Emergency is helpful in preventing pregnancies post unprotected sexual activity. It can be used in case of contraceptive failure, in case of sexual assault, incorrect use of contraceptives and unprotected sex.

Emergency contraception can be done by three methods. These are emergency contraceptive pills, combined oral contraceptive pills and copper intrauterine devices.



The copper IUD is considered to be one of the most effective forms of emergency contraception, when it is inserted within 5 days of unprotected sexual activity.

However, the emergency contraceptive pill regimen as per WHO is:

1 dose of levonorgestrel 1.5 mg, or 1 dose of ulipristal 30 mg, taken within 5 days (120 hours) of unprotected intercourse

The Yuzpe regimen which consists of 2 doses of combined oral contraceptive pills

What is Emergency Contraception?

Emergency contraception is usually referred to as the contraception which is used to prevent a pregnancy within the first 5 days after an unprotected sexual activity. It is used post failures of contraception, coerced unprotected sex, rape or misuse of contraception.

Emergency contraception is only effective in the first few days after an intercourse and before the egg has released from the ovary, and before there is fertilization between the egg and the sperm. The emergency contraception can do no harm to an interrupted pregnancy and a developing embryo.

Who needs emergency contraception?

Any girl or woman who is at her reproductive age might need an emergency contraception in case of an unprotected sexual intercourse.

Uses
1 Breakage , slippage or displacement of barrier methods 
2. Three or more missed OCPills for more than 12 hours 
3. Missed Mini pill for more than 3 hours 
4. Missed Desoestrel pills for more than 12 hours 
5. DMPA injections taken more than 2 weeks late 
6. Miscalculated dates of last period and present ovulation side effects 
These are meant only for emergency contraception and NOT AS A REGULAR CONTRACEPTIVE. It involves pumping of a hormone inside your body at levels which are 5 times higher than normal. hence excessive and unnecessary use may cause irregularity in the period cycles and an adverse effect on the menstrual health over a period of time. Ideally it should be taken under guided medical supervision.


In what situations should emergency contraception be used?

Emergency contraception can be used after a sexual intercourse. These include:

In case of no use of contraceptives

If it is a case of rape or coerced sex, where the woman was not protected

When there is a contraceptive failure, like

breakage

incorrect use or slippage

OCPILLS,

mini pills

DMPA

3 or more missed combined oral contraceptives, progestogen-only pill (minipill) taken more than 3 hours late, desogestrel-containing pill 12 hours or more, norethisterone enanthate (NET-EN) progestogen-only injection taken more than 2 weeks late

Delay in placing or dislodgement or early removal of the skin patch or the hormonal ring

Breaking, dislodgement, tearing or early removal of cervical cap or diaphragm

Failure of withdrawal that is ejaculation the external genitalia or vagina

The spermicide tablet failure

Miscalculating the periods, failure from using a barrier on the fertile days

Expulsion of an intrauterine contraceptive device (IUD)

Methods of Emergency Contraception:

There are three emergency contraception methods:

Copper-bearing intrauterine devices (IUDs)

Emergency contraception pills (ECPs)

Combined oral contraceptive pills or the Yuzpe method



Safety of Emergency Contraception

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

    Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
    Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

    Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
    Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

    Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
    Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
    Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
    Bromocriptine: Used when the infertility is caused due to excess prolactin production.
    Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

    Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
    Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
    Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

    Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
    Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

Treatments of Infertility

While the decision to breastfeed or not to is a personal one, however, it is known to have a number of benefits for both the baby and the mother. Ideally, a newborn baby should be fed only mother s milk for the first six months of his or her life. This not only provides a nutritious diet for the infant, but it can also protect the baby from a number of diseases that could affect them now and in the years to come. 

