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

With any fertility treatment, a failure is possible due to several reasons. Most couples are having a problem while conceiving a baby and seek various fertility treatments with hope. When things happen otherwise, and the treatment fails, they miserably suffer.

What is IVF?

IVF or In Vitro Fertilization is a fertility treatment where eggs are removed from the woman s ovary and fertilized with retrieved sperms in a laboratory dish. The embryo is then transferred to the woman s uterus. The treatment is said to have a success rate of 40 percent; which means that it can fail in 60 percent cases.

So, why does the treatment fail?

Can it possibly fail ? 

Though the success of IVF depends on certain predominant factors like age and overall health, there are two common reasons behind a failure of IVF, and they are:

An abnormal embryo- The most prevalent reason for a failed IVF is an abnormal or incompetent embryo. In most cases, this is due to an irregular number of chromosomes (aneuploidy) in the embryo. This might be because of an abnormal egg or abnormal sperm or when both gametes are abnormal. 

Implantation failure- An underlying implantation dysfunction may prevent the embryo from attaching to the lining of the uterus. When the thickness of the endometrium is thin (less than 9 mm) at the time of progesterone administration, the implantation may fail. Implantation may fail due to surface lesions in the uterine cavity (due to scarring, polyps, or uterine fibroids) as well.

Other reasons are poor ovarian response and pre-treatment stress.

Make IVF a success with Ayurveda

Ayurveda, the ancient system of healing, appropriately prepares you well-ahead of an IVF treatment. The three key aspects of this treatment are   Detoxification, Nourishment, and Lifestyle changes.

Detoxification

The success of IVF is largely dependent on healthy eggs and sperms and a proper implantation of the embryo. Thus, as the first step, Ayurveda suggests that the couple are to be cleansed with Pancha Karma treatment before conception. Known as Beejshuddhi and Sthanshuddhi, the detoxification procedure purifies ovum, sperms, and uterus.

Along with these, other Pancha Karma procedures like Basti, Uttarbasti, Yoniprakshalana, Vamana, and Virechana are performed to improve the health of reproductive organs. Shirodhara helps in reducing the stress levels of the couple.

Nourishment

Diet is an inherent component of Ayurveda treatment. Hence, a diet that increases fertility is advised to the couple. The couple is advised to stay away from certain foods as well.

The fertility diet includes fresh and organic fruits and vegetables, whole grains, dairy proteins, Moong dal, soaked almonds and walnuts, dried fruits like figs, dates, and raisins, ajwain seeds, cumin seeds, and turmeric.

You should refrain yourself from spicy and salty foods and that containing artificial sweeteners, high-fat food, caffeine, alcohol, and excessive meat. Apart from the diet, certain Ayurvedic herbs are prescribed that strengthens the reproductive organs and improve immunity.

Lifestyle Changes

Infertility has become one of the lifestyle diseases. Ayurveda insists that healthy lifestyle is essential to conceive a baby. According to your body constitution, an Ayurvedic expert can guide you to make lifestyle modifications with Dinacharya and Rutucharya. Also, you must ensure adequate sleep and practice yoga (Surya Namaskar, Sarvangasana, Dhanurasana, Shalabasana, and Pranayama) regularly.

When IVF treatment is failing frequently, you tend to lose hope. However, with Ayurveda, there is definitely hope for success in conception.

How Ayurveda Can Help In Conceiving When Everything Else May Fail?

All women have to go through menstruation or periods with the only choice of endurance in hand. A woman's body and mind undergo distinct changes during the phase of menstruation. PMS or Premenstrual Syndrome refers to some symptoms which a woman experiences just before her monthly periods begin. These symptoms can be both physical and mental, and they vary among different women.

Homeopathy helps in the effective cure of PMS, and has no side effects. Homeopathic medicines give women relief from the symptoms of PMS. Here are some common homeopathic medicines for curing PMS.

Sepia: This is the best homeopathic medicine for PMS. It helps in curbing the extreme irritability caused in women suffering from PMS and calms the mind. It is specially used in case of pain in the uterus during this phase and in women with irregular menstrual cycles.
Ignatia: This homeopathic remedy is used during PMS for treating depression and mood swings that women undergo. Before periods, many women experience a state of sadness and become emotionally depressed. Ignatia cures this depression and makes the women happier.
Pulsatilla: During PMS, it is likely for women to get extra sensitive towards everything, and they tend to get affected by the most insignificant matters. Pulsatilla can be used in such situations as it reduces the extra sensitivity and makes the women appear normal. It is used in cases of disrupted menstrual flow, accompanied by loss of thirst.
Lachesis: This homeopathic medicine is used for women who suffer from body pain during PMS. The pain occurs due to the PMS and can be in the form of headaches and aches in other parts of the body. Women also tend to get over talkative, and the body may feel heated up.
Conium: Some women develop breast tenderness during PMS, characterized by swelling, enlargement or pain in the breasts. The breasts also become hard and touching causes an increase in the pain. Conium is the best homeopathic medicine for treating this kind of pain.
Chamomilla: This medicine is similar to sepia and helps in curing irritability in women before periods. It is used when irritability makes the women avoid talking and abstain from communicating.
Bryonia: Similar to Conium, Bryonia is another homeopathic medicine, which helps in curing breast tenderness in women during PMS. Bryonia is used when the pain is extremely heavy and intense.
Carbo veg: This is an effective homeopathic medicine for the treatment of abdominal bloating in women during PMS. Heaviness and distension are caused in the abdomen, which further lead to pain.
Women suffer quite a lot during PMS, just before their monthly periods, and homeopathic medicines provide the best, natural treatment for these symptoms and conditions.

How To Deal With PMS Homeopathically?

With an upsurge in the number of women suffering from dysfunctional reproductive system and a myriad of gynecological problems, resulting in irregular periods, infertility and several other complications, it is of paramount importance to keep a record of the dates and duration of your monthly cycles. This is not only useful for future reference when you visit a gynecologist, but it also helps you to understand if there are any delays in your mensuration cycle or you are having excess bleeding in a particular month.

Why tracking your menstrual cycle is important?
Keeping a track of the menstrual cycles is a mandatory exercise for women who are thinking about pregnancy or those trying to avoid it. Based on you period calendar, you can avoid getting pregnant without opting for contraceptive methods, if you have extremely regular period patterns. It is advisable to abstain from intercourse for a few days before and after the period, which is the prime time for ovulation. Keeping a track of your periods will give you a clear indication as to whether you are pregnant, because delay in the menstrual onset can be an indication of pregnancy. The reverse is also true; if you are trying to get pregnant, conception is usually fruitful on these days of maximum ovulation, which you can easily calculate based on your well maintained menstrual record.

How should you go about keeping a track of your menstruation cycle?
While it not possible to note down every possible aspect of the menstruation in a notebook, the easiest way of maintaining a planner is to mark the first day of each period on the calendar. The difference between two consecutive periods will give you your cycle lengths. In addition you can choose to make a note of how heavy the bleeding is or if there are changes in mood and appetite on those days. You will then be well prepared for your next visit to the gynecologist.

How Tracking Your Menstrual Cycles Can Be Beneficial For Your Reproductive Health?

It is common for women to experience genital irritation and itching. At some point in time, every woman is likely to experience some form of vaginal irritation. It is a condition that often causes great distress and embarrassment.

Vaginal irritation is commonly caused by a yeast infection. Irritation may also occur due to certain chemicals and sanitary pads, which are used during menstruation. Persistence of such irritation and itching may cause vaginal pain.

Best Remedies to Treat Vaginal Irritation Problem
Vaginal irritation can be managed in several ways. Here are some tips on how to manage and control vaginal irritation using simple remedies:

Use apple cider vinegar: Apple cider vinegar contains antibacterial and antifungal properties. It helps in the removal of irritation completely when caused by a bacterial or fungal infection. Take two spoonfuls of apple cider vinegar, add hot water to it and wash your vagina using this water. The vagina is made acidic due to which the bacteria does not last long.

Apply a cold compress: Vaginal irritation during the night can be quite troublesome and is likely to hamper your sleep, leaving you fatigued. Apply a cold compress or ice cubes directly to the vagina. This will provide substantial relief to the vaginal irritation.

Take a salt bath: Salt is effective in eliminating bacteria and itching. In case you suffer from itching,  wash your vagina using concentrated saltwater. This will provide instant relief from the vagina irritation and the risk of further bacterial growth gets reduced.



Use garlic paste: Garlic contains antibacterial properties, which are quite effective in providing relief from irritation and itching symptoms in the vagina. The smell of garlic is also considered effective. Make a garlic paste and apply it inside your vagina.

Use yogurt: Yogurt contains active cultures, which remove bad bacteria by the addition of abundant good bacteria. Have a cup of pure yogurt without sugar regularly. Yogurt takes care of yeast infections quite fast. You may also apply it to the vagina, especially in the area prone to irritation.

Use basil leaves: Basil leaves contain antifungal, antimicrobial, and antibacterial properties. Boil basil leaves in water and drinks the water. This method eliminates bacteria, which causes vaginal irritation.

Antibacterial talc for vaginal infection: You can use any antibacterial talc of either medical or herbal variety. Herbal, homeopathic talc is mild on the body but takes some time to heal the vaginal infection. Medicated talcs provide faster healing. The talc destroys bacterial and fungal infections, which may occur because of the moist surroundings.

Keep it dry: Keep your vagina dry as bacterial and fungal infections commonly affect wet areas, which results in irritation. For the prevention of vaginal irritation, always wear loose clothes. If the irritation gets out of control, you must consult a doctor.

Update From Lybrate: Due to stress and hectic lifestyle, sexual bliss has become a dream for many. To keep your sex life alive and kicking, buy these Sexual Wellness Products from Lybrate's GoodKart.

8 Effective Ways to Manage Vaginal Irritation Condition

Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.

Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.

The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.

Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn t possible to pass a common judgement about fertility in this scenario.

The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.

Ways to Increase Fertility

If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-

The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
Eat healthy. If depression was experienced due to the miscarriage, it s possible that the woman s diet has not been the healthiest. It s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.
Talk to a Doctor

If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.

If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.

The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.

Bottom Line

Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.

The decision to try again is not an easy one. However, fertility won't typically be an issue.

Pregnancy - Understanding Fertility After Early Miscarriage!

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