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đŸ§Ē āĻŦāĻŋāĻļā§āĻŦāĻŽāĻžāύ⧇āϰ āĻŸā§‡āĻ¸ā§āϟ āĻāĻ–āύ āφāĻĒāύāĻžāϰ āĻĻāϰāϜāĻžāϝāĻŧ – āĻŦāĻžāĻĄāĻŧāĻŋ āĻŦāϏ⧇āχ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āĻĒāϰ⧀āĻ•ā§āώāĻž!āφāĻĒāύāĻžāϰ āĻĒāϰāĻŋāĻŦāĻžāϰ⧇āϰ āϏ⧁āĻ¸ā§āĻĨāϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāϤ⧇ āφāϰ āĻŦāĻžāχāϰ⧇ āϝ⧇āϤ⧇ āĻšāĻŦ⧇...
10/08/2025

đŸ§Ē āĻŦāĻŋāĻļā§āĻŦāĻŽāĻžāύ⧇āϰ āĻŸā§‡āĻ¸ā§āϟ āĻāĻ–āύ āφāĻĒāύāĻžāϰ āĻĻāϰāϜāĻžāϝāĻŧ – āĻŦāĻžāĻĄāĻŧāĻŋ āĻŦāϏ⧇āχ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āĻĒāϰ⧀āĻ•ā§āώāĻž!

āφāĻĒāύāĻžāϰ āĻĒāϰāĻŋāĻŦāĻžāϰ⧇āϰ āϏ⧁āĻ¸ā§āĻĨāϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāϤ⧇ āφāϰ āĻŦāĻžāχāϰ⧇ āϝ⧇āϤ⧇ āĻšāĻŦ⧇ āύāĻžāĨ¤

āφāĻŽāĻžāĻĻ⧇āϰ āĻ˛ā§āϝāĻžāĻŦāϰ⧇āϟāϰāĻŋāϰ āϏ⧇āĻŦāĻž āĻāĻ–āύ āφāĻĒāύāĻžāϰ āĻŦāĻžāϏāĻžāϝāĻŧ, āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āύāĻŋāϰāĻžāĻĒāĻĻ āĻ“ āύāĻŋāĻ°ā§āĻ­āϰāϝ⧋āĻ—ā§āϝāĨ¤

🔍 āφāĻŽāϰāĻž āϏāĻ‚āĻ—ā§āϰāĻš āĻ•āϰāĻŋ:

â–Ēī¸ āĻŦā§āϞāĻžāĻĄ (āϰāĻ•ā§āϤ)

â–Ēī¸ āχāωāϰāĻŋāύ (āĻŽā§‚āĻ¤ā§āϰ)

â–Ēī¸ āχāĻ¸ā§āϟ⧁āϞ (āĻŽāϞ)

â–Ēī¸ āύāĻžāϏāĻžāϞ āĻ¸ā§‹ā§ŸāĻžāĻŦ (āύāĻžāϕ⧇āϰ āĻ¸ā§‹ā§ŸāĻžāĻŦ)

â–Ēī¸ āĻŽāĻžāωāĻĨ āĻ¸ā§‹ā§ŸāĻžāĻŦ (āĻŽā§āϖ⧇āϰ āĻ¸ā§‹ā§ŸāĻžāĻŦ)

â–Ēī¸ āĻ¸ā§āĻĒ⧁āϟāĻžāĻŽ (āĻ•āĻĢ)

➤ āϏāĻ•āĻžāϞ ā§Ļā§Ž:ā§Ļā§Ļ āĻĨ⧇āϕ⧇ āϰāĻžāϤ ā§§ā§Ļ:ā§Ļā§Ļ āĻĒāĻ°ā§āϝāĻ¨ā§āϤ

💡 āφāĻŽāĻžāĻĻ⧇āϰ āϕ⧇āύ āĻŦ⧇āϛ⧇ āύ⧇āĻŦ⧇āύ

✔ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāĻŋāϤ āĻŽā§‡āĻĄāĻŋāϕ⧇āϞ āĻŸā§‡āĻ•āύ⧋āϞāϜāĻŋāĻ¸ā§āϟ

✔ āφāĻ¨ā§āϤāĻ°ā§āϜāĻžāϤāĻŋāĻ• āĻŽāĻžāύ⧇āϰ āĻĒāϰ⧀āĻ•ā§āώāĻž

✔ āϘāϰ⧇ āĻŦāϏ⧇āχ āĻ¸ā§āϝāĻžāĻŽā§āĻĒāϞ āĻ•āĻžāϞ⧇āĻ•āĻļāύ

✔ āύāĻŋāĻ°ā§āϭ⧁āϞ āĻ“ āĻĻā§āϰ⧁āϤ āϰāĻŋāĻĒā§‹āĻ°ā§āϟ

👉 āĻšā§‹āĻŽ āĻ¸ā§āϝāĻžāĻŽā§āĻĒāϞ āĻ•āĻžāϞ⧇āĻ•āĻļāύ āĻŦ⧁āĻ•āĻŋāĻ‚ āĻ•āϰāϤ⧇, āĻŽā§‡āϏ⧇āϜ āĻĻāĻŋāύ āĻāĻ–āύāχ!

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01/10/2024

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āĻŸā§‡āĻ¸ā§āϟ āĻŦ⧁āĻ• āĻ•āϰāϤ⧇ āωāĻ˛ā§āϞ⧇āĻ–āĻŋāϤ āύāĻžāĻŽā§āĻŦāĻžāϰ⧇ āĻ•āϞ āĻ•āϰ⧁āύāĨ¤āĻ…āĻĨāĻŦāĻž whatsapp āĻŦāĻž facebook āĻĒ⧇āĻœā§‡ āχāύāĻŦāĻ•ā§āϏ āĻ•āϰ⧁āύāĨ¤
13/07/2024

āĻŸā§‡āĻ¸ā§āϟ āĻŦ⧁āĻ• āĻ•āϰāϤ⧇ āωāĻ˛ā§āϞ⧇āĻ–āĻŋāϤ āύāĻžāĻŽā§āĻŦāĻžāϰ⧇ āĻ•āϞ āĻ•āϰ⧁āύāĨ¤
āĻ…āĻĨāĻŦāĻž whatsapp āĻŦāĻž facebook āĻĒ⧇āĻœā§‡ āχāύāĻŦāĻ•ā§āϏ āĻ•āϰ⧁āύāĨ¤

09/03/2020

āφāĻĒāύāĻŋ āϝāϤ āĻŦ⧇āĻļāĻŋ āĻĻāĻžāϝāĻŧāĻŋāĻ¤ā§āĻŦ āĻĒāĻžāϞāύ āĻ•āϰāĻŦ⧇āύ, āφāĻĒāύāĻžāϰ āĻ“āĻĒāϰ āϤāϤ āĻŦ⧇āĻļāĻŋ āĻĻāĻžāϝāĻŧāĻŋāĻ¤ā§āĻŦ āϚāĻžāĻĒāĻŦ⧇āĨ¤ āϤāϤ⧋ āĻŦ⧇āĻļāĻŋ āĻāĻžāĻŽā§‡āϞāĻžāϝāĻŧ āϜāĻĄāĻŧāĻžāĻŦ⧇āύ, āĻŸā§‡āύāĻļāύ āĻŦāĻžāĻĄāĻŧāĻŦ⧇, āϜāĻŦāĻžāĻŦāĻĻāĻŋāĻšāĻŋ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇,āϏāĻŽāĻžāϞ⧋āϚāύāĻžāĻ“ āĻŦ⧇āĻļāĻŋ āĻšāĻŦ⧇, āĻ…āĻĢāĻŋāϏ āĻŽā§āϝāĻžāύ⧇āϜāĻŽā§‡āĻ¨ā§āϟ āφāĻĒāύāĻžāϰ āωāĻĒāϰ āύāĻŋāĻ°ā§āĻ­āϰāĻļā§€āϞ āĻšāĻŦ⧇āĨ¤ āĻļāĻ¤ā§āϰ⧁ āĻŦ⧇āĻļāĻŋ āĻšāĻŦ⧇, āĻŦāĻ¨ā§āϧ⧁ āĻŦāĻž āĻļ⧁āĻ­āĻžāĻ•āĻžāĻ™ā§āĻ•ā§āώ⧀ āĻ•āĻŽā§‡ āϝāĻžāĻŦ⧇āĨ¤ āφāϤāĻļā§€ āĻ•āĻžāρāϚ āĻĻāĻŋāϝāĻŧ⧇ āφāĻĒāύāĻžāϰ āĻĻā§‹āώ-āĻ¤ā§āϰ⧁āϟāĻŋ āϖ⧁āρāĻœā§‡ āϖ⧁āρāĻœā§‡ āĻĻ⧇āĻ–āĻž āĻšāĻŦ⧇āĨ¤

āĻĢāĻžāĻ•āĻŋāĻŦāĻžāϜāϰāĻžāχ āĻ­āĻžāϞ⧋āĨ¤ āĻāĻĻ⧇āϰ āϕ⧋āύ āĻŸā§‡āύāĻļāύ āύāĻžāχ, āĻāĻĻ⧇āϰ āύāĻŋāϝāĻŧ⧇ āϕ⧋āύ⧋ āϏāĻŽāĻžāϞ⧋āϚāύāĻžāĻ“ āύāĻžāχāĨ¤
āĻĢāĻžāρāĻ•āĻŋāĻŦāĻžāϜāϰāĻžāχ āϏ⧁āĻ–ā§€ āĻŽāĻžāύ⧁āώāĨ¤

24/12/2018

āĻ¸ā§āĻŦāϰ (voice) indicates both hirsuitism & hypothyroidism
āϞ⧋āĻŽ (āĻ…āĻŦāĻžāĻžā§āĻ›āĻŋāϤ āϞ⧋āĻŽ hyperandrogenism āϤāĻĨāĻž hirsuitism indicate āĻ•āϰ⧇) – āĻāχ āϏāĻŦ⧇ āϕ⧋āύ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻāϏ⧇āϛ⧇?

(āĻāĻ–āĻžāύ āĻĨ⧇āϕ⧇ hyper – hypothyroidism, hyper-hypoaderenalism, PCOS, hyper androgenism, DM āĻāϏāĻŦ āϰ⧋āϗ⧇āϰ āĻ•ā§āϞ⧁ āĻŦ⧇āϰ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇, āĻ“āϜāύ āĻŦāĻžā§œāĻŦ⧇ – cushing, hypothyroidism & PCOS āĻ, āĻ•āĻŽāĻŦ⧇ DM, hyperthyroid & addison’s āĻ)

5. āĻŽāĻžāĻĨāĻžāĻŦā§āϝāĻĨāĻž āĻŦāĻž āĻĻ⧃āĻˇā§āϟāĻŋ āĻļāĻ•ā§āϤāĻŋāϤ⧇ āϕ⧋āύ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻāϏ⧇āϛ⧇? (Pituitary macroadenoma)
āϏāĻŦ āĻĒā§āϰāĻļā§āύ⧇āϰ āωāĻ¤ā§āϤāϰ āύāĻž āĻšāϞ⧇āχ āϕ⧇āĻŦāϞ āφāĻŽāϰāĻž Hypothalamo-pituitary-ovarian axis problem āϤāĻĨāĻž Hypogonadism āĻŽāύ⧇ āĻ•āϰāϤ⧇ āĻĒāĻžāϰāĻŋ
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Examination
General examination,
Thyroid examination,
Abdomen examination &
Neurological examination

General examination – to exclude features of Cushing & PCOS

Thyroid related examination – 5 stems
local examination,
eye signs,
hand signs,
precordium signs &
neurological signs

Abdomen examination – To exclude pregnancy

PV examination usually needed for – primary amenorrhea to see imperforate h***n & testicular faminaization & vaginal atresia
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Investigation
āĻšāϰāĻŽā§‹āύ āĻāϏ⧇ āĻ•āϰāĻž āωāĻĒāĻœā§‡āϞāĻž āϞ⧇āϭ⧇āϞ āϤ⧋ āĻĻā§‚āϰ⧇āϰ āĻ•āĻĨāĻž, āĻ…āϧāĻŋāĻ•āĻžāĻ‚āĻļ āĻœā§‡āϞāĻž āϞ⧇āϭ⧇āϞ⧇ āĻšāϰāĻŽā§‹āύ āϞ⧇āϭ⧇āϞ āĻāϕ⧁āϰ⧇āϟāϞāĻŋ āĻāϏ⧇āϏ āĻ•āϰāĻž āϝāĻžā§Ÿ āύāĻžāĨ¤
āϤāĻžāχ āύāĻŋāĻšā§‡āϰ āĻ“ā§Ÿā§‡āϤ⧇ āφāĻ—āĻžāύāĨ¤

āĻ¸ā§āĻŸā§‡āĻĒ ā§§
Tab. Normens 5mg BD/TDS āϏāĻžāϤ āĻĻāĻŋāύ āĻ–ā§‡ā§Ÿā§‡ āĻ…āĻĢ āĻ•āϰ⧇ āĻĻ⧇āĻ–āĻŦ⧇ withdrawal bleeding āĻšā§Ÿ āĻ•āĻŋāύāĻžāĨ¤ āϝāĻĻāĻŋ āĻšā§Ÿ āϤāĻžāχāϞ⧇ āĻāϟāĻž progesterone deficiency āĻāĻŦāĻ‚ āϏ⧇āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ āĻāĻ•āχ āĻŸā§āϝāĻžāĻŦāϞ⧇āϟ 1 – 21st day of month āĻāĻ­āĻžāĻŦ⧇ āϤāĻŋāύ āĻĨ⧇āϕ⧇ ā§Ŧ āϏāĻžāχāϕ⧇āϞ āϖ⧇āϤ⧇ āĻŦāϞāĻž āĻšā§ŸāĨ¤ Withdrawal bleeding āύāĻžāĻšāϞ⧇ go to step 2

āĻ¸ā§āĻŸā§‡āĻĒ āϟ⧁
Oestrogen progesterone combined preparation āĻŽāĻžāϏ⧇āϰ āĻāĻ• āĻĨ⧇āϕ⧇ ⧍⧧ āϤāĻžāϰāĻŋāĻ– āϖ⧇āϤ⧇ āĻŦāϞāĻž āĻšā§Ÿ, āĻāϰ āĻĒāϰ āĻ¸ā§āϟāĻĒ āĻ•āϰāϞ⧇ āĻŽā§‡āĻ¨ā§āϏāĻŸā§āĻ°ā§ā§Ÿā§‡āĻļāĻžāύ āĻšāϞ⧇ combined deficiency. āĻāĻ•ā§āώ⧇āĻ¤ā§āϰ⧇āĻ“ āĻāĻ•āχ āĻĒā§āϰāĻŋāĻĒāĻžāϰ⧇āĻļāύ āĻŽāĻžāϏ⧇āϰ āĻāĻ• āĻĨ⧇āϕ⧇ āĻāϕ⧁āĻļ āϤāĻžāϰāĻŋāĻ– āĻāĻ•āĻ­āĻžāĻŦ⧇ āϤāĻŋāύ āĻĨ⧇āϕ⧇ ā§Ŧ āϏāĻžāχāϕ⧇āϞ āϖ⧇āϤ⧇ āĻŦāϞāĻž āĻšā§ŸāĨ¤ Withdrawal bleeding āύāĻž āĻšāϞ⧇ go to step 3

āĻ¸ā§āĻŸā§‡āĻĒ āĻĨā§āϰāĻŋ
USG of lower abdomen & hysteroscopy/hysterography āĻ•āϰāĻž – To see normal anatomy of outflow tract & to exclude asharman syndrome

