WOW | Q&A

After the age of 45, chances of spontaneous pregnancy is very low

BEAUTY

wow Qna beauty foto 1

Q. I am 28 years old and have very dry skin on my face. I use moisturising oil and cream but still my condition worsens during winters. Is there a facial I should be doing? I have stopped using all make up during winters. My lips also get chapped and my lipstick cracks when I apply it. Could you suggest a good brand of mosituriser that may help me, along with tips to help my condition. Thank you. –Rashmi Dhakal

dollyA. It’s always common for the skin to change as the weather changes. However there is always a solution available at Dolly’s. I would like you to have our Vitamin C facial which will help get rid of skin dryness and help moisturise your skin on a deeper level. I would also like you to use a primer on your lips before using lipstick as that will help you conceal cracks and provide a long lasting effect.

For more information on facials, please contact me at my beauty salon.

(DOLLY SINGH, proprietor of Dolly’s Exquisite Creations, will answer all your beauty and makeup queries. Contact her at 4445080.)

 


GYNAECOLOGY

gynaecology qna foto 1
Q. I am 46 years old and had a baby very late in life, at the age of 43. It was my first pregnancy and my child is perfectly healthy. I have been trying to conceive ever since but with no success. I feel my body is healthy and despite what is generally believed about late pregnancies and the near impossibility of it, I feel I want to use IVF or other assisted reproductive measures to do so. Please could you guide me on this? Are there any tests I should do before consulting a specialist? Who would you recommend? –.Name witheld

dr veenaA. After the age of 45, chances of spontaneous pregnancy is very low. If you are desperate, you can go for IVF. At this age, even success of IVF with your own eggs would be low. Your ovarian reserve can be detected by certain tests. For those tests and their interpretation, you should go and see a gynaecologist who has special interest in sub fertility.

Dr. Veena Shrivastava is a Professor in the Department of Obstetrics and Gynaecology, Nepal Medical College and Gynaecologist in Nepal International Clinic. Send her your queries at vshrivastava68@gmail.com

 


MENTAL HEALTH

mental health qna foto 1

Q. I am a 27 year old woman and have been in two relationships in the past. I will be getting married early next year. My problem is with my feelings of insecurity and anger. This was also the cause why my past relationships did not work out. I am extremely emotional and feel very insecure in my close relationships. I was raised by my uncle and aunt when my parents passed away in an accident when I was 11 years old. Although they have given me a loving home and stability, I never felt that I received the same love as their children did. I have tried to work on these issues by taking up yoga and meditation, but it has not really helped me much. I am now afraid that I will mess up my marriage. I haven’t had a chance to meet the guy I am marrying as he lives overseas. He seems to be a nice and understanding person from what I have heard. It is an arranged marriage and after the failure of my previous relationships, I feel this is best for me. Please guide me in finding a solution for my emotional, insecurity and anger issues. –Pratima

dr ajit
Dr. Ajit Kumar Gurung, MD; DPM has been working as a consultant psychiatrist since the last 16 years. He is Psychiatrist Consultant at Norvic International Hospital; Head of Department and Senior Consultant Psychiatrist at Department of Psychiatry, Nepal Police Hospital; and Consultant for Alcohol and Drug Rehabilitation Centre ‘Ashara’.

A. Going through your query I see you are suffering from feelings of insecurity and anger but you have not explained your symptoms in detail. The actual cause for you to have those feelings and its frequency tells a lot about the kind of mental state you are in. From your information it seems that you had a traumatic childhood which definitely has negative impacts on your current state. So I would like to suggest you to visit a psychiatrist and talk about these symptoms so that one can exclude that either these are your personality traits or symptoms of a mental disorder such as depressive disorder or generalised anxiety disorder. Only after sorting out the problem, an appropriate advice and treatment procedure can be suggested by an expert. I am sorry to hear about your past failed relationships and your personal unawareness about the person with whom you are going to get married. I believe it is always good to get things clear beforehand than to opt for a solution after plunging into the deep. I agree that things might get tense to some extent when you are open to answers and want the same from a person totally unknown to you but it’s worth taking the risk. So my suggestion is that you better know and explore personally with the person you are marrying so that you will have smooth relationship in future. You will also get relieved of unnecessary doubts and suspicions.

 

 


HEART HEALTH

doctor measures the pressure of a pregnant woman

Q. I am a 35 year old woman who is in general good health. However, I suffer from high blood pressure and am on medication for this for the past seven years. Is blood pressure heredity because both my parents suffer from high BP? My father passed away due to heart problems and cancer at the age of 52, and my mother suffers from thyroid, diabetes, blocked artery and high BP. I am really concerned about whether genetics will determine my health issues. I eat in moderation and try and follow a healthy life style, but with high BP I am often anxious and irritable. On the higher side my BP goes up to 180/110. I am planning my first pregnancy and would like to know whether I should have any tests done in advance and if there are any precautions I should observe. *Nandita Thapa

dr rawat
Dr Bharat Rawat is MD, DM, FACC, Chief of Cardiology at the Norvic International Hospital. Send your queries related to heart health to drrawat@norvic.wlink.com.np

A. Yes it’s a very important consideration before you become pregnant. Not only BP control is important, the choice of medicine is also very important during the pregnancy. While genes do play a role, life style care is equally important. I hope you are taking care of food habits like eating more veggies and fruits and you avoid salt rich snacks. You should do some regular exercises and ensure that your weight is optimal. Hope you don’t smoke at all! Medicines like enalapril, lisinopril, etc are to be avoided during pregnancy. So even before you plan to become pregnant you need to see your cardiologist and discuss this. You need to have a target of BP below 140/90. Some form of yoga and meditation is recommended and will be of great help. Pregnancy after the age of 35 years itself needs some extra precautions. You have higher chance of BP related issues. You should check your blood sugars (gestational diabetes) and urine examination periodically. It’s a good idea to check baby ultrasound to rule out any birth defect in heart around 12-14 weeks. You should start on folic acid even before your become pregnant to avoid spinal cord related defects. Overall most ladies will have normal child even at this age with precautions and healthy life style. I suggest you follow your obstetrician and cardiologist and stay relaxed and cheerful. Read light material and laugh many times a day!


AYURVEDA

Q. I am 65 years old and suffer from dry skin which has started to wrinkle a lot now. I know it is a part of ageing but is there anything I can do to keep my skin firm and less saggy especially face and neck areas. I also have an uneven skin tone. Please give me home remedies and names of any tried and tested products that could help. *Shobha Dhital

Shweta Upadhyaya is Founder/Owner of Laavanya Luxury Ayurveda: A luxury skin care line based on Ayurvedic principles. She studied classical Ayurveda at Vedika Global in California, USA. For skin care queries you can reach her at shweta@laavanyaluxury.com

A. According to Ayurveda, skin wrinkles and gets dry due to aggravated Vata in the body. For that, you will need to nourish skin, massage your face with a good moisturising lotion 2-3 times a day. Make face pack with avocado, almond powder, few drops of sesame oil. Apply on your face and neck, keep for five minutes and rinse off with warm water. Follow with a good quality serum especially around areas that is dry or has fine lines. Avoid drying food such as chips, alcohol and sodas. Use pure organic ghee in your diet and ensure that you have a restful sleep.

Shweta Upadhyaya is Founder/Owner of Laavanya Luxury Ayurveda: A luxury skin care line based on Ayurvedic principles. She studied classical Ayurveda at Vedika Global in California, USA. For skin care queries you can reach her at shweta@laavanyaluxury.com