Dr Mwiti - Jonice Gynacare Centre

25/10/2025

RARE BUT DANGEROUS.‼️
VASOVAGAL SHOCK DUE TO IUCD INSERTION.

Medical professionals and women,have this to learn and remind yourselves.

Vasovagal shock,a sudden drop in heart rate and blood pressure that leads to fainting, dizziness, or even collapse,often triggered by pain, anxiety, or some certain medical procedures, in this context; IUCD insertion.

What Happens in Vasovagal Shock?

When the body experiences pain or stress in instances like during IUCD insertion, the vagus nerve — which helps control heart rate and blood vessel tone overreacts.This overreaction causes heart rate to slow down (bradycardia) and blood vessels to dilate (widen) leading to a sudden drop in blood pressure and reduced blood flow to the brain.As a result,patient suffer fainting, sweating, nausea, or collapse.

During an IUCD insertion where a woman experperiences Vasovagal shock,she can complain of;

✓Sudden dizziness or lightheadedness.
✓Fainting or loss of consciousness
✓Nausea or vomiting.
✓Cold or clammy skin
✓Slow & weak pulse.
✓Low blood pressure(If you take measurements)

This scenario can be caused by pain,stress,anxiety or cervical manipulation during insertion.It happens immediately during insertion or few minutes after the procedure.

It is always self limiting but severe cases can lead to prolonged low blood pressure and cardiac arrest if not handled quickly.

WHAT TO DO INCASE IT HAPPENS(HEALTH PROFESSIONAL)
✓Stop the procedure immediately.
✓Lay the patient flat with the legs elevated,to improve supply blood to the brain.
✓Loosen tight clothings.
✓Monitor pulse and blood pressure.
✓Check Oxygen saturation and give oxygen if need be,and IV fluids.
✓Give atropine if the heart rates are low.

As a patient,incase you notice any of the symptoms mentioned during insertion,inform the one inserting it immediately.

VASOVAGAL SHOCK during IUCD insertion is extremely rare and self limiting BUT if not handled immediately can result to CARDIAC ARREST and possible DEATH.

LEARN

10/01/2025

Big shout out to my new rising fans! Euny Mwiti

27/11/2024

Big shout out to my newest top fans! Pamellah K Samuel

27/08/2024

Tomorrow is another day to have a date with you.Stay tuned at Mwangaza TV,follow the live in all social media pages;Facebook and Youtube.
Ask your questions and will be answered here.
See you there.
Mihona Kenyanized page
Mwangaza TV Fans󱢏MMwiti Ke

25/05/2024

DO YOU KNOW WHY YOU SUFFER INFECTIONS AFTER PROLONGED SEXUAL EXPOSURE?

Having Pen*s-in-va**na (PIV) s*x can result into nasty infections that are technically not STIs.

This happens because,the pH levels of the semen are higher than the pH of the va**na,which can potentially mess with the growth of the health normal flora of the va**na (Lactobacillus crispatus and Lactobacillus jensenii) which helps defend the va**na against pathogens.

You can prevent this by avoiding regularly regular s*xual in*******se or by use of condoms.

Not every infections deserves treatment.Some infections only needs you to fix your legs for sometime and give time for Lactobacillus spp. to flourish.

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14/04/2024

You keep licking it and sucking the sumblenya.You will come to us with all these kind of diseases and we will automatically know you decided to chew it using your moth.If the actual apparatus fail,abort the mission.

Generation Z,
What is the essence of using condoms when you've already "eaten" it using your mouth?

What is the essence of condomizing when you have already fingered her using your lacerated fingers?

What is the essence of condomizing when you have already kissed her without caring whether anyone of you has mouth ulcers that can as well transmit diseases through saliva?

What is the essence of using latex to cover your greedy stick if you very well know you don't even know how the condom is removed after the scream hulla ballo match?

Why should you think you're protecting yourself from diseases yet you're doing zero work?

Generation Z,why?why lie to yourself?
No matter how many layers of condoms you use,if you're careless in all those other areas, you're better having it raw than waste yourself in putting on latex.

And since romance is part of the game and you can't avoid it,why don't you do all those things with one right person?Why don't you drink from your own well?Must you sample every specimen?
You might escape HIV but you won't escape other STI and they're threat as well.
Play safe and stay safe.ARVs carries no pride in swallowing them every day.

Mniite seminar nitakuja🤣🤣
Our highschool and campus siblings wants facts.Its high time we give facts and save a generation.

18/12/2023

http://youtube.com/channel/UCKEqRCJQOpFAxPcuob8Kr5w

This is a channel where i offer learning platform for all Obstetrics and Gynecology conditions/diseases that are very common among our women.In this platform...

14/08/2023

Let us look briefly at breast cancer.
Being one of the killer disease,breast cancer has several clinical presentation that includes;.
✓New lump in the breast or armpit.
✓Thickening or swelling of the part of breast.
✓Irritation or dimpling of breast skin.
✓Redness of the skin in the ni**le area or the breast.
✓Pulling in of the ni**le.
✓Pain in the ni**le area.

Now,on the picture attached to this post,look at the skin surrounding the ni**le; look at the ni**le also.The breast skin looks abnormal.This is called skin dimpling or dimpling of the skin.In skin dimpling,the breast skin looks like an orange or lemon. Sometimes, this is what breast cancer looks like. This is known as Peau d'orange, (ORANGE PEEL) and can happen when cancer cells block the lymph drainage of the breast, resulting in fluid accumulation in the breast tissue leading to dimpling.
NB: Cancer is not the only cause of your breast appearing this way but if you see this, PLEASE SEE A DOCTOR IMMEDIATELY FOR CHECK UP.
It's breast cancer awareness month. Let your wife, sisters, daughters and female friends know the signs to look for in a breast to make an early detection.
We don't pray for breast cancer but early detection saves life.
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