Doctors in Phoenix Speciality Clinic
Management of Abortion
Treatment of Hypertension
Treatment of Heart Attack
Treatment of Syncope
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Treatment of Heart Diseases
Balloon Angioplasty Procedure
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Treatment of Irregular Heartbeat
Treatment of Blocked Arteries
Well Woman Healthcheck
Treatment of Hole in the Heart
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Your ovulation cycle is largely ignored until you decide to have a baby. Suddenly, the ovulation cycle becomes more than just a countdown to your next period. When you're trying to get pregnant, you need to identify when you're ovulating to calculate the time available to you to conceive a child. Ovulation occurs mid cycle, every month for most women. It is usually accompanied by a number of symptoms. Some of these are:
Some women may experience an abdominal pain when they ovulate. This can range from a mild sensation to a constant pain. The latter is not normal and may be caused by ovarian cysts or scarring by a previous surgery.
Higher Basal body temperature
Basal body temperature is the lowest temperature recorded in the body when it is at rest. At the time of ovulation, this temperature normally increases as a result of the release of progesterone. To use this method to determine ovulation, you will need a basal thermometer. Take your temperature every morning as soon as you wake up and record it in a chart to spot temperature changes. Basal body temperature can also be used to determine if recent intercourse has resulted in a pregnancy or not. If the basal temperature remains elevated for 18 days after intercourse, it is safe to say that you are pregnant.
The mucus released by the vagina changes according to the stage of the ovulation cycle. This is caused by the fluctuations of hormone levels. At the time of ovulation, cervical mucus is clear, slippery and highly elastic. This can be compared to a raw egg white in colour and consistency. After ovulation, this mucus will turn stickier and denser.
Your cervix itself will shift at the time of ovulation. Some women can easily feel this change while it may take a little time for others to identify it. The cervix is usually positioned low and feels hard and closed. However, just before ovulation, it will usually open up and soften a little as well as pull back. Cervical position also needs to be regularly charted to determine when the position changes.
Spotting mid cycle is not always a sign of an early period. It may also signal ovulation. This is usually a result of the sudden drop in estrogen that precedes ovulation. Since the progesterone levels are not high at this time, the lining of the uterus may leak a little blood.
Other signs of ovulation include:
- Breast tenderness
- Heightened sense of smell, taste etc
- Increased libido
- Increased energy levels and
- Water retention
If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Polycystic Ovarian Disease results from the disorder more commonly known as PCOS or Polycystic Ovary Syndrome. A syndrome is starkly different from a disease, for the former entails a set of symptoms usually occurring in concurrence, while the latter means a particular biological condition with an identifiable reason behind it. A syndrome solicits your concern and forethought in order to eliminate or at least control the chances of an underlying disease. Trigger to a syndrome is undetectable and hence fighting it efficiently is fairly problematic. It is rare to find adolescent girls without hormonal problems.
Hormonal imbalances are just too common to be a novel topic any further. Polycystic Ovary Syndrome is faced due to imbalances in hormone secretions. It refers to the development of multiple cysts in your ovary. This condition usually affects women falling within the age group of 15 to 50. Eight among ten women, at a given point of time, are reported with PCOS. Symptoms of PCOS, when neglected, can lead to Polycystic Ovarian Disease. If you have been facing similar heath issues, it is advisable to undergo a check- up and get diagnosed at the earliest possible.
Symptoms of Polycystic Ovarian Disease
- A receding hairline or increased hair fall can lead to thinning of scalp hair. Such a sign should not be taken lightly as it could be indicative of Polycystic Ovarian Disease.
- Extremely painful menstruation, irregular periods or prolonged periods with heavy bleeding might be reason enough for worrying.
- Development of acne could be another sign. Acne is common to girls attaining puberty but an unprecedented growth should be a matter of concern.
- Patchy skin, pigmentation and discoloration of the skin are the other symptoms.
- PCOS may also result in continual depression and anxiety.
- Obesity is the most commonly noticed symptom. People suffering from Polycystic Ovarian Disease have lower metabolism and thus reducing weight is an ordeal.
- Many women tend to grow thick facial hair or chest hair. Such a condition discourages the person to go out in public. It leads to social ostracizing which further bears severe effects on one's mental health.
- PCOS mostly affects women belonging to the childbearing age. As a result of this syndrome, females stop ovulating. Conception becomes extremely difficult as the syndrome may lead to infertility.
Polycystic Ovarian Disease can result in Type 2 diabetes or even cardiovascular problems. If not diagnosed and treated at an early stage, it might lead to ovarian cancer. There is hardly any preventive measure to counter the chances of such a syndrome but certain alterations in your diet under the guidance of a dietician and regular exercising can improve your health.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Clotting of blood is important for us in case of an injury or wound. It prevents the blood to ooze out of the body from any opening. Our blood releases cells called blood platelets, which initiate the process of clotting. However, the clotting of blood inside the veins is not a good thing to happen. This condition is called thrombosis. Moreover, clotting during pregnancy is a serious condition that poses threat to the health of both the mother and the child. In case of pregnant women, clotting of blood starts in the deep veins. These veins are usually the ones in the legs or the pelvic region. This condition is termed as deep vein thrombosis (DVT).
Why there is a clot during pregnancy?
Blood can clot during pregnancy due to multiple reasons. Clotting occurs to prevent too much loss of blood at the time of labour.
How will you know that it’s DVT?
DVT comes along with certain symptoms. Some of these have been listed below:
- The pregnant woman may notice tenderness or swelling in one of her legs. She might feel the pain in one of the legs.
- The skin colour of the woman starts reflecting changes. The skin might turn a little reddish.
- The patient’s skin will be warmer at the site of clot.
- The veins in the affected region might look dilated or larger in size.
What are the dangers linked to this clotting?
Whatever may be the reason, clotting during pregnancy is always attached to some dangerous consequences. If the blood clot is left unattended and untreated for long, it may have some serious consequence. The clot may start shifting from your legs to one or both of your lungs. This condition is called pulmonary embolism (PE). It is acute condition that can cause death of the patient as well. The symptoms of PE are as follows:
- The patient suffers from sudden breathlessness.
- The patient may feel that there is some tightness around the chest.
- The patient may find blood in her cough.
- The patient may show signs of collapse.
Clotting of blood can also prove detrimental to the baby’s health and growth. The blood is supplied through placenta to the baby and a clot in the mother’s vein can decrease the amount of blood supplied to the baby. Sometimes, the blood supply to placenta might be entirely snapped, leading to the death of the child inside the womb. However, blood clotting at the time of pregnancy happens to only a few women. It has been found that one or two in thousand die due to clotting of blood during pregnancy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too. Read on to unravel our first trimester guide.
- Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well.
- Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments.
- Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor.
- Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay.
- Other Medication: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too.
The other activities during the first trimester include taking pre natal appointments and choosing and interacting with your caregiver who will also be a support after you have had the baby. In case you have a concern or query you can always consult an expert & get answers to your questions!
Recurrent pregnancy loss refers to the situation when three consecutive pregnancy loss takes place. A pregnancy loss is a clinically defined pregnancy which ends before twenty weeks.
Causes of recurrent pregnancy loss
- Major cases of pregnancy loss occur due to genetic abnormalities and chromosomal abnormalities. The abnormality may occur from the sperm, egg or the early developed embryo.
- Recurrent pregnancy loss may occur in a woman due to ascending maternal age. This happens because of poor quality of the egg, which further leads to chromosomal abnormalities. In some cases, the pregnant mother or the father can have some gene irregularities. In such cases, the would-be-born infant is affected, and this causes pregnancy loss or miscarriage.
- Uterus abnormalities also lead to recurrent pregnancy loss. This may happen because of poor supply of blood to the uterus. Abnormalities in the uterus are in-born in some women and in others these may develop over time.
- Women having a poor immune system are likely to suffer pregnancy loss. Abnormalities in hormone secretion like thyroid or diabetes may also cause pregnancy loss in women.
- If a woman suffers from abnormalities in blood clotting, the chances of miscarriage are enhanced.
Testing for recurrent pregnancy loss
Several tests and examinations should be carried out for detection of pregnancy loss.
- Karyotype analysis of the woman and her male partner has to be conducted. Karyotype refers to the genetic or chromosomal constituents of an individual and this test is carried out to detect abnormalities in genes and chromosomes of the parents, which cause miscarriage when passed on to the developing infant.
- Another test includes the evaluation of the uterus and the uterine cavity. This is done by ultrasound, saline ultrasound, MRI, hysterosalpingogram X –ray or by hysteroscopy. These tests help to get information on the uterus shape, about fibroid presence, detect abnormalities within the uterus and observe the opening and closing of the tubes. Tests to detect the functioning of hormones are also carried out.
The treatment for women with recurrent pregnancy loss depends upon the underlying causes of the pregnancy loss.
- In case of patients with karyotypic abnormalities, genetic counselling is recommended, where a specialist is consulted to know about chromosomal abnormalities.
- Prenatal genetic studies are carried out by some couples to know about the offspring’s genetic make-up. This is done with chorionic villus sampling or with amniocentesis. A process known as in vitro fertilization (IVF) can be carried out.
- In case of uterine abnormalities, a surgery may be performed and medications for reducing blood clot are used if antiphospolipid syndrome is detected.
Recurrent pregnancy loss may happen due to various reasons and proper tests, and treatment procedures should be carried out for curing pregnancy loss. This phenomenon affects a woman and her partner deeply. If you wish to discuss about any specific problem, you can consult a gynaecologist.
