When endometrial tissue that usually grows inside the uterus, starts growing outside uterus, it is called Endometriosis. Pain during or before periods, pain during intercourse, pain while urinating or bowel movements, heavy bleeding, infertility are some of the symptoms of endometriosis.

Treatment of endometriosis usually depends on the following factors:

Age of female
Severity of symptoms
Duration of the symptoms
Future plans for children/ fertility
Associated pathologies
Accordingly the doctor might choose any of the treatment options like:

Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain  relieving medications like Nonsteroidal anti-inflammatory drugs (e.g. Diclofenac) or anti-spasmodics(e.g.drotaverine)
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may recur. Some of the hormone therapies include: 
Hormonal Contraceptive pills: Useful in controlling the hormones that are responsible for endometrial tissue growing outside the uterine cavity.
Medroxyprogesterone: This helps to counter effect estrogen hormone which is responsible for endometrial tissue growth.
Gonadotropin-releasing hormone (GnRH) agonists: Gonadotropin hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence symptoms. It can cause absence of menstruation in some females which is reversible.
Danazol: It is synthetic androgen, suppresses growth of endometrial tissue temporarily.  However, Danazol may not be a favourable option because of its side effects. Females should avoid pregnancy while on this drug.
Dienogest: This newer progesterone molecule, which does not have major side effects and is apporved for use in endometriosis.
Other medications like selective progesterone receptor modulators, immunomodulators, anti angiogenic factors are being evaluated.
Conservative surgery: If you are trying to conceive, then surgical excision or ablation of endometrial tissue is one treatment option.Suboptimal surgery with conservation of maximum ovarian tissue is considered suitable in such cases.
Hysterectomy: In severe endometriosis cases where female has completed her family, hysterectomy is offered wherein the uterus, cervix & if required ovaries can be removed.

Endometriosis - Ways To Manage It Well!

The first 12 weeks of your pregnancy is a super important period when your pregnancy gets established and stabilized. There are so many little exciting and not so exciting changes happening in your body that it'll simply leave you amazed. If this is your first pregnancy and you are wondering what to expect, here is a quick view:&nbsp;

1. The big discovery: this is one of the most trying times in a woman's life when her mind is swinging, wondering if those periods just decided to postpone themselves or if there is an exciting reason behind the miss. This period is often spent wondering when exactly is the right time to do your first pregnancy test. The opinion on this varies a lot. Some women have been able to detect their pregnancy even before they missed their period. Others have got a false negative one week after missing their periods. The safest bet is to wait for around 8 days after your missed period and do a blood hcg test which gives a sure shot confirmation. And that moment when you find out and share with your spouse is something you'll treasure for life. There really is no feeling in the world that can match knowing that a small little life is taking shape inside you.

2. The good and not so good changes: though the kicking doesn't begin until later and the belly doesn't show, there are enough changes in your body to wonder what the little one is up to.&nbsp;
A. Morning sickness: one of the unfriendly side effects of pregnancy generally kicks in early during the first trimester. Unfortunately, it doesn't just last in the morning but mostly throughout the day. Some smells also trigger the feeling of nausea. Having small meals and keeping a good scent handy may help.&nbsp;
B. Mood swings: you can go from the heights of euphoria to the depths of depression with the speed of a roller coaster. The spouse is often the one bearing the brunt of this side effect leaving them confused. It is best to keep them in the loop so that they can take it to their stride and comfort you when you need it the most.&nbsp;
C. Weight loss / gain: though it is too early to pile on the pounds, your first trimester will see you gain a few pounds. In other cases, appetite loss and nausea may actually result in some weight loss. Keep your daily calorie intake in check during this period and concentrate on eating nutritious food with extra pregnancy sustaining supplements.
&nbsp;
3. Your baby's growth: in your first trimester, your baby goes from a single cell to a peach sized bundle that sprouts arms, legs, hands, feet, fingers and toes. And that first heartbeat - you are bound to skip a heartbeat when you hear that.&nbsp;

If you are wondering if you are pregnant or experiencing some unusual symptoms, then consult a doctor.


First Trimester Pregnancy - What To Expect

Women undergo menopause in their 40s and this is primarily known as the age after which they can't bear children in their wombs any more. The ability to develop and maintain a healthy pregnancy wanes as a woman crosses the age of 30, which according to research is the optimal time for a woman to become a mother.