āĻ¸ā§āĻŸā§‡āĻĒ āĻĢā§‹āϰ
āϝāĻĻāĻŋ outflow tract āĻ āϕ⧋āύ āĻĒā§āϰāĻŦāϞ⧇āĻŽ āύāĻž āĻĒāĻžāĻ“ā§ŸāĻž āϝāĻžā§Ÿ āĻāĻŦāĻžāϰ hyptothalamo-pituitary ovarian axis affect āĻ•āϰ⧇ āĻāĻŽāύ āϏāĻŦ āĻĄāĻŋāϜāĻŋāĻœā§‡āϰ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āϝāĻžā§Ÿ – Testosterone (Hyperandrogenism), serum TSH,

24/12/2018

Amenorrhea āϰ⧋āĻ—ā§€āϰ āĻšāĻŋāĻ¸ā§āĻŸā§āϰāĻŋ āϕ⧀āĻ­āĻžāĻŦ⧇ āύāĻŋāĻŦ⧇āύ?

centerformedicalscholars
3 years ago
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āĻŽāĻžāĻ¤ā§āϰ āĻĒāĻžāρāϚāϟāĻŋ āĻĒā§āϰāĻļā§āύ āĻ•āϰ⧇ āĻœā§‡āύ⧇ āύāĻŋāύ amenorrhea āϕ⧇āύ āĻšāĻšā§āϛ⧇

Approach to a patient with amenorrhea (Secondary amenorrhea)

Causes of amenorrhea
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1. Pregnancy
2. Drugs – Contraceptive, Hormone preparation, Hormone replacement therapy (steroid, thyroid & ovarian hormones – because these hormones affects hypothalamo-pituitary-ovarian axis)
3. Intra uterine adhesion – Asharman syndrome, unresponsive endometrium
4. Endocrine Disease – Hyper androgenism, PCOS (Poly cystic ovarian syndrome) DM, Cushing Syndrome, Hyperthyroidism
5. Hypogonadism – Primary or secondary – Primary means ovarian failure & secondary means – lack of FSH, LH
6. Anorexia nervosa
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CMS Mnemonic

A = Anorexia nervosa

B = Baby in utero (Pregnancy)

C = Contraceptive methods e.g. OCP, Norplant, ICUD etc.

D = Drugs – Contraceptive, Hormone preparation, Hormone replacement therapy (steroid, thyroid & ovarian hormones – because these hormones affects hypothalamo-pituitary-ovarian
axis)

E = Endocrine Disease – PCOS (Poly cystic ovarian syndrome) DM, Cushing Syndrome, Hyperthyroidism
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āĻšāĻŋāĻ¸ā§āĻŸā§āϰāĻŋ āϕ⧀āĻ­āĻžāĻŦ⧇ āύāĻŋāĻŦ⧇āύ?

āĻŽāĻžāĻ¤ā§āϰ āĻĒāĻžāρāϚāϟāĻŋ āĻĒā§āϰāĻļā§āύ āĻ•āϰ⧇ āĻœā§‡āύ⧇ āύāĻŋāύ amenorrhea āϕ⧇āύ āĻšāĻšā§āϛ⧇

1. Exclude Pregnancy āφāĻĒāύāĻŋ āĻ•āĻŋ āĻĒā§āϰ⧇āĻ—āύ⧇āĻ¨ā§āϟ/āφāĻĒāύāĻžāϰ āĻ•āĻŋ āϏāĻŽā§āĻĒā§āϰāϤāĻŋ āĻŦāĻžāĻšā§āϚāĻž āĻšā§Ÿā§‡āϛ⧇? (lactational amenorrhea)

2. Exclude drugs that causes amenorrhea –
āφāĻĒāύāĻŋ āĻ•āĻŋ āϕ⧋āύ āϧāϰāϪ⧇āϰ āϜāĻ¨ā§āĻŽ āύāĻŋ⧟āĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāĻĻā§āϧāϤāĻŋ āĻĒāĻŋāϞ āĻ…āĻĨāĻŦāĻž āϕ⧋āύ āĻšāϰāĻŽā§‹āύ āĻĒā§āϰ⧋āĻĄāĻžāĻ•ā§āϟ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇āύ?

3. Exclude any surgical procedure or medical illness that causes amenorrhea –

Norplant,
IUCD
Recent D & C (D&C causes intra – uterine adhesion – Asharman Syndrome)
Abortion
TB āϰ⧋āĻ— āĻšā§Ÿā§‡āĻ›āĻŋāϞ? (Tubercular endometritis or Asharman syndrome exclude āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ)

4. āφāĻĒāύāĻžāϰ āĻ•āĻŋ āϕ⧋āύ āĻšāϰāĻŽā§‹āύ āϜāύāĻŋāϤ āϰ⧋āĻ— āφāϛ⧇? āĻāχ āĻāĻ¨ā§āϏāĻžāϰ āϰ⧋āĻ—ā§€ āϏāϰāĻžāϏāϰāĻŋ āĻŦāϞāϤ⧇ āĻĒāĻžāϰāĻŦ⧇āύāĻž

āĻāχ āĻĒā§āϰāĻļā§āύ⧇āϰ āϏāĻŽā§āĻĒ⧁āϰāĻ• āĻĒā§āϰāĻļā§āύ – āφāĻĒāύāĻžāϰ
āϰāĻ•ā§āϤāϚāĻžāĻĒ,
āĻ“āϜāύ,
āϰ⧁āϚāĻŋ,
āϘ⧁āĻŽ,
āϘāĻžāĻŽ
āĻŦāĻžāĻĨāϰ⧁āĻŽ,
āĻļāϰ⧀āϰ⧇āϰ āĻŽā§‡āĻĻ,
āĻ¸ā§āĻŦāϰ (voice) indicates both hirsuitism & hypothyroidism
āϞ⧋āĻŽ (āĻ…āĻŦāĻžāĻžā§āĻ›āĻŋāϤ āϞ⧋āĻŽ hyperandrogenism āϤāĻĨāĻž hirsu

22/09/2017

ā§§. āϭ⧁āϞāσ āϕ⧋āĻŽāϰ āĻŦā§āϝāĻĨāĻž āĻŽāĻžāύ⧇ āĻ•āĻŋāĻĄāύāĻŋ āϰ⧋āĻ—!
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻ•āĻŋāĻĄāύāĻŋ āϰ⧋āϗ⧇ āĻĒā§āϰāĻ¸ā§āϰāĻžāĻŦ āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧ, āĻ–āĻžāĻ“āϝāĻŧāĻžāϰ āϰ⧁āϚāĻŋ āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧ, āĻŦāĻŽāĻŋ āĻŦāĻŽāĻŋ āϞāĻžāϗ⧇, āĻŽā§āĻ– āĻĢ⧁āϞ⧇ āϝāĻžāϝāĻŧ!
⧍. āϭ⧁āϞāσ āϘāύ āϘāύ āĻĒā§āϰāĻ¸ā§āϰāĻžāĻŦ āĻŽāĻžāύ⧇āχ āĻĄāĻžāϝāĻŧāĻžāĻŦ⧇āϟāĻŋāϏ āĻŦāĻž āĻŦāĻšā§āĻŽā§‚āĻ¤ā§āϰ āϰ⧋āĻ—!!
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻĄāĻžāϝāĻŧāĻžāĻŦ⧇āϟāĻŋāϏ āĻšāϞ⧇ āĻĒā§āϰāĻĨāĻŽ āĻ…āύ⧁āĻ­ā§‚āϤāĻŋ āĻšāϞ- āĻāϤ⧋ āϖ⧇āϞāĻžāĻŽ, āϤāĻŦ⧁āĻ“ āϕ⧇āύ āĻļāĻ•ā§āϤāĻŋ āĻĒāĻžāχāύāĻž, āĻāĻ›āĻžāĻĄāĻŧāĻž āĻ“āϜāύ āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧ, āĻŽā§āϖ⧇ āĻĻ⧁āĻ°ā§āĻ—āĻ¨ā§āϧ āĻšāϝāĻŧ, āϘāĻž āĻļ⧁āĻ•āĻžāϤ⧇ āϚāĻžāϝāĻŧāύāĻž!
ā§Š. āϭ⧁āϞāσ āϘāĻžāĻĄāĻŧ⧇ āĻŦā§āϝāĻĨāĻž āĻŽāĻžāύ⧇āχ āĻĒā§āϰ⧇āϏāĻžāϰ!
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻĒā§āϰ⧇āϏāĻžāϰ āĻŦāĻžāĻĄāĻŧāϞ⧇ āĻŦ⧇āĻļāĻŋāϰāĻ­āĻžāĻ— āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ āϕ⧋āύ āωāĻĒāϏāĻ°ā§āĻ— āĻĒāĻžāĻ“āϝāĻŧāĻž āϝāĻžāϝāĻŧ āύāĻž! āĻāĻ•āϟ⧁ āĻ…āĻ¸ā§āĻŦāĻ¸ā§āϤāĻŋāĻ•āϰ āĻ…āύ⧁āϭ⧁āϤāĻŋ āĻšāϝāĻŧ āĻŽāĻžāĻ¤ā§āϰāĨ¤
ā§Ē. āϭ⧁āϞāσ āĻŦ⧁āϕ⧇āϰ āĻŦāĻžāĻŽā§‡ āĻŦā§āϝāĻĨāĻž āĻŽāĻžāύ⧇ āĻšāĻžāĻ°ā§āĻŸā§‡āϰ āϰ⧋āĻ—!
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻšāĻžāĻ°ā§āĻŸā§‡āϰ āϰ⧋āϗ⧇ āϏāĻžāϧāĻžāϰāĻŖāϤ āĻŦ⧁āϕ⧇ āĻŦā§āϝāĻĨāĻž āĻšāϝāĻŧ āύāĻžāĨ¤ āĻšāϞ⧇āĻ“ āĻŦāĻžāĻŽā§‡ āύāϝāĻŧāϤ⧋ āĻŦ⧁āϕ⧇āϰ āĻŽāĻžāĻāĻ–āĻžāύ⧇ āĻŦā§āϝāĻĨāĻž āĻšāϝāĻŧ... āĻšāĻžāĻ°ā§āĻŸā§‡āϰ āϏāĻŽāĻ¸ā§āϝāĻžāϝāĻŧ āϏāĻžāϧāĻžāϰāĻŖāϤ āĻŦ⧁āϕ⧇āϰ āĻŽāĻžāĻāĻ–āĻžāύ⧇ āϚāĻžāĻĒ āϚāĻžāĻĒ āĻ…āύ⧁āĻ­ā§‚āϤāĻŋ āĻšāϝāĻŧ, āĻŽāύ⧇ āĻšāϝāĻŧ āĻŦ⧁āϕ⧇āϰ āĻŽāĻžāĻāĻ–āĻžāύāϟāĻž āϝ⧇āύ āϕ⧇āω āĻļāĻ•ā§āϤ āĻ•āϰ⧇ āϧāϰ⧇ āφāϛ⧇!!
