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

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.

Pre-Term Labour - Can There Be Complications?

Infertility is a condition wherein a woman does not get pregnant in spite of having unprotected intercourse over a period of a year or even more. An abnormal menstrual cycle that is either too short or too long, irregular or even scanty can be an indication of a lack of ovulation, which in turn, is another factor behind female infertility.

Causes

Ovulation disorders are characterized by either a lack of ovulation or irregular and infrequent ovulation. These are a major cause of infertility. This may be due to defects in the regulation of the reproductive hormones by the pituitary gland or the hypothalamus (brain center responsible for producing some of the most essential hormones required by the body). Malfunctioning of the ovary is another cause in itself. Polycystic Ovarian Syndrome, premature failure of the ovaries (a condition wherein a woman s ovaries fail to function properly even before she is 40 years old), hypothalamic dysfunction (a dysfunction of the hypothalamus) and excessive production of prolactin (a hormone that stimulates milk production among women after childbirth) by the pituitary gland are some of the factors responsible for the occurrence of such a disorder.

Damaged fallopian tubes do not allow the sperms to fuse properly with the egg. They might also prevent the fertilized egg from entering into the uterus. This condition may be caused due to pelvic inflammatory diseases (a group of infections of the reproductive organs in women), an infection in the fallopian tubes or the uterus caused due to various Sexually Transmitted Diseases, any abdominal surgery or surgery of the pelvic region and pelvic tuberculosis.

Endometriosis, wherein the tissue that usually grows in the uterus, starts growing outside it, is another factor responsible for infertility.

Several cervical or uterine disorders, such as tumors, inflammation within the uterus, uterine abnormalities, a cervical narrowing or the inability of the cervix to produce mucous for the sperm to travel to the uterus, are likely to impact fertility by obstructing implantation or enhancing the chances of miscarriage.

Treatments

Fertility drugs can be used to regulate and induce ovulation. But they carry with them certain risks and therefore you should consult your physician prior to consumption. Few examples of these drugs are Clomiphene Citrate, Gonadotropins, Metformin, Letrozole and Bromocriptine.

Surgical procedures can be recommended to correct reproductive abnormalities and restore fertility. A laparoscopic surgery or a tubal ligation reversal surgery (a surgery that unites one s fallopian tubes again in order to enable the woman to have a baby) can be advised by the doctor.

Reproductive assistance by Intrauterine insemination (a process that involves putting sperms inside a woman s uterus in order to help her conceive) and Assisted reproductive technology (consisting of IVF and surrogacy).

Infertility - 4 Causes Behind It

Post-pregnancy weight can be difficult to get rid of. It is a gradual process and often takes time. Experts are of the view that hormonal imbalance and a sudden increase in the diet are the major cause of the additional weight. This being said, shedding weight is possible if a consistent effort is made on a daily basis. Here is a list of hat tips to get you started:

Walk every day: Walking 5 minutes a day does the world of good in the endeavor of shedding weight. Post the 6-week check-up after the arrival of the baby, the duration of walking can be increased. Brisk walking for half an hour can help the body to weight as much as 300 calories a day.
Weight training- Weight training is one of the best forms of exercise to lose weight quickly. If hitting a gym is a problem, a personal trainer can be hired for working out. Certain exercises such as lifting small weights, doing lunges is a good way to start.
Breastfeed: Breastfeeding for a time duration of 30-45 minutes (about3-4 times a day) helps to lose 600-800 calories per day. Some women even report of shedding all their extra weight just through breastfeeding. This is by far the easiest way of losing weight.
Say no to calories- Calories, by all means, will have to be avoided. Certain fast food items such as soda, chocolate, and chips should not be consumed at all. Instead, meals rich in nutrient, fresh vegetable, fruits, whole grains etc. should be consumed on a daily basis.
Frequent meals- 2 to 3 heavy meals a day are detrimental to a person trying to shed weight. Frequent meals, on the other hand, maintain a steady blood sugar level, reduce the tendency of over-eating and do not let fat store in the body.
Frequent naps- Studies show that frequent naps can help a great deal of weight. It reduces the craving of eating food with high calorie. It also revitalizes the metabolism and refrains a person from long term self-deprivation. Naps will also help to gather enough energy to perform other physical activities.
Healthy snacks- Home-made snacks containing whole wheat, low-fat milk and yogurt are good snack options for post pregnancy weight loss. These snacks block hormones that are responsible for storage of fat in the body.
Yoga or meditation- Yoga has proved to be extremely effective for women trying to shed post-pregnancy weight. It especially helps in toning down the fat in the upper and lower abdomen which is extremely difficult to get rid of. Yoga also relaxes the mind and helps to focus more.
Consumption of warm water- Drinking warm water after every meal serves two purposes. 
It doesn t let the fat store inside the body.
It helps in better digestion. It has to be ensured that the water is mildly warm and drinkable.
Avoid stress- Nurturing a baby is exhausting enough. Stress on top of this can be disastrous. It leads to depression resulting into junk eating. It has to be ensured that stress is avoided by engaging in activities such as cooking, painting or listening to music.


