Doctors in Madras Medical Mission Hospital
Treatment Of Acne/Pimples
Weight Loss Treatment
Treatment of Headaches
Treatment of Fever
Treatment of Hair Fall
Treatment of Red Eyes
Treatment of Masturbation Addiction
Treatment of Hair Loss
Treatment & Management of Cold
Treatment of Stomach Pain
Treatment of Body Weakness
Treatment of Pregnancy and related Disorder
Treatment of Female Hair Loss
Treatment of Dandruff
Prevention & Treatment of Diabetes
Treatment of Itching
Treatment of Greying Hair
Treatment of Sleeping Problems
Treatment of Erection Problems
Treatment Of Acne Scars
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Pep is required for all persons invo5 in providing medical and surgical services
No environmental transmission reported but pep is pep is required when they are exposed to -
potentially infectious body fluid e. G. Blood, semen, vaginal secretions, synovial, pleural, pericardial, peritoneal fluid, amniotic fluid. Any bodu fluid contaminated with" visible blood" considered" at risk"
exposure to body fluid considered" not at risk" e. G. Tears, sweat, urine, faeces, saliva, sputum and vomitus
Management of exp6 site
- do not panic
- wash wound and surrounding with soap and water
- rinse well
- do not scrub
- for not use antiseptic or skin washes
- splash of blood
- irrigate eyes with water or saine
- if using contact lens leave them in place while irrigating. Remove the contact lens and clean them after eyes is cleaned
- mouth: spit fluid immediately and rinse mouth thoroughly water/saline repeatedly
Pep is required within 72 hours of exposure
conslt nearest art center for selection of pep regime e. G.
1. Basic regime of 2 drug zidovudine 300 mg bd
- Stavudine 30 mg bd
- Lamivudine 150 mg bd
- pep in pregnancy
- Efavirenz is contrindicated in first trimestelr
- Indinavir is contrindicated prenatally
2 drug regime is recommended if third drug is required then use nelfinavir
arv prophylaxix - short term arv drugs is used to reduce hiv transmission from mother to infant
- all hivexposed infants should receive cotrimoxazole at 4-6 weeks of age
- mother- nov 200 mg at onset of labour
- baby- nvp syrup 2 mg / lg of body weight within 72 hours of delivery
It’s a general concept even in layman that for pregnancy one needs to have regular and timely menstrual periods.But in certain patients periods may not come regularly ever since menarche.Besides they may have history of weight gain,acne, excessive hairs on skin of face, may need to go for threading more often than required and may have cousins, sisters or evn mother having same issues.Such symptoms and signs point towards –
- PCOS – as the first most diagnosis
- Hormonal imbalance- FSH,LH ratio change with high LH levels
- Insulin resistance
- May have add on Thryoid/prolactin derrangements
These patients generally have high body mass Index(BMI)but some fall into category of lean with periods regular.
What all these lead to is a situation called-Chronic anovulation- a common cause of infertility.
Most of such PCOS patients have normal FSH but high LH levels.Its a multifactorial condition with life long implications
What we can do about it ?
Yes we can do major part especially if weight is more then Lifestyle modifications alone will help to keep things on track but it needs constant action in a well planned manner.So tips to keep a check on PCOS-
- Weight loss- at rate of 5-10% over a period of 5-6 months.If you have 80 kg then you should loose between 4 to max 8 kg only slowly with crash courses/diets or short cuts
- Daily brisk walking at least for 30 minutes to burn extra calories
- Moderate exercise on regular basis
- Joining a structured programme like Gym
- Take healthy balanced food(if possible with help of dietitician)
- Cut down carbohydrates like banana,rice,rice products with a check on milk and milk products and less of fats
- Keep proper hydration(3-4 LITRES of water daily)
- Avoid junk foods with empty calories
Dear readers all these need to be followed as part of life and not till you have pregnancy as PCOS has more of chronic affects also later on due to tendency to gain weight due to hormonal disturbances
Polycystic ovary syndrome (PCOS) is diagnosed in
approximately 60–70%of women with such features.
How to plan pregnancy in PCOS?
Singleton live birth rates of up to 71% in 2 years can be
achieved in such patients with –
1) Induction of ovulation- it can be by clomiphene citrate as first line of treatment and Injectables gonadotropins as second-line
treatment with success rate varies from 2 to 3%
2)IUI- combined induction with IUI increases success rate from 8 -13% to 15-20%
3) IVF- not used as first-line therapy in these
patients, except for subgroups with a poor prognosis like-
- Advanced age group
- Longer duration of infertility
- Higher insulin:glucose ratio
- Failed ovulation induction
- Other indications of IVF-tubal factor,male factor,unexplained/idiopathic infertility
Outcome of IVF In PCOS-
The outcome of IVF in women with PCOS shows variable outcome as-
Response to Medicines is the main issue- erratic(resistant to hyper) which is generally unpredictable
- More oocytes obtained-with more of immature
- Less fertilization rate- both mature and immature oocytes
PCOS patients show reduced fertilization rates, presumably due to endogenous hormonal imbalance
- More chances to have poor quality eggs
- Chances of abnormal(aneuploidy)embryos is high
- Inc chances to form endometrial polyp with recurrence
- Inc chances of cancellation of cycle/use of high dose of medicines
- High chances of first trimester miscarriage
- But good part is despite reduced overall fertilization, IVF pregnancy rates in PCOS patients appeared to be comparable to normo-ovulatory women
- Also live birth rates are comparable
Tulsi or the holy basil is known since ages to have health benefits, however with urbanization nuclear family living in compact flats the use of this very inexpensive super herb plant is reduced. Many also feel who will take care of plant give water to it every day. The fact is, our priority in life is to be earning healthy life where in we end up paying to gyms doctors. If you can just plant this in your small pot it will take care of your health issues. It’s tried by me personally I recommend it.
It’s very common in indian households easy to grow, have 2 types
1) green coloured – lakshmi tulsi
2) purple coloured – krishna tulsi.
It is worshiped, offered to gods, thought to purify all contaminants. This is when I thought of studying more about this super plant.
What is there in tulsi which makes it so useful, well it has essential oils, antioxidants, phytonutrients, vitamin a, c, k, linoleic acid best part is it will not harm in anyway.
With malaria, dengue, swine flu increasing in cities it’s very important to have this plant as natural support to help to improve your immunity against bacterial viral infections.
Following are the benefits:
Prevents against infections relieves cold, flu prevents stress blood purifier balances hormones nerve tonic, sharpens memory fights cancer helps in healthy gum helpful in conditions like diabetes, hypertension lowers acidity lowers respiratory problems its anti-allergic immunity booster best digestive improves vision.
Following are benefits of planting it in your small plant
1) easily accessible.
2) give good values to children.
3) make different uses like use on sandwich/soups/teas.
4) looks beautiful.
5) soothing to eyes so releases stress.
How to grow tulsi
It grows in moist soil very easily. It needs mild sunlight as well. Just few centimetres below soil you can grow this plant indoors till it reaches 6 cm height best time is just before monsoon, with good sunlight it grows faster. You can also pick seeds from grown plant (rub the flower and there are seeds inside, tiny black) and put it in the soil. It grows fast.
How to consume tulsi
· well you can eat it raw – just pluck it, eat it any time of the day it will give best results· mix it in water/ detox water/· make kadha – boil tulsi leaves in 2 cup of water add 2 gm black pepper, boil it to half (i. E. 1 cup) and drink to reduce dengue symptoms· have it with morning/evening tea· sprinkle over poha/sandwich or dal with coriander leaves.
I am sure that those who do not have tulsi plant will buy plant it and those who have it will use it more often
As it is said “the better you know better your health can be”.
When a man is in the mood to get it on, sometimes his body just doesn't agree. That's often the case when a man really wants to enjoy a little sexual pleasure but he's just too tired to bother. From ignoring the need to masturbate to telling a loving partner, "Not tonight, honey," a guy might find himself saying no to sex over and over again. If that's the case, there is something going on - and he needs to figure out what it is, not just for his own peace of mind (and his partner's!), but for the sake of his good penis care. After all, regular orgasms are necessary to "exercise" the organ and keep it in tip-top shape.
Too tired for sex?
Let's be honest: Sex is one of the most enjoyable things in life, and many a man thinks about it at least every day, if not multiple times each day. So it must be something serious to make him too tired for sex, right? Here are some of the issues that might lead to being too tired and other penis problems that are associated with it.
- Not enough sleep. When a man doesn't get enough sleep, it has a detrimental effect to every system of the body, including his penis health. But besides the simple fatigue that comes from not getting enough sleep, the lack of shut-eye can also lead to significantly less testosterone in the body, which in turn makes a man even more tired. It also affects his levels of desire in an adverse way.
- Insurmountable stress. When a guy faces burnout, lots of things happen. A man has more difficulty making decisions, insomnia and fatigue, anger and distress, a suppressed immune system and no desire for sexual activity - and that's all just for starters. Stress is the number one cause of many problems for men, but when it comes to sexual function, it's a true game-changer.
- Relationship issues. When a man has sudden penis problems, it might mean that he's dealing with something psychological. If a guy is also dealing with serious fatigue - the kind that means he would rather go to sleep than talk to his partner - the two might be related. Sometimes relationship issues can lead to a loss of libido that is so extreme it makes a man subconsciously avoid intimacy with that person.
- Problems with nutrition. A guy who isn't eating enough, or isn't eating the right foods, can suffer from serious fatigue that makes him too tired to engage in many things, including sex. This can also be the case if a man is getting plenty to eat but it's all the wrong things, such as the guy who lives on fast food and never touches a fresh veggie. Nutrition problems should be evaluated by a physician.
- Underlying medical conditions. Some men might have an underlying medical problem that translates into penis problems. For instance, a guy with diabetes might be tired all the time because his blood sugar is too high, which means his cells don't get the energy they need. Or a guy might suffer from serious depression, and as a result, he feels the bone-deep fatigue that makes him want to stay in bed all day - but not do anything in that bed but sleep. Only time spent at the doctor's office can lead to an investigation and diagnosis of these kind of problems.
Whether a man is really tired or full of energy, he should always strive to protect his penis health by engaging in excellent penis care. He can do this by reaching for a powerful penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). A good crème will contain multiple vitamins and nutrients, including amino acids for overall health, vitamin E and Shea butter for softness, and a plethora of vitamins to maintain tip-top health for the penis.
Raynaud’s disease is an unusual condition that is actually a symptom of something else, perhaps more serious.
What is raynaud’s disease?
Raynaud’s disease is a hyperactivation of the sympathetic nervous system, resulting in an extreme constriction of the blood vessels, therefore slowing down circulation and resulting in localized hypoxia (a lack of air/blood to cells). When these secondary blood vessels are unable to push blood through, the skin loses its color and sensation.
The disease is classified into two types, namely:
1. Primary raynaud’s: it is also known as primary raynaud’s disease when the condition is idiopathic, meaning that it is not caused in conjunction with any other disease.
2. Secondary raynaud’s: the condition iscalled raynaud’s phenomenon, raynaud’s syndrome or secondary raynaud’s when there is an underlying disorder such as systemic lupus erythematosus, rheumatoid arthritis, and frostbite, among others.
There are a number of conditions that can result in low blood or oxygen flow to the body’s extremities, but the causes of raynaud’s include:
1. Genetics: raynaud’s disease stands alone in that is often hereditary.
2. Smoking: smoking can cause the disease to develop or can exacerbate any symptoms since it is a natural vasoconstrictor.
The most common symptoms of raynaud’s disease are:
- Numbness or discoloration in the extremities of your vascular system (fingers and toes)
- Emotional stress
- Long, brittle nails
There are two ways in which this condition manifests:
1. Low temperature: when the skin is exposed to cold, and the temperature of the body drops, the skin turns pale or white, evidence of a loss of blood to the area. This is usually in the hands, fingers, toes, feet, and earlobes.
2. Low oxygen: when the oxygen supply is depleted, the skin turns blue.
In both instances, when blood or oxygen is returned, the color flushes back to red, often accompanied by swelling and more pain as the tissues and cells regain their functionality. This can be compared to a foot “falling asleep” or getting “pins and needles”. The numbness is quickly replaced by painful tingling for a few moments. This effect lasts even longer with raynaud’s disease.
Few HIV Myths busted.
Q. HIV is a death sentence.
A. Successful treatment of the virus can mean a long, normal life span. It’s key for people living with HIV to have access to quality care and start antiretroviral treatment immediately. Access to Proper health care means extended life span so no it’s certainly not a death sentence.
·Q. Stick to your treatment and take good care of your body. This can help you live a long life with HIV.
·Q.HIV cannot be transmitted during oral sex.
A. Hiv can be transmitted during oral sex. HIV can be passed on through sex when infected sexual fluids or blood enter the bloodstream of an HIV negative person. During oral sex this could potentially happen if the mouth, gums and/or throat of the person giving oral sex has cuts and sores or is inflamed or infected.
Q. Is it advisable to use condoms when engaging in oral sex when you have any cuts or sore?
A.Ideally one should not participate in sex when one has open cuts or sores as a condom doesn’t cover them all it covers is your private part. Having said that a Polyurethane condoms should be used for any sexual activity as they are better at protecting from sexually transmitted infections.
Q. Hugging, handshakes, sharing toilet seats and mosquito bites does not transmit HIV.
·Q. If you are having unprotected sex or you are sharing your needles or injection
Q. equipments (tattoos, injection drugs, diabetic), you are putting yourself at a risk of HIV.
·Q.Straight People Do Not Get HIV.
Q. HIV is transmitted by the sperm which means an infected man can produce an HIV positive baby.
A. The risk of a baby having HIV is only directly related to the HIV status of the mother, not the father. So if your partner is also HIV positive, this is how you can have an HIV negative baby.
Q. When a baby is conceived it is HIV-negative in the womb. The baby normally gets infected at the time of birth when the baby’s body fluids and the mother’s blood mix. The baby can only be infected if the mother has a sexually transmitted disease.
A. If a woman is infected with HIV, her risk of transmitting the virus to her baby is reduced if she stays as healthy as possible. According to the March of Dimes, new treatments can reduce the risk of a treated mother passing HIV to her baby to a 2 percent or less.
What is diarrhea?
Diarrhea is when stools (bowel movements) are loose and watery. Your child may also need to go to the bathroom more often.
Diarrhea is a common problem. It may last 1 or 2 days and go away on its own. If diarrhea lasts more than 2 days, your child may have a more serious problem.
Diarrhea may be either:
Short-term (acute). Diarrhea that lasts 1 or 2 days and goes away. This may be caused by food or water that was contaminated by bacteria (bacterial infection). Or it may happen if your child gets sick from a virus.
Long-term (chronic). Diarrhea that lasts for a few weeks. This may be caused by another health problem such as irritable bowel syndrome. It can also be caused by an intestinal disease. This includes ulcerative colitis, Crohn’s disease, or celiac disease. Giardia may also cause chronic diarrhea.
What causes diarrhea?
Diarrhea may be caused by many things, including:
Trouble digesting certain things (food intolerance)
An immune system response to certain foods (food allergy)
Parasites that enter the body through food or water
Reaction to medicines
An intestinal disease, such as inflammatory bowel disease
A problem with how the stomach and bowels work (functional bowel disorder), such as irritable bowel syndrome
Surgery on the stomach or gallbladder
Children who visit some foreign countries are at risk for traveler's diarrhea. This is caused by having food or water that is not safe because of bacteria, viruses, or parasites.
Severe diarrhea may mean a child has a serious disease. Talk with your child's healthcare provider if symptoms don’t go away. Also talk with the provider if symptoms stop your child from doing daily activities. It may be hard to find out what is causing your child’s diarrhea.Imbalances of salt and water in the body can lead to problems ranging from cystic fibrosis to diarrhea to kidney failure. Dr. Guggino and his team study the channels that move salt and water– and what goes wrong with them in disease.
What are the symptoms of diarrhea?
Symptoms can occur a bit differently in each child. They can include:
Belly (abdominal) pain
Upset stomach (nausea)
Urgent need to use the bathroom
Loss of body fluids (dehydration)
The symptoms of diarrhea may look like other health problems. Severe diarrhea may be a sign of a serious disease. Make sure your child sees his or her healthcare provider for a diagnosis.
How is diarrhea diagnosed?
The healthcare provider will ask about your child’s symptoms and health history. He or she will give your child a physical exam. Your child may have lab tests to check blood and urine.
Other tests may include:
A stool culture to check for abnormal bacteria or parasites in your child’s digestive tract. A small stool sample is taken and sent to a lab.
A stool evaluation to check the stool for blood or fat
Blood tests to rule out certain diseases
Imaging tests to rule out structural problems
Tests to check for food intolerance or allergies
A sigmoidoscopy. This test lets the healthcare provider check the inside of part of your child’s large intestine. It helps to tell what is causing diarrhea, stomach pain, constipation, abnormal growths, and bleeding. It uses a short, flexible, lighted tube (sigmoidoscope). The tube is put into your child’s intestine through the rectum. This tube blows air into the intestine to make it swell. This makes it easier to see inside.
How is diarrhea treated?
Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.
Dehydration is the major concern with diarrhea. In most cases, treatment includes replacing lost fluids. Antibiotics may be prescribed when bacterial infections are the cause.
Children should drink lots of fluids. This helps replace the lost body fluids. If your child is dehydrated, be sure to:
Offer drinks called glucose-electrolyte solutions. These fluids have the right balance of water, sugar, and salts. Some are available as popsicles.
Avoid juice or soda. They may make diarrhea worse.
Not give plain water to your baby
Not give too much plain water to kids of any age. It can be dangerous.
Keep breastfeeding your baby. Breastfed babies often have less diarrhea.
Keep feeding your baby formula, if you were already doing so
What are the complications of diarrhea?
The greatest complication of diarrhea is dehydration. This is more likely with young children and those with a weakened immune system. Dehydration can be mild, moderate, or severe. Mild dehydration is the loss of fluid. Moderate or severe dehydration puts stress on the heart and lungs. In the worst cases it can lead to shock, which is life-threatening.
What can I do to prevent diarrhea?
Proper handwashing can reduce the spread of bacteria that may cause diarrhea.
A rotavirus vaccine can prevent diarrhea caused by rotaviruses. Ask your child's healthcare provider which vaccines are right for your child.
When you travel, make sure anything your child eats and drinks is safe. This is even more important if you travel to developing countries.
Travel safety tips for drinking and eating include:
Not drinking tap water or using it to brush teeth
Not using ice made from tap water
Not drinking unpasteurized milk (milk that has not gone through a process to kill certain bacteria)
Not eating raw fruits and vegetables unless you wash and peel them yourself
Not eating raw or undercooked meat or fish
Not eating food from street vendors or food trucks
Talk with your child's healthcare provider before traveling.
When should I call my child's healthcare provider?
Call your child's provider if your child is less than 6 months old or has any of the following symptoms:
Blood in the stool
Doesn’t want to drink liquids
Dry, sticky mouth
Urinates less frequently (wets fewer than 6 diapers per day)
No tears when crying
Sunken soft spot (fontanelle) on baby’s head
Key points about diarrhea
Diarrhea is loose, watery stool. Your child may also have to go to the bathroom more often.
It may be caused by many things, including bacterial infection or viral infection.
Dehydration is the major concern with diarrhea.
In most cases, treatment involves replacing lost fluids.
The rotavirus vaccine can prevent diarrhea caused by that virus.
Proper handwashing can help prevent diarrhea.
When you travel, make sure anything your child eats and drinks is safe.
According to the tenets of Ayurveda, HIV is primarily a disease involving low immunity which is considered the most vital sap of the body. Immunity is in charge of providing both mental and physical strengths required to cope up with the foreign bodies that cause unwanted changes in the human body. When the immune system gets disrupted, the individual becomes susceptible to a host of infections and disorders. There are incessant numbers of bacteria and viruses in the environment, and some of them are highly contagious which can easily cause an infection.
Ayurveda has numerous highly effective therapies to combat HIV exposure. There is a sector of Ayurveda specifically dedicated to boosting immunity and vitality in the body with the help of herbs, minerals, and practice of Ayurvedic techniques. The treatment first aims to detoxify the body and strengthen the immune system which improves the immune system with the help of certain "rasayanic" techniques.
How is HIV exposure treated through Ayurveda?
The first step of HIV exposure treatment through Ayurveda is having nourishing food and leading a positive life supported by well-meaning friends and relatives. The patient can also take part in some physical exercises which don't cause any strain to the fragile health condition. Engaging in comfortable yet fruitful activities can help in strengthening good tendencies and stimulating appetite as well.
Then the patient will have to take some Ayurvedic tonics along with rejuvenators that can boost immunity levels and eliminate the toxins from the body. This is particularly done through emesis, purgation, and enemas. The medications which are given at this stage are neither drastic nor very harsh for the body so that they can be digested without any difficulty.
In the third stage of treatment, appropriate medications will help in purifying the blood, and this is where the role of liver corrective measures come to the fore. The patient has to take preparations with medicated ghee and soups that can alleviate the signs and symptoms of HIV exposure. There is no scope of consuming spicy and oily junk foods as they can take a toll on the patient’s liver. Medicated alcohol may have to be used to aid in the digestive procedure and removal of blockages in the flow of energy.
Participating in physical activities on a daily basis is important. In case the patient is too weak to exercise or even run, then steaming can be helpful. This is very crucial since it is believed in Ayurveda that heated blood can weaken and sometimes destroy the virus involved in HIV.
There are some herbal cum mineral compounds which are helpful for subsiding the conditions of HIV exposure. It is important to consult with an expert who can evaluate your condition and help in healing the signs and symptoms that you are suffering from.
Ayurveda is an ancient Indian field of medicine that has been in existence since time immemorial. Many people swear by its efficacy and it is also a proper field of study for people who want to practice this form of medicine as doctors. Ayurveda makes use of a variety of herbs and lifestyle changes including diet, rest and massages in order to create a healthier body. Ayurveda combines Yogic postures with these herbs to create various kinds of treatment for varied conditions.
Panchakarma therapy is one of the kinds of Ayurvedic treatments that can greatly benefit the human body in many ways. This is basically made up of five therapies, which aim at removing the toxins from the body of the patient. One must take a proper consultation with a doctor in order to practice this therapy. Read on to know more about this form of treatment and its various benefits.
- Five therapies: As mentioned above, this therapy is made up of five therapies including Vamana, Raktamokshana, Nasya, Basti and Virechana. These therapies aim at freeing the body of the toxins that may accumulate and give rise to a variety of conditions and diseases in various organs of the body.
- Oils and diet: This therapy is carried out with the help of various medicated oils that help in eliminating the different toxins in one’s body. As per the tenets of Ayurveda, one also has to follow a specific diet and a systematic routine along with this therapy so that the Kapha toxins are removed from the body.
- Ailments and conditions: There are many kinds of conditions and ailments that can be cured and managed with the help of this therapy. Asthma and cervical spondylitis are some of the conditions. Here, the painful symptoms and attacks can be kept at a minimum because these have to do with the Kapha dosha, which is effectively treated when the Kapha toxins are flushed out of the body following this therapy. This treatment helps in cleansing the body with the help of the various oils and the five therapies that are used here.
- Aging process: The Panchakarma therapy helps in preventing the aging process and the signs of aging by replenishing the cells and the energy in the body. This helps in keeping the bones, skin and hair healthy as well, since the patient goes through regular bouts of massage in order to get the treatment.
- Stress: This treatment eliminates stress as it brings about a more calm state of mind. It does so by strengthening the body through the removal of immunity breaking toxins, which puts the hormones back in balance.
Benefits of Panchakarma Treatment:
The results of Panchakarma are very powerful and effective. Some of the benefits include:
- The doshas – vata, pitta and kapha, will return to their original places and function normally. Mind calms down, and intellect and concentration becomes sharp.
- It helps to attain a clear and glowing complexion.
- It helps to reverse the negative effects of daily living.
- It restores the natural state of health and wellness by bringing balance in the system and improving bodily function.
- A person undergoing Panchakarma attains longevity, intellect and freedom from diseases.
Recurrent pregnancy loss (RPL) is defined as a condition where the woman suffers three or more pregnancy losses consecutively and the miscarriages occur within 20 weeks from the last menstrual cycle of the women. This condition is fairly common in women. Some of the causes that may be responsible for this condition include genetic factors, uterine disorders, hypothyroidism, diabetes, anatomical or cervical conditions, endocrine-related disorders, auto-immune diseases, chronic endometritis, viral infection, ecological conditions, and antiphospholipid antibody syndrome (APS).
As part of the RPL diagnosis, the medical experts will conduct a transvaginal ultrasonography during the early stages of the pregnancy. If the woman is not pregnant, had had two to three pregnancy losses in the past, and is being evaluated for pregnancy loss, the doctors may deem it suitable to conduct parental chromosome testing (karyogram). Also, blood tests may also be carried out to determine blood sugar levels, thyroid-related problems, ovarian dysfunction, and thrombophilia.
Treatment For RPL-
When treating a woman for RPL, the doctors will need to determine the cause of this condition. In cases of congenital thrombophilia and antiphospholipid syndrome, the doctors could prescribe anticoagulants if the woman has suffered recurrent miscarriages. Several studies conducted in the past have shown that through a course of antibiotics, women suffering from chronic endometritis can enjoy a healthy pregnancy. In cases wherein the woman is found to have a karyotypic disorder, she is advised to undergo genetic counseling. During the sessions, the genetic specialist will have a discussion on the type of genetic disorder and the possibility of future pregnancies.
Some couples may also opt for prenatal genetic studies for analyzing the genetic makeup of the fetus. In this procedure, chorionic virus sampling and amniocentesis may be carried out. In cases of chromosomal conditions, when treatment is not available, the in vitro fertilization (IVF) with preimplantation genetic diagnosis (PGD) procedure may be advised. As a part of this treatment, the woman is given shots over a period of some days for eggs to grow in her ovaries. Then, the eggs are obtained through a minor surgery and a sperm is injected into them to enable the embryos to grow. Thereafter, a single cell of the embryo is subjected to biopsy and the genetic disposition is examined. This helps to prevent the transfer of an afflicted embryo. In cases of uterine abnormality, the doctors may conduct a surgery as a part of the treatment.
In cases of thyroid-related issues or diabetes, medicines for treating the respective conditions are prescribed. However, if the patient has antiphospholipid syndrome, they are given drugs to prevent the development of blood clots.
The condition of women who has a history of recurrent pregnancy loss must be monitored closely. Even if they are given proper treatment, the chances of future pregnancy loss cannot be ruled out completely. After each pregnancy loss, the woman may suffer from psychological trauma and she may harbor doubts about her ability to conceive as well. In such cases, they require counseling for helping them in overcoming their grief. Also, recurrent miscarriages can result in the women suffering from coronary heart disease, cardiovascular problems, and ovarian cancer at a later stage. During their later pregnancies, they run the risk of having preeclampsia as well. Moreover, the mortality rates of such groups of women are high.
Unexplained RPL: In cases of unexplained RPL, there are no treatments available. The afflicted groups are given counseling. By doing so, there is around 50 to 60 percent probability of them delivering in their subsequent pregnancy. However, with each pregnancy loss, the woman’s chances of conceiving diminish. Aspirin is not known to be effective in preventing recurrent miscarriages in women. Also, immunotherapy does not meet the desired results. Currently, the drug NT100 is under scrutiny for improving the chances of conception in women with unexplained recurrent pregnancy losses.