ā§Ģ. āϭ⧁āϞāσ āĻŽāĻŋāĻˇā§āϟāĻŋ āϖ⧇āϞ⧇āχ āĻĄāĻžāϝāĻŧāĻžāĻŦ⧇āϟāĻŋāϏ āĻšāϝāĻŧāĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻĄāĻžāϝāĻŧāĻžāĻŦ⧇āϟāĻŋāϏ āĻšāϰāĻŽā§‹āύāĻžāϞ āĻ…āϏ⧁āĻ–āĨ¤ āĻ…āĻ—ā§āĻ¨ā§āϝāĻžāĻļāϝāĻŧ āĻ āĻŋāĻ•āĻŽāϤ āĻ•āĻžāϜ āύāĻž āĻ•āϰāϞ⧇ āĻĄāĻžāϝāĻŧāĻžāĻŦ⧇āϟāĻŋāϏ āĻšāϝāĻŧāĨ¤ āϤāĻžāχ āĻŽāĻŋāĻˇā§āϟāĻŋ āĻ–āĻžāĻ“āϝāĻŧāĻžāϰ āϏāĻžāĻĨ⧇ āĻāχ āϰ⧋āĻ— āĻšāĻŦāĻžāϰ āϏāĻŽā§āĻĒāĻ°ā§āĻ• āύ⧇āχāĨ¤ āĻ•āĻŋāĻ¨ā§āϤ⧁ āĻĄāĻžāϝāĻŧāĻžāĻŦ⧇āϟāĻŋāϏ āĻšāϝāĻŧ⧇ āϗ⧇āϞ⧇ āĻŽāĻŋāĻˇā§āϟāĻŋ āϖ⧇āϤ⧇ āĻšāϝāĻŧ āύāĻžāĨ¤
ā§Ŧ. āϭ⧁āϞāσ āĻĒā§āϰ⧇āĻ—āĻ¨ā§āϝāĻžāĻ¨ā§āϏāĻŋāϤ⧇ āĻŦ⧇āĻļāĻŋ āĻĒāĻžāύāĻŋ āϖ⧇āϞ⧇ āĻĒāĻžāϝāĻŧ⧇ āĻĒāĻžāύāĻŋ āφāϏ⧇āĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻĒā§āϰ⧇āĻ—āĻ¨ā§āϝāĻžāĻ¨ā§āϏāĻŋāϤ⧇ āĻĒā§āϰ⧋āϟāĻŋāύ āĻ•āĻŽ āϖ⧇āϝāĻŧ⧇, āĻ•āĻžāĻ°ā§āĻŦā§‹āĻšāĻžāχāĻĄā§āϰ⧇āϟ āĻŦ⧇āĻļāĻŋ āϖ⧇āϞ⧇ āĻĒāĻžāϝāĻŧ⧇ āĻĒāĻžāύāĻŋ āφāϏ⧇āĨ¤ āϤāĻžāχ āĻĒā§āϰ⧋āϟāĻŋāύ āĻŦ⧇āĻļāĻŋ āĻŦ⧇āĻļāĻŋ āϖ⧇āϤ⧇ āĻšāϝāĻŧāĨ¤
ā§­. āϭ⧁āϞāσ āĻāĻ•ā§āϏāĻ•ā§āϞ⧁āϏāĻŋāĻ­ āĻŦā§āϰ⧇āĻ¸ā§āϟ āĻĢāĻŋāĻĄāĻŋāĻ‚ āĻ•āϰāĻžāĻ•āĻžāϞ⧀āύ āĻŦ⧇āĻŦāĻŋāϰ (ā§ŦāĻŽāĻžāϏ⧇āϰ āφāϗ⧇ āĻĒāĻžāύāĻŋāĻ“ āĻ–āĻžāĻ“āϝāĻŧāĻžāύ⧋ āϝāĻžāϝāĻŧ āύāĻž āĻāĻ•āĻžāϰāϪ⧇) āĻĄāĻžāϝāĻŧāϰāĻŋāϝāĻŧāĻž āĻšāϞ⧇, āĻŽāĻž āĻ¸ā§āϝāĻžāϞāĻžāχāύ āϖ⧇āϞ⧇āχ āĻŦ⧇āĻŦāĻŋāϰāĻ“ āϚāĻžāĻšāĻŋāĻĻāĻž āĻĒā§‚āϰāĻŖ āĻšāϝāĻŧ⧇ āϝāĻžāϝāĻŧāĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻŽāĻž āϖ⧇āϞ⧇āχ āĻŦāĻžāĻšā§āϚāĻžāϰ āϚāĻžāĻšāĻŋāĻĻāĻž āĻĒā§‚āϰāĻŖ āĻšāϝāĻŧ āύāĻž... āĻŦ⧇āĻŦāĻŋāϕ⧇āĻ“ āĻ¸ā§āϝāĻžāϞāĻžāχāύ āĻ–āĻžāĻ“āϝāĻŧāĻžāϤ⧇ āĻšāϝāĻŧāĨ¤
ā§Ž. āϭ⧁āϞāσ āĻĻāĻžāρāϤ āϤ⧁āϞāϞ⧇ āĻšā§‹āϖ⧇āϰ āφāϰ āĻŦā§āϰ⧇āχāύ⧇āϰ āĻ•ā§āώāϤāĻŋ āĻšāϝāĻŧāĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻĻāĻžāρāϤ āϤ⧋āϞāĻžāϰ āϏāĻžāĻĨ⧇ āĻšā§‹āϖ⧇āϰ āφāϰ āĻŦā§āϰ⧇āχāύ⧇āϰ āϕ⧋āύ⧋ āϏāĻŽā§āĻĒāĻ°ā§āĻ• āύ⧇āχāĨ¤ āĻĻāĻžāρāϤ, āĻšā§‹āĻ–, āĻŽāĻžāĻĨāĻžāϰ āύāĻžāĻ°ā§āĻ­ āϏāĻžāĻĒā§āϞāĻžāχ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āφāϞāĻžāĻĻāĻžāĨ¤
