What is it for cryosurgery

Cryosurgery of the cervix is a little traumatic and simple realization (by a trained specialist), which is precise and limited.

■ It should only be used for the treatment of those lesions of the cervix caused by human papillomavirus (HPV) or in very early in precancerous lesions minimum (also associated with viral infection).

■ Only by exception can be accepted as a treatment for other types of lesions, usually can be cured successfully with topical antibiotics and medicated.

■ It is extremely rare to have to repeat the same patient cryosurgery. Nor is it good to do, since in these cases, the epithelial cells lining the cervix that may impede scarring determine, for example, to achieve a pregnancy.

■ If you propose a uterine cervical cryosurgery asks A consultation with a specialist before agreeing to it.

Placenta previa

It is located near the exit, below the baby.
Do not confuse the "previous placenta" with "placenta previa." The term refers to the previous location of the placenta over the baby: to be below him (with the pregnant woman in standing position) and it should leave first and then make way for baby. Previous only means that it is located in the uterus wall facing the pubis.

Different Ways
If completely blocked the exit, it is an "occlusive All"; if he does part of an "occlusive partial or marginal." In the latter two cases, the baby may be born leaving the placenta to get out of hand.
The placenta previa can cause bleeding during pregnancy or childbirth.

In the case of occlusive total imposes caesarean section. Many marginal placenta previa will run upwards during pregnancy and then cease to be the fourth or fifth month.

With regard to the placenta "above", is named as to which are attached to the anterior wall of the uterus (which coincides with the belly of the pregnant). It can be held high and nothing after, or are very low and after.
The same applies to those that adhere to the wall or the back side left and right. Those that are located on the roof of the parent (which are among the most common), obviously because they will never be pre definitely above the baby.

Problems in the placenta

The tissue which later lead to the placenta, sometimes develops so pathological, forming the so-called generically, diseases of trophoblast (name of the fabric of which we speak).

In these cases, is almost totally impossible for the pregnancy from developing normally, must stop in the first half.

The disease of the placenta, ranging from minor to degeneration malignant transformations, some of which are extremely serious and severe prognosis for the mother.

The most common symptoms that indicate this kind of problem, are bleeding and pain stage.

Alike, these problems today are detected in time and are solvable. In addition, this anomaly occurs infrequently, something like a case every thousand or two thousand pregnancies.

The treatment for this, always includes the evacuation of the uterus through techniques aspiration and curettage (scraping)

According to the kind of disorder, should complement this procedure with other therapeutic measures, including the administration of hormones cytotoxic (anti-tumor as Metrotrexato NR), new curettages, and in severe cases, the removal of the uterus.

Vaginal Surgery

The aesthetic surgery of the feminine extraneous genital organs, includes a number of surgical procedures designed to improve your aspect and capability.

Why the intervention?
This surgery has bigger accept and broadcast day by day for your excellent results, and a growing number of women they are requesting it to improve your intimate sensation and to improve the aspect of your extraneous genital. Many women that request this surgery consider that to reduce the size or the form of your vagina or genital extraneous organs allow that, as much them as your couples, reach the sexual complete satisfaction.

Techniques employees
The commonly requested procedures are reduction in value of lips (vulvoplastia or labioplastia) and operations of reduction in value of the vaginal (vaginoplastia) channel. Other procedures include the lipoescultura of the Mount of Venus, the reinjección of fat in the biggest lips to rejuvenate them and to give a younger aspect to these areas, retirement or reduction in value of the skin around the clitoris to improve sensibility of the clitoris, and the reconstruction of the hymen for cultural reasons.

The reduction in value of Labial is technical designed to diminish the size and the grade of protuberance of the lips smaller than (interior) the vagina. The most communio reason so that the women request this operation you are because the lips are too big and not very aesthetic. Some women indicate that the enhanced size of your lips makes them more patent with wrapped clothes or they feel nuisances making such sports as the cycling. A considerable number also manifests difficulty in the penetration.

The procedure is relatively bare, deleting an area of the lips by means of a variety of incisions and it can be realized with local anaesthesia. The precise location of the scar is very important to prevent the retraction of the scar throughout the edge of the lips.
The adjusting vaginal operations are requested by some women that are felt that your vagina has been too comprehensive after childbirth or with age, being at once in little satisfaction sexual so much own as of your couple. The procedure is carried out by means of the allocation of sutures in the introito together with the resection of the excess of vaginal mucosa and the wrap of the muscles of the vaginal later wall.

