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

Many people suffer from a low libido problem. This can be a problem for their partners as well as for themselves. A low sex drive can also reduce one's self esteem and confidence. In severe cases it also leads to depression.

Factors which cause low sex drive:
1. Sexual problems: Many sexual problems also lead to a low sex drive. An inability to experience orgasm even after a lot of attempts can make one indifferent to sex. Some people also experience pain because of a tight vagina. In such cases their desire to have sex reduces greatly.

2. Medical diseases: Many medical conditions also affects your libido, such as cancer, arthritis, blood sugar (diabetes), artery diseases, high blood pressure and neurological diseases.

3. Medications: Some people suffer from depression and anxiety disorders. To get over these disorders most doctors prescribe them antidepressants and anti-anxiety pills, these medications create a very low libido.

4. Habits: Many lifestyle habits such as over-consumption of alcohol can make your sex drive reduce a lot. Smoking also decreases the blood flow in your body which may make your libido fall.

5. Surgery: Reconstructive surgeries such as breast reconstruction surgery and genital tract surgery can also affect sexual desire and give your body signals to not engage in an intercourse.

6. Fatigue: Tiredness because of physical activities or caring for your old parents or young children can also make you uninterested in sex. Your body and brain might not have the energy to engage in an intercourse due to fatigue.

7. Menopause: The levels of estrogen reduce greatly during menopause. Low estrogen levels make your vagina dry hence sex can be uncomfortable and painful. Women also go through hormonal changes which make them suffer from a low libido.

8. Pregnancy: After pregnancy, breastfeeding your baby becomes an everyday activity. This can reduce sexual desire because of the pressure of caring for a new born baby.

Regular exercising complemented with enough sleep is known to reduce stress thus giving you a high sex drive. Avoid consuming alcohol. Testosterone replacement therapy (a therapy used for treating erectile dysfunction) also treats low desire.

Worrying Factors That Lead to a Low Sex Drive

Syphilis is one of the most common STD and can affect both men and women. This bacterial infection can be easily treated, but if left unattended it can cause serious problems. Syphilis can be caught by mere skin to skin contact with an infected person s genitals or mouth. Hence even if you do not have intercourse with an infected person, you can still get infected from them. If a woman who is pregnant gets infected with this disease, she could pass it on to her unborn child as well.

A person suffering from syphilis may not always exhibit symptoms of the disease. This disease goes through active as well as dormant phases with symptoms being present only in the former. Even its dormant phase, this disease can be transmitted from one person to another.

There are four stages of syphilis and each of them have their own symptoms.

Primary stage: In its first stage, syphilis is marked by the presence of open sores called chancres. This can occur in the mouth, genitals are or around the anus. It can also be seen in other parts of the body where bacteria may have entered the body. These chancres are painless and may be accompanied by a swelling of the lymph nodes around it. This is the most contagious stage of the disease. Without treatment, these sores will resolve themselves in 3-6 weeks but the syphilis bacteria itself will remain in the body.
Secondary stage: Anywhere between 2 weeks to 12 weeks after coming in contact with the bacteria, this infection may move into its second phase or secondary stage. At this point, you will notice a rash on your skin. This rash can be seen as a collection of small, flat or raised skin sores along with small, open sores on mucous membranes. These sores may contain pus. Dark-skinned people may notice that these sores are lighter than the surrounding skin. Along with this, the patient may also have fever, a sore throat, headaches, weakness, irritability and suffer from weight loss.
Latent stage: Once the rash clears, this disease moves into its dormant or latent phase. This is also known as the hidden stage and can last anywhere from 1 to 20 years. It is very difficult to diagnose syphilis in this stage as there are no visible symptoms.
Late (tertiary) stage: If the disease is not diagnosed and treated by the time it reaches this stage, it can cause a number of serious health problems. This includes blindness, cardiovascular problems, mental disorders and even death.

Syphilis - Decoding the Stages and Their Symptoms

Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.

With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.

The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
Babies born to diabetic mothers are often bigger. The baby s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
Most diabetic women reach full term if the sugar levels have been under good control.
Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. 

How Can High Diabetes Affect Your Pregnancy?

Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours. 

Here are all the possible causes of heavy menstrual bleeding:
1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period. 
2. Fibroids
Fibroids most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growth on the uterus.
3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube, but does not reach the uterus.
4. Blood thinners
These are medicines, which are usually anticoagulant or antiplatelet drugs.
5. Problems with iud
A non-hormonal intrauterine device is a t-shaped device used for birth control which is inserted into the uterus.
6. Adenomyosis
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.
7. Pid
Pid stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.
8. Cancer
Uterine, ovarian and cervical cancer are just some of the cancers, which may cause heavy menstrual bleeding.
9. Other diseases
Liver, kidney and thyroid diseases are all included.

Possible Causes of Heavy Menstrual Bleeding

Metrorrhagia is a medical condition in which uterine bleeding occurs regularly or irregularly outside the normal menstrual cycle. Generally Metrorrhagia occurs due to hormone disorders or any other such irregularities. It could also be an indicator of some serious health issues such as endometriosis, cancer of reproductive organs or uterine fibroids. Read on more to find all about them.

Causes
Metrorrhagia can occur due to a number of reproductive disorders as well as certain diseases. Syphilis, infection, malignancy, pregnancy and many more are listed as the reasons behind Metrorrhagia. Metrorrhagia can be a serious issue as it can be painful, irritating and a major inconvenience.

Risk factors
Metrorrhagia is a medical condition which might be due to certain disorders or medical conditions the patient might be suffering from. They are mentioned as follows:

    Hormone related: Irregular uterine bleeding can occur due to hypothyroidism, adrenal deficiency and low progesterone. Metrorrhagia in such situations can be resolved if suitable treatment is administered in the right time and for that, correct diagnosis is absolutely important.
    Reproductive related: Endometrial hyperplasia and endometriosis and such other reproductive disorders or diseases could be a cause for Metrorrhagia. In such cases, early diagnosis is absolutely recommended for a speedy and complete recovery.
    Benign Tumors: Certain benign tumors like ovarian cysts and fibroids can also cause irregular uterine bleeding. Though benign, a physician should be consulted immediately for a speedy recovery as Metrorrhagia in itself can prove to be critical.
    Malignant Tumors: Ovarian cancer and endometrial cancer can also be a reason for the cause of Metrorrhagia. In such a condition early diagnosis and treatment is highly essential for a full recovery.

Treatment
If the patient is suffering from Metrorrhagia, then they are advised to consult a physician as Metrorrhagia could be a sign of something more serious. Depending on the diagnosis the doctor can prescribe medications or if necessary, certain surgical procedures. Some of the medications and surgeries which can be prescribed by your physician include oral contraceptive pills, progesterone pills or injections, endometrial ablation and hysterectomy among others.

All about Metrorrhagia

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