10 Tips To Lose Post-Pregnancy Weight

Pcos or polycystic ovary syndrome is an endocrine disorder in women, in which the female hormones, progesterone and estrogen, are imbalanced. This imbalance leads to the formation of cysts (benign masses) in the ovaries. Pcos tends to affect your heart functions, fertility, menstrual cycle and appearance.

There are certain symptoms, which can be indicative of pcos; these symptoms tend to begin as a woman's menstrual cycle starts. In certain cases, however, pcos may also affect a woman in her mid age. Pcos can also cause excessive hair growth in unwanted places like above the upper lip, chin, arms and chest like a male.
The symptoms are:

Increase in the production of male hormone, leads to development of male characteristics
The size of the breasts may reduce
The tone and the texture of the voice may change and become similar to a man's voice
Hair may start to fall
You may suffer from acne and pimple breakouts on your face
It can lead to sudden weight gain
It may affect a woman's fertility
It may lead to pain in the pelvis
Other symptoms: apart from these symptoms, a woman may also experience other health complications such as high levels of bad cholesterol, high blood pressure and diabetes.

Causes: the causes of pcos are not well known, however, the likely causes are genetics and hormonal complications. If someone in the family has pcos, then the risk of being affected by pcos rises significantly. The other likely cause is the overproduction of the male hormone androgen in the female body. Although androgen is a male hormone, the female body also produces it in trace amounts. However, in some cases, when it is overproduced, it might impair the ovulation process.

Diagnosis and treatment: once the condition is diagnosed, there are certain treatments, which are recommended for the patient. The condition in itself does not have a cure, but the symptoms can only be controlled. Medications to control the androgen levels in the female body may be administered if you have androgen hormone complication. A balanced diet and an exercise regimen can be chalked out to control body weight and regulate blood sugar levels. If pcos leads to ovulation problems, then medications to facilitate ovulation may be advised.

PCOS: What You Need to Know About It

Male menopause also called  andropause  is characterized by changes in the male hormone  testosterone  due to age. Other names that are used to describe similar symptoms are  androgen deficiency ,  testosterone deficiency  and  late-onset of hypogonadism .

What Is Male Menopause?

Because men do not go through a well-defined period referred to as menopause, some doctors refer to this problem as androgen (testosterone) decline in the aging male -- or what some people call low testosterone. Men do experience a decline in the production of the male hormone testosterone with aging, but this also occurs with conditions such as diabetes. Testosterone is a hormone which is produced in the testes and it plays an important role in a man s body; from regulating sex drive, increasing energy levels in the body, maintaining muscle mass to bringing about changes during puberty. Male menopause differs from female menopause in a few aspects and not all men are affected by it. However, this condition doesn t cause impotence.

Symptoms:

Along with the decline in testosterone, some men experience symptoms that include:

Fatigue
Weakness
Depression
Sexual problems
Symptoms: 

The symptoms of male menopause are low energy levels, fatigue, depression and an inability to focus on anything. You will lose muscle tone coupled with an increase in body fat; the muscles in the body also tend to become weak. Some other symptoms are decreased bone density and breast development. 

Causes:

There are no specific causes as such, but aging is known to play a major role in male menopause. Certain lifestyle factors such as depression, stress and anxiety can cause some symptoms of male menopause to show up such as erectile dysfunction. Not eating a balanced diet and not following a proper exercise regimen and drinking or smoking excessively can trigger symptoms of male menopause.

Treatment:

Once the diagnosis is done, the doctor will chart out a treatment course. The common treatment for male menopause is to make certain changes in your lifestyle   eating a well-balanced diet, getting optimal sleep and exercising regularly. Making these types of changes has been proven to dramatically improve the health of men affected by male menopause.

Another option is hormone replacement therapy, wherein synthetic or artificial testosterone is administered to the body. It is similar to performance e   nhancers in terms of its side effects. So it is advised to consult your doctor and take a well-founded decision on whether to go ahead with the hormone replacement therapy.

Ayurvedic Management of Male Menopause:

Manage your emotions through yoga and meditation.
Attend couple s counselling and talk your doctor about your issues. Educate yourself and your family about the condition.
Avoid smoking and alcohol consumption.
Maintain your weight by doing regular exercise and diet.
Do regular body oil massage with Ksheerabala taila, Sesame oil or Mahanarayana taila.
You can undergo Ayurvedic treatments like Shirodhara, Rasayana and Vajikarana chikitsa to rejuvenate your body and enhance your sexual health.
Ayurvedic medicines like Ashwagandha, Kapikachhu, Shilajit, Gokshura, Musli, Amalaki, Punarnava, Chandraprabha vati, etc. are very beneficial.

Know Everything About Male Menopause

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