The tissue that lines the uterus is known as the endometrium. In some cases, it can grow outside the uterus. This is known as endometriosis. Endometriosis usually involves organs in the pelvic cavity such as the ovaries, fallopian tubes, bowel and lining of the pelvic cavity. In rare cases, it may involve the vagina, cervix and bladder as well.

Depending on the location and extent of endometrial tissue, it can be classified into four stages ranging from minimal to severe. Most cases of endometriosis fall into the minimal or mild category which involves mild scarring and superficial tissue implants. Moderate or severe endometriosis can cause cysts and severe scarring. Infertility is also commonly associated with severe endometriosis.

Pain in the pelvic area just before and during menstruation is one of the most characteristic symptoms of this disorder. This is because the overgrown endometrial tissue acts like normal endometrial tissue and is shed during menstruation. The only difference is that since there is no exit for this overgrown tissue, it is trapped in the pelvic cavity. The location of the implantation of endometrial tissue also plays a role in the amount of pain experienced. The deeper the implant, more the pain. Implants near areas with high nerve density are also more likely to be painful than implants in areas with low nerve density.  These implants may also release substances into the blood stream that can cause pain.

Other symptoms associated with this disorder are:
  Painful intercourse
  Painful urination
  Pain during bowel movements
  Infertility

These symptoms especially the pelvic pain can vary from month to month in terms of duration and intensity.

A few simple changes in your diet can help manage the symptoms associated with this disorder and in some cases, prevent it as well. Avoid processed food and foods that are high in sodium content. You should also avoid high-fat dairy and food that is rich in arachidonic acid. Instead, increase your consumption of carbs and green leafy vegetables. You could also add two tablespoons of walnut oil a day to your diet to help combat inflammation and the other effects of arachidonic acid.

Early stages of this disease can be treated with hormone therapy, but if it has progressed to the later stages, surgery may be needed. This surgery is performed laparoscopically and aims at removing all the implanted tissue from outside the uterus. However, in cases where the anatomy of the pelvic organs has been distorted by the implants, a hysterectomy may be required. This option, however, it usually considered only in cases where a woman does not have any plans of conceiving more children. 

Endometriosis - How It Is Affecting Your Life?

The kidneys are the main excretory organs and remove all toxins and wastes from the body in a liquid medium, the urine. The urine is normally straw coloured as there are filters which do not allow blood to enter the kidneys. However, due to various reasons, when there is a disease in the urinary tract, red blood cells can escape into the urine. The urine then assumes a pinkish tinge; the exact colour would depend on the amount of blood leaked. While the thought of pinkish urine is scary, it becomes a bigger concern when seen in children. Read on to know a little more about the types, causes, and ways to manage this condition. 

Types: 

Microscopic: When there is blood visible only through a microscope. This is quite common in children, and unless there is no accompanying kidney disease, it does not pose a problem when found occasionally. 
Gross: It is when the color of the urine changes to a pinkish tinge. This is of concern and requires immediate attention. 
Causes: 

There are various reasons and some of them are listed below 

Inherited causes: Conditions like sickle cell disease, polycystic kidney disease, Kidney stones and inherited nephritis. 
Structural causes: Cysts in the kidneys can cause hematuria 
Trauma: An injury (to the abdominal area) during sports should be ruled out, which could have damaged the problem 
Infections: Infections along the entire urinary tract right from glomerulonephritis to kidneys to bladder can cause blood in the urine 5.   Imbalances in minerals: High levels of serum calcium, which puts them at a higher risk of developing kidney stones later. Dietary calcium should be reduced. These children also could have a history of stones in the family. 
Idiopathic: When the cause of the hematuria is not known, it is termed idiopathic. 
Associated issues/Diagnosis: 

Hematuria is an indication or a symptom of an underlying medical condition (be it infection or trauma) and the underlying cause always needs complete evaluation. Accompanying symptoms can help narrow down the diagnosis. If any inherited cause is suspected, presence of hematuria should always be assessed in parents and grandparents. 

Check for history of trauma 
Known prior kidney disease 
Symptoms of infection 

Family medical history 
Urine tests to analyse its composition 
Urine culture, MRI, CT scanning, or biopsy may be required in more serious cases. 
When to worry? 

Associated proteinuria 
Microscopic hematuria which is persistent 
Kids with high blood pressure 
Kids with other existing kidney diseases 
Management: 

In most cases, no specific treatment for hematuria is required as the condition subsides after the underlying problem is addressed. For instance, once the infection clears, the hematuria also clears. Follow-up urine tests may be required to confirm that it is cleared. Blood in urine must always be evaluated by pediatric nephrologist as its causes range from very mild disease to rapidly evolving kidney failure, which may occur over days to weeks.

Blood In Urine In Kids - Know The Reasons Behind It!

Miscarriage is the early loss of foetus within 20 weeks of pregnancy. It is also known as  spontaneous abortion . According to research, about 8-20% of the pregnancies end in miscarriage. Out of the total number of miscarriages, 80% of them end within 12 weeks of pregnancy.

Types of Miscarriages and their Symptoms 

Threatened Miscarriage   As the term suggests, in this condition the process of miscarriage might have begun. This is the initial stage of the process. In threatened miscarriage, there is slight bleeding accompanied by cramps and pain in the lower back, which is usually mild. The cervix (the lower part of the uterus) remains closed. 
Inevitable and Incomplete Miscarriage   In these conditions, there is bleeding along with an open cervix. When there is dilatation and thinning of the cervix, miscarriage is inevitable. In incomplete miscarriage, part of the tissue comes out and a part remains inside the uterus. In inevitable and incomplete abortions, the bleeding and cramps are more severe. 
Complete Miscarriage   Complete miscarriage is when the embryo has completely emptied from the uterus. The pain and bleeding reduce once the foetus is expelled. This can be confirmed through ultrasound. 
Missed Miscarriage   In Missed miscarriage, there is no sign of the life of the embryo and there is no expulsion of the embryo. It can be detected from the absence of heartbeat of the embryo found on ultrasound. 
Recurrent Miscarriage   It happens when there are two or three miscarriages one after the other. It affects about 1% of the pregnancies. 
Risk Factors 

Increased maternal age i.e., women above 35 years. 
Excess or insufficient chromosome in embryo. 
Placenta is the organ which links mother and the baby for blood supply. Problem in the development of placenta can cause miscarriage. 
Excessive smoking and drinking during pregnancy. 
Obese women have higher risk of miscarriage. 
Long-term health conditions like high blood sugar, high blood pressure, liver disease etc.
Infections like rubella, malaria etc. 
Weakened cervix, which is the result of previous injury or surgery, can also result in miscarriage. 
What are the symptoms of a miscarriage? 

Bleeding or spotting can be one of the symptoms of miscarriage. It should be kept in mind that not all pregnant women who suffer from spotting or bleeding, end in miscarriage. 
Lower backache starts before or right after bleeding, which can be persistent or you could have cramps which may be mild or sharp and can feel like more of pelvic pressure. 
Missed miscarriages are detected through ultrasound when the doctor finds that there is no heartbeat of the embryo or when the uterus is not growing. 
What are the treatment options in miscarriage? 

Medical   In most of the cases, there are no specific drugs to stop a miscarriage from occurring. In some cases, certain hormonal preparations help. There is no point in prescribing medicines for prevention of miscarriage if there is heavy bleeding. 
Surgery   Dilatation and evacuation (D&E) is a simple operation which is done under general/local anaesthesia. In this operation, the cervical canal is dilated and contents present in the uterus are evacuated. There is no cutting involved as it happens through the vagina. The process needs only five to ten minutes, but the patient has to stay in the hospital for about 3-4 hours. 
This process is opted when: 

There is heavy bleeding. 
The patient suffers from missed miscarriage. 
What can you do to prevent miscarriage? 

Nothing much can be done to prevent miscarriage in most of the cases. However, following supportive measures may help: 

There should not be overexertion during pregnancy. Moderate amount of physical activity is permissible. 
One should have a well-balanced diet. Studies have shown that a diet loaded with fruits and veggies helps in overall well-being during pregnancy. One should limit the consumption of caffeine. 
Avoid smoking, alcohol and certain drugs to prevent miscarriage. 
Avoid stress and anxiety. 
Report to Doctor (preferably Obstetrician) as soon as any symptom related to miscarriage appears.

Miscarriage - Symptoms, Treatment and Prevention

Disregarding genital tract infections and issues including the symptoms of the same can lead to problems when it comes to fertility. It may also cause problems in your sexual life. Genital problems can also lead to infertility. These days, infertility is a noteworthy and very important occurrence that plagues many couples.

Common Infections: A large portion of these genital tract diseases occurs because of infections. Salpingitis happens in close to 15% of ladies in their reproductive age and 2.5% of all ladies get to be infertile as an aftereffect of salpingitis by age 35. Many times, symptoms of conditions and STDs like Chlamydia trachomatis are usually nonexistent. The real rate of ladies with upper genital tract infections is presumably underestimated.

Infection and Infertility: Infectious agents can hinder different vital human functions, including reproduction. Bacteria, fungi, infections and viruses can meddle with the reproductive capacity in both genders. Diseases of male genito-urinary tract represent around 15% of the instance of male infertility. Diseases can influence distinctive areas of the male regenerative tract, for example, the testis, epididymis and male sex organs and glands. Urogenital diseases at various levels of their advancement, development and transport can affect the sperms themselves in this manner. Among the most widely recognized microorganisms required for sexually transmitted diseases, meddling with male fertility are Chlamydia trachomatis and Neisseria gonorrhea.

Symptoms: If the following symptoms of a genital tract infection are ignored, it can definitely lead to the person being infertile in some stage of life or immediately. These are as follows:

The signs and symptoms in males are

Changes in the way you discharge
Bleeding while urinating or discharge
Thick white, yellow or green release from the tip of the penis along with pain in urethra or pain while urinating
A hard but painless sore on the penis along with swelling of the lymph hubs in the crotch
Pain or uneasiness while urinating or discharge from the urethra
Difficult or irritated red spots and small blisters on the penis
Chestnut bits on the hair around the penis
Gentle delicacy around one of the testicles
Delicate swelling in the scrotum on one or both sides
Extreme pain after injury to your penis
The signs and symptoms in women are as follows:

Irregular vaginal discharge with a pungent smell
Burning sensation while urinating
Tingling or itching in the outer area of vagina
Uneasiness and pain during sex
Sore vagina
Foamy greenish-yellow discharge with a foul smell
Light bleeding after intercourse
Warts in the vagina
Regular check-ups and visits to the gynecologist are very essential. One should always keep the partner updated about their sexual health problems to practice a healthy and honest relationship and to avoid further contagious infections from occurring.

