Showing posts with label pelvic exam. Show all posts
Showing posts with label pelvic exam. Show all posts

Sunday, August 4, 2024

Improve your vocabulary in your brain to excel in language

 

Communication skills : Some dos and don’ts

Bring words into your brain memory


1. Never try to memorize lists of new words; you’ll probably forget them the next day. Words learnt by parroting them will not stay in your memory for long. Words learnt and understood are more likely to become part of your active permanent vocabulary.

2. If you come across any word that interests you or you do not know the meaning, you can first check the spelling from a dictionary or google, then the meaning and then how to spell it and pronounce it.

3. Practice the new word or expression. Make sentences using the word or expression. Try to think few times, during the day when you might use the word and repeat aloud to yourself that sentence with the new word you have learnt. As you practice try to construct a picture in your mind this will help you to remember better. Look out for opportunities to use the new word while talking to friends or relatives.

4. Last but not the least, extensive reading is a must. Start with an easy reading of short stories at first and slowly graduate to a novel, autobiography or any other material that appeals to you. Listening is not only for relaxation, but listen to news broadcast, documentaries, discussions and the like.

If you follow these rules religiously, you are surely on the way to be fluent in English, not only to speak but even to write better.

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Wednesday, July 31, 2024

Teenagers, tell your stories to make aware others!

  💕💕BETWEEN TEEN BIRTHDAYS.....💗💗

Teenagers please tell your stories to make aware others!


'BETWEEN TEEN BIRTHDAYS' 

 IS GOING TO BE A STORY OF

INDIAN TEENGE BOYS AND GIRLS 

SHARING THEIR TEEN LIFE EXPERIENCES.

They had gone through their PUBERTY period,
they faced GROWTH SPURT,
they were VERBALLY-PHYSICALLY & SEXUALLY abused,
they had MOOD swings,
they had EXAMs phobia,
they even passed through DEPRESSION phase,
they were BULLIED,
they had CRUSH and BREEEEEAAAAK--UPs........

they experienced their PHYSICAL development, EMOTIONAL development and REPRODUCTIVE SEXUAL development. they explored their HEALTH & HYGIENE issues..

they all are like you, millions around..

Dear Indian Boys, Girls, Fathers and Mothers,

Your experiences are valuable to understand the feelings, attitude, awareness and the way you handle the situation. It will help others in the form of the book. The identity of yours is not going to be revealed at any stage. So, send your experiences of changes occurred to you during puberty and then after till you became complete Adult, from maybe 10 years to 20 years.

Common to all persons (Boys, Girls, Fathers and Mothers):

1. Your first pimple/acne.
2. Your pubic hair development and first trimming/shaving.
3. Your sudden physical growth, height, weight, appearnce…
4. Your body hair changes.
5. Your opposite gender attraction (infatuation,crush,love).
6. Your experience of sexual abuse Any other experience.
7. Your parent-teenage relationship.
8. Your bullying in school and society.
9. Your depression and loneliness.
10. Your feeling and attitude on masturbation and orgasm.
11. Your verbal,physical, sexual abuse, incest, molest.

From Girls and Mothers :

1. Your first day of first menstruation.
2. Your breast bud and breast development
3. Your feelings, selection, purchase of first Bra
4. Your feeling of sanitary napkin/washable cloth pad
5. Your first pelvic examination
6. Your urinal & vaginal infection.

From Boys and Fathers :

1. Your first ejaculation/ wet dream
2. Your first shave of beard/mustache/pubic hair
3. Your urinal & skin infection.

Any other topics/subjects/issues bothered you during teenage.  

Your stories will help me to create further awareness among teenagers. Stories written by you on teenage emotions, also are requested. I invite your experiences with only age, no toher personal details required, I will weave them into stories with full confidentiality and annonimity. 

Dr Jyot Mohan,  IIM alumni & TEENAGE MENTOR

so submit now through 
email link : docotrjyot@gmail.com
Whatsapp Number : 9978613218

Saturday, July 20, 2024

TEENAGERS, BE AWARE! Tobacco uses are the most preventable cause of Cancer death.

