Surrogacy is a boon for couples who cannot conceive naturally or give birth to a child. Surrogacy is a process in which a woman's unfertilized eggs are implanted into the uterus of another woman who is called the surrogate mother. The egg is fertilized in the surrogate mother's uterus with the biological father's sperm. The surrogate mother lets the child develop in her womb and gives birth. Although, there are various medical treatments available, but not all of them have a high success rate.

The two primary methods of surrogacy are:
1. Traditional surrogacy: In this process, the surrogate mother is artificially inseminated with the sperm, which belongs to the biological father of the baby. The sperm gets implanted into the surrogate mother's uterus and the child develops in her womb.

2. Gestational surrogacy: For women who want to have a biological child in spite of being incapable of pregnancy, the gestational surrogacy method is used. During the process, in-vitro fertilization is undertaken and the eggs from the woman who wants to become a biological mother are harvested. The eggs, along with the sperm from the biological father are implanted into the uterus of a surrogate mother, who will carry the embryo and will give birth to the child.

Process involved in surrogacy
Here are the several processes and procedures, which need to be undertaken, after you have chosen a surrogate mother for carrying your child.

1. Medical testing: After a surrogate mother is chosen, the woman goes through several health checkups, medical and psychological tests to ensure that she gives birth to a healthy child.

2. Legal agreements: There are several legal considerations that have to be addressed for a surrogacy. All the legal requirements regarding the surrogacy should be written down. Some issues include both the surrogate mother and the biological parents. A financial contract must be presented as well, which will reimburse the medical expenses and requirements of the surrogate mother.

3. Medical process: The medical processes required for surrogacy include in-vitro fertilization and the transfer of the eggs, which are done in a clinic under the supervision of a reproductive endocrinologist. The eggs are transferred to the uterus of the surrogate, where fertilization takes place after combining it with the sperms of the biological father.

4. Pregnancy and birth: After successful fertilization, the surrogate mother gets pregnant. Proper care and precautions should be taken by her to ensure a successful birth. Finally, the surrogate mother gives birth to a child, who belongs to the biological parents.

This method of having a child has become very popular in the recent times. It is a great blessing for people who cannot conceive due to medical conditions or otherwise.

All You Need to Know About the Surrogacy Process

The period around the age of 45 to 50 is very delicate for most women as many changes occur within the body. The changes occur due to menopause or a cessation of the menstrual cycle for a period of at least 12 months or so. Along with a host of physical changes, post-menopausal women tend to suffer from mental problems as well. Some of the factors could be physical changes such as a decline or stop in hormone productions while some of them are psychological effects as well. Some of the common mental problems faced by women are mentioned below:

Depression: This is by far the most common mental disorder and affects women while they are going through the process of menopause. After a few years, post-menopausal women tend to recover from this or the symptoms at least taper off. It is estimated that almost 20% of women undergoing menopause suffer from this problem, although the risk of depression is much higher if you have prior history of it.

Sleep Disorders: This can be described as not only a mental disorder that affects women but also a symptom of menopause. Sleep disorders can range anywhere between disturbed sleep, insomnia or sleep apnea (breathing difficulty while sleeping), especially in older women. Women undergoing menopause may suffer from this due to hormonal changes which result in hot flashes. These can wake you up in the middle of the night almost daily.

Schizophrenia: This is a serious mental disorder and is mostly noticed in women who have a prior history of the disorder. This condition is characterized by delusions and a detachment from reality which often pushes the person to act on their inappropriate imaginations. Schizophrenia usually manifests itself in young adulthood and peaks again at the age of around 45 to 50. If you had episodes of schizophrenia in your early adulthood, then it may resurface during menopause, although most women do see a subsiding of symptoms some time after menopause has occurred.

Panic Disorder: Women tend to experience this problem, during or even after menopause, as a new disorder that suddenly develops. This can be quite disruptive in your life. Also, if you have a history of this disorder, menopause may trigger it to show up again.

Obsessive Compulsive Disorder: This disorder is another mental health issue that can cause you to be overly obsessive, more so among menopausal women. If you already have had OCD in the past, menopause can trigger a relapse or a bad episode.

Bipolar Disorder: In this case as well, menopausal women have a higher tendency for a relapse or the start of a bad episode if they already had even mild signs of it.

Mental Problems In Menopausal and Post-Menopausal Women!

Both women and men suffer from infertility troubles. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity. Male infertility is characterized by irregular sperm function or reduced sperm count. Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression, unhealthy diets; all of these can contribute to fertility issues.

The various reasons for infertility in men are:
1. If you are overweight, then it is time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
2. Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body.
3. Various infections such as inflammation of the testicles and epididymis that causes blockage of the tubes carrying the sperm can be a cause.
4. Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus hit fertility.
5. Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.

The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

Symptoms of infertility in men are:
1. You may experience low libido
2. Your sperm count may be low
3. You may experience lumps or swellings in the testicles
4. Chromosomal complications such as reduced body hair
5. You may have chronic respiratory problems.

What Causes Infertility in Men?

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

4 Things that Cause Vaginal Dryness

Vaginal dryness is an uncomfortable and painful condition that usually occurs during or after menopause. The estrogen level in your body gets reduced during this time which eventually leads to vaginal dryness. However, there are other factors that can trigger this condition including certain medications and immune disorders. This is a problem that can affect women at any age but it is visible more frequently in older women.

Here are some common factors that may lead to vaginal dryness:

1. Hormonal changes - A decrease in estrogen level that occurs during menopause is one of the most common causes of vaginal dryness. The decrease in estrogen may also occur during perimenopause, during breastfeeding or after childbirth. Radiation and chemotherapy for cancer treatment may also result in a decrease in vaginal lubrication.

2. Irritants - Chemicals present in soaps, dyes, hygiene products and perfumes may cause allergy in some women. Irritants present in underwear or towels and other allergens like objects and lubricants that are placed in the vagina may also cause vaginal dryness.

3. Insufficient arousal - Low libido or other sexual problems may also lead to vaginal dryness. Poor sexual performance and early ejaculation may also contribute to it.

4. Anxiety - Sexual desire can be affected by emotional and psychological factors such as anxiety and stress that may eventually lead to vaginal dryness. High anxiety level in women results in insufficient flow of blood, causing vaginal dryness.

How can vaginal dryness be treated?

Topical estrogen therapy is a common method of treating vaginal dryness caused by low estrogen level. Topical estrogen helps in inserting some hormone that your body is no longer producing. This controls the vaginal symptoms to a certain extent but it does not replace as much estrogen as oral hormone therapy, in your blood stream. Lubricants and moisturizers may also be applied to reduce vaginal dryness and make sex less painful and uncomfortable.

Word of Caution

Please get a PAP Smear done before starting local estrogen and keep a follow up with your doctor.



4 Things that Cause Vaginal Dryness

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!

Don't wait any longer, manage your Robotic Gynecologist online with a Lybrate doctor today

Consult for Robotic Gynecologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES