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!

'Congratulations! You're pregnant!' Almost all women long to hear these words and nothing should come in the way, even diabetes. So, if you are a Type 1 or Type 2 diabetic, here are a few things you should keep in mind to have a healthy baby.

1. Your blood sugar must be monitored regularly-
The most important thing you can do to have a healthy baby is to keep your blood sugar as close to normal before and during your pregnancy. Testing is recommended a minimum of four times a day. Glucose passes through the mother's blood to the fetus and hence if your blood sugar fluctuates, so will your baby's. High blood sugar levels are especially harmful during the first 8 weeks of pregnancy when the baby's brain, heart, kidneys and lungs are formed.

2. Your pregnancy is considered high risk-
High blood sugar levels can increase the risk of a miscarriage as well as the risks of your baby being born with birth defects. Diabetes can also increase the risk of developing preeclampsia during the second half of your pregnancy. This could result in a C section or premature birth. Thus, maintain regular checkups and keep your doctor in the loop of all your activities.

3. You should watch out for signs of ketosis-
When you have low blood sugar, the body produces ketones that can be passed on from you to your baby. This production of ketones is a result of the body's burning of fat instead of glucose to provide energy and can develop a condition called ketosis. Symptoms you should watch out for are stomach aches, nausea, fatigue, muscle stiffness, frequent urination and fruity breath.

4. You need Vitamins and Supplements-
Most women require vitamin and mineral supplements at the time of pregnancy. Of these, folic acid, iron, calcium and vitamin D are the most important. These supplements help in the healthy growth of the baby.

5. You should exercise regularly-
Maintaining a regular physical activity routine is very important for diabetics who are expecting a baby. This will help you regularize your blood sugar, relieve stress and strengthen your heart. Avoid activities that increase your risk of falling and aim for at least thirty minutes of daily exercise such as walking, swimming or yoga.

6. Check your medication-
Some medication can be detrimental during pregnancy such as cholesterol and blood pressure medication. Consult your doctor to find a suitable alternative if needed. You may also need to change the kind of insulin you take and its frequency and amount. As you get closer to the delivery date, your insulin requirement may even double or triple.

The key to preventing complications during pregnancy is controlling your diabetes. So take your insulin regularly, maintain regular checkups and eat healthy. You need to be seen by your obstetrician more frequently. Your pregnancy will be monitored closely by more frequent ultrasounds and NST. If your sugar level remains under control and pregnancy is advancing well, a natural onset of pains is aimed for and normal delivery is expected.

Diabetes - How To Handle It While Pregnancy?

Let's start with an interesting fact: all types of tea, be it green or black, comes from the same plant, Camellia sinensis. The difference only lies in processing and oxidation. So how can one be better than the other you ask? Let's find out.

1. Fluoride content

When it comes to fluoride content both green and black teas score high, while milk tea sadly loses out. Green and black teas are good for your teeth and bones, although black tea has higher fluoride content (0.2-0.5mg as compared to 0.3-0.4mg in green tea). It is best to have your black tea with tap water as it increases the fluoride content up to 0.9mg.

2. Antioxidant content

Yet again green tea and black both have high antioxidant content that helps in preventing cancer, but green is the clear winner over. Milk tea loses again as the milk in it effects the absorption of these antioxidants by your body. Green tea is enriched with a particular type of catechin (flavonoid) called EGCG, which regulates gene activity in cancer cells, and may even prevent cancer growth.

3. Caffeine Content

Both black and green teas have different amounts of caffeine in them. Green tea has lesser caffeine content than black tea- 9-50mg/cup in comparison to 42-17mg/cup. So if you want to have an energetic morning then black tea is the one for you, but if you want to relax your blood vessels and just enjoy a soothing drink, choose green tea. Milk tea, unfortunately, does not have a calming or an energising effect.

Benefits for your heart:

Black tea is probably a healthier option if you want to derive cardiovascular benefits from your daily cuppa. While green tea has abundant EGCG which creates a lining along your blood vessels to reduce stress, black tea offers more benefits. Black tea can improve the function of your blood vessels if you suffer from coronary artery disease. Apart from that, both can lower the levels of harmful cholesterol. There's no evidence that supports that milk tea can be beneficial for your heart.