TOBBACCO use is the most preventable cause of death.

TEENAGE where one would like to try out smoking... 

maybe due to PEER PRESSURE!

We ourselves invite painful(CANCER) death early in our life. Cigarette smoking is a major cause of cancers of the lung, larynx, oral cavity, pharynx and esophagus. It is also a contributing cause in the development of cancers of the other parts.  It is easier to detect when it is in the earliest, most treatable stage. If we, ourselves stop smoking and chewing tobacco; the entire tobacco epidemic would virtually disappear in next few generations. The difficulty is that it will take a conscious decision by the youth not to use tobacco in order to achieve the goal of healthy body with good looks. Stained teeth will not be a good to look at your face.



All forms of tobacco contain NICOTINE, it is a natural part of the tobacco leaf. Majority of TEENAGERS, who experiment with tobacco smoking or chewing, may become addictedslowly. In its pure form, nicotine is a strong poison. A small dose of it, injected directly into the bloodstream, can kill a person. Nicotine works on the brain and other parts of the nervous system. Nicotine is absorbed into the bloodstream through the smoke in a smoker's lungs or through the mucous membranes in the mouth for snuff/chew users. Their bloodstream picks it up and it is quickly pumped by the heart right to the brain-all within a few seconds. Nicotine makes the heart beat faster. This, in turn, increases the breathing rate and causes the body to use more oxygen. It can increase blood pressure.
Is your kid PASSIVE smoking with you?

When people smoke tobacco for the FIRST TIME, the nicotine may make them feel sick to their stomach and dizzy. As they use tobacco more often, the unpleasant feelings go away and the tobacco user gets addicted to the nicotine and grows dependent on the mild stimulant effects. Tobacco users find they need more nicotine-and more and more-in order to get the same feeling they received originally. At that point, the person is physically addicted and will only feel comfortable when nicotine is in their system. Of all addictive behaviors, cigarette smoking and Pan / Gutkha chewing, are the one most likely to become established during adolescence. Passive smoking is also dangerous for persons present in that nearby environment, particularly family members, children, friends....

PASSIVE SMOKING IS DANGEROUS TOO

Most tobacco users make several attempts before they successfully quit tobacco use. Withdrawal symptoms (both physical and psychological) can be very challenging and last longer. It may also extends to DRUG ADDICTION in future.

https://www.youtube.com/watch?v=JtQR7t47oWo



Dr. JYOT, TEEN MENTOR

Wednesday, June 26, 2024

Are our sons and daughters physically fit?

 Are our sons and daughters physically fit?


Parents to become Role Model for Teenagers


Hey parents, How are your children?

- are you focusing on Physical development?

- are you giving QULITY time for emotional development?

- are you understanding the importance of puberty and maturity of reproductive and sexual organs in son as well as daughter?

Parents as well as school education system is responsible for poor health of school children. Sports, athletics and physical activities are lacking in school and in childhood and teenage.

Parents and teachers are focused on 90% plus marks in SSC, HSC, and to clear NEET JEE EXAMS to get admission in medical and engineering colleges.and for that take away time from the lives of school children, mainly teenagers. Schools may not have enough playgrounds and other space to allow sports, atheletics, games...etc..

The teenage years are very important for physical development for boys and girls. Body maturity starts during PUBERTY, but no one understands and take care of... Height and skeleton growth will be only upto 19 years or so. Sexual organs like Scrotum, Penis, Uterus, Ovaries, fallopian tubes, cervix, breasts all will grow during teenage an become mature for reproduction.

I see in my society, parents are lifting school bag of the child from residence to bus stand.. around half kms walking within society, even for children studying in std II and above or say 8 years plus.... Parents pamperrs their children beyond limits. 

Skipping is one activity which can be done alone and daily if you do not have other friends or playground.

