Doctor in Gynae Care Fertility Centre
The news of pregnancy can be one of the best news in a couple’s lifetime. However, where this news does not arrive, it can turn very stressful. Whatever the reasons, if a couple has been trying to have a baby and are not able to, it can be very strenuous. However, statistics reveal that most couples take four to six months to conceive. Some couples even take up to two years.
Lifestyles are changing and there are a lot of factors, which determine the ability of a couple to conceive. There could be issues with either of the couple, and sometimes it might not even be an actual issue, but only psychological barriers hampering the health of the relationship.
Some common conditions that can contribute to the couple not conceiving include endometriosis, ovarian issues, polycystic ovaries, hormonal imbalances, medical illnesses, etc. A few common remedies can be tried first, before reaching out for professional help.
- Using lubricants without spermicide topical agents may be used, but some of them could contain chemicals, which are spermicides and reduce the sperm count. This needs to be ruled out before investigating the cause for infertility.
- Vitamin B6 helps in the luteal phase, which is from the time of ovulation to menstruation. Zinc also plays a vital role in pregnancy and conception, and so it is advisable to take these supplements when trying to get pregnant.
- Weight management, quit smoking, improved hydration, general detoxification, dietary changes, adequate hours of sleep are some changes that can immensely benefit.
- An ovulation predictor kit and trying to conceive around that time also increases chances of conception.
- For a woman who is 35 years or younger, conception should happen in about four to six months’ time. If not, it is time to see a doctor to see what is preventing pregnancy.
Some of the other conditions, which would require a visit to the doctor are as follows:
- Consumption of regular asthma medications
- Diabetic patients
- Epilepsy patients
- Chronic smoker
- Underweight or overweight women
- Diagnosed endometriosis
- History of polycystic ovaries
- History of irregular periods or other menstrual disorders
- History of thyroid disease, especially hypothyroidism, which is one of the main contributing reasons for infertility. Quite often, treating the thyroid levels can lead to pregnancy
- History of sexually transmitted disease like chlamydia
- History of sexual hormonal imbalance
- History of prolonged use of birth control pills
If there is no underlying medical issue, it will happen, don’t be anxious.
Normal delivery or vaginal delivery is when childbirth takes place without the use of any vacuum extraction or forceps. It is basically when a woman goes into labour without the use of any other external drugs which induce labour. C-Section or rather caesarean section is basically when a baby is delivered surgically via an incision in the mother’s abdomen. This is usually performed when a normal delivery can put the child’s or the mother’s health at risk. It is also performed when you are expecting twins or rather multiples.
Why Normal Delivery is preferred over C-Section Delivery?
- One of the major benefits of having a normal delivery over a C-Section is that the former leads to a shorter hospital stay as there is no major surgery involved. If there is no surgery involved then obviously the risks associated with it, such as, permanent scarring, severe bleeding, septic infection, are completely eliminated.
- Reaction to anaesthesia is another thing that one must consider and it is the most crucial difference between a normal and a C-Section delivery. As C-Section is basically a surgery, the mother is administered an anaesthetic to numb the pain. Sometimes, even spinal anaesthesia is used and the side effects of it include: back pain, prolonged numbness or weakness, shortness of breath and in extreme cases, even maternal morbidity (death during pregnancy).
- After C-Section delivery, there can be a severe loss of blood leading to hysterectomy (permanent removal of the uterus).
- The best reason to avoid a non-planned C-Section is because, once a C-Section has been done then there is a potential risk of having all your future deliveries done via C-Section.
- A research has shown that women who deliver via C-Section are less likely to start early breastfeeding as the recovery time from a surgery is pretty high.
In case you have a concern or query you can always consult an expert & get answers to your questions!
One of the common complaints associated with sexual intercourse, is vaginal bleeding. This bleeding can occur during the course of intimacy or after it. Post intercourse bleeding is also termed as post-coitus bleeding. This is known as post costal bleeding. Doctor should be consulted immediately as it may be a sign of hidden cervical cancer.
Reasons behind vaginal bleeding
- In most cases, the bleeding is risk free. It could be due to extreme friction, causing damage to superficial blood vessels in the cervix. It is important to use adequate lubrication; otherwise the consequences could be annoyingly painful.
- If your period dates are nearby, the source of the blood could be from your uterus.
- Benign growths, cysts, polyps on the cervix can cause bleeding. They are small fragile growths that rupture easily.
- There can also be bleeding due to inflammations that occur as a reaction to a condom or a diaphragm.
When can vaginal bleeding be difficult?
- Vaginal bleeding after sex can often be a warning sign of ectopic pregnancy. Ectopic pregnancy is when implantation of an embryo takes place outside the uterus, commonly inside the fallopian tubes.
