air and peaks its release at late hours. The hormone melatonin, which directly affects the release of sunlight and artificial lights, plays an important role in strengthening the immune system. Melatonin, which also has an important effect on the regulation of the body's biorithm, is also effective on many physiological functions. Some of Melatonin's other functions are listed as follows:
  • It improves sleep quality regardless of sleep duration. For efficient sleep, the circadian rhythm is quite important. Having melatonin levels below normal limits can lead to sleep disorders.
  • With its antioxidant effect, it prevents damage to cells.
  • It provides protection against infection and immune system diseases. It is extremely important for eye health.
  • It provides protective effect against different types of cancer. Research has shown that melatonin has a significant effect, especially on breast and colon cancer.
  • It has a positive effect on acute pancreatitis and kidney inflammation.
  • The benzodiazepine group of drugs used for sleep disorders and anxiety helps to reduce withdrawal symptoms seen in dose reduction.
  • Reduces the effect of stress factor on the immune system.
  • It has a protective effect on the cardiovascular system.
  • Research has found that people who work at night get sick more quickly and have a greater risk of developing cancer. Women who work at night have an increased risk of breast cancer. A strong immune system is an important hormone for a vigorous and healthy body. Studies have shown that melatonin reduces and suppresses growth in many cancer tumors.

What Foods Are Melatonin Found In?


The hormone melatonin, which protects the body's biological clock, which can only be secreted in the dark environment during night sleep, can protect the person from various diseases. It is claimed that even a low level increase in the hormone Melatonin produces positive results in terms of Health. Especially as people get older, melatonin secretion begins to decrease. In this case, the removal of melatonin from natural sources is of great importance. Consuming melatonin-rich ingredients can help those with sleep problems.

The fruit is rich in Melatonin, which is recommended for people who complain of sleep problems with this feature. The melatonin content in cherries is also good for insomnia problems. While nuts and walnuts stand out as a natural source of melatonin, they contain the sleep hormone melatonin, which helps those with sleep problems thanks to tryptophan. 

How is Melatonin Increased?


If the levels of Melatonin are below normal, it leads to many sleep disorders, especially insomnia. It can also lead to many ailments such as fatigue, weakness, palpitations, anxiety disorder, depression, sexual aversion and dysfunctions. Studies have found that the hormone Melatonin has positive effects on the immune system and increases life expectancy by reducing stress and reducing signs of aging. Although many of the effects of melatonin, a hormone released in the dark, on the body have not yet been proven, scientific research on this subject is in full swing. To increase the level of Melatonin, smoking and alcohol consumption should be stopped altogether. In addition, limiting coffee consumption and avoiding stress increases the release of melatonin. Sleeping before midnight, reducing the amount of food eaten in the evening, increases melatonin production. In addition, not spending time in bed at night with the phone, not using a night light and isolating the room from light completely supports the production of melatonin. If you are having trouble sleeping and you wake up without enough rest, you can have your melatonin levels measured by a specialist physician and, if recommended by the physician, you can take melatonin supplements.

What are the foods that increase melatonin?


Melatonin cannot be taken directly through foods, but tryptophan in the following foods promotes the synthesis of melatonin and increases the release of this hormone:

  • Red meat and fish
  • Bananas, strawberries, apples, oranges, blackberries, cranberries
  • Peanuts, walnuts, pistachios, almonds, chestnuts
  • Eggplant, spinach, broccoli, peas, tomatoes, mushrooms, potatoes, cucumbers
  • Dried beans, chickpeas, sesame seeds, flax seeds

Melatonin Deficiency


High levels of melatonin in the body decreases with age. When a young person has 100 units of melatonin, it drops to 30 units in advanced age. If this level falls more than normal along with other factors, the aging process speeds up, the rate of contracting diseases increases. Factors such as insufficient sleep, stress, restlessness trigger melatonin deficiency. Melatonin deficiency triggers distress and depression, resulting in further increase of the deficiency can create a vicious cycle. 

As is known, the rate of developing cancer in visually impaired people is very low. The reason for this is thought to be related to melatonin.

The environment that sleeps at night must be absolutely lightless. In addition, because it suppresses melatonin production in electromagnetic waves, there should be no television, computer, mobile phone, etc.devices at night in the sleeping areas or should not be plugged into an outlet. Especially the television and mobile phone screen should not be stopped for a long time.

Smoking, alcohol use, excessive coffee consumption, and some drugs can suppress the production of the hormone melatonin.

