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anjali12 · 5 days ago

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Best Gynecologist Hospital in Salem: Comprehensive Women’s Health Care at VIMS Hospitals

When it comes to women's health, choosing the right healthcare provider is crucial for maintaining long-term well-being. At VIMS Hospitals, we take pride in being one of the leading Gynecologist hospitals in Salem, offering a wide range of specialized services to cater to women’s health needs. Our experienced team of gynecologists is dedicated to providing compassionate, personalized care to women of all ages. Whether you need routine check-ups, prenatal care, or treatment for more complex gynecological conditions, VIMS Hospitals is your trusted partner in health.

Why Choose VIMS Hospitals for Gynecological Care in Salem?

VIMS Hospitals is recognized as the best gynecologist hospital in Salem for its commitment to providing top-tier medical care for women. With our state-of-the-art facilities and highly skilled gynecologists, we ensure that every patient receives the most effective treatment in a comfortable and caring environment. Our team is trained to handle all aspects of gynecological care, from adolescence through menopause, ensuring that you receive the right treatment at every stage of life.

Comprehensive Gynecological Services Offered at VIMS Hospitals

At VIMS Hospitals, we understand that each woman has unique health needs. Our gynecologists in Salem offer a broad spectrum of services, including but not limited to:

Routine Gynecological Check-ups: Regular gynecological exams are crucial for monitoring your health. We provide comprehensive screenings and preventative care to detect any issues early.

Pregnancy and Prenatal Care: From conception to delivery, our gynecologists offer expert prenatal care, including ultrasounds, blood tests, and advice on healthy pregnancy practices.

Infertility Treatment: We provide specialized care for women facing infertility, offering consultations, diagnosis, and advanced treatments like IVF and IUI.

Menopause Management: As women approach menopause, it’s essential to receive guidance on managing symptoms. Our gynecologists offer tailored solutions to ensure a smooth transition.

Gynecological Surgeries: For more serious conditions, our hospital is equipped with advanced surgical technologies to perform minimally invasive surgeries like laparoscopy and hysterectomies.

Expertise of Our Gynecologists in Salem

The team of gynecologists at VIMS Hospitals is composed of highly trained and experienced specialists. With years of experience, our gynecologists in Salem have a deep understanding of the unique health challenges women face at different stages of life. We provide individualized care with a focus on building a strong, trusting relationship with our patients. Whether you're visiting for routine care or seeking specialized treatment for a specific condition, you can rely on our team for expert advice and comprehensive care.

Our gynecologists stay updated with the latest advancements in the field and utilize modern medical technologies to ensure the best possible outcomes. We focus on providing both medical and emotional support, ensuring that you feel confident and cared for during your visit.

Advanced Diagnostic and Treatment Options at VIMS Hospitals

As the best gynecologist hospital in Salem, VIMS Hospitals is equipped with cutting-edge diagnostic tools and technology. Our facilities include advanced ultrasound machines, digital mammography, and laboratory testing services that help our gynecologists diagnose and treat conditions more accurately and efficiently. Early detection is critical for managing gynecological health, and our team is committed to using the latest technology to provide the best care possible.

Whether you're undergoing routine screenings, fertility tests, or more specialized procedures, our team ensures a comfortable and private experience every step of the way. We also offer a range of non-invasive treatments, such as hormone therapy and lifestyle management programs, to address common concerns like menstrual irregularities and pelvic pain.

Compassionate Care for Women of All Ages

At VIMS Hospitals, we believe in providing compassionate care that is tailored to each patient’s unique needs. Our team of gynecologists in Salem is dedicated to offering a supportive environment where you can openly discuss your health concerns. We understand that women’s health issues can sometimes be difficult to talk about, and we ensure that you are treated with the utmost respect, confidentiality, and care.

Whether you're a teenager experiencing your first visit to a gynecologist, a woman navigating the challenges of pregnancy, or someone seeking support during menopause, VIMS Hospitals offers a caring and non-judgmental environment. Our team works with you to create a treatment plan that fits your lifestyle, empowering you to take charge of your health.

International Patient Care at VIMS Hospitals

For international patients seeking high-quality gynecological care in Salem, VIMS Hospitals provides comprehensive support through our International Patient Care Cell. We understand the challenges that come with traveling for medical treatment, which is why we offer a full range of services to assist with travel, lodging, visa assistance, and any other administrative needs. Our team ensures a smooth and stress-free experience for international patients, so you can focus on your health while we take care of the rest.

Why VIMS Hospitals is the Best Gynecologist Hospital in Salem

With our dedicated team of experienced gynecologists, state-of-the-art facilities, and patient-centered approach to care, VIMS Hospitals stands out as the top gynecologist hospital in Salem. We offer comprehensive services that cover every aspect of women’s health, ensuring that you receive the highest quality care in a comfortable and welcoming environment. Our commitment to excellence in both medical and emotional care makes us the preferred choice for women in Salem and beyond.

If you’re looking for a gynecologist hospital in Salem that puts your health and well-being first, VIMS Hospitals is the place to be. Our expert team is here to provide you with personalized care that meets your unique needs at every stage of life.

Contact VIMS Hospitals for Expert Gynecological Care

If you or a loved one is in need of gynecological care, don’t wait. Contact VIMS Hospitals today to schedule an appointment with one of our expert gynecologists. Our team is here to provide you with the best care possible in a comfortable and supportive environment. Whether you need a routine check-up or specialized treatment, we’re here to help you every step of the way.

Conclusion:

VIMS Hospitals is the leading Gynecologist hospital in Salem, offering a wide range of services that cater to women’s health needs. With our expert team of gynecologists, advanced diagnostic tools, and compassionate care, we ensure that your health is in the best hands. Book an appointment today and experience the best in women’s healthcare.

#gynecologist #gynecology doctor #gynecologist hospital in salem

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fertilitycentres · 3 years ago

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Best Fertility Hospital in Coimbatore with High Success Rate 2021

Vinsfertility Pvt Ltd could be a leading fertility centre for physiological state treatment together with IVF, IUI, Laparoscopic Surgery at reasonable value. Vinsfertility Best IVF centres in Coimbatore. we've a team of the simplest IVF specialists in Coimbatore. Our compassionate doctors and therefore the best fertility specialists in Coimbatore scan and check you for physiological state causes and problems, offer you with the simplest attainable outcome and counsel treatments accor

Here is one of the best IVF Centres in Coimbatore:

Iswarya Women’s Hospital

Iswarya Women’s Hospital & Fertility Center has four hospitals placed in Madras, Coimbatore, Madurai and Palani with smart gynecologists and with facilities for IVF, surrogacy treatment (surrogate mothers), delivery & all medical specialty procedures like extirpation and laparoscopic surgeries Ishwarya womens is Best Fertility Hospital in Coimbatore. We've been a 1 stop place for all medical specialty issues and our experience lies in providing reasonable laparoscopic surgeries altogether in our centers.

We've been rated as the greatest and high performing arts IVF center in TamilNadu for all kinds of physiological state treatments like surrogacy, IVF, IUI, egg donation, embryo donation, temperature reduction embryo transfers. We have a tendency to square measure the hospital for egg donation, embryo donation, surrogacy – mother care, speculative gestation care. glorious IVF & AMP, fertility center for physiological state treatments in Madras, Coimbatore, Madurai, and Palani. physiological state clinic.

