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

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

Changes in the colour of your urine can reveal important information about your health. If your urine takes on a hue beyond what's normal, it can be indicative of something wrong with your health. In general, the normal urine colour varies from pale yellow to deep yellowish-brown, which is a result of a chemical pigment in the urine called urochrome.

1. Red or Pink

- When your kidneys, urethra, bladder or any other urinary tract organ gets infected or inflamed, blood cells get leaked into the urine, giving it a red hue. The causes behind the presence of blood can be urinary tract infections, kidney cysts, kidney stones, enlarged prostate and even cancer. Taking blood thinners can also cause you to have blood in your urine.
- Certain foods like blackberries, rhubarb and beets can cause your urine to turn pink.
- The use of certain medications like a particular class of antibiotic used in the treatment of tuberculosis can turn your urine red. Likewise, a drug used to numb discomfort in the urinary tract can cause a red/pink discoloration of your urine.

2. Blue or Green

- The consumption of coloured food dyes containing green or blue pigments can cause you to pass urine of such hues.
- Certain anti-depressant and anti-inflammatory medications can turn your urine green/blue.
- A very rare medical condition called familial benign hypercalcemia (fbh), characterised by high levels of calcium in thE blood and low levels of the mineral in the urine can cause your urine to turn blue.
- Green urine can also occur if your urinary tract gets infected by the pseudomonas bacteria.

3. Dark Brown

- Having large amounts of these foods - aloe, rhubarb (a type of leafy green) and broad beans can cause you to pass dark brown urine.
- Certain anti-malarial drugs, laxatives and muscle relaxants can darken the colour of your urine as well.
- Dark brown urine can also be caused by disorders of the kidney or liver as well as infections of the urinary tract.
Injury of the muscle as a result of excessive training can result in dark brown urine.

4. Orange

- Problems with the bile duct (the duct through which bile from the gall bladder and liver passes before entering the duodenum) or liver along with the passing of light coloured stools can result in orange urine.
- A cause of orange urine may also be dehydration as fluids bring about a decrease in the concentration of compounds present in the urine.

5. White

- The presence of calcium or phosphate sediments in the urine can give it a white hue.
- White urine can also be a result of funguria infection (a form of fungal urinary infection wherein the fungus produces white sediments) or a bacterial infection.



What the Colour of Your Urine Says About Your Health?

For an expecting mother, nothing is more important than the safety and well-being of her unborn child. With due care, a mom-to-be can prevent complications that may arise in pregnancy by avoiding certain potential risks. Read on to find out the 5 things pregnant women must avoid at all costs in order to have a safe pregnancy.

1. Abdominal x-rays: abdominal x-rays during pregnancy are a big no. This kind of x-ray exposes the abdomen of the mother, and the baby as a consequence, to high levels of radiation, which can cause changes in the baby's rapidly growing cells. As a result, the baby's chances of suffering from birth defects or certain cancers, such as leukaemia later on in life, increase rapidly. It is best to avoid x-rays until absolutely necessary. X-rays of area other than abdomen if considered essential by your doctor can be performed after wearing an abdominal lead shield.

2. Alcohol: all types of alcohol must be avoided during pregnancy. Consumption of alcohol during these 9 months has been associated with several birth defects such as poor growth, learning disabilities and mental retardation. In worst case scenarios, excessive alcohol consumption during pregnancy can lead to what is known as foetal alcohol syndrome or fas, which severely affects the mental development and physical growth of the unborn child, particularly of the face and skull. Also, you must quit smoking.

3. Illicit or recreational drugs: drugs like marijuana, cocaine and other recreational drugs are again absolutely forbidden in pregnancy. These result in birth defects in the unborn child, poor growth and even withdrawal symptoms in the newborn after birth.

4. Medicines: as the metabolism of a growing baby is very different from that of an adult, it is very important to be sure of the medicines that you take while pregnant. This is especially true in the first trimester or the first 3 months of pregnancy when the foetus is most vulnerable. Certain medicines are deemed safe for the baby, while some are potentially harmful. Hence one must make sure to consult your doctor before taking any medicine when pregnant.

5. Stress: stress can trigger various health problems, which can be bad for both the baby and the mother. Studies have revealed the emotional environment of the mother is experienced by the baby as well. In fact, a particular study has shown that any kind of stress, whether it be work related or stress caused by strain in relationships, can affect the mental development of the child. This as result can lead to the child developing certain behavioural disorders such as fears and phobias, which remain way into his adulthood.

5 Dangerous Things to Avoid When You're Pregnant

Certain diseases are fatal, thus, proper measures must be taken to ensure that once the symptoms have been confirmed, treatment must start immediately. Syphilis is one of the most communicable sexually transmitted diseases. If left untreated, syphilis can be fatal.

It can lead to heart disease, brain damage and blindness. A woman infected with syphilis can also pass it on unknowingly to her baby, if she suffers from the disease during her pregnancy. Syphilis can be easily treated, but if left too late, the antibiotics that treat it cannot reverse the damage caused by syphilis.

Syphilis can be tested by
* a blood test: in most cases, a simple blood test can confirm the presence of syphilis by showing signs of the antibodies used to fight it.

* testing the fluid from the sores: this is usually done in the case of primary or secondary syphilis when sores are present on the patient's skin. Looking at a scraping of the sore under a microscope can be used to diagnose syphilis if it shows the presence of the syphilis bacteria.

* testing cerebrospinal fluid: this is performed only in extreme cases of syphilis where the disease may have caused complications with your nervous system. The earlier syphilis is diagnosed, the easier it is to treat.

Syphilis is usually treated with antibiotics amongst which penicillin is the most preferred. If you've had syphilis for less than a year, a single injected dose of penicillin can stop the disease from progressing. You may need additional doses if you have been suffering from syphilis for more than a year. Penicillin is also the only antibiotic that can cure syphilis and suits pregnant women as well. If you have been diagnosed with syphilis during pregnancy, your baby should also be treated for it.

When undergoing treatment for syphilis, here are a few other points to keep in mind:
* abstain from oral, vaginal and anal sex until the sores have healed
* get blood tests at regular intervals for at least a year after treatment
* get tested for an hiv infection
* fevers, nausea, headaches and chills are normal side effects associated with syphilis treatment
* if you are allergic to penicillin, let your doctor know so that you can be given an alternative antibiotic
* if you have a lesion around your mouth, syphilis can even spread through kissing another person

The good news is that once you've been cured of syphilis, it does not recur. However, it is recommended to always use protection while having intercourse and abstain from sexual activities if your partner suffers from syphilis.

Best Treatment For Syphilis Problem | Precaution & Tests

The abnormal growth of the endometrium tissue outside the uterus is known as endometriosis. Ideally, the abnormal tissue is supposed to break down and exit the body. However, in this condition, the tissue is unable to pass out of the body. As a result, the surrounding tissue tends to get irritated and leads to the formation of scar tissues.

The various causes of endometriosis include:

Immune system disorder: Complications in the immune system might render it incapable of destroying the endometrial tissue that grows outside the uterus.
Surgical scar implantation: Certain surgeries such as a C-section may result in the attachment of endometrial cells to the incision area.
Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
Retrograde menstruation: Instead of passing out of the body, under this condition, the blood flows back into the pelvic region via the fallopian tubes. When these cells attach themselves to the pelvic cavity, it causes endometriosis.
Symptoms
1. Pain during sexual intercourse
2. Pain during periods including pelvic pain, especially during periods, lower back pain and abdominal pain.
3. Excessive bleeding during periods
4. Fatigue
5. Constipation
6. Bloating

The major complication that results is fertility problems. Endometriosis may prevent the combination of the egg and the sperm and thus, impairs your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder also tends to increase the risk of ovarian cancer in some women.

How can it be treated?

Endometriosis is usually done using surgery or medications. 

Medication: It usually involves painkillers.
Hormone therapy: Some of the hormonal therapies include:
Hormonal contraceptives
Progestin therapy
Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
Conservative surgery: If a patient wants to become pregnant, surgery is done as much as possible without harming the uterus and ovaries. Suggested procedures include laparoscopy and traditional abdominal surgery.
Assisted reproductive technologies: An example of this form of treatment is In Vitro Fertilization.
Hysterectomy: Under severe circumstances, total hysterectomy is conducted in order to facilitate the removal of cervix and uterus. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

Endometriosis - 4 Reasons Behind it!

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