IVF (in vitro fertilisation) and surrogacy are alternative methods of having a baby and can be resorted to when a couple cannot conceive the natural way. There are three things you must keep in mind before making a choice between IVF or surrogacy:
Surrogacy is opted for when the woman is unable to conceive by natural means and when there's no possibility of her getting pregnant whatsoever. Surrogacy can be of two types- full surrogacy and partial surrogacy. On the other hand, IVF works towards the treatment of infertility in one or both the partners, enabling the woman partner to conceive the child. IVF involves the fertilisation of a woman's eggs by the sperm of the intended father in a laboratory dish. The developed embryo (or fertilised egg) is then implanted in the woman's uterus.
Risks of surrogacy include multiple births, ectopic pregnancy (implantation of the fertilised egg in the fallopian tube instead of the uterus, leading to miscarriage) and birth defects in the child, to name a few. As for risks associated with IVF, ovarian hyperstimulation syndrome (swollen and painful ovaries), multiple births, ectopic pregnancy and stress can take place if IVF is opted for.
Surrogacy requires the fulfilment of complex legal processes, such as determining eligibility, matching profiles of surrogates with intended parents, finding of a potential surrogate and more, which require proper legal counselling. Besides the cost of surrogacy in India is higher than IVF.
IVF does not involve any such processes and is easier to carry out. The low cost of IVF in comparison to surrogacy makes it a much more viable option. Based on these factors, you can make the choice of a procedure that is best suited for you. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Hyperemesis gravidarum (HG) is an extreme type of morning sickness. It is a pregnancy related queasiness and additionally painful at times. It can stop proper intake of food and other nourishments in your system which would affect the growing baby within, as well. Affecting around one to three percent of ladies, HG can lead to weight reduction, lack of healthy food intake and dehydration. In extreme cases, it can lead to unnatural birth cycle and, it can at times, be lethal.
Certain reasons can expand a woman’s odds of having serious morning sickness during pregnancy. Notwithstanding, having a family history of the condition, the following can put a woman at risk:
- The conceiving amount (twins, triplets, and so on.)
- History of motion sickness in general
- A headache or migraines with nausea
The queasiness or nausea can be so extreme at times that it can affect both, the mother as well as the baby. The powerlessness to not being able to eat the proper nourishment makes it difficult for the woman to meet her health and nutrient needs. Subsequently, she may get weaker. Furthermore, lost liquids, combined with the loss of stomach acid that happens during pregnancy, can bring about the lack of hydration and cause a complicated pregnancy.
In case a woman does not get treatment, it can bring about numerous complexities, including organ failure and the untimely birth of the infant. It is critical to talk to the specialist if a pregnant woman has any of the following indications:
- Sickness that continues throughout the day, making it difficult to eat or drink
- Vomiting that happens three to four times each day or losing one’s appetite
- Vomit that has blood or dashes of blood in it
- Weight reduction
- Black out or unsteadiness
- Diminished urine
- Fast heart rate
- Continuous migraine
- Parched mouth
- Extreme weakness
Medications that are normally used for morning sickness, for example, eating dry saltines in the morning might be suggested for women with extreme morning sickness. Treatments for this condition may include:
- A brief time of not eating by mouth to rest the gastrointestinal framework
- Intravenous (IV) liquids
- Vitamin and nourishing supplements
In case it is extreme, the pregnant lady might get a prescription to stop the vomiting, either by mouth or through an IV. The specialist may suggest eating foods with ginger or taking vitamin B6 supplements to mitigate sickness. The following can likewise offer assistance:
- Following a bland diet
- Eating regular little meals
- Drinking a lot of liquids when not feeling nauseous
- Staying away from hot and greasy foods
- Eating high-protein snacks
- Staying away from tactile boosts that can act as triggers
Therefore, morning sickness or vomiting is not always to be taken lightly during pregnancy. One should always consult a specialist when going through the same in an extreme way.
Factors that determine the success of your IVF procedure
IVF or In Vitro Fertilization is a process wherein an egg is fertilized by a sperm in a laboratory dish to form the embryo (baby's first cell) which after growth in artificial medium in the lab is transferred into the uterus of women, In general, a blood sample is collected to determine whether you're pregnant or not about 10-14 days after the eggs are retrieved.
Coming to the success of the procedure, a number of factors are at play and these are:
- The age at which you get pregnant - A factor that plays a role in influencing your chances of experiencing success in your IVF procedure is the age at which you opt for this procedure. The lower your age, the chances that you may get pregnant and deliver a healthy child using your own eggs witness an increase. On the other hand, if you're aged 41 and above, or your egg reserve is very low donor eggs are the most preferred option as they help to increase your prospects of meeting a success.
- Lifestyle habits - Certain lifestyle factors can significantly affect your prospects of getting pregnant through this route. Smoking can reduce your prospect of success using this procedure by about 50%. It can cause you to have lesser number of eggs retrieved during the procedure while increasing instances of miscarriages. Likewise, obesity, alcohol use, consumption of excessive caffeine and drugs can adversely affect your chances of getting pregnant using IVF.
- Cause of Infertility - If your supply of eggs is normal, success rate using IVF is high. Women who suffer from the problem of endometriosis experience lesser chances of getting pregnant than women who have unexplained fertility.
- Reproductive history - IVF success rate chances are higher if you've delivered a baby previously using IVF.
- Embryo status - Embryos that are better developed with good grade stand a higher chance of experiencing success than less developed embryos. More importantly, not every embryo is able to survive the development process. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
A preterm labour is referred to a condition when the cervix opens up within 37 weeks of pregnancy. An ideal pregnancy lasts for a span of 40 weeks. If preterm labour is caused due to preterm contractions, the baby is born earlier. This results in serious health risks for the baby. At times it requires long intensive care for the baby to ensure no mental or physical damage happens in the long term.
What are the symptoms of pre-term labour?
While some women show evident signs of pre-term labour, some women present symptoms that are more subtle. Some unmistakable symptoms of pre-term labour include regular contractions, sense of tightness in the lower abdomen, vaginal discharge, diarrhoea, constant backache, bleeding from the vagina, watery discharge from the vagina, pain in the abdomen and abdominal cramps. One or more of these symptoms should be immediately reported to the doctor to negate the chances of any miscarriages or serious complications.
What are the risk factors?
While there are no proven risk factors of preterm labour, lots of factors have been tagged with a pre-term labour. Some of the notable ones include:
- Little pre-natal care
- Premature birth in previous pregnancies
- Giving birth to more than one baby at a time. This is especially applicable while giving birth to a triplet.
- A stressful event such as a personal loss or events related to extreme emotions
- Bleeding from the vagina during pregnancy
- Any infection of the genital tract
- Any complications related to the placenta, uterus and cervix
- Any birth defect related to the vagina
- Chronic health conditions such as diabetes or high blood pressure
- Putting on weight more than the recommended level
- An excess of amniotic fluid
- Consumption of illicit drugs or smoking at a heavy rate
- The shorter length of the cervix than the normal one
What are the complications involved?
Pre-term labour cannot be stopped with any medical procedures. If pre-term labour is caused due to smoking or an infection, the same can be addressed. Any pre-term labour that eventually leads to giving birth can confront with complications such as low weight, problems related to the vision of the baby, behavioural problems and learning disabilities.
Diagnosis and tests:
A doctor will closely monitor the symptoms a woman is facing. In the case of regular contraction, a close look at the cervix helps a doctor to decide the condition of a patient. To be assured a doctor might recommend a full pelvic exam, ultrasound test, uterine monitoring, and maturity of amniocentesis. A test of the vaginal secretion further gives the doctor enough evidence about the possibility of a pre-term labour. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The inability to conceive after indulging in unprotected sex is known as infertility. It can also be referred to the biological incapability of a male to cause the conception or a woman being unable to carry the pregnancy for full term. Research has shown that female problems contribute to over half of all the infertility cases while a majority of the other causes include sperm disorders.
Treatment of infertility depends on:
- Cause of Infertility
- Duration of Infertility
- Age of both partners
- Personal preferences
Causes of infertility in women include:
1. Ovulation disorders: This is regarded as the most common cause of infertility in women. The disorders can be caused due to the following
- Premature ovarian failure
- PCOS (polycystic ovary syndrome)
- Poor egg quality
- Overactive or Underactive thyroid gland
- Chronic conditions like cancer or AIDS.
2. Problems in fallopian tubes or uterus: Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to:
3. Medications: There is a possibility that treatment will cure infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.
Treatment of infertility might involve a significant amount of psychological, physical, temporal and financial commitments.
In men, treatment is done to treat lack of healthy sperm or general sexual problems. The treatments include:
- Change in lifestyle
- Sperm retrieval
Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:
- Intrauterine insemination (IUI)
- Stimulation of ovulation with fertility drugs
- Surgery to restore fertility
In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve pregnancy. It is a form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.
One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperms are manually combined in a laboratory dish, followed by transfer of embryo to the uterus. Some aspects involved in an IVF cycle are:
- Intracytoplasmic sperm injection (ICSI)
- Assisted hatching
- Donor eggs or sperm
- Gestational carrier
Some complications that may occur during the treatment of infertility are:
- Multiple pregnancy
- Ovarian hyperstimulation syndrome (OHSS)
If you wish to discuss about any specific problem, you can consult a Gynaecologist.