Sudha IVF & Fertility Centre

Sudha Hospital saw its humble beginnings in Erode in 1985 Sudha Hospital is one of the Best Fertility Hospital in Coimbatore, The hospital established by Dr.D.kandaswamy started with simply twenty beds. later, Sudha Heart and Maternity Hospitals was established within the year 1990.

Identifying a crucial want in society, Sudha Hospital started a fertility center in 1995. pictured by Dr.S.Dhanabagyam, the middle was among the pioneers of IVF procedure within the Kongu region. Today, the complete takes pride in finishing twenty five productive years within the field of fertility management. Sudha Hospital extended its presence to Coimbatore in 2010 and is nowadays one in all the top-performing IVF centers in Coimbatore. Sudha Fertility Centre has additionally extended its footprint with branches in Erode, Salem, Coimbatore, Chennai, Madurai, Trichy, Colombo, Hyderabad, and Bengaluru.

Vamsam Fertility Centre, Coimbatore

Vamsam Fertility analysis Centre was supported in 2007 by Dr. Paramasivam and Dr. Silambuselvi whose vision of giving top quality, comprehensive, physiological state treatment delivered pitifully and personalised care is the cornerstone of our fertility center.

Vamsam Fertility is an affordable IVF Cost in Coimbatore and they have well skilled IVF specialists, Infertility is a nerve-wracking time for couples and plenty of studies replicate the negative impact this will have on success. VFRC is devoted to creating your journey a better one. Our philosophy is to produce the very best normal of personalised medical aid combined with a stress-free approach. This is often mirrored in our highest success rates with our couples achieving their dream of getting a baby.

They believe each patient ihhhhhs totally different, each couple is totally different, and each drawback is totally different. That’s why we offer a full spectrum of care tailored to suit the precise wants of every patient or couple. They at Vamsam Fertility analysis Centre won't solely assist you become pregnant however additionally assist you do your baby term. This holistic approach is one in all the various factors that set the U.S.A. excluding alternative centers.

Nova IVF Centre Coimbatore

Nova ivf centre has several fertility centers and women’s hospitals throughout the Republic of India. Their fertility hospitals offer treatments like IUI, IVF, ICSI, IMSI, endoscopy, laparotomy services. Star IVF Centre provides services like Maternity, gestation care, delivery services, and well-women check ups at reasonable prices. star ivf centre network has an Associate in Nursing exclusive team of IVF specialists. The World Health Organization pays attention to our IVF centers in the Republic of India with the experience to produce high-quality fertility treatments for each physiological state issue. The centre is headed by the terribly veteran physiological state Specialist in Coimbatore square measure Dr. V. Latha, and Dr. Meenakshi Priya.

Facebook- https://www.facebook.com/VinsfertilityIVFcentre/

Instagram- https://www.instagram.com/vinsfertility/

linkedin- https://www.linkedin.com/company/31232847/admin/

Youtube- https://www.youtube.com/channel/UCmx0IqiCF32tL0sC6KEonYA

#ivf #iui #fertility #icsi #ivfcentre #ivfcost #surrogacycentre #surrogacycost #fertilitycentre #ivfcostincoimbatore #coimbatore

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shanmugahospital · 4 years ago

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As one of the top multispecialty hospitals in Salem, Shanmuga hospital provides exceptional healthcare services in a number of specialties including diabetology, urology, neurology, pediatrics, hematology, orthopaedics, obstetrics & gynecology, gastroenterology and so on.

#child doctor in salem #hospital in salem #child specialist doctor in salem #shanmuga hospital in salem #obstetrics-gynecology-hospital-in-salem

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anupsingh11-blog · 6 years ago

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What Is MESA | MESA Centres In Salem | ElaWoman

What is MESA?

MESA (Micro-Epididymal Sperm Aspiration) is an open surgical sperm retrieval technique to treat male infertility problems along with Azoospermia (total absence of sperm in ejaculation) and reproductive tract blockage. Reproductive tract can be blocked due to various genital surgical procedures inclusive of vasectomy.

Under this procedure, operating microscopy is used and sperm retrieval is done without delay from the epididymis (reproductive tube connecting the testicles to the sperm carrying vessels) organ in the male genitalia.

MESA is generally used to assist pregnancy for the childless couples through Assisted Reproductive Technology (ART) such as IVF (In-Vitro Fertilization) and every now and then IUI also. It involves a surgical procedure to cut open the scrotum and retrieve the sperm. This MESA process causes ache for a few days.

When to assume MESA?

This approach is used while the father has problems in sperm production due to numerous reasons such as:

Azoospermia : When zero sperm is observed inside the ejaculated semen in a Semen Analysis Test or Sperm Culture Report then MESA can be cautioned. Azoospermia is of two types -

Obstructive Azoospermia (no sperm in the semen due to contamination/accident/surgical operation in testicles, prostate or the reproductive tract)

Non-obstructive Azoospermia (no sperm within the semen due to ordinary sperm production primarily related to hormonal issues or genetic)

However, MESA isn't cautioned in Non-Obstructive Azoospermia (NOA) as it is difficult to find sperm inside the epididymis while sperm production is impaired because of genetic elements in NOA.

Oligospermia: MESA is suggested whilst the male has Oligospermia (low sperm attention inside the semen)

MESA is beneficial whilst the male has previous genital surgeries inclusive of Vasectomy (male sterilization surgical operation for permanent contraception) and Inguinal Hernia Repair (surgical operation to restore a hernia within the groin)

Men diagnosed with Cystic fibrosis (a genetic disorder affecting lungs), which ends up in infertility issues by way of affecting the development of vas deferens-tube carrying the sperms to the testicles.

MESA is needed whilst the male has a hassle with blockage of seminal tissues or vas deferens due to cysts.

What are MESA Risks & Benefits?

MESA system entails masses of blessings in addition to risks. Below we've got mentioned how much MESA may be beneficial for you. Also, the danger factors of MESA are discussed therefore.

MESA Benefits

MESA is useful because it permits you to retrieve a big amount of sperm, which may be cryopreserved or frozen to use in destiny IVF cycles as nicely.

MESA advantages to the ones couples who do not want donor sperm and want their biological baby.

Less invasive and desires microsurgery.

MESA is the exceptional manner to retrieve sperm if TESA (Testicular Sperm Aspiration) fails or when sperm retrieval isn't feasible via TESA.

MESA Risks

Mild ache lasting three to 14 days is common after MESA.

Risk of Haematoma (swelling with clotted blood within the scrotal tissue) is thereafter MESA.

Swelling of the testicles with discoloration of the scrotal skin is also observed in a few patients after MESA.

Risk of contamination inside the incision web site (swelling, redness, rash, itching) persists as much as a week after MESA surgical operation.

One have to keep away from the sexual hobby and highly spiced food after MESA as these can complicate a affected person’s pelvic and bowel vicinity respectively.

Manipal Hospital

Manipal Hospital is one in all India’s most important multi-speciality healthcare vendors catering to both Indian and worldwide patients. We are part of the Manipal Education and Medical Group (MEMG) – a leader inside the regions of education and healthcare. With more than 5000 operational beds, our commitment to the overall properly-being of an individual is at the middle of everything we do. Through our network of hospitals and experienced group of clinical experts, we offer excellent and low-priced healthcare to every body and it is one of the best MESA Centres in Salem.

Manipal Hospital Dwarka, is a multi high-quality speciality tertiary care healthcare facility, turning in world-class healthcare, at an choicest price. Manipal Hospital Dwarka is ready to set new benchmarks in medical care. Preventive, diagnostic and healing offerings are the core of our eminent specialists who carry a long time of information, making Manipal Hospital Dwarka, the fine location for treatment for scientific troubles across all age organizations.

Akshaya Fertility Centre

Akshaya Fertility Centre is an IVF Hospital located in Ramakrishna, Salem. The middle offers its healthcare services inclusive of Infertility assessment, In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), Intracytoplasmic Sperm Injection (ICSI), Assisted Laser Hatching (LAH), Blastocyst Transfer, Sperm and Embryo Freezing, Preimplantation genetic analysis (PGD), and Endometriosis treatment. Akshaya Fertility Center is nicely geared up with extremely contemporary facilities and state of the art equipments combined with generation. Dr. Vani Pujari who's an Obstetrician and Gynecologist practices at this Center and it is one of the best MESA Centres in Salem.

Akshaya Fertility Centre is also the managing director of Akshaya Fertility Center. Dr. Vani has a practising experience of extra than a long time in the area of Obstetrics and Gynecology. Dr. Vani Pujari is likewise a member of Royal College of Obstetricians and Gynecologists, Indian Society for Assisted Reproduction (ISAR) and The Federation of Obstetric & Gynecological Societies of India (FOGSI).

ARMC IVF Fertility Center

ARMC IVF Fertility Center become founded in June 2009 by way of organising its first ever day care fertility centre at Kozhikode, Kerala, India. IVF-ICSI has been part of the services furnished by this centre considering its concept. As Managing director of ARMC IVF group of Fertility centers, Dr.K.U.Kunjumoideen leads the group of docs, scientists, nurses and management team of workers that are committed to ensuring that every one couples are given the very first-rate risk of achieving a pregnancy and it is one of the best MESA Centres in Salem.

In ARMC IVF Fertility Center take your safety, privateness and the exceptional of our provider very significantly. All of our scientific procedures and all the statistics you receive meet with the most traumatic criteria of protection, privateness and nice. On our internet site we submit our up to date outcomes, which have been audited by using an independent frame. These figures are up to now constantly above the average for our discipline. We inspire you to examine our results and make contact with us with any doubts that you could have approximately those figures.

Krishna Fertility and Laparoscopy Hospital

The Krishna Fertility and Laparoscopy Hospital is positioned in Heart of Salem in Brindavan street near new bus stand. It is properly geared up with all the brand new gadget, absolutely geared up Operation theatre, Laminar go with the flow fertility lab, High definition digicam, Harmonic scalpel and labour room. We are completely devoted into Infertility control and Laparoscopic surgical operation.

Beginning from infertility treatment to being concerned of your loved newborn all facilities are available. We also have offerings of paediatricians, physicians and different professional. This Hospital is devoted closer to imparting exceptional carrier to you at maximum inexpensive costs. Krishna Fertility and Laparoscopy Hospital is an IVF Center positioned in Fairlands, Salem. The sanatorium offers a huge range of medical offerings related to infertility department include General clinical consultation, Infertility evaluation, Blastocyst switch, Intrauterine Insemination (IUI), Laparoscopy surgical treatment, Hysteroscopy surgical operation, In Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI), Frozen embryo transfer, Testicular Epididymal Sperm Aspiration (TESA) and Percutaneous Epididymal Sperm Aspiration (PESA) strategies.

Dr. N. Maya

Dr. N. Maya is a Obstetrician and Gynecologist in Fairlands, Salem and has an experience of 12 years in these fields. Dr. N. Maya practices at Krishna Speciality Hospital in Fairlands, Salem. She completed MBBS from Coimbatore Medical College in 1996,DGO from Thanjavur Medical College in 2004 and Fellowship in Reproductive Medicine from KJK Hospital, Thiruvananthapuram in 2014.

Dr. N. Maya (krishna Fertility & Laparoscopy Center) in Fairlands has mounted the medical institution and has received a faithful shoppers over the past few years and is also often visited with the aid of several celebrities, aspiring models and other honourable customers and international sufferers as well. They additionally plan on expanding their commercial enterprise further and imparting services to numerous greater sufferers due to its success over the past few years.

For more information, Call Us : +91-8929020600

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bigyack-com · 5 years ago

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Abortion by Telemedicine: A Growing Option as Access to Clinics Wanes

Ashley Dale was grateful she could end her pregnancy at home.As her 3-year-old daughter played nearby, she spoke by video from her living room in Hawaii with Dr. Bliss Kaneshiro, an obstetrician-gynecologist, who was a 200-mile plane ride away in Honolulu. The doctor explained that two medicines that would be mailed to Ms. Dale would halt her pregnancy and cause a miscarriage.“Does it sound like what you want to do in terms of terminating the pregnancy?” Dr. Kaneshiro asked gently. Ms. Dale, who said she would love to have another baby, had wrestled with the decision, but circumstances involving an estranged boyfriend had made the choice clear: “It does,” she replied.Now, the coronavirus pandemic is catapulting demand for telemedicine abortion to a new level, with much of the nation under strict stay-at-home advisories and as several states, including Arkansas, Oklahoma and Texas, have sought to suspend access to surgical abortions during the crisis.The telemedicine program that Ms. Dale participated in has been allowed to operate as a research study for several years under a special arrangement with the Food and Drug Administration. It allows women seeking abortions to have video consultations with certified doctors and then receive abortion pills by mail to take on their own.Over the past year, the program, called TelAbortion, has expanded from serving five states to serving 13, adding two of those — Illinois and Maryland — as the coronavirus crisis exploded. Not including those new states, about twice as many women had abortions through the program in March and April as in January and February.To accommodate women during the pandemic, TelAbortion is “working to expand to new states as fast as possible,” said Dr. Elizabeth Raymond, senior medical associate at Gynuity Health Projects, which runs the program. It is also hearing from more women in neighboring states seeking to cross state lines so TelAbortion can serve them.As of April 22, TelAbortion had mailed a total of 841 packages containing abortion pills and confirmed 611 completed abortions, Dr. Raymond said. Another 216 participants were either still in the follow-up process or have not been in contact to confirm their results. The program’s growth is significant enough that Republican senators recently introduced a bill to ban telemedicine abortion.The F.D.A., which has allowed TelAbortion to continue operating during the Trump administration, declined to answer questions from The New York Times about the program.The F.D.A. rules, however, do not specify that providers must see patients in person, so some clinics have begun allowing women to come in for video consultations with certified doctors based elsewhere. TelAbortion goes further, offering telemedicine consultations to women at home (or anywhere), mailing them pills and following up after women take them.In interviews, seven women who terminated pregnancies through TelAbortion described the conflicting emotions and intricate logistics that can accompany a decision to have an abortion, and their reasons for choosing to do it through telemedicine.Ms. Dale, a single mother, was about to start a job at a storage center when she became pregnant last year. She would have had to fly to Honolulu, incurring expenses for travel and child care.“The alternative would be to wait for a doctor to come to my island in three weeks,” Ms. Dale, 35, told Dr. Kaneshiro during her consultation, which she allowed a Times reporter to observe. By then, she would be too pregnant for a medication abortion.But many TelAbortion patients live near clinics. Shiloh Kirby, 24, of Denver, who said she had become pregnant after being raped at a party, chose TelAbortion for convenience and privacy. She conducted her video consultation while sitting in her car in the parking lot of the hardware store where she worked.Dawn, 30, a divorced mother of two who asked to be identified only by her first name, was terrified that the debilitating postpartum depression she experienced after her children’s births would return if she continued her pregnancy. And she worried protesters at her local Planned Parenthood in Salem, Ore., might recognize her.“I just don’t want to deal with that ridicule,” she said.

Expanding across the country

Based on state laws governing telemedicine and abortion, Dr. Raymond estimated TelAbortion might be legal in slightly over half of the states, including some conservative ones. It now serves Colorado, Georgia, Hawaii, Illinois, Iowa, Maine, Maryland, Minnesota, Montana, New Mexico, New York, Oregon and Washington.The doctors (and nurses or midwives in some states) who do TelAbortion’s video consultations must be licensed in states where medication is mailed, but do not have to practice there. Likewise, patients do not have to live in the states that TelAbortion serves; they just have to be in one of them during the videoconference and provide an address there — that of a friend, relative, even a motel or post office — to which pills can be shipped.“We have had patients who cross state lines in order to receive TelAbortions,” Dr. Raymond said. More are expected to do so during the pandemic. This month, a woman from Texas drove 10 hours in snowy weather to New Mexico, where she stayed in a motel for her videoconference and to receive the pills.The organization that provides TelAbortion services in Georgia, carafem, has expanded recently to Maryland and Illinois, and it is running digital ads that are expected to reach women in some nearby states like Missouri and Ohio, which have more abortion restrictions, said Melissa Grant, carafem’s chief operations officer.In May, shortly after Georgia’s governor signed one of the country’s strictest abortion laws (which is now being challenged in court), Lee, 37, who lives near Atlanta, discovered she was seven weeks pregnant.Lee, who asked to be identified only by a shortened version of her first name, said the pregnancy had shocked her because she took birth control pills regularly. She decided to terminate the pregnancy because she had recently cut ties with her boyfriend after he was arrested on drug charges, she said.She kept her decision from her family members, who she said were strongly against abortion. And she feared protesters would castigate her if she visited an abortion clinic.“No one goes through life saying, ‘I’m going to grow up and get an abortion,’” Lee said. “So you’re already struggling with that and then to have someone tell you that you’re going to hell or that you’re killing babies, it’s horrible.”She found carafem, and videoconferenced in her office at lunchtime with a doctor in another state.During such consultations, doctors explain that most women do not experience discomfort from mifepristone, which blocks a hormone necessary for pregnancy to develop. Cramping and bleeding, resembling a heavy period, occur after the expulsion of fetal tissue caused by the second drug, misoprostol, which is taken up to 48 hours later. After several hours, bleeding dwindles but might continue for two weeks. In rare cases, women can develop fevers, infections or extensive bleeding requiring medical attention.Lee received a package marked only with her name and address; it contained the pills, tea bags, peppermints, maxipads, prescription ibuprofen and nausea medication.“Just everything you could need,” she said. “It was so comforting.”TelAbortion reports that of the 611 completed abortions documented through April 22, most were accomplished with only the pills and without complications. In 26 cases, aspiration was performed to finish the termination.Dr. Raymond said 46 women went to emergency rooms or urgent care centers with issues that appear just as likely to have occurred if the women had followed the common practice of visiting abortion clinics for consultations, taking the first medication there and the second at home. Two women went before receiving the pills and two before taking them, either because of morning sickness or because they thought they were miscarrying. Fifteen ended up needing no medical treatment. Some were given medicine for pain or nausea.Three were hospitalized, all successfully treated: two women had excessive bleeding, and another had a seizure after an aspiration, Dr. Raymond said.Eleven women decided not to have abortions and did not take the pills they were sent. Another woman continued her pregnancy after the medication failed, as did another after vomiting the mifepristone. Sixteen women have undergone two telabortions, Dr. Raymond said.Of the women The Times interviewed, only Dawn, who said she has anxiety, called the 24-hour TelAbortion line for emotional support.“It was after I took the pills,” Dawn said. “I felt like my body, my hormones essentially crashed. And because I suffer from mental health issues, just everything was just kind of out of whack and I started really panicking bad. I called the nurse and she just sat on the phone with me.”

Complex decisions

TelAbortion typically charges $200 to $375 for consultations and pills. Women must also pay for an ultrasound and lab tests, obtained from any provider. During the coronavirus pandemic, TelAbortion may waive its requirement for an ultrasound to gauge the gestational age of the pregnancy if women are unable to visit a doctor to obtain one, Dr. Raymond said. In some states, some or all of the costs are covered by private insurance or Medicaid. For women facing financial hardship, like Ms. Kirby in Denver, the program taps abortion grant networks.Some patients said the teleconsultations helped them navigate the complex feelings that abortion can evoke.Leigh, a 28-year-old construction inspector in Denver, who asked to be identified only by her middle name, said she considered herself “totally pro-life.”But, she said, she also has depression, which became so severe after she had a baby two years ago that she sometimes felt suicidal. Doctors, she said, “didn’t trust me alone with my baby.”Last March, after discovering she was pregnant and consulting her fiancé, she called Planned Parenthood. “I said, ‘I don’t want to be this person, but I need to abort this pregnancy,’” Leigh said.She chose the TelAbortion option. After taking the first medication, she attended a previously scheduled photo shoot for engagement pictures with her fiancé, then took the second medication that evening.Conducting her follow-up call from a field on a job site, Leigh told the doctor, Kristina Tocce, medical director of Planned Parenthood of the Rocky Mountains, that she felt compelled to abort “no matter how much I hate myself.”When she sees a baby now, she says she still sometimes wonders, “‘Did I make the wrong choice?’”“I wanted to keep my baby, but I just couldn’t,” she said.During Ms. Dale’s videoconference in Hawaii, Dr. Kaneshiro spoke calmly.“It is pretty normal to pass some blood clots that maybe are even the size of a quarter,” she said.“I’m prepared because I actually had a miscarriage last year at four months along,” Ms. Dale replied.“This will not be that bad — I mean, at this stage of pregnancy, the actual embryo is smaller than the size of a grain of rice,” Dr. Kaneshiro said. “It’s very unlikely to see anything that’s recognizable as a pregnancy.”“OK, that’s good,” said Ms. Dale, then eight and a half weeks pregnant.“It doesn’t affect future pregnancies, so it doesn’t have any long-term effects,” Dr. Kaneshiro said.“OK, that was one of my questions, thank you,” Ms. Dale said.“Mommy, mommy!” called her daughter, Sophia, bouncing into the living room from a bedroom filled with Legos and a pop-up castle.“She’s beautiful,” Dr. Kaneshiro said.Ms. Dale’s consultation and lab tests were covered by Hawaii public assistance. The pills, which cost her $135, arrived by certified mail. She placed them on a table near two pregnancy ultrasound photos.“OK, this is happening,” Ms. Dale said she told herself. “I’m doing this.”Her reasons partly involved disagreements with her estranged boyfriend, the father of Sophia, now 4. Their strained relationship made Ms. Dale believe she would have to raise their second child alone.“I’ve got a beautiful daughter and I’d really love to have another one,” she said. “But it’s just not feasible for my sanity, and I feel like I’d basically be guaranteeing us to live in poverty.”On the back of an ultrasound picture, she wrote: “Never forget why you had to make the hard decision to let this baby go.” She swallowed the pill.She had Sophia stay at her mother’s house and took the other tablets, which she said felt like chalk in her mouth. To distract from seven hours of cramping and heavy bleeding, she watched back-to-back “Matrix” movies.“It’s not like it was easy,” she reflected later, “but at the same time it’s pretty clearly the right choice.” Read the full article