Here are a few reasons a mother should breastfeed her baby

Well balanced nutrition: Mother s milk is better than any form of infant formula. This is because it contains the perfect mix of vitamins, proteins and fats essential for your baby s growth. Also, these nutrients are made available to the baby is easy to digest form which increases the amount of nutrition absorbed by the baby s body. By breastfeeding a baby, the chances of them being overweight in their later years is also reduced.
Immunity booster: Along with nutrients breast milk is also rich in antibodies that protect your baby against viral and bacterial infections. Breastfeeding a baby reduces their risk of suffering from asthma and other allergies in future and also reduces the frequency of ear infections, respiratory diseases and diarrhea.
Better bonding: When a baby is being breastfed it is held close to the mother s body and skin to skin contact is established. This benefits both the baby and the mother and helps build a strong bond between them. For the baby, this skin to skin contact builds a sense of security and for the mother, breastfeeding the baby can help deal with postpartum depression and make her feel connected to the baby.
Helps the mother recover: Breastfeeding helps the mother get her body back to its pre-pregnancy condition faster. This is because breastfeeding burns calories and hence helps the mother lose pregnancy weight faster. It also triggers the release of hormones such as oxytocin which reduce uterine bleeding after delivery and help the uterus get back to its original size.
When breastfeeding a baby it is important to recognize when the baby is hungry and feed him or her before they start crying. Typically an infant should feed on each breast for 10-20 minutes at a stretch. It is also important to be patient and comfortable while breastfeeding so as to allow milk to flow evenly and to prevent fatigue. 

Breastfeeding - Creating Awareness On Its Benefits!

Sex, which gives pleasure to most, can be painful for some. Many women, mostly in their menopausal or post-menopausal phase find intercourse and penetration extremely painful. Menopause results in hormonal imbalance, with a significant drop in the estrogen level. The reduced estrogen level results in Vulvovaginal Atrophy (dryness of the vagina and thinning and weakening of the vaginal tissues). In such cases, women experience irritation, Vaginismus (vaginal tightness) and soreness after sex.
 
One can also experience a burning sensation during urination. There may be inflammation of the vaginal tissues. If untreated, the inflammation can cause infection and other complications. "Dyspareunia" or pain during intercourse is very common in postmenopausal women. The pain experienced during sex can be due to "Vulvodynia" as well. Vulvodynia is a condition whereby a women experiences chronic pain in the external genitals or vulva. A number of other factors can also contribute to the pain during sex. A thorough and detailed investigation is thus very important.
 
Treatment
Many women find it extremely embarrassing to discuss menopausal problems with their partners and doctors. The key to effective treatment lies in timely diagnosis and medication. There is nothing to be embarrassed about. The postmenopausal changes can vary from person to person. Thus it is very important to discuss every minute detail with your physician.

Many options are available to make intercourse a less painful experience:

Keep dryness at bay: In most cases, painful intercourse results from dryness of the vagina. Use of a lubricant can ease the pain to a great extend. A water-based lubricant is highly recommendable. Regular use of vaginal moisturizers is also effective to deal with vaginal dryness.

Vaginal care and hygiene: It is very important to keep the vagina clean. Avoid using soaps, bath oils and shower gels. They do more harm than good to the vagina. It is advisable to wash the vagina with warm to lukewarm water. Undergarments should be changed twice daily.

More is good: Having sex at regular intervals is a healthy practice. It not only enhances and improves the blood flow, but also helps to overcome vaginal dryness.

The Pelvic Floor Therapy: It is immensely beneficial. In this therapy, a gentle pressure is exerted in the pelvic region to relax the stiffened and tightened muscles. One can also massage the area to relax the muscles.

Squat: It is a very effective exercise to strengthen the buttocks and hip muscles. Exercises to strengthen the pelvic floor muscles are also very helpful.
Other therapies: One can also opt for Local Estrogen therapy and Systematic Estrogen Therapy.

Menopause should not affect your conjugal and sexual life. Visit here to know more and forget painful intercourse forever.