⧝. āϭ⧁āϞāσ āĻŽāĻžāĻ¸ā§āϟāĻžāϰāĻŦ⧇āĻļāύ āĻ•āϰāϞ⧇ āĻšā§‹āϖ⧇āϰ āĻœā§āϝ⧋āϤāĻŋ āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧ!
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻ­āĻŋāϟāĻžāĻŽāĻŋāύ āĻ āϜāĻžāϤ⧀āϝāĻŧ āĻ–āĻžāĻŦāĻžāϰ āύāĻž āϖ⧇āϞ⧇ āĻšā§‹āϖ⧇āϰ āĻœā§āϝ⧋āϤāĻŋ āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧāĨ¤
ā§§ā§Ļ. āϟāĻ•/ āĻĄāĻŋāĻŽ/ āĻĻ⧁āϧ āϖ⧇āϞ⧇ āϘāĻž āĻĻ⧇āϰ⧀āϤ⧇ āĻļ⧁āĻ•āĻžāϝāĻŧāĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āϟāĻ•/ āĻĄāĻŋāĻŽā§‡āϰ āϏāĻžāĻĻāĻž āĻ…āĻ‚āĻļ/ āĻĻ⧁āϧ āϖ⧇āϞ⧇ āϘāĻž āϤāĻžāĻĄāĻŧāĻžāϤāĻžāĻĄāĻŧāĻŋ āĻļ⧁āĻ•āĻžāϝāĻŧāĨ¤
ā§§ā§§. āϭ⧁āϞāσ āĻ…āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āφāϚāϰāύ, āĻ­āĻžāĻ‚āϚ⧁āϰ, āĻĒāĻžāĻ—āϞāĻžāĻŽāĻŋ āĻŽāĻžāύ⧇āχ āĻœā§āĻŦāĻŋāύ āϭ⧁āϤ⧇ āϧāϰāĻž!!!
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻāϟāĻž āĻŦāĻžāχāĻĒā§‹āϞāĻžāϰ āĻĄāĻŋāϏāĻ…āĻ°ā§āĻĄāĻžāϰ, āϏāĻŋāĻœā§‹āĻĢā§āϰ⧇āύāĻŋāϝāĻŧāĻž, āĻšā§āϝāĻžāϞ⧁āϏāĻŋāύ⧇āĻļāύāĨ¤
⧧⧍. āϭ⧁āϞāσ āϤāĻžāϞ⧁ āĻ•āĻžāϟāĻž, āĻāĻ• āĻšā§‹āĻ–, āĻ•āĻĒāĻžāϞ⧇ āĻšā§‹āĻ–, āĻŦāĻžāĻ˜ā§‡āϰ āĻŽāϤ āĻĄā§‹āϰāĻžāĻ•āĻžāϟāĻž āĻĻāĻžāĻ— āύāĻŋāϝāĻŧ⧇ āϜāĻ¨ā§āĻŽ āĻ—ā§āϰāĻšāύ āĻ•āϰāĻž āĻŦāĻžāĻšā§āϚāĻž āĻ•āĻŋāϝāĻŧāĻžāĻŽāϤ⧇āϰ āφāϞāĻžāĻŽāϤ, āφāĻ˛ā§āϞāĻžāĻšāϰ āĻ—āϜāĻŦ, āĻŦāĻžāĻ˜ā§‡āϰ āĻŦāĻžāĻšā§āϚāĻžāĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻŽāĻžāύ⧁āώ⧇āϰ āĻĒ⧇āϟ āĻĨ⧇āϕ⧇ āĻŦāĻžāĻ˜ā§‡āϰ āĻŦāĻžāĻšā§āϚāĻž āĻšāϝāĻŧ āύāĻž āφāϰ āĻ•āĻŋāϝāĻŧāĻžāĻŽāϤ⧇āϰ āφāϞāĻžāĻŽāϤ āĻŦāĻž āĻ—āϜāĻŦ āĻŦāĻžāĻšā§āϚāĻžāĻĻ⧇āϰ āωāĻĒāϰ āφāϏ⧇ āύāĻžāĨ¤ āĻāϏāĻŦ āϜāĻŋāύāĻ—āϤ āϰ⧋āĻ— āĻŦāĻž āϜāĻ¨ā§āĻŽāĻ—āϤ āϰ⧋āĻ—āĨ¤
ā§§ā§Š. āϭ⧁āϞāσ āĻĒā§āϰ⧇āĻ—āĻ¨ā§āϝāĻžāĻ¨ā§āϟ āĻŽāĻšāĻŋāϞāĻž āφāϝāĻŧāϰāĻŖ, āĻ•ā§āϝāĻžāϞāϏāĻŋāϝāĻŧāĻžāĻŽ āĻāϏāĻŦ āϖ⧇āϞ⧇ āĻŦāĻžāĻšā§āϚāĻž āĻŦāĻĄāĻŧ āĻšāϝāĻŧ⧇ āϝāĻžāϝāĻŧāĨ¤ āϤāĻžāχ āĻ—āĻžāχāύ⧀ āĻĄāĻžāĻ•ā§āϤāĻžāϰ āϏāĻŋāϜāĻžāϰ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāϗ⧁āϞāĻž āĻĒā§āϰ⧇āϏāĻ•ā§āϰāĻžāχāĻŦ āĻ•āϰ⧇....
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻĒā§āϰ⧇āĻ—āĻ¨ā§āϝāĻžāĻ¨ā§āϟ āĻŽāĻšāĻŋāϞāĻž āφāϝāĻŧāϰāĻŖ, āĻ•ā§āϝāĻžāϞāϏāĻŋāϝāĻŧāĻžāĻŽ āύāĻž āϖ⧇āϞ⧇ āĻ—āĻ°ā§āĻ­āĻ¸ā§āĻĨ āĻŦ⧇āĻŦāĻŋāϰ āύāĻŋāωāϰāĻžāϞ āϟāĻŋāωāĻŦ āĻĄāĻŋāĻĢ⧇āĻ•ā§āϟ āĻšāϝāĻŧāĨ¤
ā§§ā§Ē. āϭ⧁āϞāσ āĻĒā§āϰ⧇āĻ—āĻ¨ā§āϝāĻžāĻ¨ā§āϏāĻŋāϤ⧇ āϏāĻžāĻĻāĻžāĻ¸ā§āϰāĻžāĻŦ āĻšāϞ⧇ āĻĢā§āϞ⧁āχāĻĄ āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧāĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ White discharge āĻāĻŦāĻ‚ Amniotic fluid āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āφāϞāĻžāĻĻāĻž āĻĻ⧁āĻŸā§‹ āĻĢā§āϞ⧁āχāĻĄ.. āĻāĻ•āϟāĻžāϰ āϏāĻžāĻĨ⧇ āφāϰ āĻāĻ•āϟāĻžāϰ āϕ⧋āύ⧋ āϏāĻŽā§āĻĒāĻ°ā§āĻ• āύ⧇āχāĨ¤
ā§§ā§Ģ. āĻŦāĻžāĻšā§āϚāĻž āύāĻž āĻšāĻ“āϝāĻŧāĻž āĻŽāĻžāύ⧇āχ āĻŦāĻ¨ā§āĻ§ā§āϝāĻž āύāĻžāϰ⧀āĨ¤
āύāĻŋāĻ°ā§āϭ⧁āϞāσ āĻŦāĻ¨ā§āĻ§ā§āϝāĻž, āύāĻžāϰ⧀ āĻāĻŦāĻ‚ āĻĒ⧁āϰ⧁āώ āωāĻ­āϝāĻŧāχ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤āĨ¤
__________________________________________
āĻ āϧāϰāϪ⧇āϰ āφāϰ⧋ āĻ…āύ⧇āĻ• āϧāϰāϪ⧇āϰ āϗ⧁āϜāĻŦ āĻŦāĻž āϕ⧁āϏāĻ‚āĻ¸ā§āĻ•āĻžāϰ āφāĻŽāĻžāĻĻ⧇āϰ āϏāĻŽāĻžāĻœā§‡ āĻĒā§āϰāϚāϞāĻŋāϤ, āϝ⧇āϗ⧁āϞ⧋āϰ āϕ⧋āύ⧋ āĻ­āĻŋāĻ¤ā§āϤāĻŋ āĻŦāĻž āĻŦ⧈āĻœā§āĻžāĻžāύāĻŋāĻ• āĻŦā§āϝāĻžāĻ–ā§āϝāĻž āύ⧇āχāĨ¤
āϏ⧌āϜāĻ¨ā§āϝ⧇āσ āĻĄāĻžāσ āϰāĻŋāĻĢāĻĢāĻžāϤ āĻ•āϰāĻŋāĻŽ

22/09/2017

>>Pregnancy_index

24/02/2015

āϏāĻ•āϞ āĻĒā§āϰāĻļāĻ‚āϏāĻž āϏ⧇āχ āĻŽāĻšāĻžāύ āφāĻ˛ā§āϞāĻžāĻšāϰ,
āϝāĻŋāύāĻŋ āφāĻŦāĻžāϰāĻ“ āĻāĻ•āϟāĻŋ āϏ⧁āĻ¨ā§āĻĻāϰ āϏāĻ•āĻžāϞ⧇āϰ āϏ⧂āĻ°ā§āϝ
āĻĻ⧇āĻ–āĻžāϰ āϤ⧌āĻĢāĻŋāĻ• āĻĻāĻžāύ āĻ•āϰāϞ⧇āύ.
āĨ¤
āĻļ⧁āĻ­ āϏāĻ•āĻžāĻ˛â˜…
āĨ¤
āĨ¤. āφāϏāϏāĻžāϞāĻžāĻŽā§ āφāϞāĻžāχāϕ⧁āĻŽ,āφāĻļāĻž āĻ•āϰāĻŋ āϏāĻŦāĻžāχ
āĻ­āĻžāϞ āφāϛ⧇āύ

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