Many symptoms occur when it comes to the hormone melatonin deficiency. Therefore, melatonin deficiency is easily noticed. These symptoms are as follows::

● Sleep disorders occur.
● A constant feeling of weakness occurs because it causes chronic fatigue.
● Palpitations occur.
 Sexual dysfunction and sexual dysfunction.
● Psychological problems such as depression and anxiety occur.

These symptoms, which occur especially in people who work night shifts or who like to sleep in the morning, cause a decrease in the quality of life. In addition, melatonin deficiency, which causes much earlier aging, brings many diseases. Therefore, the quality of sleep should be considered.


Should Melatonin Hormone Pill Be Used?


Many points need to be paid attention to the increase of melatonin secretion, which is of great importance for human health. It is vital for the release of this hormone, especially if the night's sleep is done in the dark. However, there are some melatonin hormone pills and synthetic melatonin bottles that are ideal for people who have to work at night. The price of the hormone melatonin varies according to the type of drug. Although it is best to take this hormone naturally, which the pharmaceutical industry is particularly focused on, medical support in essential situations helps eliminate many problems.

How Is The Hormone Melatonin Measured?


Melatonin is a hormone people who are looking for an answer to the question How to measure, you need to consult a physician who is an expert in the field. First of all, the condition of the patient is examined by testing the hormone melatonin. If the person has a severe melatonin deficiency, the most appropriate treatment method is determined.


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What is a Subcutaneous Implant (Birth Control Stick)?

Subcutaneous implant is a contraceptive method applied by placing an apparatus under the skin. These apparatuses, which have become widespread in recent years and provide protection against pregnancy risk at a high rate of 99%, are placed under the skin with a small surgical intervention. When the period of use expires, it is removed by applying an incision and it is possible to insert a new one immediately.

For those who do not want to take contraceptive pills regularly, those who do not like to wear spirals or those who are uncomfortable with the use of condoms, the birth control stick can turn into a much more comfortable option. However, it should be underlined that this method does not provide any protection against sexually transmitted diseases.

Subcutaneous implant types, which have an effect of reducing the possibility of pregnancy up to 1% by releasing a certain amount of hormones into the body, also do not have a negative effect on women's fertility. Women planning pregnancy can have the apparatus removed and thus regain fertility. Note that when the implant is placed under the skin, usually on the upper part of the left arm, the procedure is completed within approximately 30 minutes to 1 hour.

What is a Subcutaneous Implant

What Does a Subcutaneous Implant Do?

Before using the birth control stick placed under the skin of the arm, it should be made sure that the woman is not pregnant. If pregnancy is not suspected, it is possible to place the implant within the first 5 days of the menstrual period. Women who have never given birth before can also benefit from this method of birth control. In women who have used birth control pills before, subcutaneous implant placement can be performed one week after stopping the use of birth control pills.

In its most general form, we can answer the question of what does a subcutaneous implant do? It regularly releases a certain amount of hormones into the body every day and prevents pregnancy in this way. When evaluated from various angles, the use of these apparatuses stands out in terms of the advantages they offer. We can list these advantages as follows:

  • Provides protection against pregnancy for a very long time, at least 3 years.
  • It is a safe method of contraception as it has a protection rate of 99%.
  • Fertility regains immediately after removing the implant.
  • Has no positive or negative effect on the probability of a woman becoming pregnant
  • The protective effect starts only 24 hours after the implant is inserted
  • It does not disturb daily life or sexual life comfort

By the way, subcutaneous implant is a birth control method that can be used during breastfeeding. However, it is not recommended to wear it immediately after birth because it has some drawbacks. To use this method, you must wait at least 6 weeks after birth. If you consult your doctor on this issue, he will inform you of the most appropriate time for implant placement.

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Subcutaneous Implant Prices 2020

The birth control bar prices produced and put into use by various companies have different prices as can be expected. For this reason, it may be misleading for you to mention a single number in terms of price. Depending on which brand of subcutaneous implant product is preferred, the budget for this birth control method may also vary.

However, we can convey to those who want to have an idea in general that the prices of these apparatuses are not very high. It is a very economical method of correct control and is suitable for use at all ages.

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How Does the Subcutaneous Bar Implant Affect?

How Does the Subcutaneous Bar Implant Affect

The birth control stick placed under the skin secretes hormones into the body and in this way enables the membrane in the inner part of the uterus to thin. In this way, when fertilization occurs, the fertilized egg cannot settle inside the uterus. At the same time, the subcutaneous implant has the ability to prevent ovulation, but it should be noted that this feature is lower compared to birth control pills. For this reason, it has the feature of preventing pregnancy by preventing the fertilized egg from settling in the uterus rather than preventing ovulation.