You anesthetize
The procedure is realized generally low you anesthetize peridural or general for specialist gynecologists.
Lipoescultura of the Mount of Venus can be an isolated procedure or to be carried out conjointly with the lipoescultura of the abdomen or of the thighs. The aspect of the Mount of Venus is enhanced improving your definition.
In contrast, the injections of fat of the Mount of Venus or the biggest lips fill these structures, giving you a younger aspect.

The retirement of the cuff of the skin around the clitoris, is carried out to expose the clitoris and to make it more sensitive. However, you are little information on result, since the perception of the difference is very variable of patient to patient.

As with many aspects of the human anatomy, you are a comprehensive variety in ways, sizes and aspects of the genital feminine organs that are inside the borders of the normal thing. Before experiencing any surgery, you are important to determine if you are really a problem with the genital organs or if another solution would be more recommended.

Retrieval
During the first 5 or 6 weeks are contraindicated the sexual relationships, and to the end of 10 days the wound is usually healed.

Am I good candidate for a vaginal rejuvenecimiento?
The women that can end up developing a forfeiture of the vaginal shade after the pregnancies or with the age they are appropriate to be practiced this surgery. The constriction of the vagina or vaginal reduction in value, it can also be indicated in menopausal women, or that they have suffered uterus cancer. Also the patients that suffer from involuntary forfeiture of urination when coughing, to sneeze, to laugh, to exercise or when having sexual relationships, they are good candidates being able to correct your urinary incontinence and at the same time to improve and to "raise the sexual" bonus.

The feminine menstrual cycle

The group of anatomic and functional manifestations that you seceden periodically in the mature, or sexually mature woman's genital feminine apparatus, and that they are destined to favor the playback, they receive the name of genital" "cycle. This cycle, begins the first day of the menstruation and you end the day that precede to the following one. In a normal woman, you have certain regularity and you accustom to last about 28 days; but they should be considered as normal the variances between the 21 and 36 days. This whole cycle turns on the phenomenon of the ovulation in elovario and continuing him varies the uterus constitution, trumpets and vagina cyclically.

The genital cycle is governed and ordered from the brain for two portions of the same calls hypophysis and hipotálamo that mark the rhythm characteristic of each woman and that also, they explain the alterations of the cycle for psychic lawsuits, like they are strong emotions, terror, etc..

The cycle begins the first day of the menstruation. During the first two weeks, the ovary is boosted by the hormones of the hypophysis and you proceed to mature an ovum, of the 400.000 that he/she have in rest; this ovum matures inside a cystic cavity of the ovary, and when your formation is already complete, the cystic cavity or folicular burst and the ovum goes by the trumpets to the uterus. This moment of the rupture, corresponds to the phenomenon called ovulation. Some women know the precise moment of your ovulation, for a discreet pain or blood loss that it are accustomed to preentarse by the middle of the cycle, and that you should be considered normal. Once blank the cystic cavity of the ovary that housed to the ovum, this begins to wrinkle and to withdraw, becoming a spice of xanthic cicatríz of the surface of the ovary, call in fact yellow body. Lastly, this yellow body goes disappearing, with that which you/they will repeat the same phenomena when appearing a new menstruation and a new cycle will begin.

During the whole period, the ovary, excited in turn by the hypophysis, segregates two hormones. A call estrone, during the first half of the cycle, when ovum still exists; another call lutein or hormone of the yellow body, in the second half of the cycle, when the yellow body exists. These ovarian hormones influence in turn on the remainder of the genital apparatus.

In the uterus, during the first fifteen days of the cycle, changes are happened in your wall and in your low structure the influence of the ovarian estrone. Since the uterus is the locus in quo you should nest the egg, your wall you grow and you proliferate, raising your vascularización in the second half of the cycle, under the influence of the hormone of the yellow body or lutein. this wall that previously has proliferated, you are loaded of glucógeno and of nutritious substances for the egg and toward the days 27 or 28 of the month, if you have not had pregnancy, this whole preparedness you are not right of existing and the wall of the uterus that have proliferated and that you have gotten ready, you self-destroy and and you flake, a haemorrhage that are the menstruation taking place. With the result that, when you are necessary of this prepared uterus, because a pregnancy, the descamación has taken place you are not made and you don't show up the menstruation, being of it the very well-known fact that the menstruation ullage in any normal and healthy woman is, in start, pregnancy suspicious character.

The woman's other organs are also influenced by the ovarian hormones; from among they highlight the mammas, in those that an increase of conduits galactóforos can exist getting ready for a possible lactation and suregresión when arriving the menstrual phase. Likewise, the basal temperature ascends in the days of the ovulation some 4 or tenth 5, being arranged around 36,9 - 37º and descending the days before the menstruation. This variance of the basal temperature is used for the birth control or to assure the treatment of dysfunctions of the cycle.

Legrado - The Legal Abort in the Women

Legrado is the interrupt of the pregnancy before the fetus is viable, that is to say, before he/she has possibilities to live. To legal goods it is considered abort to the interrupt of the pregnancy before the twenty-eight weeks, or to the expulsion of a fetus that possesses less than 600 grams, since, starting from these data up, it is considered premature childbirth. Really, in the practical land, all born fetus before the seventh month of pregnancy has scarce possibilities to live, without the use of incubators. The legrado is very frequent, being calculated that 25% of the gestations aborts, without they can be necessary with accuracy this statistical data for the concealment that habitually he/she is carried out of such a circumstance, although it is of supposing that the spontaneous abortion, discounting the criminal, he/she only takes place in 10% of the pregnancies.

The lawsuits of the criminal abort can be different: alterations of the egg in the moment of their formation; big fissures of the neck of the matrix; you position bad of the uterus; inflammations or infections of the same one; you cause general, as acute infections with fever (it seizes, diphtheria, fever of Malt, typhoid, etc.) or intoxications (alcohol, big smokers, professional toxics, etc.); nutritious and endocrine bugs; and finally, have an accident or violent traumatisms.

In the abort threat, the first symptom is generally the pain, localized in the lumbar area or in the first floor stomach. Simultaneously with him, or some days petty forfeitures (point out) appear later. This symptomatology can waive and to follow the pregnancy, or this can be discontinued raising the pain and the haemorrhage then, and taking place what we could call a childbirth in miniature, being ejected a generally dead embryo. The woman pregnant debit side to think of the possible abort threat, before all signal of blood appeared during the first three months of pregnancy, being in this unwarranted case the absolute rest in bed. The remainder of the treatment should be instituted by the obstetrician. Once the abort has taken place, it requires a rest of one week, if complications have not existed.

The two main complications of the abort are the abundant haemorrhage and the infection. Both have very good treatment at the present time. Also in certain cases, the abort is incomplete, not being ejected the whole egg, but rather inside the uterus they can be placenta remains that you/they will force the obstetrician to make a legrado (shaved ice) to clean this uterine impure cavity. It is mandatory to visit one another one month after the abort.

The Pregnancy - Changes in the Woman's Body

All the modifications that are generated in the woman's body during the pregnancy, are due to the influence of the hormones.

In the genital, the uterus is which suffers bigger quantity of modifications. Their volume quintuples passing of the 30 or 40 grams of habitual weight, to 1 200 or 1 500 grams. At the end of the third month it is appraised, for palpation of the stomach that stands out above the pubic bone, and in the fifth month it already reaches the navel. The ovaries maintain during the whole gestation the yellow body, remainder, I eat it is already known, of the old cavity that contained the ovum and later field producer of hormones. The vagina and the vulva more vascularizadas are, acquiring many times a coloration blued by the appearance of veins and even of varicose dilations, and it is observed an increase of their secretions or flow that, in start, it can be considered normal.

The mammas increase of size. It exists in them a pressure or swelling that many times are usually a precocious sign of pregnancy. The nipple is more and more pigmented and it is more erectile, flanked of an extensive and dark aureole. In the last weeks, a liquid usually segregates more or less opaque, called calostro that is very useful for the nutrition of the first days of the newly born one.

The abdominal walls suffer a progressive distension, and for repeated pregnancies or for a pregnancy of exaggerated volume, he/she takes place a failure of the abdominal muscles and the appearance, after the childbirth, of the stomach pendulum and of streaks that are consequence of the break of the fibers of this wall.

The remainder of the body suffers the consequences of the pregnancy equally. The weight usually raises about 10 kilograms during the nine months, with a rhythm from 1 to 2 kilograms every month to leave quarter delo. Bigger increases can indicate retention of fat and it dilutes, with the following hazards that it is necessary to avoid.

At the end of the pregnancy the heart increases lightly of size and he/she can give place to throbs or blasts, without transcendency, and that they disappear after the childbirth, because it is not about any injury, but of a transitory state. Changes can also appear in the voice and increase of the oxygen consumption.

The digestive system is also altered. It is frequent the appetite ullage in the first months and their increase later. Nauseas, vomits and constipation also appear. The gums bleed easily. The digestion and in general the whole intestine, they have a delayed feature. It raises the urination excretion when the urinary dilated channels being, that which favors the appearance of infections in this apparatus and he/she leaves as sequel many times, after the childbirth, urination incontinence and cystocele, that is to say, the urinary dilated bladder and drop. It is of current observation the increase of pigmentation in the skin, especially in the forehead, cheeks and nose, what constitutes the mask or cloasma gravídico. The genital, the areolas and the white line of the abdomen are also pigmented that becomes in moraine. Finally the psyche doesn't vary with the pregnancy, and if he/she makes it, it is only slightly, raising the irritability, the trend the dream, the instability, the depressive boxs encumber they are always boxs preexistentes that the pregnancy shows.

Genital - Malformations and States BiSexuals

The constitution and the normal sex characteristics can in some occasions to suffer alterations of importance and to rebound in the person's development. These shortcomings, take place during the formation of the embryo and in them physical and functional stigmata of both sexes coexist, generally for the prevalence of one of them.

Inside the same ones we find:

The abnormalities vulvales.
Absence of the vulva can exist, for not being had developed, but this malformation generally goes accompanied by others that are incompatible with the life.

The feminine pseudo hermaphrodites.
They are women whose genital extraneous they offer characters viriloides, for a great increase of the clitoris that can look like a penis, with the biggest lips also enhanced of size and something soldered in the half line; they can even acquire the aspect of some bags to house the testicles.

The masculine pseudo hermaphrodites.
They constitute 90% of the extraneous malformations of the genital ones, because during the embryonal development, if they fail the male hormones, he/she stops the development of the male one and on the other hand the female continues being developed in spite of the failure of the ovarian hormones. They are men to mean to form that can have a rudimentary uterus or a vagina that he/she opens up under the penis. But they can also be hardly men with a penis developed and genital extraneous in finishing being formed and that they can look like a rudimentary vulva. It is about individuals that, in the moment to be born, they were browsed superficially and classified as girl, educating you as such. With the years they go to the gynecologist for their menstruation ullage, or to appear two tumoraciones in what you/they believe that they are the big lips, being about some not very developed testicles; or for their ullage of mammary development and even being believed women by their sexual longing of other women, since in fact their constitution, its true sex, is the masculine one and what has failed has only been the formation of the extraneous genital. These are the cases that, in a sensationalist way, the daily press classifies as of woman that has transformed into man, when in fact there has not been conversion.

The different malformations.
Among them they can be: not very developed vulvas; the hole of the anus that opens up in the vagina instead of making it in their habitual place; the urethra that can open up in the vagina in the woman or in the bag of the testicles in the man; the imperforación of the hymen; the vagina absence and of uterus, or the vagina absence and persistence of the uterus. Here they can show up different variants, but naturally, all they disable the gestation. The vagina absence constitutes 30% of the malformations vaginal vulvo and in most of the cases he/she accompanies of uterus absence and of ovaries; or at least these enter a development deficit.

The hermaphroditisms.
Of these the true ones are strange. It is about beings intersexuals, with genital combined. They have ovotestes, that is to say, half ovary and half testicle; or, a testicle and an ovary. If the extraneous genital are observed, they are of doubtful constitution, being able to find testicles in more form of lips, organ that you/they oscillate between the feminine clitoris and the masculine penis and all kinds of variants. The treatment should be inclined to favor the sex for which you/they figure entered and to which you/they have accommodated its psyche that is generally the feminine one, making in this possible case a sexual activity that for passive, it is fully feasible by means of a surgical intervention, being created an artificial vagina.