Daily running and jogging with parents if possible.

report on adult population physically unfit.
https://www.cnbctv18.com/india/healthcare/half-of-india-adult-population-physically-unfit-says-lancet-study-19433843.htm

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Saturday, June 22, 2024

Love yourself, you are the BEST!

 Love yourself, you are the BEST!


Daily look in the mirror

and say “You are the best”

Hey teeeens!! 
Lots of love ðŸ’•💕 & flowers, to my best readers. 

Have you seen the person in your mirror today, who is the best person 💗, you have been meeting every day!

People these days seem very judgmental through physical looks only. Girls and boys are judged more often based on their body shape, size, color, height, etc. It is observed that people do not appreciate the inner beauty of a person; but judge them only by their looks.

It seems as if BODY SHAMING starts from the house itself. A major role in body shaming a child is played by the parents, followed by relatives and the people who stay around. This directly or indirectly leads to social anxiety, depression, low self-esteem, and body dysmorphia.

Terms such as  ‘Fatso’, ‘moti,’ ‘patli,’ ‘kaali,’ ‘chhoti,’ ‘golu,’ ‘baby elephant,’ .... etc., are examples of labels of body shaming. The major reason behind this phenomenon is the unrealistic beauty standards perpetuated by representation in movies, TV serials and advertisements. Additionally, some people even believe that the receptionist, Air-hostess, Heroine should be good looking to attract the viewers / customers.  The most demanding is matrimonial match highly dependent on physical looks and color complexion of skin. When someone faces frequent rejections in their career or love life or marriage prospects due to their body and looks, it can lead to depression, loneliness and heartbreak. Additionally, not receiving equal opportunities, despite of being worthy of, can erode their self confidence and contribute to social anxiety.

 While there isn’t a quick fix for body shaming, cultivating a culture that values acceptance, empathy, and understanding can aid in lessening its impact. Few ways to address body shaming include:

1] Daily look into the mirror and say “You’re the BEST” 💗, Love yourself, your complete body is the best gift you have received from God and your parents.

2]  Positive thinking to keep healthy mind in healthy body by proper diet and physical activities. Learn various skills to improve your personality mainly communication .

3] Look at so many Role Models who have reached fame through different skills and profession and not just by physical looks.

4] Families should be the first one to accept the child as she/he is without any labeling.

5] Friends make you feel good, so build good friendship and grow together. Partcipate in various events and competition to make team.

“So please stop body shaming others. It doesn’t look good. Instead, encourage other and spread some positive vibes.”  

“END BODY SHAMING, START EMPOWERING.” 

And, it stars with you, you love yourself first......... be the best friend of the person in your miror.   

Bye dear.......

 

Nirja Surati

Rijul Goswami

                                  

Menstruation is biological health process

 Menstruation Periods are biologically healthy body process, 

but yet taboos exist?

 

 Take rest...

TEENS whisper so that no one can listen. 

It is very normal like other biological processes to clean our bodies.

 But still it is considered DIRTY.

 In our Bhartiya culture, it has been frequently observed that people do not openly discus about menstruation. They always have some kind of hesitation, which force them to whisper only about periods and pads. They believe that menstruating girls are impure, sinful due to which one should not touch them. This type of behavior towards female can lead to feelings of shame, stigma and loneliness.

 Even brandname is Whisper..
There are numerous myths related to menstruation all are listed below with their scientific reasons: -

1]  Menstruating females are not allowed to touch any of the objects in the house, especially cooking in the kitchen.

In ancient period, females used to do all the house chores, all by themselves. Even when they were dying with cramps due to periods, no relief from household work. The elder lady of the house made some amendments like the menstruating female in the house will not work and will take proper rest because of cramps, fatigue etc.

2]  Menstruating females are not allowed to touch/eat pickles. Because people believe that if the menstruating woman touch or eat the pickles, the pickles might get spoiled soon.

Pickles are high in sodium which can contribute to water retention and bloating. If a woman is already experiencing bloating as a symptom of her period, eating pickles might adverse the situation, so better do not eat pickles.

3]  If a female misses her period, she is pregnant.

Late period or missed period do not signify that the female is pregnant. Late period might happen due to some hormonal imbalance like PCOD, PCOS, unhealthy diet or stress.

4]  Periods are costly

Females belonging to rural areas consider sanitary pads to be expensive. Sanitary pads are also available at reasonable prices/free of cost, but these females do not afford spending money disposable pads. They reuse old cloth piece every month, which is why their menstrual hygiene may suffer the most.

5] Menstruating females cannot enter temple and perform pooja in various family and social events.

In Bhartiya culture pooja is a religious activity and religious ritual has denied healthy woman. It is harsh truth of discrimination. 

6] During periods one should not take head-bath and wash hairs.

It has nothing to do and taking head bath or washing hairs should be ok.

7] Shopkeepers at the medical store usually gives the sanitary napkins wrapped in newspaper and then covered by black polythene, as no one know, but something confidential that should not be seen by others. Even sanitary pads are kept hidden in house in some corners.

So now its high time that people change their attitude on menstruation myths and accept as normal healthy biological process to clean the female body!

We thank Shreya Ghosal for singing and playing teacher role in this PERIOD SONG to create awareness among teeangers on this health and clean process. 

https://youtu.be/hrSOUSnRXTQ?si=yY12WFHMW7sMRb4v

Sanitary pads are expensive for girls in slums, in villages. Just imagine about their first menstruation experience in teenage. Nicely picturised in thsi video

https://youtu.be/hrSOUSnRXTQ?si=yY12WFHMW7sMRb4v



Teen Rijul 
 

Bone up teens, Now or Never

 


Bone Up Teens, Now or Never! 

Before the end of 19 years, the TEENAGE!💬💭

💬💬💭

💭💭Hey bone-tastic teens!💬💬

Hope your skeleton is holding you upright! 

Once teenage-19 years of age is over, the height increase will stop then after.

 So, wake up now to increase your height before it stops growing forever.

Tips to keep bones strong and healthy: -

The growth spurt occurs in preteens or teen years, and suddenly your height and overall bone skeleton increases in a year’s time and will result into weight increase.

To keep bones strong and healthy, teenagers should make sure to include plenty of calcium and vitamin D in their diets. Such as milk, yogurt, green leafy veggies, and getting some morning sunlight each day. Regular exercise such as running, jumping, skipping etc. also important for bone strength.

Can you guess what a bone is?

Bone is a remarkable composition of connective tissues and calcium salts. The connective tissues make bones more flexible and resilient, while calcium carbonate and calcium phosphate give rigidity. Together, these elements maintain bone strength. Bones possess significant regenerative capabilities but can also undergo disuse atrophy and overuse hypertrophy. A normal human skeleton consists of 206 bones and can be divided into axial skeleton (80) and appendicular skeleton (126).

The power to increase the length of a bone is concentrated in the cartilaginous epiphyseal plates located near each end of the bone. These plates are situated between the shaft of the bone. Preteens and teenagers may encounter various bone issues because of growth spurts, hormonal imbalance, physical activity.

Hello Teens, take the Oath!!!

“I solemnly swear to munch on cheese and yogurt, dance like nobody’s watching, soak up some sun, and skip smokes and sips, all in the name of strong and sturdy bones!”

Bye. Bye, Teens



Teen Nirja 


 

 


Saturday, January 15, 2011

First pelvic exam is embarrassing to many girls, and so avoid reporting of infections and pain in their reproductive organs.


First pelvic exam is embarrassing to many girls, and so avoid reporting of infections and pain in their reproductive organs. During pelvic examination, the girl is asked to be comfortable in partial sleep mode at the very edge of the exam table, with her feet in stirrups, knees bent and relaxed out to the side. If she is not down far enough, the exam will be more difficult and more uncomfortable for her. The stirrups are padded to avoid the stirrups digging into her feet, any soft padding material can be used. The images are shown below for better understanding.

Teen girls may have never shown their private parts / genitals till now to any doctor. Even her genitals are not shown to any females including her mother. The mother daughter relationship should be like very very close friends, so that all private issues related to reproductive system can be discussed and examined freely. Mothers of pubertal daughters are advised to do so to build the healthy personal relationship with daughter to educate her on every information of human reproduction according to daughter's age.

For more pictures and images please visit:
http://teensnparents.blogspot.com

The vulva and all private parts are only seen by female gynecologist, so nothing to worry even if it is first pelvic exam. Such pelvic vaginal cervix examinations will be a part of female's routine healthcare in years to come. Your female Gynecologist will have view of your complete vulva under bright light.
As such one can compare the lips of mouth with Labia, Tounge with inside of vagina /cervix and mucus or saliva with vaginal secretions. Inside of mouth remains wet 24X7, similarly inside of vagina remains moist 24X7. It does carry healthy bacterias. So specific odor, wetness and staining is normal. Vagina remains wet similar to tongue and mucus.

What the female Gynecologist will do is explained as under:
Inspect the vulva first. Look within the pubic hair for the tiny movement of pubic lice. May be thenafter pubic hair needs to be shaved off. Some gynecologist will insist that you come with complete shaving of pubic hair or otherwise her nurse will shave the pubic hair for better inspection of vulva. They use a bright light to visually inspect the vulva, vagina, uretha, and cervix. Most examiners find it easy to look just over the light to get the best view. Separate the labia with gloved fingers to look for any surface lesions, redness, or swellings.

Look on the labia for the cauliflower-like bumps that are known as venereal warts. Using magnification (magnifying lenses or colposcope) is very useful when the patient has vulvar complaints and the diagnosis is not obvious.

Look between the folds of skin for ulcerative lesions that can indicate an active herpes infection. Gently retract the clitoral hood back, exposing the clitoris while looking for peri-clitoral lesions Look for the hymen or remnants of the hymen and identify any redness just exterior to the hymen that can indicate vulvar vestibulitis.

Hymen may be present or absent is normal. Hymen is a thin skin having small holes to pass the menstruation blood, clot and vaginal secreations.
The periurethral glands have tiny ducts that open onto the surface. Look for them next to the urethra. While looking at the urethra, note any discharge coming from the urethral opening that might suggest gonorrhea or chlamydia. Uretha is a very tiny hole and only urine comes out. Nothing goes inside uretha. so need not to worry. Vaginal hole is wider and can be seen.Outer labia can be stretched. pics outer labia streached uretha clitoris
Palpate the upper labia majora for masses related to hernias extending through the Canal of Nuck. Palpate the middle and lower portion of the labia majora for masses suggesting a Cyst.Sebum, a white semi liquid, thick substance generally noticed by many girls during puberty and thenafter through the adult life. This sebum may stain panty crotch. the sebum is generally normal unless it is infected and one feels itchy as well as it has a foul smell.

pics teen girl white sebum will stain panty
pics teen girl white thick sebum from vagina
pics teen girl normal white yellow secreation
pics infection at root bottom of outer labia
pics Insert Speculum through labia in vagina for pelvic exam by gynecologist.jpg
pics Vagina inside view with speculum use during pelvic examination.jpg

Warm and lubricate the speculum with warm water.

After warming a vaginal speculum with warm water, separate the labia with one hand while gently inserting the speculum with the other hand. It is frequently more comfortable for the girl patient if you insert the speculum rotated about 45 degrees (so the blades are not horizontal but are oblique). Once past the introitus, rotate the speculum back to it's normal position.
In very rear cases the vaginal opening is so small and labia majora is almost absent in preteens girl. Every mother should have noticed this that the puberty development of vulva, vagina and labia is normal for her daughter. This may require mother to inspect and examine at least twice in a year for the pubertal / teenage daughter. if any abnormality is seen, please report to gynecologist for further consultation.
pics abnormal small vagina opening before n after surgery

The labia, particularly the labia minora, are very sensitive to stretching or pinching, so try not to catch the labia minora in the speculum while inserting it. Gynecologists may ask the girl to "bear down" while they are inserting the speculum and feel that this assists with insertion.

Turning hand palm up, compress the urethra against the underside of the pubic bone. Normally, this doesn't hurt. If it causes discomfort for the patient, it is likely that at least some degree of urethritis is present.

Then insert rubber gloved fingers deeper into the pelvis. Due to contaction the vaginal hole may become tight and increase friction result into pain. So patient have to relax the body and pelvic muscles for easy insertion of gloved fingers. Keeping palm up, curl vaginal finger(s) up, compressing the bladder against the back of the pubic bone. Normally, this pressure creates the sensation that the patient needs to urinate, but is not painful. If it is painful, this is good clinical evidence of cystitis (urinary tract infection), or (less likely) endometriosis.
Obtain specimens for a Pap smear and any cultures that may be indicated.
pics cervical examination pap smear extraction for lab test.

Cervix cancer is a risk and so CERVIX examination is always necessary. Cervix is deep inside the vagina and feel like a finger or thumb. It has one very tiny opening to pass the menstruation blood, dead cells of uterus and liquid secreations. It also allows male sperm to pass from vagina to uterus after ejaculation in vagina from the penis of the husband. The cervix opening and surface should not be damaged by any means. Gynecologist wear rubber gloves to avoid any touch / friction of their nails. Also speculum have smooth surface and gynecologist is experienced to use it.

But teenage girls and young females should never insert finger without rubber gloves even for masturbation. Never ever insert any object inside vagina for masturbation, which may damage the cervix and inner skin of vagina. Even married females should feel that cervix is not get damaged with agressive insertion and motion of her husband's penis during intercourse.
DO NOT INSERT EVEN YOUR OWN FINGERNAILS MAY DAMAGE SENSITIVE TISSUES OF VAGINAL WALLS, HYMEN, LABIA MINORA N CERVIX.

pics even your nails can cut skin cervix inner labia hymen
pics damaged cervix opening inside vagina due to solid insertion...
pics cervix view in vagina using speculum .. ..
pics cervix and fluid in vagina .. ..
pics cervix cancer risk
pics cervix cancer
pics clitoris uretha vagina labia
pics perinium anus skin problem below labia.jpg

For a normal examination:
External genitalia are of normal appearance.
There is no enlargement of the glands.
Urethra and bladder are non-tender.
Vagina is clean, without lesions or discharge
Cervix is smooth, without lesions. Motion of the cervix causes no pain.
Uterus is normal size, shape, and contour. It is non-tender.
The adnexa (tubes and ovaries) are neither tender nor enlarged.
pics teenage healthy labia clitoris hymen inside view vagina.jpg
pics deep inside view of vagina as seen with help of Spatula.jpg
pics whitish creamy vaginal cervical fluid secreation
During the bimanual exam, you may use one finger or two fingers inside the vagina. Two fingers allows for deeper penetration and more control of the pelvic structures, but one finger is more comfortable for the patient.
In some gitls, particularly those with difficult to feel pelvic masses, a combined rectovaginal exam is useful. Change gloves, lubricate the rectum, and then gently insert your index finger into the vagina and your middle finger into the rectum. The rectovaginal exam is helpful in feeling the uterosacral ligaments, a common site of endometriosis involvement. On completion of the rectal exam, stool can be checked for the presence of occult blood.

If the hymen is intact, it may still be possible to perform a comfortable and complete exam, but if the exam is causing too much pain, stop the exam and consider these alternatives:Rectal exam with the index finger can often provide the information needed by the gynecologist at that time. Exam under anaesthesia will provide full access without causing pain to the patient. Ultrasound scan, abdominally and trans-perineal, can sometimes provide you with the information you need.

An Art of Parenting TEENS for Father & Mother

    An Art of Parenting TEENS for Father & Mother , whose Children are in the age group 11-22 years. Early Adolescence period: Age Group...