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Management of Pregnancy
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
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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Hello Doctor, Maine pregnancy me bahot weight gain ker liya h mera weight 85 kg h ab mera lscs hua h and mera baby one month ka ho chuka h mujhe apna weight loose kerna h please tell me mujhe kaisi diet leni chahye and kya workout krna chahye?
Hi On 15 July we have unprotected sex and in even my partner take I pill. But still her date not came. So what to do.
Mera qus hai k mere periods k bad pani girta h kya aise hone se pregnancy nai hoti nd physical relation bnane k bad hmme kuch khana peena chahye ya nai or wash kr skte hai hm krne k 15 min bd please suggest me.
Hi, Char din pehle mujhe meri right side breast per chot lagi thi, main medicine and ointment lagaya, lekin pain relief nehi ho raha hai. Please please bataiye main kya kro?
Doctor kya shadi ke baad face hair extra hair Jo hote sahi hojate hai kya pls bataye doctor pls aur bataye pcod Ke problem Keleye kya khaye doctor pls bataye.
Hello I am 8 weeks pregnant. Two days before I was ill and after blood test mild lever infection was found .I took the medicines from MD doctor that are safe for pregnancy. Now after two days I am feeling better but brown colored fluid is discharged today.Is it normal and safe ?
The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.
Read on to know more about endometriosis and how it can cause infertility.
When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.
How does it cause infertility?
Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.
Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.
Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.
Treatment for Mild Endometriosis
Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.
However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).
For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.
Details about IUI success rates with endometriosis
IUI and endometriosis
Success rates with IUI for endometriosis have been variable in studies, showing:
- A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
- A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
- Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis
Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.
Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.
Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.
In case you have a concern or query you can always consult an expert & get answers to your questions!
It's anything, but difficult to make a hasty judgment when you understand your period is late. In case you're attempting to conceive, you may have this feeling of incredulity. In case you're not, you may feel frustrated or disarrayed in the event that you know it is highly unlikely you could be pregnant. The truth of the matter is, however, the vast majority naturally consider pregnancy, at the time of a late period, it may be the case that or one of numerous different conceivable outcomes.
Here's a summary of the common causes behind a missed period:
- Preganancy: Sometimes when you miss your period, the cause maybe exactly what you think you could be pregnant! The initial symptoms of pregnancy such as bloating of the stomach, cramping of stomach, and tenderness in breasts can resemble the feeling that you get before your periods; may create confusion whether you are actually pregnant or if your periods are a little delayed. If your periods are delayed for over 10 days, then it is better to take a home pregnancy test.
- Stress: Stress can have several effects on your body such as headaches, acne, weight gain and other issues. Stress can also make you miss your periods. When you are stressed, your body synthesizes stress hormones such as cortisol and adrenaline. These elevated levels force your brain to differentiate between essential and non-essential functions of the body. The blood supply to the muscles of the body can increase while systems such as the digestive system or the reproductive system can be subdued. This results in delayed period.
- Excessive exercise: Working out and maintaining fitness is a great thing to do; although when you overdo it, it restricts your body from producing enough oestrogen, the hormone that helps in completing your menstrual cycle. Thus professionals such as ballet dancers, athletes and gymnasts face a higher chance of suffering through amenorrhea (missing periods) for 3-4 months. Also if you work out too much without consuming enough calories, it can cause disruptions.
- Illness: When your body is battling a disease such as common cold or even fever, your brain starts concentrating on the functions that are important for the body. This can contribute to missing your period.
- Weight: If you lose excessive amount of weight without maintaining a good diet, you can deprive your body from producing oestrogen that helps build up the uterine lining. The same thing happens with eating disorders such as bulimia or anorexia. On the contrary, if you are obese, it can result in over production of oestrogen that can stop your ovulation in totality. This may lead to heavy, irregular periods. If you wish to discuss about any specific problem, you can consult a gynaecologist.