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Chin Reduction Treatment
Weight Management Treatment
Asthma Management Program
Hair Restoration Techniques
Head And Neck Pain Treatment
Treatment of Migraine Treatment
Nosebleed (Epistaxis) Treatment
Treatment of Thyroid Disease in Children
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I've got some discomfort, in my chest instead of anxiety & fears, sometimes I feel that i'm going to die and early or just now etc. But here's the thing on of my greatest concerns about, myself is that it's sort of feels like, my heart is stopping for a while or skipping the beats, & often time when I take deep breaths & by the way, it's terrifying and scary! can anyone help me out with this!
I have an issue regarding my balls? When I do romance and control my sexual emotion to not to reach at that point. After I feel so much pain in my balls. That pain is not tolerated. I need a solutions for that.
I am 26 years old and I was in a relationship not now. And my problem is that my breast is getting so much loose and my nipples has so much cracks and so small. I am tensed about my future bcoz l m getting marry soon please suggest me something.
I have small small boils in my underarms & behind my neck. In my underarms it feels very itchy and when I scratch them then water will come out frm & kind of marks still there.
I am almost 22 now, and haven't got any beard growth yet. Please help, makes me feel less in confidence in people and always scared about anyone pointing out at me for not having beard. Please help.
I have a dark neck, have very dark spots on my elbows and ankles. How did this happen and how to get rid of them.
Hi I am 24 weeks pregnant mujhe kuch dino s motion ki prblm ho rahi h ek din three time s jyada ho rahe h hone s pehle abdominal pain bhi hota h pr loose motion nhi h normal motion hi h what can I do.
My chin area under the lips are getting heavily dried up with rashes and irritations and blackish marks. As I have oily skin I tend to wash my face regularly that worsens this. I am even applying oil and ghee on the affected areas but that isn't helping. This is happening from last 10 days. Please suggest me any solutions to handle this.
What is recurrent miscarriage?
If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.
Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being.
If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.
Treatment of Recurrent Pregnancy Loss
Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.
A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.
Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.
Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.
Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.
Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid
Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.
Role of IVF
Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.
In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.