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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Bleeding during pregnancy is relatively common and doesn’t always mean there is a problem. It can be daunting and scary. However contrary to common beliefs, bleeding need not be a necessary harmful to a pregnant woman. However, it is important to take bleeding seriously at any stage of the pregnancy.
What are the possible causes of vaginal bleeding during pregnancy?
Causes of vaginal bleeding during early pregnancy include
- Implantation bleeding: It is a harmless light bleeding that often occurs around the time your period would have been due. It occurs when the developing embryo implants itself in the wall of the womb.
- Cervical changes: Cervical changes due to pregnancy may sometimes cause bleeding specifically after sex.
- Miscarriage: During early pregnancy vaginal bleeding can be a sign of miscarriage. About 1 in 5 pregnancies miscarry and usually, the cause is in the fetus and not the mother or the partner. At the same time, it is important to note that many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies.
- Ectopic pregnancy: An ectopic pregnancy is when fertilized egg implants outside the womb, for example in the fallopian tube. It can cause bleeding and is dangerous.
Early detection and appropriate management is a must in this case, so as to prevent any life-threatening complication. Other less common causes are molar pregnancy (a mass that forms inside the uterus that does not result in a baby) and problems with the cervix such as a cervical growth or cervical or vaginal infections. Vaginal bleeding might also occur during the later second or third trimester of the pregnancy.
- Placenta praevia (low lying placenta): This is when the placenta is attached in the lower part of the womb, near to or covering the cervix. Bleeding from a low lying placenta can be very heavy and put you and your baby at risk
- Placental abruption: It is a serious condition in which the placenta starts to come away from the womb wall.
- Vasa praevia: A rare condition where baby’s blood vessels run through the membranes covering the cervix. When your water breaks, these vessels are torn and cause vaginal bleeding.
Vaginal bleeding towards the end of the pregnancy is normal. Often bleeding mixed with mucous (which is called show) can be a sign of the starting of the labor.
When to visit a doctor?
It is important to keep the doctor informed about any bleeding that may have occurred at any stage of the pregnancy. A woman should carefully note details such as the type of bleeding, its texture, whether it included any tissue or clots, other symptoms such as pain and dizziness To work out what is the causing the bleeding, you may need to have a vaginal or pelvic examination, an ultrasound scan or blood tests and according to the cause and how many weeks pregnant you are it would be advised whether you need to be admitted to hospital or not and further treatment would be planned and advised.
Irregularity in the menstrual cycle is one of the most common issues to be fixed since the hormones responsible for the menstrual cycle is affected by several factors and systems of the body. According to a report published in the Journal of Clinical Endocrinology and Metabolism in 2011, it came to the fore that frequent missing of periods over an extended period is a common problem affecting over 5 percent of women at any given time. But what’s more important is that most women suffer from irregular periods all through the reproductive span of their life.
LH (Luteinizing Hormone) and FSH (Follicle Stimulating Hormone) produced by pituitary gland stimulate the ovaries to produce estrogen and progesterone and will cause the release of the egg. When there are fluctuations in LH, FSH, estrogen, and progesterone, the menstruation cycle gets irregular. For successful treatment of irregular periods, it is crucial to determine the cause. A few predominant causes of irregular periods are:
- High levels of stress: When you are stressed out for a long time, your body learns to save energy by stopping ovulation. If you experience a traumatic event or you undergo excessive day to day stress, it can suddenly cause the adrenals to work hard which can interrupt the production of estrogen, thyroid hormones, and other reproductive hormones. Restrictive eating and over-exercising can also lead to hypothalamic amenorrhea, a condition wherein the menstruation stops for several months altogether.
- Poor diet: If your daily diet lacks antioxidants, vitamins, protein, and minerals, then there could be an adverse effect on the thyroid levels and the adrenal glands. Fried and processed foods along with sugary items can raise the adrenal fatigue and cortisol which, in turn, hinders the functionality of other necessary hormones. If you are suffering from irregular periods, you should take foods rich in antioxidants, proteins, and antioxidants.
- Extreme loss of weight: When the body mass index or BMI reaches below 18, you will start missing your periods due to low body fat. Body fat is crucial for creating estrogen, and lack of this hormone also causes issues such as anorexia and bulimia. But it is important to note here that not all women suffering from irregular periods are underweight.
- Thyroid disorders: The fluctuations of thyroid hormones often cause an irregularity of periods. According to some experts, thyroid problems are one of the leading causes of irregular menstruation. Both hypothyroidism and hyperthyroidism can cause symptoms like alterations in cortisol and estrogen levels.
- Food allergies: If you are sensitive to gluten or have celiac disease which has remained undiagnosed, it can cast an impact on the hormone levels. As these conditions may cause nutrient deficiencies, it can affect the gut health and add stress to the adrenal glands. As a result, all these together disrupt the secretion of sex hormones and cause irregular menstruation.
Several treatments are available to treat the causes that would slowly bring back your menstruation cycle to normal.