- Bleeding every time after intercourse is also a common symptom of endometriosis. It occurs when the inner lining of the uterus, called the endometrial tissue, appears outside it. Endometrial tissue can attach itself to other surrounding organs in the pelvic region, generally, the abdomen, causing searing pain. It is also a major cause of infertility.
- Another cause of vaginal bleeding is atrophic vaginitis, a health condition mostly affecting older women, especially those who have reached menopausal age. This is due to the massive decline in the levels of estrogen that causes vaginal dryness and irritation.
- Sexually transmitted diseases could be a serious cause of vaginal bleeding. It is generally accompanied by several other symptoms such as vaginal odour, discharge, pelvic pain, inflammations. It should receive immediate medical attention.
- Vaginal bleeding could be a sign of cancer. It could be vaginal, ovarian, uterine or cervical cancer. It requires medical attention without any delay.
Most of the time, the reasons for post coitus bleeding is harmless. However, if it persists, you must pay a visit to your gynaecologist as soon as possible and get a thorough evaluation done. This could save the condition from worsening and also diagnose any other underlying medical condition at an early, curable stage. In case you have a concern or query you can always consult an expert & get answers to your questions!
In order to have proper information about ovarian cysts, it is essential to discuss the anatomy of ovaries. These are basically a part of the female reproductive system and are located in the lower abdomen on the two sides of the uterus. The major functions of ovaries are production of eggs, oestrogen and progesterone hormones.
So what exactly are cysts? Cysts are fluid-filled sacks, which sometimes develop on the ovaries. These are usually painless, causing no such symptom and females develop a cyst at least once every year. However, there are various kinds of ovarian cysts like the dermoid cysts and endometrioma cysts. The most common kinds of cysts are usually the functional ones. The types of follicle cysts include the following:
- Follicle cyst: When the menstrual cycle starts, the egg grows in a sac, usually called follicle, which is located inside the ovary. In usual cases, the follicle breaks and the egg is released. However, there might be a case where the follicle may not break. In situations like these, the fluid present in the follicle may turn into cysts in the ovary.
- Corpus leuteum: After the egg is released into the uterus, the follicle ideally dissolves. However, in case the follicle does not dissolve, the excess liquid causes the developing of little sacs and these are the other kinds of cysts.
Malignant (cancerous) or low malignant potential ovarian tumors can spread (metastasize) to other parts of the body and can be fatal.
There are some more types of cysts as well, which are as follows:
- Dermoid cyst: This is a sac-like growth, which occurs on the ovaries that can contain hair, fat or other tissues. They’re a type of ovarian germ cell tumor. Usually these tumors are benign, but occasionally they can be malignant.
- Endometriomas: These are those tissues, which should originally grow inside the uterus, but instead they attach themselves outside the uterus to the ovaries. This in turn results in cyst formation.
- Cystadenomas: These are basically non-cancerous growths that develop on the ovary surface.
Polycystic ovary syndrome
This is a condition that some women develop, a large number of small cysts form inside the ovaries, thereby causing the ovaries to enlarge. It is important that polycystic ovarian syndrome is treated soon because if left untreated for long, it may cause infertility in women. These cysts are usually not harmful, but they can cause the following:
- Hormonal imbalance, which may lead to acne or facial hair, may also cause individuals to stop ovulating or cause irregular periods
- Higher chance of getting diabetes as the body starts having insulin resistance
- Weight gain
This is not that big a deal and can be controlled easily. Also with healthy living and eating, this condition can be brought to normal.
A blood clot (also called a thrombosis) is a mass or clump of blood that forms when blood changes from a liquid to a solid.
The body normally makes blood clots to stop the bleeding after a scrape or cut. But sometimes blood clots can partly or completely block the flow of blood in a blood vessel, like a vein or artery. This can cause damage to body organs and even death.
Most women with blood clotting conditions have healthy pregnancies. But these conditions may cause problems for some pregnant women. In severe cases, they can cause death for both mom and baby. But testing and treatment can help save both you and your baby.
If you’re pregnant or trying to get pregnant and have had problems with blood clots in the past, tell your health care provider at a preconception checkup (before pregnancy) or at your first prenatal care checkup. Also tell your provider if someone in your family (your parent or a brother or sister) has had problems with blood clots. This means the condition may run in your family.
What problems can blood clots cause during pregnancy?
If you have a blood clot or a kind of thrombophilia called antiphospholipid syndrome (also called APS), you may be more likely to have complications that can affect your health and your baby’s health, including:
- Blood clots in the placenta. The placenta grows in your uterus (womb) and supplies the baby with food and oxygen through the umbilical cord. A blood clot in the placenta can stop blood flow to your baby and harm your baby.
- Heart attack. This usually happens when a blood clot blocks blood and oxygen flow to the heart. Without blood and oxygen, the heart can’t pump blood well, and the affected heart muscle can die. A heart attack can lead to lasting heart damage or death.
- Intauterine growth restriction (also called IUGR). This is when your baby grows poorly in the womb.
- Miscarriage. A miscarriage is when a baby dies in the womb before 20 weeks of pregnancy.
- Placental insufficiency. This is when the placenta doesn’t work as well as it should so your baby gets less food and oxygen.
- Preeclampsia. Preeclampsia is a condition that can happen after the 20th week of pregnancy or right after pregnancy. It’s when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly. Some of these signs include having protein in the urine, changes in vision, and severe headache.
- Premature birth. This is when your baby is born before 37 weeks of pregnancy.
- Pulmonary embolism (also called PE). An embolism is a blood clot that moves from where it formed to another place in the body. When the clot moves to a lung, it’s a PE. PE can cause low oxygen levels in your blood and damage your body organs. It’s an emergency and a leading cause of death during pregnancy. Signs and symptoms of PE may include:
- Stillbirth. This is when a baby dies in the womb after 20 weeks of pregnancy.
- Stroke. This happens when a blood clot blocks a blood vessel that brings blood to the brain, or when a blood vessel in the brain bursts open. Pregnancy and childbirth cause strokes in about 8 in 100,000 women. Stroke can cause lasting damage to the body or death.
- Thrombosis. This happens when a blood clot forms in a blood vessel and blocks blood flow. It most often happens in the deep veins of the legs but can be in other places of the body:
How are these conditions treated?
Your provider may use tests like ultrasound or magnetic resonance imaging (also called MRI) to find out if you have a blot clot or clotting conditions. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb. MRI is a medical test that makes a detailed picture of the inside of your body. These tests are painless and safe for you and your baby.
If you are pregnant and have a clotting condition, you may need to go for prenatal care checkups more often than women who don’t have these blood clot conditions. At these visits, your provider checks your blood pressure and can use other tests, like blood tests, to monitor your health.
Your gynaecologist also checks your baby’s health in the womb using tests like:
- Ultrasound to check your baby’s growth and development. She may use a special kind of ultrasound called Doppler to check your baby’s blood flow in the umbilical artery, a blood vessel in the umbilical cord. The umbilical cord connects your baby to the placenta. It carries food and oxygen from the placenta to the baby.
- Fetal heart rate monitoring (also called a nonstress test or NST). This test checks your baby’s heart rate in the womb and sees how the heart rate changes when your baby moves. Your provider uses this test to make sure your baby’s getting enough oxygen.
A blood clot occurs when your body sends cells, called platelets, to interrupt the stream of blood. Typically, this happens when you have a cut, to keep the damage from draining consistently. During pregnancy, your blood will probably cluster as a defense mechanism against losing an excess amount of blood during the process.
Signs and Symptoms
Women have a tendency to be more sensitive and risk-prone of potential difficulties while they are pregnant. Despite the fact that blood clots are far-fetched, there are a couple of signs that can demonstrate the possibility of a blood clot. These include:
- Swelling or pain in one leg
- Pain that increases when you walk
- Veins that look bigger or more swollen than usual
Different components that can additionally raise your odds of growing profound vein related blood clots in pregnancy include:
- Being thirty-five or older while pregnant
- Pre-pregnancy blood clots outside of pregnancy
- Being overweight
- Having a cesarean conveyance (C-section).
However, there are certain solutions to every problem. In order to get rid of blood clots during pregnancy or prevent them from happening, these are the possible solutions:
- Continue moving: In case that you are overweight and inactive, it will affect your blood-stream and increase your risk for profound vein clots in pregnancy. So, remain active and keep up a healthy weight. If you must be on bed rest because of a damage or inconvenience in your pregnancy, your specialist may endorse blood thinners as a careful step.
- Get up during travel: Flying alone is a risk for clots; so pregnant women need to be very careful about that. In case that you need to fly, get up and move around consistently and do a lower leg exercise while you sit. Do a similar thing in case you go for a long journey or have to travel fast.
- Wear pressure tights: Since they enhance the flow and lessen swelling in the legs, pressure tights can bring down your danger of profound clots in pregnancy.
- Drink loads of water: Remaining hydrated during pregnancy forestalls clots by keeping the blood from getting too thick.
The reason pregnant women need to be aware of the connection amongst pregnancy and clot risks is that an untreated clot can possibly break free and go through the circulatory system. The fear is that it will move to the heart or lungs and cause a pneumonic embolism, which can lead to death.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pelvic Inflammatory Disease, also known as PID, is characterized by an infection that occurs in a lady's reproductive organs. Usually this occurs as a result of a complications arising from a STD. The disease causes severe damage to the ovaries, fallopian tubes and the uterus. It is one of the bigger causes of infertility in women.
The cervix which is the entry to the uterus has the function of stopping bacteria that are present in the vagina from spreading to the other organs. Once infected by a STD, the cervix can no longer perform its function of preventing the bacteria from spreading to other organs. PID develops when the infection spreads from the cervix to the upper areas of the genital tract.
There are certain factors which increase the chances of being affected by PID:
- Being sexually active
- Already affected by STDs such as gonorrhea
- Past history of PID
- Having multiple sexual partners
Women may experience pain while urinating and engaging in sexual intercourse, coupled with sore feeling in the stomach along with nausea. Abnormal vaginal discharge and a rise in body temperature are common symptoms as well.
Once the disease has been diagnosed by a doctor, a treatment plan is devised. The treatment options that you can avail of are:
- Medications: If the symptoms are mild, then the doctor will prescribe antibiotic medications. Usually the antibiotics are administered by mouth unless the symptoms are severe, when the drugs are administered intravenously. Your partner would also require medications if you happen to be diagnosed with PID, so that he/she does not catch it.
- Surgery: Surgery is recommended by the doctor in case of tissue inflammation and the presence of pus (abscess). The aim of surgery is to get rid of the abscess to prevent any further infection.
In addition to the treatment methods, there are certain precautionary measures that you can adopt to be safe:
- Have protected sex.
- Try and stick to one sexual partner.
- Visit your gynecologist for regular checkups.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy is something, which is quite divisive. The mere prospect of it can really go a long way in scaring people. At the same time, for some others, giving birth to a baby can be the primary cause for a lot of happiness. When a couple is having trouble conceiving, infertility is usually the reason why there is a relationship strain between the two of them. Considering this, doesn’t it make sense to learn a bit about infertility and the truth to all that is said about it so as to separate the wheat from the chafe?
To start with, it is often said that when there is an infertility issue, it is probably due to the lack of fertility of the woman rather than the man. However, this is pretty untrue. It has been found that both men and women are responsible for infertility almost equally. In fact, according to a study, in about a fifth of the cases of infertility, the reason for it was that both the man and the woman were not fertile.
Many people say that, if a woman wishes to have a baby, she should do so before she crosses the age of 35. This is true to some extent as the chances of a woman conceiving do fall to a significant extent after the age of 35. As a matter of fact, a woman can expect to reach the peak of her fertility while she is in her twenties, itself!
Without a shadow of doubt, having sex around the time of ovulation is the key to getting pregnant. However, it is believed by a large number of people that there is no chance of getting pregnant if sex is had too soon or too late after ovulation as sperms only live for a few hours after an intercourse. The truth is that the sperms have the ability to live for several days.
When planning to conceive, many women believe that for about a quarter of a year or three months after they stop making use of the birth control pill, they will not be able to get pregnant. The good news for them is that as soon as the pill is stopped, the levels of a woman’s hormones return back to their pre-pill levels almost immediately and ovulation can be expected to occur at the time of their following cycle.
A bladder infection is a bacterial infection within the bladder. Some people call a bladder infection a urinary tract infection (UTI). This refers to a bacterial infection anywhere in the urinary tract, such as the bladder, kidneys, ureters, or the urethra. While most cases of bladder infection occur suddenly (acute), others may recur over the long term (chronic). Early treatment is key to preventing the spread of the infection.
What causes Bladder Infection?
Bacteria that enter through the urethra and travel into the bladder cause bladder infections. Normally, the body removes the bacteria by flushing them out during urination. Men have added protection with the prostate gland, which secretes protective hormones as a safeguard against bacteria. Still, sometimes bacteria can attach to the walls of the bladder and multiply quickly. This overwhelms the body’s ability to destroy them, resulting in a bladder infection.
Bacteria that enter through the urethra and travel into the bladder cause bladder infections. Normally, the body removes the bacteria by flushing them out during urination. Men have added protection with the prostate gland, which secretes protective hormones as a safeguard against bacteria. Still, sometimes bacteria can attach to the walls of the bladder and multiply quickly.
Other factors can increase the risk of bladder infections for both men and women. These include:
- Advanced age
- Insufficient fluid intake
- Surgical procedure within the urinary tract
- A urinary catheter
- Urinary obstruction, which is a blockage in the bladder or urethra
- Urinary tract abnormality, which is caused by birth defects or injuries
- Urinary retention, which means difficulty emptying the bladder
- Narrowed urethra
- Bowel incontinence
Symptoms for Bladder Infections
- Cloudy or bloody urine
- Urinating more often than usual
- Foul-smelling urine
- Pain or burning when urinating
- A frequent sensation of having to urinate, which is called urgency
- Cramping or pressure in the lower abdomen or lower back
Bladder infections can also cause back pain. This pain is associated with pain in the kidneys. Unlike muscular back pain, you might experience pain on both sides of your back or the middle of your back. Such symptoms mean the bladder infection has likely spread to the kidneys. A kidney infection can also cause a low fever.
Why do miscarriages occur?
For a mother, a miscarriage is the last thing she would want to hear. It can pin her down psychologically, leading to trauma and stress in unfathomable measures. To understand miscarriage better: it is a condition wherein there is a loss of pregnancy within the first 22 weeks of getting pregnant. The primary symptom of a miscarriage is bleeding from the vagina. So if you experience vaginal bleeding during this phase, then consult a doctor for further guidance.
Why do they occur?
There are many reasons as to why a miscarriage may occur and no study has been able to put a finger on any one specific cause. Having said that, miscarriages are mainly caused due to the presence of unusual chromosomes in the baby. Chromosomes are genetic material that directs the growth and development of a baby. Chromosomes present in either excess numbers or less can hinder the development of the baby. If the miscarriage occurs during the second trimester (14th to 26th week), then it can be accrued to a health anomaly in the mother. A miscarriage may also occur because of a weak cervix as a weak cervix will not be able to hold a pregnancy. This condition is called cervical insufficiency and occurs when the woman is in her second trimester.
Is it possible to prevent them?
In most cases, miscarriages cannot be prevented. For women who have suffered multiple miscarriages, multiple medications might be required to help with their subsequent pregnancies. Following a healthy lifestyle is recommended as it can minimize the risk of a miscarriage. One must abstain from smoking and substance abuse and limit consumption of alcohol in order to keep the body in optimal condition. It is advised to maintain optimal weight levels and eat a well-balanced diet.
A miscarriage is a very traumatic experience for a mother to be; it can be emotionally debilitating. That is the reason counseling can help in times such as these. Start planning for a baby only once the symptoms have subsided and you have also had a period post the miscarriage. It is important to make sure that you are physically and emotionally ready to have a baby. Remember, a miscarriage doesn’t mean the end of the world. One can enjoy a fully healthy and a successful pregnancy even after a miscarriage.
PCOD or polycystic Ovary Disorder is one of the most common disorders of hormones among women in the age of reproduction. It is yet not discovered why some women become susceptible to this disease and it is believed to be a genetic disorder. The word “polycystic” refers to multiple cysts and a woman suffering from PCOD has multiple cysts in her ovary. This is due to the imbalance of hormones, which don’t allow the ovary to release eggs every month and these numerous unreleased eggs present in the ovary cause it to become polycystic.
What are the symptoms of PCOD?
The regular release of eggs from the ovaries directs a woman’s fertility and allows her to have a normal menstrual cycle. Therefore, women with PCOD face difficulty in conceiving along with irregular, low and absent periods. Some of the most common symptoms of PCOD include infertility and even miscarriage, elevated insulin levels, high blood pressure, diabetes, acne, unhealthy weight gain and obesity. It also leads to loss of hair from the scalp and excessive growth of hair on the body. This is due to over production of male hormones that lead to male pattern of growth of hair, such as on chest, cheek, chin and inner thighs. The hormonal imbalance leads to weight gain and obesity makes the hormonal imbalance even worse, turning it into a vicious cycle.
How is PCOD diagnosed and treated?
Your gynaecologist would be able to determine whether you have PCOD by checking your symptoms. Then she would recommend you to do a few blood tests along with a pelvic ultrasound scan to confirm whether you have PCOD. Though this disease is not reversible, its symptoms may be reduced or minimised. Most women can lead a trouble-free and healthy life if they take proper precautions at the right time.
It has been pointed in several studies that reduction in weight can help in the improvement of most PCOD symptoms because fat contributes to the production of certain hormones. Your doctor will prepare a treatment plan depending on the aspect from which you are suffering. For instance, if you are suffering from irregular periods, your doctor may prescribe you some contraceptives which can help in restoring normal menstrual cycle. But this treatment is definitely unsuitable for those who are trying to conceive. The infrequent and irregular ovulation can make it difficult to conceive and it can be artificially induced with the aid of medications. So, you must consult a gynaecologist to help your situation.