So, in the end, it's your call to choose black or green tea, whichever works best for you. Try avoiding milk tea as the milk steals away the essential health benefits of tea. Just remember to have no more than 10 cups of green tea a day, and no more than 4 cups of black.

Related Content: Try Auric skin radiance health drinks as an alternative for tea or coffee for glowing skin.

Milk Tea Vs Black Tea Vs Green Tea - Is Your Choice the Best?

6 must-have foods during your first trimester

The first trimester of pregnancy (i. E. The first three months) is a very crucial time as this the time when your baby grows at a faster rate than at any other stage. Eating right is what you should be doing during such a time in your life as your body can make use of the energy and nutrients to build the body of your baby as well as to keep you strong. During the first trimester of your pregnancy, you should be including these 6 foods in your diet to provide you and your child with all the vital nutrients.

1. Spinach: high in folic acid, also known as folate (a form of vitamin b), consumption of spinach during these first few months (as well as before pregnancy) is extremely vital. It can help in preventing the occurrence of neural tube defects or birth defects pertaining to your baby's brain and spine.

2. Citrus fruits: your first-trimester diet should also consist of an adequate amount of citrus fruits. High in vitamin c, you should have at least 1 citrus fruit every day. If you prefer to take these fruits in juice form, you should restrict it to only 1 cup a day. This is because juices are high in calories and low in fibre, and, therefore, do not deliver on the fibre component.

3. Nuts: during this period your protein requirements also increase and it is advised that you have about 60 gm or more of protein every day. Nuts such as walnuts, almonds, cashews and pistachios are known to have healthy amounts of fibre, fats and protein. A study conducted by the Harvard medical school suggests that eating nuts can help in preventing allergies in children.

4. Eggs: in addition to helping you meet your protein requirements, eggs can also be an excellent source of vitamin d and calcium. The last two elements are extremely vital for your baby as they help in developing its bones.

5. Beans: providing you with necessary protein and fibre as well as helping you to deal with constipation, beans are must-haves during this period. Eating this fibre-rich food will ensure your bowel is functioning properly, thereby reducing your likelihood of developing constipation and even haemorrhoids (swollen veins of the anal and rectal region).

6. Yoghurt: a good source of calcium, having a cup of yoghurt every day will provide your baby with the calcium that it needs to grow and that you need to keep your bones strong. More importantly, by doing so, it'll prevent your baby from drawing calcium from your bones, leading to a deterioration of your bone health.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

Eat 6 Best Foods Items In Your First Trimester - Nutrition During Pregnancy

From a medical standpoint, sex during menstruation is completely fine. Most men have claimed that period sex seems messier when compared to intercourse on normal days, but, other than that, there aren t any risk regarding period sex. In fact, it is advisable to engage in vaginal intercourse during periods for a variety of reasons.

Here are a few things you should know about period sex:

Intercourse during periods isn t harmful: Contrary to the popular myth, period blood doesn t contain impurities which might affect the penis in any way. Instead, menstrual blood is normal blood mixed with disposed off tissues from the lining of the uterus and the penis isn t affected by menstrual blood in any way. The menstrual blood serves as excellent lubricant to make the process of intercourse smoother.
Chances of pregnancy still persist: It is not okay to completely ward off protective measures during periods because even though it is safer than other days, there might be a small chance that the sperm of a man lives on in the female body till early ovulation. Besides, the chance of getting a sexually transmitted disease is the same during period sex.
Can relieve cramps: Some women claim that having sex during their period helps ease their cramps as having an orgasm releases  pain- reducing endorphins  into the bloodstream. Also, some medical practitioners believe that sex provides relief by using up chemicals which are responsible for cramps. Thus, having period sex can prove to be relaxing and less painful than normal days.
Sexual arousal ups during menstruation: Most women feel hornier and more aroused during periods because of the increase in the hormonal levels. Some women feel heavier in the pelvic area which increases the sex drive; precisely the reason why having sex during this time is a good idea. So, for all you know, you might actually have a brilliant intercourse session when she s on her period.

Sex During Periods - What Should You Know About It!

Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

Reasons for Spotting During Pregnancy

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