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Family planning suggestions? - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
Doctor:Good morning
Doctor:Please proceed with your query
User:Hi Doctor
User:we got baby boy of 6 months old and now we want to wait for few years for next kid
Doctor:It is a wise decision
User:how to plan properly to plan next delivery
Doctor:Sure, I will help you on this
Doctor:May I know your wife's and your age?
Doctor:Is this her first baby?
Doctor:Was in a normal delivery or caesarian section?
User:my wife age is 24 and my age is 31. Yes it is her first baby
User:it was Caesarian
Doctor:Thank you
Doctor:Is she on any medications?
Doctor:Is there any medical illness in her?
User:no for both the questions
Doctor:ok, thank you
Doctor:She can safely opt for Intrauterine contraceptive device
Doctor:That is, she can go for copper T insertion
Doctor:This is one of the best methods for her
Doctor:I would not suggest oral contraceptive pills
Doctor:These may cause her hormonal imbalances and weight gain
Doctor:Is this XXXXXXX?
Doctor: XXXXXXX I think she should go for Copper T
Doctor:Please take her to the gynecologist and get it inserted, it is a 2 minutes procedure
Doctor:she will not face much problems with this
User:will there be any side effects with copper T?
Doctor:There are, but very minimal
Doctor:I will say a few
User:yes please
Doctor:It may cause irregular bleeding
Doctor:Sometimes, pain abdomen
Doctor:Sometimes, pelvic inflammatory diseases
Doctor:But these are minimal with correct usage
Doctor:It is temporary method
Doctor:She can get it removed, when you both plan for the next baby
Doctor:Hope you are following me
User:yes doctor
Doctor:If not, please ask me, I shall explain again
User:irregular bleeding, pelvic inflammatory dieseases sounds big ....any of these effects for sure or can we avoid these also
Doctor:It happens in very few women
Doctor:She can try this for 2 months
Doctor:If she is comfortable, she can continue
Doctor:If not, she can opt for other methods like oral pills
Doctor:Most women in India use a Copper T
Doctor:for contraception
Doctor:You should not fear these
Doctor:I understand your concern for your wife and appreciate it
Doctor:You should also help her in taking the wise decisions
Doctor:She is 24
Doctor:With oral contraceptive pills, she may gain weight
Doctor:Most women do gain weight with oral pills
Doctor:I will suggest her this
Doctor:Try copper T for 2 months as I said
Doctor:If it is fine, she can continue on it
User:ok and if she uses copper T and then there is no need for condoms right?
Doctor:Yes, that is right
Doctor:There is no need to use condoms then
User:ok got it...and one more question
Doctor:Sure, please proceed
User:she complained that she is getting back pain after delivery and till now we didnt consulted any gynic on this..
User:my friends told it is common and will reduce after 1-2 yrs
Doctor:This usually happens after a caesarian section
Doctor:Is she using an abdominal belt?
Doctor:It is better for her to use an abdominal belt
Doctor:It will strengthen back muscles, tone abdominal muscles
Doctor:It will help her for sure
Doctor:You can get it for her from the pharmacy
Doctor:It is available over the counter
User:oh ok and what i have to ask?
Doctor:You need to know the size for it
User:abdominal belt thts it right ??
Doctor:You can ask for an abdominal belt that is used post delivery
Doctor:It will help to reduce back pain too
Doctor:Also, she must do regular exercises
Doctor:She can start doing simple exercises
Doctor:like stretches
Doctor:The back pain will subside soon
Doctor:She should also drink plenty of water
User:oh ok sure i will inform.
Doctor:Is there anything else you want to know, XXXXXXX?
User:no thanks for the valuable answers
Doctor:Thank you too
Doctor:Have a great day
Doctor:And take care
Doctor:Bye for now
User:Thanks and Bye
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