Pain With Intercourse In The Postmenopausal Woman

Virus, the bad ones, in particular, can have serious effects on the body, which a person would not like to have, in any case. This is surely true when the case of herpes zoster is being talked about. This form of herpes is commonly known as shingles. But what if there was a proper solution to this issue? When a person has blisters forming and causing a rash in a limited area, shingles is likely to be the cause of the same.

What is interesting to know too many people is the fact that the virus, which is responsible for shingles or herpes zoster is the same one which is the cause for chickenpox! This virus is never cleared out even when the symptoms of chickenpox have long left the body of the person who had it. As a matter of fact, in some cases, it does reappear and affects the body again except this time in the form of shingles. However, doctors do not know why this occurs. Is that not weird?

Most people who have the bad luck of dealing with shingles are over sixty years of age. While knowing all this is quite beneficial, what about the treatment of shingles?

When it comes to the homoeopathic treatment of shingles, there is a range of options, which can be made use of. That being said, it is of the highest importance to keep in mind the fact that medicine should only be taken as per the prescription of a trained professional in homoeopathic medicine. This is especially true as homoeopathic treatment is very subjective and under the wrong course of medication, the result is not likely to be desirable!

Arsenicum album is one of the most popular medicines from the homoeopathic field. In most of the cases, where it is ideally used, the patient is undergoing pain with a burning sensation on the affected area of the skin. When a rash begins to form, there is normally some tingling in the skin in the run up to it.

Homoeopathic treatment is so good that there is medicine to nip the problem in the bud before it has the chance to cause the affected person a whole deal of anguish. Aconite is the medicine, in this case.

Hepar sulphur and Rhus Toxicodendron are also used often over the course of treatment. The former is useful especially for people with unhealthy skin while the latter is commonly used for herpes of the face and around the joints.

Shingles and Herpes - How Homeopathic Remedies are Helpful?

An ectopic pregnancy takes place in the case when the completely fertilized egg attaches itself to a place outside the inner side of the uterus. Ectopic pregnancy is also called tubal pregnancy because in most cases, it takes place in the Fallopian tube. Usually, the Fallopian tubes are not responsible for holding an embryo, which keeps on growing. Hence, the egg has no scope to develop in the Fallopian tube. This problem must be treated as soon as possible to avoid further complications. Here are several ways of treating ectopic pregnancy.

1. Expectant management: In case you are not experiencing any symptoms of pregnancy or the pregnancy cannot be found, close observation is required. This is known as expectant management. You should conduct regular blood tests and follow them up in order to detect, whether the hCG level in your blood is ascending or descending. You are likely to have vaginal bleeding. Use pads and towels instead of tampons. Pain in your tummy is also indicated.

2. Proper medication: In case ectopic pregnancy is detected at an early stage and constant monitoring is not suitable for you, a medicine by the name of methotrexate can be used for treatment. The medicine stops this pregnancy from developing. It is usually injected into your buttocks. Regular blood tests must be carried out to know how the treatment is taking shape on your condition. Trusted contraception measures should be taken for three months following the treatment as methotrexate is very harmful for an infant in case you become pregnant. Keep away from alcohol, as the combination of methotrexate with alcohol is harmful to the liver.

3. Surgical means: The most common mode of surgery for removing ectopic pregnancy during an early stage is laparoscopy or keyhole surgery. While a laparoscopy is carried out, you will be in a state of anesthesia. A narrow tube or the laparoscope is inserted through surgical cuts in the tummy. The Fallopian tube, which had the ectopic pregnancy is totally removed in case the other Fallopian tube is functioning well. Else the pregnancy has to be somehow removed without cutting off the Fallopian tube. Removal of the Fallopian tube is the best remedy for treating ectopic pregnancy and getting pregnant again is also possible. It takes a normal woman almost six weeks to recover after the surgery. Laparotomy is another kind of surgery carried out to repair a ruptured Fallopian tube.

Ectopic Pregnancy - How to Treat It?

Don't wait any longer, manage your Gynaecological Endoscopy online with a Lybrate doctor today

Consult for Gynaecological Endoscopy - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES