Of Doubts and their clarifations - conversation with a fellow iland Friend via E-mail

My friend: hi nimmo, well, m starting wid a new story, a bit complicated till now...but i need to have some info b4 dat...like, if suppose a girl gets to know she's pregnant, somewhere between 2-3 months (i know there r many stages within dat too), and she gets it aborted, after that, how long will it take her to recuperate?... more so, when can she have sex again? And a forced sex jst aftr abortion is too dangerous? lemme kno plz, coz this is jus part of my story, and isn’t the main thought...but an imp. part it is. chal cya, thanx...

Reply: I am extremely sorry for the delay...was in Chandigarh for the weekend...as of your queries...

1. if the procedure of abortion is without complications, general recovery is week long....as happens with any superficial tissue  injury..

2. Give one more week after treatment is stopped then one can resume normal sexual activity

3. Forceful sex immediately after abortion is not necessarily dangerous but surely painful. Depends on how the abortion was handled. To give you a clear picture, there is vaginal canal, then the opening of the uterus and then the body of the uterus.

The procedure of abortion (Dilatation and Curation- D & C) is of two steps---the opening of the uterus into the vaginal canal is dilated using smooth metallic rods resembling somewhat the normal sweater knitting needles, the thickness of which is gradually increased to the extent that curette instrument can be passed thru it to the uterus. Actual process is done on the second step. The inner lining of the body of the uterus is carefully scraped and the conceptual matters are pulled out. Then the washing is done. Now if there is injury to the inner wall of vaginal canal during dilatation, sex will cause bleeding and pain. But if the injury is in the uterus, the pain is not so much because, as you might know, you can’t enter uterus during sexual intercourse. Being in the vicinity of the vaginal canal, there might be some pain or the bleeding...but as such it all depends how well the abortion was handled. I think the information is enough for you. If you need to know more just leave a msg in the guest book. Thanks

My friend: hey nams thanx a ton. Many issues are cleared now. 1 more thing...how long does it take exactly to know u r pregnant?  I know 1 gets to know when periods stop, but when does this happen? And then how long a person does has to address to this issue, to get it safely aborted?  And when a woman is just aborted, does she has to just lie on bed, i mean strict bed rest, or can she afford to sit in a car for 6 long hours (okay, make it 2 if that’s too long) to reach some place? And as far as my knowledge goes, she needs to have loads of chicken for nourish herself, and get sufficient proteins. Can she walk properly after 2-3 days of abortion; I mean can her folks guess after 3 days what she had gone thru?

My reply: I am so happy to be of a little help to you. Actually I enjoy settling queries like this. Sometimes I feel I should be a columnist of some magazine to answer queries related to health. How do you feel I am handling your queries?...up to your expectations and satisfaction? As of your recent queries...

1. when someone misses a period, a normal UPT (urine Pregnancy Test) can confirm pregnancy normally /roughly 15 days after conception. Ultrasound is more confirmative. But there is nothing like UPT card test which is cost effective, easy to perform at home and 99% accurate.

2. Safe abortion is up to 3 months...add a week at the most...after that it becomes cumbersome. Process is then called MTP (medical termination of Pregnancy) and this is actually a process of complete delivery initiated artificially by medications. Same sequence of uterus contractions occur and expulsion of foetus happens. And hence the process may last up to two days; whereas D&C takes half an hr.

3. No strict bed rest is required...just a couple of hrs to let the tranquilizer effect to wash out. Patient looks drowsy due to sedatives, that’s all. Yes, car journey is very much feasible after D&C, and can be done just after an hr. But again it depends how well the D&C was handled.

4. No extra nourishment is required. Just a liter of salt and sweet lemonade over six hrs is all indicated to make urination proper to watch any bleeding and to let the residual effect of medicines to wash off.

5. A lady can walk normally just after that drowsiness part is over.

6. A lady can very well and effectively hide Abortion if she has made up her mind. I have seen girls back home and behaving normally within 2 hrs of procedure without giving faintest of hint to anybody. And there are ladies, obviously the pampered ones, do not get out of there bed for weeks after abortion. It is all the mindset Dear...     In my next GFN I am going to describe how a girl aborted with the help of abortificient injection, while she was in office, without knowledge of anybody...and walked back home!!!....Jhatka laga????...I have handled that.....And for God sake I am not telling a lie...Do send me more of this type of questions...It is my pleasure absolutely....Bye for now Namrata

My friend: thanx Nams really helped me clear all doubts. Hey, that sounds gud, u being a coloumnist, answering weird ques!! seriously, u do give detailed answers, that too in lay man's term, no heavy references or words. i thnk u shud go abt d columnist part. bst of luk fr dat. hey, i still need 2-3 answers...first, whats D&C, i mean d full form. second, 15 days after conception, a grl can test with UPT, bt by then her period stops? why 15 days? Only after that u can perform test , why? Rest all is clear. thanx a ton doc,

My reply: My pc is giving lots of headache to me. Since morning I am able to read just this one mail of yours...don't know whether I’ll be able to send you the reply. I am glad that my proposal seems feasible to you. The answer to your latest questions is a bit complicated and I may need medical terms to explain you. But I'll try to be very simple.

1.D & C - refer my very first email, it is clearly written there- it means Dilatation and Curation- the two step process - class mein attentive raha karo aur purane notes dhyaan se padha karo....aainda overlook kiya to kaan khichungi)

2. Soon after conception, body secretes some special hormones for the proper growth of the baby. Out of them the most prominent one is HCG hormone (Human Choriogenic Gonadotropin). Obviously, this hormone is not secreted in non pregnant women. As hormones circulate with the blood, part of this hormone is secreted out thru urine after utilization, similar to that of alcohol or drugs. Now the quantity of HCG in urine increases with the growth of baby. The UPT that we do is reaction specific to this particular hormone in urine. There is a chemical on the strip which turns Red if there is HCG in urine. The minimum amount of HCG required to make the test positive, is available by roughly 2 weeks. Before that if you do the test, because of the insufficient amount of HCG, it may show false negative, or sometimes a very faint red line. Similarly, the more delay you do, the more strongly positive result it would be and more confirmatory.              

 This hormone, along with others, also stops the periods because the periods tend to flush out the product of conception. The pills and injections which are given to carry out abortion consists of that hormone which is opposite in action to HCG, and hence starts periods and flush out the fetus.            I don't advocate using the abortive pills and injections because they initiate a type of hormonal fight in body and create complication in future. Hormone regulation is the most complicated thing in a women’s body and one should avoid interfering with that. D & C is better option. Read the initial Para of my earlier post GFN-7. I have given a hint of this thing there. Thanks

My friend: Now everything is clear...no more further ques to bother u nimmo...thanx a ton :) take care

My reply:  Dear, there was nothing like I was bothered. I really enjoyed as much. In these type of conversation both party learn a lot.                            

But now I am seriously thinking about starting a Q & A column. Why not in Rediff iland itself? I have thought of different  ID names like- mainhoonna.rediffiland.com, or,  askme.rediffiland.com or any other better name that you suggest. For initial feel of the content and type of questions that will be catered to , I can give this very conversation between us. By putting the moderation on, the identity of the person can be protected. I can still publish the question and the answer for others to get benefited, without revealing the name of the person who asked the question. Also personal question can be answered directly to the email id avoiding everybody's eyes. The ones which I won't be able to answer, I'll consult my doctor friends. And only those queries will be answered which we generally cant get answer from parents , website or the doctors who are too busy, or the ones which we are too shy to ask others. What do you say? if the idea is thumbs up, do suggest me few names also. Do you think my kind of handling of queries will click with the readers? M waiting. Have a nice day. Nams

Myfriend: Hey Nimmo I think thats a gr8 idea yaar, start frm iland itself. that wud b a gud platform. and i agree wid evry pt of urs...keep identity of d person anonymous...perhaps if everything can be agar anonymous then why not even answer personal ques there...see, readership is there only when personal ques are catered to. I know u r not doing this for readership, but when u'll start writing for some mag or news daily, then you have to look into that aspect too...that’s why weird ques are mentioned there...
but in any case, this step is very noble, i thnk u shud go ahead wid it, bt plz keep in mind, this is a responsibility, an added responsibility...u have b prompt in ur reply. at least 1 day max u can take to answer 1 ques, not that one week without answer. of course u'll hav to see wen u can reply. Or else make one day for answers, or two, like tuesday and friday. watsay?
now about names....hmm, lemme c...

virtualdoc, docfriend, asknams, askme is gud as well, platform, clinic,  getanswers ,express, haribol (lolz), pink (denoting health), pinkroses, getwellsoon, healthysouls, lotus (denoting gud health),alright, hunky-dory, onlinehelp, onlinedoc, allears (all ears), sharewithme, writetome, shield, jaadokijhappi (lol), munnibahen (aaila), safehands…

that’s all for now, let me know if you need  more options, evn i like branding...part of copywriting..tata
take care
 
My Reply:  Hi friend,  I really am so exited. Your suggestions are too encouraging. I am really making up my mind to go ahead. But there is a problem. I can’t reply within 24 hrs. 2 days a week suits with me. Actually the health problem where solution is indicated within 24 hrs has to be attended by physical presence of a doctor not on telephone or e-mail. There won't be any prescription as such so that affected patient may go to a pharmacy to buy those and later face any problem. Can U help me further by sending appropriate pictures to decorate the iland? Sorry to bother you Nimmo (the Hindi names, like jadu ki jhappi.rediffiland.com may not click with south Indian friends who are not very well versed with Hindi terminology. I will try stick to English options. Thanks...)

My Friend: ... 'jadoo ki jhappi' name was just for masti yaar, that's why lol was written in the bracket. bad nimmo, concentration nahi hai tumhari...nywaz, a day in a weel will also do, and ya right, u r nt givin prescriptions here, just help ppl kno what their problem is, whats d solution...more of an adviser, and nt a doc. Make it very clear right from the start, mayb u can write it in d profile itself....
rest abt decorating iland, please do it yourself, afterall its ur idea, u shud do it urself...I can just give creative inputs ...later...

chalo ab chalta hu, have to work even on a holiday, whereas I wantd to watch ‘cheeni kum’ or ‘life in a metro’ today :(
chalo keep me updated...take care

My Reply: Wah Bachchu!... kalti maar gaye...You could have sent some relavant photoes downloaded from net, but you preffered not to…Actually I saw that LOLs written in bracket but “jaadu ki jhaapi” seems the best one to me...had this language problem been not there I would have gone for it...Anyways now I’ll do it myself...What do you think of yourself?...Bye, I too got a lot of things to do...thinking of cathing a movie like ‘cheeni jyada’ or ‘life in villages’ in an A/C theatre..Not yours Nimmo

My friend: acha ji...3-4 pics kya nahi bheji, aapne bhi kalti maar li? Ok…ok…Now I am not going to help you at all...
and abt busy, lemme tell u, yesterday i was totttalll vella, had a gud time, sat in a pub fr 2 hours, in d noon, chilled out, wahi buddha baba (old monk) and myself. did some shopping aftr dat...itni garmi me bhi...although I am not much into shopping but there was nothing to do yesterday...
I make a move now
cya n take care
never yours


 After this conversation, spanned over a week, and a whirlpool of calculations later I made up my mind to come up with the concept or at least give it a try. So here I am- presenting you a platform to discuss any weird question that pops-up in your mind and you are reluctant to discuss with anyone. I’ll try to answer those - once in a week- on Fridays for you fellas to check it out on Sundays. Protection of your identity is guaranteed as I have done above. You can put your queries here or at a dedicated corner of rediff iland called MainHunNaa.rediffiland.com (finally I settled for this name). Answers will be posted only there ….so friend ….here comes Dr Jaadukijhappi ….with you for you …always...

 E-mail me at dr.Jadukijhappi@rediffmail.com  OR namrata.harichandan@rediffmail.com