The body undergoes changes as it gets older and women slowly start losing the perfect conditions for pregnancy. However, with the rise of the IVF treatment for infertility, a great number of people are choosing to embrace parenthood at a relatively advanced age. However, the question is, can the same IVF treatment prove effective for a woman after her menopause?

The answer is yes. There have been several instances where a woman past menopause has been implanted with a fertilized egg and has been able to conceive a healthy offspring from the same. However, such an IVF treatment is much more complex and can require a lot of external hormonal treatments on the side as well.

How can IVF help menopausal women?
Women, who have gone into menopause more than 6 months ago, require additional care to achieve pregnancy through IVF. The uterus is usually shrunken in such people and the endometrial lining also develops a resistance to estrogen. Several cycles of estrogen treatment are needed for such women to achieve a healthy pregnancy.

Most doctors suggest at least a couple of months of estrogen and progesterone treatment prior to taking the actual IVF treatment. However, there is no guarantee that the same will be effective in every case.

By any chance, if the menopausal woman chose to store her eggs prior to her menopause, she can get those eggs fertilized and implanted after menopause, using the IVF method, in order to achieve a healthy pregnancy. Through, this procedure, the woman can not only become pregnant after menopause but can also ensure that she is the biological mother of the child who would be born.

At any rate, it is best to undergo the IVF treatment before menopause, as this improves the chances of conceiving. The hormonal treatments are often easier and most women can completely forego the progesterone and estrogen supplementation in such a case. This will not only reduce the time required to complete the treatment but will also significantly reduce the cost that the parents have to bear.

Can IVF Help Menopausal Women Get Pregnant?

There comes a stage in every woman's life when on one hand she is relieved to see the end of monthly menstruation, and on the other hand has to deal with a host of other problems. This is called menopause, and hot flushes are a common symptom faced by most menopausal women. Hot flushes can be described as spikes in internal body temperature and excessive sweating accompanied by dizziness, nausea and overall tiredness. Homeopathy can be very effective in relieving menopausal symptoms such as hot flushes. Each woman's symptoms of hot flushes are unique, and a homeopathic doctor will prescribe treatment based on her symptoms and personality characteristics. Five most common homeopathic remedies for hot flushes are: 

Sepia 
Sepia is anti-spasmodic and an energy enhancer that is very effective for women who perspire heavily because of hot flushes and feel very weak. Sepia addresses not only the physical symptoms of the reproductive organs but also the emotional symptoms. It also treats associated hair loss, depression, irritability and a reduced libido. 

Lachesis 
Women who benefit from Lachesis are usually lively and easily excitable, but at the same time can quickly turn suspicious and aggressive. Menopause makes these symptoms worse. When it comes to hot flushes, Lachesis is especially beneficial for women who suffer from pressure and burning sensations on the vertex. Lachesis is also prescribed mostly for menopausal women who experience hot flushes that start from the head, and are worse just before sleeping or on waking up. 

Pulsatilla 
Pulsatilla is a useful remedy for any major hormonal change. It works very well on women who tend to be indecisive and do not like being isolated. Pulsatilla can be very effective if your hot flushes are followed by chilly spells and emotional upheaval. 

Belladonna 
If your hot flushes makes you feel like your face is on fire and turns your skin red, Belladonna is what you need. Doctors commonly prescribe this homeopathic remedy for patients who are restless and agitated and suffer from palpitations. Menopausal women with hot flushes, who benefit from Belladonna, also usually suffer from dizziness, throbbing headaches, diarrhea and swollen joints. 

Ferrum Metallicum 
If you generally feel fine but any slight exertion makes you feel tired and you experience sudden hot flashes, you may need Ferrum Metallicum. This can be accompanied by heavy perspiration and chilly spells. Ferrum Metallicum works ideally on people who are naturally temperamental, intolerant and compulsive workers. "

Treating hot flushes with homeopathy

Lumpectomy is a surgery where a cancerous or benign tumour is removed from a breast along with some surrounding tissues. The amount of tissue removed varies according to the nature of the tumour. It is a form of breast-conserving surgery. It is also called a partial mastectomy.

Lumpectomy is the first option of treatment for women diagnosed with early-stage breast cancer.

What is the goal of lumpectomy?

Lumpectomy aims to remove the cancerous cells from the breast and at the same time maintaining the appearance of the breast. Studies have proved that for early stage breast cancer, lumpectomy is as effective as mastectomy (complete removal of the breast).

Doctors may recommend lumpectomy to remove precancerous cells as well.

Pre lumpectomy measures-

If you are under any other medication or if you suffer from allergies, inform your doctor. Other pre-surgery measures include-

  Stop taking aspirins or any pain relieving medication

  Your doctor will recommend you to not drink or eat anything 8-12 hours prior to the surgery.

The procedure:

A mammogram and a biopsy reveal the exact location of a tumour. Lumpectomy is performed under general anaesthesia. The surgeon makes a small incision over a tumour to extract the cancerous cells and the surrounding tissues. Sometimes doctors have to perform sentinel lymph node surgery or axillary node dissection.

The surgeon then closes the incisions with sutures. The sutures may dissolve over time or may have to be extracted later by a doctor.

If you have undergone lumpectomy and sentinel node biopsy, you will be discharged on the same day as the surgery as soon as your blood pressure stabilizes.

However, after lumpectomy with axillary node extraction, you may have to stay in the hospital for 2-3 days.

Therapy after lumpectomy

Your oncologist will recommend a follow-up radiation therapy to destroy the mutated cells that may have remained in the area where a tumour had developed. Radiation reduces the risk of breast cancer recurrence.

You might also have to undergo hormone therapy. Some types of breast cancer need female hormones like estrogen and progesterone to grow. Hormone therapy inhibits the development of cancerous cells by not allowing these hormones to reach the cells.

Your doctor will advise you to avoid strenuous physical activities for at least a month after the surgery.

Lumpectomy is a safe surgical procedure that can root out tumours or precancerous cells from the breast without deforming the shape of it.

Breast Lumpectomy - All You Should Know!

The internet is filled with information about abortion but not everything you read is entirely true. A lot of information you come across maybe myths or misconceptions so, it is very important for you to have a thorough idea about abortion and the way it is performed. Before you go ahead with the abortion, you have to make sure you know everything there is to know about this.

In how many ways can you medically terminate a pregnancy?
Before going for an abortion, you should know and keep in mind that there are different ways through which an abortion is performed. So, with the help of your doctor, you need to decide which one you should opt for depending on your health and situation. Those methods are:

  Surgical abortion - This type of abortion is normally done with the help of general or local anaesthesia depending on the patient s preference. Surgical abortions are normally done if any problems crop up in the later stages of the pregnancy. This process is just like the Caesarean process, but here the fetus is terminated by cutting off the umbilical cord and then delivered. Doctors suggest this method when the mother s life is at risk or if there are complications in the later stages of the pregnancy..

  Curettage - Curettage is the process in which the fetus is terminated by cutting it out with an instrument known as a curette. Firstly, the pregnant woman s uterus is dilated and after that, the fetus is removed. This method can only be done during the first trimester and after that, it becomes very risky. If this process is not carried out properly, it can cause grave injuries to the mother leading to haemorrhage and even death.

  Medical abortion - A medical abortion is normally performed in the initial stages of conception i.e., during the 9th week of pregnancy where you have to consume two types of medicines at least two days apart. Once you ingest the medication it initiates a miscarriage.

  Vacuum aspiration - This is one of the most common methods of abortion in which a sharp-edged tube is inserted through the vagina and into the amniotic sac where the fetus is cut into multiple pieces. Then a vacuum pump is stuck to the tube to pull out all the pieces. This type of abortion should be avoided after your 12th week of pregnancy.

Risks of a pregnancy termination 
There are several risks of terminating a pregnancy which you should know about before you decide to go for it:

  Internal organs may get damaged
  Infection
  The uterine lining can get scarred
  Lots of bleeding
  Guilt
  Thoughts about committing suicide
  Substance abuse
  The cervix can get damaged
  The uterus can have a hole in it
  Sexual problems
  Depression
  Death
  Pain in the lower abdominal region
  High body temperature or fever
  Nausea
  Foul-smelling and dark vaginal discharge

Abortion is one of the many methods for avoiding pregnancies but the process itself can take a toll on you physically as well as mentally. So, being well aware of the whole process beforehand can help you in dealing with its after-effects.

Different Methods Of Medical Termination Of Pregnancy!

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