Can Genital Tract Infections Lead to Infertility?

Being a mother is the greatest gift to womankind. With the most amazing feeling of being a mother, comes big challenges and responsibilities. The first and foremost being, keeping the baby safe and healthy. Providing babies their best start begins with breastfeeding. Doctors around the world recommend exclusive breastfeeding to begin within the first hour of a baby s life and continue until six months.

A mother s milk has no substitute. It is packed with amazing nutritional benefits, the absence of which can lead children at risk of malnutrition and various diseases. Breast milk is often being termed as complete food with added antibodies, enzymes, hormones and fatty acids extremely vital for a delicate immune system of an infant. Babies build their immunity in the first few years of their life and breast milk is critical to developing immunity.
UNICEF working on child s rights and well-being world over promotes breastfeeding schemes across many countries. 

According to UNICEF reports, a non-breast fed child is 14 times likely to die within first six months than an exclusively breastfed child. An estimated 8,20,000 children under the age of five could be saved each year with increased breastfeeding. However, Only 38% of infants globally are breastfed. Looking at India s state, Malnutrition continues to be one of the greatest challenges. One cost effective, safe and smart intervention to curb malnutrition and decrease infant mortality is breastfeeding.

Let s now look at the benefits of breast milk for infants and mothers:

Breast milk is found to reduce the risk of respiratory tract infections, diarrhea, asthma, food allergies, leukemia, diabetes and celiac disease.
Psychologists have long established the positive effects of mother s touch in the emotional development of babies. In addition to this, breastfeed has positive effects on child s cognitive development.
Breastfeeding has amazing benefits for mothers. It is found to aid weight loss post pregnancy. It promotes better uterus shrinkage and delays menstruation. Lactating mothers naturally avoid pregnancy till they breastfeed. It reduces the risk of breast cancer, cardiovascular disease and rheumatoid arthritis later in life.
Considering the benefits of this super natural milk, many countries have now adopted an international code of marketing of breast-milk substitutes. The code promotes breastfeeding and restricts marketing of infant formula milk. India along with many other countries signed it.
India has also begun with a baby friendly hospital initiative where hospitals educate new mothers regarding breast feeding and strictly discourage infant formulas wherever possible. The myth of feeding newborn babies with honey, water, sugar does more harm than good. Thus, it is vital to exclusively breastfeed the baby at least for six months before introducing other foods. 

Ensure your child s right to a healthy life through breastfeeding!

Breastfeeding - Its Benefits for both Mother and Baby

Blood in urine, medically known as Hematuria is not usually a cause of concern, but it can translate into an adverse condition if left unevaluated. The kidneys and other structures in the urinary tracts such as urethra (tube connecting the bladder to the outer part of the body); bladder (that stores the urine) and ureters (tube joining the bladder to the kidney) are the sources of blood flow to the urine. Hematuria can be accompanied by symptoms such as discharge of tea-colored, brownish-red or pink colored urine due to the presence of red blood cells, traces of which can only be detected under the microscope.

Underlying causes behind this disorder might be

Urinary tract infection is where the bacteria enter the body through the urethra and begin to proliferate in the bladder.
Kidney infections (pyelonephritis) is when bacteria infiltrate into the kidneys from the bloodstream or travel up from the uterus to the kidneys.
A kidney or a bladder stone is marked by the minerals in the concentrated urine precipitating out and molding into crystals that deposit on the bladder or kidney walls.
Enlarged prostate is a condition in which the prostate gland, that is situated just below the bladder surrounding the upper part of the urethra, starts growing as males head towards their middle age.
Kidney disease such as glomerulonephritis causes swelling of the kidneys, thus disrupting the filtering system.
Bladder, kidney and prostate cancer are also possible causes.
Hereditary disorders such as sickle cell anemia (a hereditary disease of the red blood cells in the hemoglobin) can also pose as a cause behind this disorder.
Kidney injury as a result of heavy blows, accidents or injuries sustained while playing a spot can also contribute to this condition.
Medications such as penicillin or the anti-cancer drug  cyclophosphamide 
Strenuous physical exercises like intense workout or running may also result in Hematuria.
Treatments
There is no fixed cure for Hematuria; instead the doctor would work on treating the repressed conditions behind the symptoms, such as prescribing antibiotics to heal the urinary tract infection or a medicine to shrink and normalize the enlarged prostate or administer a shock wave therapy to destroy the kidney or bladder stones. 

Blood in Urine - 10 Reasons Behind It!

Want to consult online with a top Cosmetic Gynecology? Do so easily online at Lybrate now!

Consult with a Cosmetic Gynecology - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES