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Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Treatment of No Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Birth Control Treatment
Treatment of Painful Sexual Intercourse
Treatment of Pregnancy Symptoms
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Cervicitis
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Patient Review Highlights
For most women, the week of her period is uncomfortable. However, for some women, periods are associated with debilitating pelvic pain. This is usually the result of a condition known as endometriosis. This is a condition where the tissue that lines the uterus or the endometrium is found outside the uterus as well. It usually involves the ovaries, fallopian tubes and tissues lining the pelvic region. In rare cases, it may be found in other parts of the body as well. Endometriosis can lead to cysts in the ovaries, adhesion of pelvic tissues and organs and also cause infertility.
The pain associated with endometriosis is caused due to the fact that the tissue that is outside the uterus behaves in the same manner as that inside the uterus but has no way of being removed from the body. Hence, it causes an inflammatory reaction that can be felt as a dull ache or muscle cramps. Cysts formed as a result of endometriosis may also put additional pressure on pelvic organs while urinating, passing stool or during intercourse and hence cause pain.
However, endometriosis is not the only cause for pelvic pain. Some of the other causes of pain in the abdomen include:
- Pelvic inflammatory disease
- Rupture of an ovarian cyst
- Fibroids in the uterus
- Irritable bowel syndrome
- Muscle and bone problems
Hence, it is necessary to understand and recognise the other symptoms of endometriosis as well. While some women may exhibit no other symptoms, others may experience:
- Painful intercourse
- Bleeding between periods
- Pain while passing stool
- Blood in the urine or faeces
If the pain in the pelvic region is accompanied by any of the above symptoms for an extended period of time, you must consult a doctor immediately. Though endometriosis is not a cancerous condition, it can lead to further complications like blockages in the bowel if left untreated. To confirm a diagnosis of this condition, you will usually be advised to undergo laparoscopy.
This is a minor surgical procedure that involves making a small incision in the abdomen through which a telescope-like instrument is passed into the body. This allows the doctors to look inside and identify any patches of endometrium tissue. Once confirmed, your doctor may advise you leave it under observation, give you a course of painkillers or advise hormone replacement therapy or surgery to remove the extra endometrium tissue.
A variety of methods are used during natural childbirth to help the mother. Pain management techniques other than analgesics and epidural analgesia include hydrotherapy, massage, relaxation therapy, hypnosis, breathing exercises, music therapy etc. These days ldr (labour, delivery and recovery) rooms are available in many hospitals for a better experience of the delivery as the husband or any other close relative can be present in these rooms along with the labouring mother throughout labour. The comfort of these rooms along with safe analgesic methods help in increasing the incidence of natural childbirth.
Some myths are attached with labour and the methods used in aiding the mother during labour-
1. Epidural analgesia leads to caesarian sections in most cases.
This belief is still held by some, but recent studies have shown that epidurals do not cause an increase in caesarian sections. In fact this aids in making the labour smoother and by reducing the extreme pain it helps the mother both mentally and physically.
2. Induction of labour always leads to a faster labour.
Some mothers wish for a normal delivery but do not want to wait for natural pains. They want to deliver on the day of their liking. This can be done by induction of labour. But induction of labour does not always work. It works best when the cervix has already begun to soften and dilate. You may go in for your 39 or 40 week appointment hoping for a labour induction only to be told that your cervix is not favourable to be induced
It is also possible to have a failed induction. This means that inspite of giving full dosage of labour inducing drugs you do not get pains at all.
3. Childbirth is best without any medication.
Natural childbirth, with the aid of relaxation exercises and deep breathing in between contractions, offers one option for pain management. But there are situations when labour is much prolonged due to a slight abnormal presentation of the babyâs head, or the uterine contractions are not effective or the mother has got exhausted, here medication will definitely help in aiding the mother to go through the labour and have a normal delivery. Therefore an unmedicated birth is ideal, but a happy, healthy birth is also possible with the use of medicines.
4. Once a caesarian birth always a caesarian birth.
This may or may not be true depending on the reason of your caesarian section. Vaginal births after caesarian are becoming increasingly more common. You will need to discuss with your doctor whether a normal delivery will be possible for you.
8. Next labour will be easier.
This may or may not be true for you. Generally speaking, consequent labours are shorter in duration, but that is not always true. Shorter does not always mean easier. This time your baby could be bigger than your first or the babyâs head could be in a slightly abnormal position leading to a longer labour which could be even longer and more difficult than the previous one. Also if there is a long gap of many many years in between the pregnancies then it may be like the first labour.
All said, always think positive, labour is a wonderful experience. The pain just vanishes on seeing your babyâs face. Take antenatal classes where you are told about various exercises which will help you go through a smooth labour. Discuss with your doctor about various pain relieving methods during labour. God has made all women brave enough to go through a normal and natural childbirth.
Are you experiencing vaginal bleeding during pregnancy? This is known as spotting when the bleeding is light and the color of the blood can vary from red to brown. However, bleeding during pregnancy can occur due to several other factors as well, which can indicate serious conditions.
Serious causes of bleeding during pregnancy
- Bleeding during early pregnancy may indicate miscarriage or an ectopic pregnancy. Abdominal pain and cramps are likely to be experienced in both the cases.
- Early miscarriage occurs when your baby is not developing normally, making bleeding heavy. Some women experience early miscarriage even before knowing about their pregnancy. When the bleeding signifies a miscarriage, tummy cramps are common and the bleeding is subjected to becoming abnormally heavy.
- An ectopic pregnancy occurs when the fertilized egg implants itself outside your uterus. Dark, continuous bleeding with a watery appearance is likely in case of this condition. An ectopic pregnancy can cause severe complications and should be removed.
- Molar pregnancy is another condition in which vaginal bleeding during pregnancy is likely to occur. It is not very common, but should be removed immediately. It occurs when the embryo does not develop properly, but some placenta-forming cells continue to grow and multiply.
- A blow to your abdomen as a result of a fall or any kind of injury may also cause bleeding during pregnancy.
Dealing with bleeding during pregnancy
- It is important for you to call your doctor, midwife, or hospital healthcare professional and let them know, even if the bleeding stops. You may need to visit the hospital for undertaking examinations and tests.
- A gentle examination of the insides of your vagina is carried out. You may also be recommended to undertake an ultrasound scan. An ultrasound scan is effective in ruling out ectopic pregnancies.
- Certain routine tests may also be prescribed by your doctor. Blood tests and urine tests are undertaken for checking out the levels of your pregnancy hormones. A test for finding the rhesus status and blood group is also required.
In case of light vaginal bleeding or spotting during pregnancy, your baby is most likely to be unaffected in any way. A lot of pregnancies carry on and turn out to be successful in spite of bleeding. Such cases of light bleeding commonly stop on their own.