Dr. Dr.Aparna Chaturvedi

During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.

There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.

Risks involved: Things that make you more prone to an ectopic pregnancy are:

• The more you smoke, the higher your danger of an ectopic pregnancy.
• Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea.
• Endometriosis, which can bring about scar tissue in or around the fallopian tubes.
• Exposure to a chemical called DES before you conceived.

Symptoms: The signs of an ectopic pregnancy are:

• Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain
• Vaginal bleeding

Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:

• A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy.
• A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy.
• An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period.

Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.

For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy. If you wish to discuss about any specific problem, you can consult a gynaecologist.

Cananbis Sativa is a hemp plant, which creates a variety of drugs including marijuana. This plant has an active ingredient known as THC that makes a person feel high upon ingestion. The compounds of this ingredient can also affect the way a person's body functions. Usually, high doses of this can cause potentially life threatening effects on the person. It is mostly ingested in the form of dried leaves, flowers, stems and seeds. People also mix it in vapourisers, or brew it as tea. It may also be baked as cookies.

While the physical side effects are many, smoking or ingesting this substance can also lead to many mental side effects. Let us find out more:

• Physical Side Effects: As per various medical studies, the inhalation or ingestion of Cannabis can take your heart rate to an increased level of two times its normal rate. This state can last up to three hours. Also, people who have had very high doses or suffer from this increased heart rate for a prolonged period may die due to a sudden cardiac arrest. Dizziness and shallow breathing are also a part of the side effects while dilated pupils and red eyes may also be seen. Further, a sudden spike in one's appetite and a dry mouth are some of the other side effects.
• Cravings: A person who has ingested Cannabis may experience many side effects that are on the mental and emotional side. The more mild side effects include the experience of cravings for certain types of food, as well as an increase in one's appetite where the person does not manage to keep track of what he or she is eating, and in what quantity. Also, sleeplessness and irritability may set in.
• Mind and Mood Changes: After Cannabis ingestion, the person may feel extremely happy or extremely sad. Either which ways, the patient will feel a sense of detachment as far as reality goes. While he or she may not be acutely aware of the same, the people around the patient will be able to sense this with the words and actions of the person. The patient may also experience a distorted sense of time and motion, while depression and anxiety may also set in with prolonged abuse of this drug. Short term memory impairment may also take place, which can lead to forgetfulness regarding important details. Also, random thinking and strange fears may begin to plague the person in question.

There are several conceptions regarding ovarian cysts and pregnancy. The main question that arises in the mind of people is whether their wish of getting pregnant getting impeded because of an ovarian cyst? Does ovarian cyst cause infertility?

Well in this article, you may find adequate information regarding ovarian cysts, pregnancy and infertility.
When a woman learns that she has an ovarian cyst, she already starts getting palpitation. However, studies say that maximum cysts that a woman tend to develop in their ovary are not life threatening. They are functional cysts, which will be completely vanished on their own after some months. These types of cysts do not cause any complications in pregnancy. But these may end up creating problems regarding the ovulation power of women.

Now if we focus on the classification of the cysts which can cause infertility, we will find two different types, Endometriosis and polycystic ovary syndrome (PCOS).

Endometriosis: its effects and remedies
Basically the tissue endometrium (which lines up the uterus), grows out of the surface of uterine cavity in case of cysts. When an endometrium grows on ovary, it can cause endometriomas, which precludes women's body from producing fertile eggs. In several cases, endometriosis interferes with pregnancy by stimulating scar tissue formation that generally tends to complicate fallopian tubes' normal function. Also, when endometriosis cells secrete substances, it can cause hindrance in the interaction process of sperms and eggs, which further leads to infertility issues.

Along with such problems, there are other hormonal disorders that can arise with endometriosis which can cause weak nidation and lead to early miscarriages. This particular problem generally occurs in the women between the age of 25-35 years. 

There are handful of remedies for these types of cysts. In many cases, ovulation is being blocked for a certain period. Apart from this, surgical treatment might be given in some cases such as laparoscopy or laparotomy. 

PCOS - its effects and remedies
The second type of cyst that creates hindrance in getting pregnant is polycystic ovary syndrome or PCOS. This type generally occurs when a woman has instability in her reproductive hormones. As a result, the ovaries fail to produce the required hormones, which help the follicles in producing mature eggs. 
PCOS is generally treated with the help of hormonal medication. PCOS is considered to be the leading cause of infertility. 

Other types of cysts
Corpus luteal Cyst is very common in pregnancy. It is considered to be asymptomatic and tends to disappear within the 16th week of pregnancy. Cysts, which are not over 7 cm in size, can be kept until delivery. However, large cysts generally cause pain and need to be removed through surgery. 

Surgery is always an option for ovarian cysts. Laparoscopy is considered to be safe during pregnancy as there are almost no risk factors. So it is being suggested by health experts that one should not get worried about ovarian cysts during pregnancy, as there are too many remedies to cure them.

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