#abortion #access #Clinics #Growing #health #HealthNews #Option #Telemedicine #Wanes

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todaynewsstories · 6 years ago

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Encourage teens to discuss relationships, experts say

(Reuters Health) – Healthcare providers and parents should begin talking to adolescents in middle school about healthy romantic and sexual relationships and mutual respect for others, a doctors’ group urges.

Obstetrician-gynecologists, in particular, should screen their patients routinely for intimate partner violence and sexual coercion and be prepared to discuss it, the Committee on Adolescent Health Care of the American College of Obstetricians and Gynecologists advises.

“Our aim is to give the healthcare provider a guide on how to approach adolescents and educate them on the importance of relationships that promote their overall wellbeing,” said Dr. Oluyemisi Adeyemi-Fowode of Texas Children’s Hospital and Baylor College of Medicine in Houston, Texas, who co-authored the committee’s opinion statement and resource for doctors published in Obstetrics & Gynecology.

“We want to recognize the full spectrum of relationships and that not all adolescents are involved in sexual relationships,” she said in an email. “This acknowledges the sexual and non-sexual aspects of relationships.”

Adeyemi-Fowode and her coauthor Dr. Karen Gerancher of Wake Forest School of Medicine in Winston-Salem, North Carolina, suggest creating a nonjudgmental environment for teens to talk and recommend educating staff about unique concerns that adolescents may have as compared to adult patients. Parents and caregivers should be provided with resources, too, they write.

“As individuals, our days include constant interaction with other people,” Adeyemi-Fowode told Reuters Health. “Learning how to effectively communicate is essential to these exchanges, and it is a skill that we begin to develop very early in life.”

In middle school, when self-discovery develops, parents, mentors and healthcare providers can help adolescents build on these communication skills. As they spend more time on social networking sites and other electronic media, teens could use guidance on how to recognize relationships that positively encourage them and relationships that hurt them emotionally or physically.

Primarily, healthcare providers and parents should discuss key aspects of a healthy relationship, including respect, communication and the value of people’s bodies and personal health. Equality, honesty, physical safety, independence and humor are also good qualities in a positive relationship.

As doctors interact with teens, they should also be aware of how social norms, religion and family influence could play a role in their relationships.

Although the primary focus of counseling should help teens define a healthy relationship, it’s important to discuss unhealthy characteristics, too, the authors write. This includes control, disrespect, intimidation, dishonesty, dependence, hostility and abuse. They cite a 2017 Centers for Disease Control and Prevention study of young women in high school that found about 11 percent had been forced to engage in sexual activities they didn’t want, including kissing, touching and sexual intercourse. About 9 percent said they were physically hurt by someone they were dating.

For obstetrician-gynecologists, the initial reproductive health visit recommended for girls at ages 13-15 could be a good time to begin talking about romantic and sexual health concerns, the authors write. They also offer doctors a list of questions that may be helpful for these conversations, including “How do you feel about relationships in general or about your own sexuality?” and “What qualities are important to someone you would date or go out with?”

Health providers can provide confidentiality for teens but also talk with parents about their kids’ relationships. The committee opinion suggests that doctors encourage parents to model good relationships, discuss sex and sexual risk, and monitor media to reduce exposure to highly sexualized content.

“Without intentionally talking to them about respectful, equitable relationships, we’re leaving them to fend for themselves,” said Dr. Elizabeth Miller, chief of adolescent and young adult medicine at Children’s Hospital of Pittsburgh of UPMC, who wasn’t involved in the opinion statement.

Miller recommends FuturesWithoutViolence.org, a website that offers resources on dating violence, workplace harassment, domestic violence and childhood trauma. She and colleagues distribute the organization’s “Hanging Out or Hooking Up?” safety card (bit.ly/2PQfxEM), which offers tips to recognize and address adolescent relationship abuse, to patients and parents, Miller said.

“More than 20 years of research shows the impact of abusive relationships on young people’s health,” Miller said in a phone interview. “Unintended pregnancies, sexually-transmitted infections, HIV, depression, anxiety, suicide, disordered eating and substance abuse can stem from this.”

SOURCE: bit.ly/2JNPgBa Obstetrics & Gynecology, online October 24, 2018.

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What is the average cost of auto insurance for a teenager?

"What is the average cost of auto insurance for a teenager?

im a girl who's 16 years old- no driving problems- and im applicable for the good grades discount thing i really would like my license and i have the money for it ( i have a job) Im just wondering how much it would approximately cost? --thanks

BEST ANSWER: Try this site where you can compare quotes: : http://howmuchisinsurance.xyz/index.html?src=tumblr

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What is the Average Car insurance cover for UK Provisional driver?

I need one and looking at most covers, they are hell of a lot costy. But I have an eye of one which is about 2.81 per day. What do you think of that? Above/below average? Good/bad cover. Any suggestion will help. Cheers.""

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What is the average cost of auto insurance for a teenager?

https://www.linkedin.com/pulse/family-health-care-insurance-quotes-francis-charlson/"

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oselatra · 8 years ago

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The real transgender crisis in Arkansas: health care

Finally, the doctor is in.

While Arkansas lawmakers were wringing their hands this past legislative session over what to do about genitalia sightings in bathroom stalls — a nonexistent problem that, had the legislation passed, would have required bearded, buff men to use the ladies' room — doctors, medical students and activists were working to address a real problem: the dearth of health care for transgender individuals.

Nonscientific ideas about gender crowded out reason, as Republican state lawmakers like Sens. Linda Collins-Smith of Pocahontas and Gary Stubblefield of Branch and Reps. Bob Ballinger of Berryville, Mickey Gates of Hot Springs and Greg Standridge of Russellville promoted bills that would have required Arkansans to wear their original birth certificates around their necks and thrown people in jail if their nudity offended. Their actions, thankfully, were stopped by a business-minded Governor Hutchinson. But Hutchinson only stanched the flow of hurt that such ignorance surely set loose, the sort of bullying that drives 45 percent of transgender teenagers to attempt suicide.

Had legislators gotten their heads out of the stalls, they could have acted to help, rather than further marginalize, their fellow Arkansans. They could have changed state Medicaid rules that disallow reimbursement for hormone therapies. They could have appropriated funds to run the Department of Health's suicide hotline. Or they could have talked to physicians who would have helped them understand that transgendered people are not freaks, no more likely to prey on people than, say, redheads or Razorback fans.

Rowan Rodgers, 27, is one of those burly, bearded guys that, had Collins-Smith's bathroom bill passed, requiring folks to show original birth certificates at the bathroom door, would have been coming to a girls' powder room near you. The Heber Springs man, born with the genital attributes of a woman but who as a toddler asked for boys' underwear on a shopping trip with his father, praised Little Rock gynecologist Dr. Janet Cathey for making his life, and that of his fiance and two kids, better. "She's a one of a kind," he said.

Cathey, along with Drs. Sara Tariq and Sam Jackson are a few of the physicians working to provide better health care for transmen and transwomen, both in clinics and the classroom, at the University of Arkansas for Medical Sciences.

Cathey, an obstetrician/gynecologist, sees transgender patients in clinic one morning a week at UAMS. It's work she said is the most rewarding of her life. She's been treating transgender patients for most of her 30-year career, providing hormone therapy to transmen who, in the days before social media, learned of her willingness to help by word of mouth. It started shortly after she opened her practice, when a caller inquired if she'd provide testosterone to a woman, "and I thought, 'Why not?' " It grew from there.

"I get tearful thinking about it," Cathey said. Her transgender patients "are the most appreciative patient population you could ever have. When you put someone on hormones, and they come in two months later for follow-up, and they say, 'I've just had the best two months of my life ... .' "

That she feels bonded to her patients is obvious: She does tear up while she's talking about them.

In 2009, Cathey injured her spine in an automobile accident and had to sell her practice. That left her transgender patients hanging. As she recuperated, she knew she didn't want to retire. "I thought maybe I could do a gender clinic. I knew there was a need," she said. But how could she afford to set up a new practice?

Serendipitously, she ran into Dr. Curtis Lowery, chairman of UAMS' department of obstetrics and gynecology. He asked her to help oversee the medical college's residents' clinic, and she agreed.

Cathey wasn't the only doctor who saw a need for a gender clinic. A year into her work at UAMS, she was approached by mental health professionals about setting up a gender clinic. With the same determination it took to get back on her feet again — she walks now with the help of braces and a cane — she went to Lowery and told him that's what she and another OB/GYN wanted to do. "He said, 'Just don't lose a lot of money.' "

The administration allotted her two spots for gender patients. "I said, 'Y'all just wait.' "

There is now a four-month waiting list to be seen in the gender clinic: The two spots for appointments have stretched to a morning's worth of appointments. She and Dr. Mary Racher "make about 60 patient contacts" a month. "We've seen, between the two of us, probably around 300 patients," genetic females transitioning to males and genetic males transitioning to female, in the past two and a half years, Cathey said. Men get estrogen and androgen blockers. Women get testosterone. Transmen — the term for a genetically female person who is transitioning to male — can schedule hysterectomies and breast reduction surgery.

What does she think about legislative attempts to pass a bathroom bill? "I promise you have peed next to a transperson plenty of times."

Rodgers has been a patient of Cathey's since 2015. "I was very depressed when I went in there," he said. "She knew it."

But his hormone therapy lifted "a huge weight off my shoulders. When I took testosterone ... [changes in my] energy level, my voice, it was like injecting life into myself. That's the best way I can explain it. It was definitely life-changing."

Rodgers cried after his first shot in Cathey's office. After his second, he quit having periods. "I was like, 'wow.' "

The relief and happiness that Rodgers experienced after the start of hormone therapy is common, though the reasons why have not been well studied. "There is something neurochemically going on," Jackson, the Psychiatric Research Institute resident, said. It may be that the hormones resolve the emotional conflict that transpeople experience. Hormones "change the brain so it becomes correct. ... It confirms to me that biologically, there is something there, activating the brain and the right receptors, [telling the brain] yes, this is the correct hormone situation I am supposed to be in."

The hormones alter mood so much, Cathey said, that her patients can quit taking their antidepressants. "I've seen kids come in on SSRis (selective serotonin reuptake inhibitors) and Abilify (an antipsychotic). They come in and they won't make eye contact. In two or three months [after hormone therapy], they're animated. It's too much to think it's not biological. They're getting relief." They're getting what they need, she said.

Though some Arkansas legislators believe that men are men and women are women and never the twain shall meet, medicine knows that human gender is on a continuum.

As Arkansas Children's Hospital endocrinologist Dr. Michele Hutchison explained it, there are several kinds of gender. There is chromosomal gender: one X and one Y for males and two Xs for females. There is hormonal gender: For example, boys born with Androgen Insensitivity Syndrome are born looking and identifying as female because their bodies don't respond to testosterone. Boys with Reifenstein Syndrome —partial androgen insensitivity — may be born with either male or female genitalia and may identify as either male or female. There is something called testosterone transfer in fraternal twins, when the testosterone of the male fetus is transferred to the female fetus and makes the female masculine in genital and brain structure, etc. There is physiological gender: Whether there is a penis or a vagina. There is emotional gender: Whether you feel like a boy or a girl.

"It's a complex system that goes into creating a child," Hutchison said.

Hutchison said there is an "ever-growing body of evidence" that trans children and trans adults differ physiologically from non-trans persons, though the research "is in its infancy."

Male and female brains differ in structure, chemistry and how information is processed. One study, a small brain imaging project, showed that the brains of transgender children acted like the brains of the sex with which the children identified — transmale brains looked male, transfemale brains looked female. "Of course, behavior and experience shape brain anatomy, so it is impossible to say if these subtle differences are inborn," she said.

Arkansas Children's Hospital, which has physicians on staff who address such things as ambiguous genitalia, is looking into creating a gender clinic, Hutchison said. Health care — especially mental health care, given the high attempted suicide rate — for children who identify with a gender their bodies don't reflect would be a good thing, she believes.

"The hospital treats children with diabetes, and adrenal issues and hyperthyroidism [for example]. We're so good at it now. It's a fantastic hospital. We're so good at those things that we don't lose kids. This is an area where we could quite literally save some lives," Hutchinson said. "I have goose bumps" thinking about it, she said. She said clinics in Seattle, Los Angeles and Boston offer a model to look at.

Before she transitioned, Michelle Palumbo moved to Salem (Fulton County) with her wife and four children. She showed up with long hair, wearing earrings. Folks just attributed that to the fact that she was from New York.

But Palumbo had for a lifetime struggled with feelings of being a woman in a man's body. She was a cross-dresser, and her wife was OK with that.

In 2008, after her third heart attack and after doctors told her she could die at any time, Palumbo made up her mind to transition. Because she had been a bench chemist, she made her own estrogen, a fact that she said made Cathey's jaw drop when she finally went to her for proper medication two years ago. "If there is an angel on this earth," it's Cathey, Palumbo said.

"We are not freaks," said Palumbo, 64. She considers people who think so "religious extremists"; by contrast, the member of Pulaski Heights United Methodist Church considers herself a "religious evangelical." Palumbo also described herself as "ticked off" at the legislature, where she testified on various anti-transgender bills in the last session.

Palumbo moved to Little Rock in September after someone she'd confided in spread the word of her transition. (She'd been binding her breasts.) Her high school daughter was getting teased at school; kids were asking, "What's between your father's legs?" Palumbo said. Her wife stopped her from raising hell at the high school, and asked her to move out. The couple is now divorcing, though Palumbo said of her wife, "there's no better person on earth."

Palumbo is of the same generation as many of the legislators who don't understand that there is such a thing as transgender identification. In fact, 30 years ago, she decided to go through conversion therapy. "I wanted to be a man," she said, and her wife at the time had grown tired of Palumbo's "internal battle of identity." Palumbo said she would buy women's clothes and wear them, and then decide to "purge that, be a man, then the cycle would start all over again."

The psychiatrist Palumbo went to told her she could "cure her," and prescribed more sex. After a year and a half, Palumbo realized there was no cure. She researched transgender issues. "I'm not a freak. I'm not nuts."

Also because of her age, she believes, Palumbo is less militant than younger people about getting pronouns right. When a nurse who was looking down while Palumbo was signing in at the doctor's office and, hearing her voice, addressed Palumbo as sir, the nurse became flustered and apologetic. Palumbo told her not to worry. "I was upset because she was upset," Palumbo said, laughing. (Palumbo's voice is not generally deep, but on occasion it can change.)

Medical settings can be problematic, though not always because providers are uncomfortable with transgender people. Palumbo said her medical chart includes information that she is transgender, and at a recent appointment, the nurse who called her in for a heart procedure had a "stone cold" look on her face. Palumbo told her if she had a problem with her gender identity, she'd like to have another nurse, "but if you misgender me [use the wrong pronoun], I'm not going to be upset. Boom! Big smile."

And another thing about coming out as an older person: "You have more guilt," Palumbo said, wistfully. "You've made relationships with more people. When you're young, it's not like that."

"You can't hold people responsible for what they don't understand."

Dr. Tariq, assistant dean for undergraduate education at UAMS' College of Medicine, teaches the practice of medicine, a three-year course, to students in their second year: how to be compassionate, effective and "savvy." About seven or eight years ago, she introduced LGBT care into the course curriculum.

Not surprisingly, the LGBT community is underserved. "The patients are very vulnerable, and not just because they have to take their clothes off and let us poke around," Tariq said. They are called on to reveal information about themselves that they have never told anyone else. She teaches her students "the most irresponsible thing you can do is ignore them."

Many of UAMS' medical students have never been knowingly exposed to members of the LGBT community. As part of the curriculum, Tariq brings in a panel of LGBT folks — most recently, two transgender persons, a lesbian and a gay man.

One of the panelists told the assembled students that when he walks into a doctor's office he looks around for signs that the clinic is friendly to gay people. Even "as a brown woman in the South, that would never occur to me," Tariq said. The panelists gave examples of bad treatment: Doctors referring them to psychiatrists, not to deal with depression, but because they believe them to be mentally ill. Doctors making no eye contact. Doctors referring them to other doctors because they are uncomfortable treating them. (Palumbo recounted the experience of a transgender friend who was upbraided by a doctor for coming in: "There are children here!" he was told, as if he were a pederast.)

Many transgender people choose to keep their body phenotype, especially since surgery is both expensive and sometimes risky. That means pap smears and mammograms for transmen, prostate exams for transwomen. It also means mammograms for transwomen, since estrogen stimulates real breast tissue. "My motive," Tariq said, is to teach her students "to leave their biases at the door."

Part of Tariq's curriculum was contributed by Sam Jackson. In his fourth year of medical school, Jackson did a rotation in primary care for LGBT patients at Kaiser Permanente in Los Angeles. There, he worked with the hospital's transgender support group, which he said was the largest in Southern California.

"I am a story-driven person," Jackson said. "I really liked hearing the patients' stories. ... It just blew my mind." The experience left him with a passion for working with the trans community, and when he returned, Tariq asked him to share his experiences with her students.

"We've done an OK job of talking about LGBT health in the past," Jackson said. "We learn how to interview patients, take a sexual history and not be judgmental. It becomes a rote process ... and makes it easier for you to ask [questions] in a nonjudgmental way."

Now, Jackson is medical director for a clinic for transgender youths, the Rainbow Clinic, which meets quarterly at UAMS' student-staffed 12th Street Health and Wellness Center. Lucie's Place, a shelter for homeless LGBT youth, partners with UAMS for the Rainbow Center. Jackson also hopes to work with Cathey's clinic to provide psychiatric care.

Cathey has heard the stories, too. She recited what a transmale told her: "I remember one of my earliest memories was I got out of Pull-Ups and was going to Walmart to get real underwear, and we go in the girls' department and my mother picks out pink panties. And I said, I want boy underwear." An 18-year-old told her, "It wasn't that I wanted to be a boy. It was that I knew I was a boy." That patient's mother told Cathey that as a child, every picture he drew of himself was as a boy, never as a girl.

"One patient who was transfemale said she was coming home from first grade and her mother asked, 'How was your day?' And the patient said, 'This girl had on a pink dress and a pink bow and could I get a pink bow?' And the mother said, 'No, that's not how God made you, you're a boy."

An older patient told Cathey that in her 30s she'd learned you could buy hormones over the counter in Mexico, and, as Cathey related, "I went over and picked out the highest dose of Premarin I could. It was like magic. The second time, the border patrol started questioning me." She was too intimidated to continue. "Those were the best six months of my life," the patient told Cathey.

"It really gets you," Cathey said. Nobody would choose to be transgender. Palumbo said the same. "No guy would decide to be a woman. ... Who would give up male privilege?"

Dating also presents new issues for some transgender people, and they seek Cathey's advice. When do they tell people they're interested in about their transgender situation? "I don't talk about my genitals on a first date," Cathy said she tells them, "and you don't have to, either." She also tells them not to reveal anything at their apartment or their friend's.

One of Cathey's patients, a transwoman, told her she'd come out to her parents as gay last Christmas, and was thinking of telling them she was transgender this Christmas. "So last year, they had a gay son and this year they have a heterosexual daughter?" Cathey asked.

Rowan Rodgers, who's been with his girlfriend for seven years, first as a lesbian woman, waited a couple of years before he told her he was transgender.

"I didn't know how she'd react. We have two children, and it's just when you live in a world where you don't know how people are going to take things ... . You hear about people disowning their children. It's just bad. If I have one regret, it's not telling her sooner.

"At first, there were a lot of questions. It was a lot she had to take in. But she was very accepting. I call her 'my constant.' "

The children, boys 11 and 13, "are wonderful," Rodgers said. "They are thriving, doing wonderful in school and so smart and the most accepting of a lot of people who I thought were my friends. They said, 'You're my dad and I love you.' "

His parents, Rodgers said, "are a different story." They call him by his "dead name," which is what transgender people call the names given them at birth. "They tell me their daughter is dead." Rodgers has tried to keep the relationship going. "So when they call and want to talk, I'm there. When they tell me they hate me, I turn the other cheek."

Caring for the transgender community has also required that Cathey become a social worker of sorts. She's made her nurse a notary to help with legal documents, and helps her patients navigate the process of changing birth certificates, which requires a name change and a letter from a physician.

One of those persons she's helped changed a birth certificate was Rodgers. "I was lucky," Rodgers said. "I got a very nice lady" at the health department's vital records office. Now, Rodgers always keeps his birth certificate with him. "I'm always scared I'm going to be hassled."

Cathey and her patients have struggled with Medicaid, and Cathey is fearful the current political situation will make things harder for her transgender patients, many of whom rely on Medicaid because of the barriers to work that an anti-transgender society presents. Medicaid will cover top surgery — mastectomy — once a transman has begun to transition and the sex on his birth certificate has been corrected, because at that point, the condition is considered gynecomastia — male breasts. But it wouldn't pay for Rodgers' testosterone.

"Reassignment surgery male to female," Cathey estimated, "is about $50,000, but that's nothing compared to a total hip replacement." She hears people complain their insurance shouldn't have to pay for gender reassignment. To them she would say, "Well, you know what, I don't want to pay for your hip surgery."

Rodgers has found a pharmacy in Heber Springs that charges him a reasonable price for testosterone. He's also had top surgery and a hysterectomy. "Right now, I'm not planning to have any other surgery. I'm fine. The breasts bothered me and having a period every month."

Rodgers is looking forward to summer. "This is the first year I get to go out and swim. That's a beautiful thing."

The real transgender crisis in Arkansas: health care

#The real transgender crisis in Arkansas: health care

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vinsfertilitycentre · 5 years ago

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Best IVF cost in Salem | Low-cost IVF Centers in Salem - Vinsfertiliy

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anupsingh11-blog · 6 years ago

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Dr Jaishree Gajaraj | How Does IUI Work? | ElaWoman

Intrauterine insemination (IUI) is a easy process that places sperm directly internal your uterus, which allows wholesome sperm get closer to your egg.

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The insemination method is completed at your medical doctor’s workplace or at a fertility clinic, and it best takes approximately five-10 mins. It’s quite brief, and you don’t want anesthesia. IUI is usually not painful, but a few people have slight cramping.

Dr Jaishree Gajaraj

Dr Jaishree Gajaraj is a Gynecologist and Obstetrician in Alwarpet, Chennai and has an enjoy of 23 years in those fields. She finished MBBS from Madras University, Chennai, India in 1980,Diploma in Gynaecology & Obstetrics from Madras University, Chennai, India in 1984 and MD - Obstetrics & Gynaecology from Madras University, Chennai, India in 1988.

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Apollo Speciality Cancer Hospital

Apollo Speciality Cancer Hospital, India's first ISO certified healthcare provider is today ranked many of the top wonderful uniqueness hospitals , offering advanced tertiary care in Oncology, Orthopedics, Neurology and Neurosurgery, Head and Neck surgical treatment and Reconstructive and Plastic surgery. Equipped with 300 beds, the brand new and the high-quality generation, manned by using a large pool of worldwide renowned professionals and supported with the aid of a dedicated group of clinical and paramedical experts, Apollo Cancer Centre gives distinctiveness healthcare of international requirements with results matching those of the arena's great hospitals.

The Apollo Speciality Cancer Hospital affords 360 diploma most cancers care. The comprehensive treatment making plans device involves a Tumour Board which consists of a panel of able clinical, surgical and radiation oncologists. The Board along with diagnostic experts examines referred cases and jointly comes to a decision on the first-rate line of treatment for each affected person. Medical counsellors, speech therapists, dieticians and different specialists, applicable to the case similarly assist the panel.

Motherhood Hospital

The Motherhood Hospital revel in is heat and being concerned yet professional. Motherhood is dedicated to presenting the quality enjoy earlier than, in the course of and after being pregnant. Creating the high-quality Motherhood experience is our priority and it calls for every and every member of the Motherhood own family to be dedicated to this reason.

Motherhood Hospital is one of the main infertility hospital presenting a extensive range of treatment offerings. It is placed at New #542 (Old #143), TTK Road, Alwarpet, Landmark: Near Demonte Colony, Alwarpet, Chennai. The services furnished on the sanatorium are Pregnancy Care, Vaginal Rectal Repair, Preconception Planning and Counseling Sessions, Fibroid Treatment, Semen Freezing, D & C (Dilation and Curettage), Advanced Laparoscopy Surgery, In-Vitro Fertilization (IVF), Intrauterine Insemination (IUI), Freezing of Sperms/Embryos/Oocytes, Urinary Incontinence Surgery, and Women Health Services.

Thamarai Health Care

Thamarai Health Care at Kovai Medical Center and Hospital, Coimbatore, Devi health facility Salem, SM Hospital BS Surgicare Ooty, Siva Meds Multispeciality Hospital, Pollachi and Thamarai Fertility Solutions extraordinary at Chennai) offers the kingdom of the artwork treatment to the needy couples. The Thamarai Health Care became established in June 2001 through Dr C.V.Kannaki Uthraraj who has more than 3 a long time of revel in inside the treatment of infertile couples. The middle changed into set up to international standards in collaboration with Australian recognize how and has now received the ISO 2001 & NABH certification. The middle has dealt with several thousand infertile couples effectively when you consider that then.

The group comprises of obstetricians, gynecologists, endoscopists, urologists, endocrinologists, anesthesiologists, pediatricians, radiologists, nurses, scientists, administrators and counselors, works with the goal of holistic, individualized infertility treatment with excessive requirements of care and compassion. All endoscopic surgical treatment for fibroids, endometriosis, adhesions, intra uterine septae, ovarian cysts and recanalisation of tubes are being down for more than a decade yielding excellent results in fertility enhancing surgical procedure. The baby take domestic quotes are on par with worldwide standards whilst keeping transparency, ethics & compassion at all tiers. All treatment is as in line with ICMR suggestions and is audited biannually by the ISO crew.

Mangai Clinic

Mangai Clinic in Anna Nagar East has hooked up the health center in 1998 and has received a loyal clients over the last few years and is likewise regularly visited by numerous celebrities, aspiring models and other honourable customers and international sufferers as properly. They also plan on expanding their commercial enterprise in addition and supplying services to numerous extra sufferers because of its success during the last few years. The efficiency, willpower, precision and compassion presented on the sanatorium ensure that the patient's well-being, consolation and needs are saved of pinnacle precedence. The health facility is prepared with cutting-edge sorts of equipment and boasts fairly superior surgical instruments that help in present process meticulous surgeries or methods.

Mangai Clinic is one of the Top Gynecology Hospital in Gurgaon. Mangai Clinic is located inside the town of Gurgaon and effortlessly handy. Mangai Clinic is thought for its diverse services protecting Prenatal Care, Normal Vaginal Delivery, Painless Delivery, Cesarean Section, Postnatal Care, Maternal Fetal Medicine, Menopause Advice and Hysteroscopy, Obstetrics Problems and Gynae Problems .

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