When women use subcutaneous implants, even if the sperm cells meet the female reproductive cells, it is possible to expel the fertilized egg from the body during the menstrual period. However, it should be noted that this method of birth control is not suitable for every woman. Let us clarify the question of who should not use subcutaneous implants with a short list:

  • Those who have had breast cancer before
  • Mothers who have not yet passed 6 weeks after birth
  • Those with any liver disease
  • Those who experience vaginal bleeding other than menstrual periods
  • Those who are suspected of pregnancy or are pregnant
  • Those who are inconvenient to use synthetic progesterone hormone
  • Those with tuberculosis, hypertension or epilepsy

These women may turn to different birth control methods and consult gynecologists and obstetricians on this issue. However who are It is also worth considering that the subcutaneous implant method is an ideal option for:

  • Those looking for a contraceptive that offers long-lasting protection
  • Those who are inconvenient to use birth control methods containing estrogen hormone due to various reasons
  • Those who do not want to use birth control pills / those who are objectionable to use
  • Those who do not want to know that they are using a birth control method

Is Subcutaneous Stick Implant Harmful?

Of course, subcutaneous implant is not only curious for its advantages, but also for its damages or side effects. First of all, let's say that implants do not cause a serious weight gain as expected. Studies show that women who choose this method only gain 1 to 2 pounds. At the same time, this method may be inconvenient for women with menstrual irregularities. Because although it is rare, it is known that implants can cause menstrual irregularities. Often times, menstrual irregularities only last 3 to 4 months. Afterwards, menstrual order can be restored.

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The common birth control stick side effects can be explained as follows:

  1. Mild headache
  2. More heavy bleeding during the menstrual period
  3. Prolongation of the menstrual period
  4. Breast tenderness
  5. Nausea, but very mild

Apart from these, there are not many side effects related to the use of subcutaneous implants. It is worth underlining that it is an attractive option because it does not cause any harm to the body. The privacy feature, that is, its use is not possible to be understood by someone else, separates this method from many different birth control methods.

How Much Protection Does a Subcutaneous Implant Provide?

One of the issues that women often wonder about the birth control stick is the protection period of these apparatuses. These products, which provide protection for at least 3 years, can turn into an attractive birth control method for many women in terms of protection period.

It should also be noted that the protection period can extend up to 5 years depending on the preferred subcutaneous implant type. When the protection period expires, a very small incision is made on the skin and the expired apparatus is removed. Then, it is possible to apply a new subcutaneous implant without waiting. This birth control method can be continued to be used without the need to rest the body, and it does not harm the body in long-term use.

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What is the IUD (Intrauterine Device)

IUD is one of the most preferred applications among birth control methods. Thanks to this method, which is applied by placing a small plastic material into the uterus, sperm cells cannot reach the ovum.

Even though it is possible for male reproductive cells to reach the ovum, the implantation of the fertilized ovum in the uterus is prevented due to the disruption of the uterine wall structure in the uterus, which is also called IUD. Reasons such as being economical, easy to apply and also not interacting with any drugs bring it to be used widely for intrauterine device.

What is the IUD

How to Attach the IUD?

IUD, one of the most preferred birth control methods in the world, also has different types of copper and hormones. Attaching the IUD is an application that is completed within 1 to 5 minutes. The IUD, which should be worn by the gynecologist and obstetrician, can be removed in a practical way when desired, and fertility is also restored with its removal.

Before installing this apparatus, the vaginal entrance must be cleaned with various solutions. Then, a speculum is inserted into the vaginal entrance so that the uterus can be seen, and the application is completed by placing the intrauterine device in the uterus. Attaching the IUD ensures that the contraceptive effect starts immediately. Attaching this apparatus is not as painful as it seems. There may be only a short-term and mild groin pain and this pain will go away by itself within a few days.

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What is the Structure of the IUD?

It has a IUD T-shaped structure made of plastic or metal material, approximately 2 to 3 cm long. There is barium sulfate in the outer part of the IUD, which has a suitable shape and suitable dimensions for the inner wall in the uterus. There are ropes at the lower end of this apparatus, which can be surrounded by copper wire. These ropes, on the one hand, allow to understand whether there is an intrauterine device slippage during the controls, on the other hand, they also allow this apparatus to be easily removed.

What is the Mechanism of Action of the IUD?

What is the Mechanism of Action of the IUD

The effect of this apparatus on the body is due to the body perceiving it as a foreign substance. The IUD shows a local reaction because the body perceives it as a foreign substance. This reaction prevents male reproductive cells from attaching to the inner wall of the uterus. In this way, sperm cells cannot reach the ovum and fertilization does not occur. At the same time, because the IUD causes a deterioration in the inner wall structure of the uterus, the implantation of the fertilized ovum in the uterus is prevented.

How Long Does The IUD Have Time-Saving Effect?

One of the most curious issues is the IUD and protection time. However, depending on which type of IUD is preferred, the protection time may also change. For example, we can say that the protection period of IUD containing progesterone hormone is around 3 years. The protection period of copper-containing IUD varies between 5 years and 10 years.

However, it should be noted that the brand of these apparatuses is also effective on the protection period, as the manufacturing companies use different amounts of copper or hormones in the production of intrauterine devices. By not interrupting the routine controls and conveying the complaints about the IUD to the gynecology and obstetrician, if any, the protection period offered by the IUD can be used to the maximum extent.

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What is the intrauterine device protection rate?

The reason why the IUD is widely preferred not only in our country but also in the world is its extremely high rate of protection. Because ria offers 98% protection. Only 2 out of every 100 women who choose this birth control method get pregnant. The duration of protection may vary depending on the content and also depending on the brand. The IUD, which contains progesterone hormone and thus protects against pregnancy, offers approximately 3 years of protection. Copper-containing products have a protection period between 5 years and 10 years.

The reason why the protection provided by the IUD expires at the end of this period is the exhaustion of the material contained in it. For example, the hormone containing IUD loses its peogesterone effect after about 3 years. Therefore, it cannot affect sperm cells and prevent fertilization. However, if the protection period of the IUD expires, it is not necessary to choose a different contraceptive method. Expired ria can be removed and a new one can be inserted immediately. In fact, there is no need to rest the uterus, ie wait.

When Can The IUD Be Installed?

In general, there is no need to wait for any period of time for IUD insertion. It can be applied easily in a period when you are sure that there is no pregnancy. However, we can state that the IUD can be attached much more easily in the first days of menstrual bleeding. The reason for this is that the cervix is ​​a little more open when the menstrual bleeding begins compared to the non-menstrual period. This makes it easier to attach the apparatus. At the same time, an intrauterine device can be applied immediately after abortion, abortion or delivery.

How Much Are IUD Prices 2020?

How Much Are IUD Prices 2020

As we mentioned before, IUD can be produced by different brands. At the same time, the substance it contains can be hormone or copper. All this brings the prices to fluctuate. Therefore, talking about a net price or a price range can be misleading.

But overall, IUD is one of the most affordable birth control methods. An extremely low budget will be enough to take advantage of the protection provided by the IUD. In addition, the fact that it offers long-term protection makes this method a more economical option than many birth control methods.

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Can Pregnancy Develop During The Use Of IUD?

You should not expect 100% protection from any birth control method. Because although the IUD protection effect is extremely high, it is not a method that can offer 100% protection. Although there is a low probability of 2%, pregnancy may occur during the use of the IUD. At the same time, sometimes a situation such as the IUD slipping from where it should be, that is to change its position may develop, and this causes the effect of the IUD to decrease. Therefore, the decrease in its effect means that the pregnancy risk is much higher than 2%.

Things to Consider for Women Using IUD

First of all, it should be noted that the use of IUD does not offer protection against sexually transmitted diseases. This apparatus only provides protection against the possibility of pregnancy.

Although it is 2%, it should not be forgotten that there is a risk of pregnancy. In case of pregnancy symptoms, a pregnancy test must be done.

Women using the IUD should also not interfere with their routine gynecological exams, as well as regular smear tests.

If you experience conditions such as high fever, pain and cramps that do not pass or increase in intensity in the groin, and foul-smelling discharge after inserting the IUD, you should inform your doctor immediately.

If there is bleeding during or after sexual intercourse after the IUD, if you have menstrual irregularity that continues for more than 3 months, you should inform your doctor about this.

If you cannot feel the thread of the IUD, you should consult your doctor.

You do not necessarily have to give birth to use this method of birth control. Let us point out that women who have never given birth can also wear the IUD.

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Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +902125428785
Mobile: +905323253008
E-Mail: dr.ismetyildirim@hotmail.com