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How To Deal With Recurrent Miscarriage?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
How To Deal With Recurrent Miscarriage?
It is no hidden fact that miscarriages hurt you deeply. The trauma that comes with it is unbearable, but you will have to get through it. Don t blame yourself for the situation, you may not know it but miscarriages are quite common. Doctors have said that one out of four pregnancies ends up in a miscarriage. If you have experienced more than two consecutive miscarriages then you are suffering from a recurrent miscarriage. If you are going through recurrent miscarriages then there are some medical conditions to blame.

Is miscarriage the end?
A recurrent miscarriage may sometimes complicate things a little, but don t think that it is the end. As the medical research has progressed, there are several ways for you to get pregnant or have a child. There is in vitro fertilization or IVF which is one of the best ways to cope with a miscarriage. Even if you are having some problem with your fallopian tube IVF can solve your problems and fertilization will be done in the lab and the embryo will be implanted.

How to cope with the emotional stress?
Miscarriages are hard in itself, and you need to deal with the post-miscarriage situation with the utmost maturity to keep your psychological and physical state under complete care. Emotionally good health will go a long way and let you think clearly about your options. If the stress and sadness of the miscarriage have brought you down, then seek the counseling of psychiatrist. Don t feel ashamed to share your feeling and never suppress them. Talk about them and if needed join a support group that will help you to get through the tough situation.

Remember one thing that if you are emotionally aggrieved and suppress your feelings then that will take a toll on your relationship with your partner. With IVF becoming so developed, there is no need to lament about miscarriage.

How can I improve my fertility?
You may be suffering from recurrent miscarriages, but you should not lose your hope. Keep on trying and you may succeed. You never know. Visit the specialists and let them know your medical history. With special care, IVF can solve all your problems.

But only IVF would never work. Opt for a healthy lifestyle by doing exercises, eating healthy foods, quit smoking, and reduce your alcohol and caffeine intake. You should take a multivitamin rich in folic acid every day. You should also restrict your exposure to environmental chemicals and toxins. It is advisable that you leave behind any kind of heavy lifting, strenuous physical exercises, and any dangerous contact sports. Try not to take stress by taking up yoga or tai chi. And most importantly, try to maintain a healthy sexual relationship with your partner and contact your doctor to know when can you get pregnant again.

Endometrial Scratching - An Insight To It!

Endometrial Scratching - An Insight To It!
In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF.

Endometrium explained in brief:

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy.

The enhanced success of achieving pregnancy:

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle.

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows:

Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy.
The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg.
Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication.
This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure.

Dilation And Curettage - Is This Process Beneficial?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Dilation And Curettage - Is This Process Beneficial?
Dilation and curettage is a surgical procedure where the cervix (the lower part of uterus) is dilated and tissues are removed from the inside of the uterus. The procedure is usually done to treat heavy menstrual bleeding or clean the lining of the uterus after an abortion or miscarriage.

During the procedure, the cervix is dilated with medication and a thin surgical instrument is inserted through the vagina. This instrument is then used to scrape (curettage) the uterine tissues.

Reasons for Conducting the Procedure

Dilation and curettage is mostly done to either treat or diagnose certain uterine disorders. Dilation and curettage is recommended if your doctor needs to diagnose conditions such as:

1. Irregular uterine bleeding

2. Postmenopausal bleeding

3. Discovery of unnatural endometrial cells while conducting a common test for cervical cancer

Sometimes, the doctor can take a sample tissue from the uterus and perform tests on it to check for the following conditions:

1. Uterine cancer

2. Uterine polyps (abnormal tissue growth)

3. Endometrial hyperplasia (precancerous thickening of the uterine lining)

Dilation and curettage, when used for therapeutic purposes, is used in the treatment of the following conditions:

1. To clear away molar pregnancy; which is characterized by formation of tumours.

2. To treat heavy bleeding after childbirth; any remaining placenta in the uterus is removed.

3. To remove benign uterine or cervical polyps.

4. To clear away fibroids (benign tumours which form on the uterine wall)

5. To remove any tissue that could have been left behind after an abortion or miscarriage to prevent heavy bleeding or infection

What needs to be considered before opting for it?

The procedure of dilation and curettage is mostly safe. Complications from this procedure are rare, but some factors should always be taken care off.

1. The surgical instrument can perforate or poke a hole in the uterus. Sometimes, perforations can heal on their own; but if any organ or blood vessel gets damaged, then another surgery will be required.

2. The cervix can be damaged during the procedure. The doctor can stitch the wound close, or apply pressure on the wound to stop the bleeding.

3. Sometimes, there might be scar tissues on the wall of the uterus. This can cause irregular, painful or absent menstrual cycles, augment risks of infertility and future miscarriages.

Ovarian cancer k vaccination karna chahiye? Is vaccination help to avoid this cancer cost of this vaccination?

BHMS
Homeopath, Noida
If you r asking for yourself (age-36) then its useless. It should be taken before you become sexually active. Doctors stop recommending the HPV vaccine to women once they've reached their mid-20s. The human papillomavirus vaccine is FDA-approved only through age 26, with the thinking that by that time women (and men) have had enough sex that they're probably already exposed to the virus and won't benefit. However you should annually get your PAP smear done.
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Miscarriage - How Can You Prevent It?

Speciality Birthing Care
Gynaecologist, Bangalore
Miscarriage - How Can You Prevent It?
The most devastating period for any pregnant women is a miscarriage. This normally happens because of genetic abnormality noticed in the fetus caused due to tripling of a chromosome. This is also called spontaneous abortion because the body rejects the random genetic abnormality. Apart from this, there are many other reasons for miscarriage namely blood clotting, deshaped uterus, uterine fibroids, unhealthy cervix and so on. Now, this could lead you to the next question - What can we do to prevent miscarriage?

Time to meet the gynaecologist:
When there is tripling of chromosomes or genetic mismatch, the body actually rejects the fetus, thereby preventing birth of an unhealthy baby. But, if the miscarriage repeats several times, then you have to meet your gynaecologist for further tests and appropriate medical intervention.

Symptoms of miscarriage:
In the normal course, when miscarriage occurs, the women would experience back pain or vaginal bleeding or blood in the vaginal mucus or cramping or abdominal pain. Ironically, sometimes the miscarriage may happen without any of these symptoms. It would get noticed only during routine scanning. However, in the normal course, the chance of a miscarriage is highest before the 12th week. But if miscarriage happens after the 12th week and before the 24th week, then it is called spontaneous abortion. Thereafter, it is known as a still born baby.

However, there are some steps that can help women prevent a miscarriage. These steps are briefly explained here.

Nicotine retards growth of fetus and it is for this reason the couple should shun smoking, months before they plan pregnancy. This change in lifestyle has remarkable effects in preventing miscarriage. Similarly, caffeine can also be the cause of miscarriage. Therefore, women should regulate their intake of coffee as per the advice given by the gynaecologist.
Women suffering from chronic ailments like lupus, problems with thyroid, epilepsy and such other ailments are prone to a miscarriage. Similarly, it is also advisable that women should get tested for STD/HIV because these ailments can cause a miscarriage. Women suffering from such ailments should be under constant medical care.
In addition to these, the women should take food rich in vitamins, proteins, Omega-3 and fibres. Further, they should also do physical exercises as per the instructions given by the gynaecologist. One should drink enough water so as to keep oneself sufficiently hydrated. Women must practice meditation, which helps in reducing stress.
The causes of a miscarriage are many; women should discuss about the issues relating to a miscarriage with their gynecologist. This helps them take appropriate preventive steps against this unwanted situation.

Rotating The Fetus- What Are The Indications And Contradictions?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Lucknow
Rotating The Fetus- What Are The Indications And Contradictions?
In a normal pregnancy, the baby develops with its head pointed down, and the head is usually the part which comes out first during normal delivery. However, in many cases, the baby could have its legs, feet, or buttocks pointing to the cervix. In a majority of cases, the baby may have this position, but rotates to have its head pointing down before the third trimester. However, this may not happen, and this is referred to as breech.

In a lot of cases, the doctor would try to move the baby s head downwards usually around the 37th week, and this is referred to as external cephalic version (ECV) or even as version. The process is done externally by manipulation and hence the name external. It is done before labor and may allow for a vaginal birth. In very rare cases, it may be done during labor, but before the amniotic sac has ruptured. As a backup, there should be a provision for the patient to undergo C-section, if ECV is not successful.

Indications:

Single pregnancy, into 36 weeks of pregnancy, with no complications, and preferably not the first pregnancy
No engagement of the fetus (any part) in the uterus
Adequate amniotic fluid, which will provide a good environment to move the baby with minimal injury
Contraindications:

Suspected/known birth defects
Multiple pregnancies (twins/triplets)
Ruptured amniotic sac
Fetus with a hyperextended neck
Mother s health is not optimal and is on cardiac medications
Condition that mandates a cesarean section (placental separation from the uterus, placenta covering the cervix, etc.)
Procedure

The fetal position is first estimated using an ultrasound. The position of the placenta and the amount of amniotic fluid are also closely monitored. Under constant monitoring, the uterus is relaxed through medications. With one hand on the fetal head and another on the buttocks, the doctor tries to rotate the fetus. Depending on how much pressure the mother is able to tolerate and how flexible the uterus is, version may be successful (success rate is about 60%).

A second attempt under epidural anesthesia may be done, if the first one did not succeed. However, the chances of success with subsequent attempts is very doubtful. The fetus is constantly monitored through ultrasound and fetal heart rate monitoring. A fetus is considered healthy if the heart rate moves up during this procedure. However, if the heart rate seems abnormally high, the procedure would be abandoned.

After the procedure, the mother and the fetus would be monitored for a while before being sent home. As the fetus is constantly monitored throughout pregnancy, the doctor would be able to tell if this procedure is required.
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My wife is 23 years old. Carry on pregnancy 3 month. But problem is vomiting body pain.

BHMS
Homeopath, Noida
My wife is 23 years old. Carry on pregnancy 3 month. But problem is vomiting body pain.
Vomiting will settle down in a short span of time. You can take Homeopathic remedies that can help you in vomiting and bodyaches without side effects.
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Recurrent Miscarriage - 4 Ways That Can Help To Decease Chances Of It!

MS - Obstetrics and Gynaecology
Gynaecologist, Jaipur
Recurrent Miscarriage - 4 Ways That Can Help To Decease Chances Of It!
Natural therapies are a great option to support your body and prepare it for pregnancy. As with any approach trying to decrease the chance of miscarriage, these steps will help to nourish and support the body, inviting a healthy pregnancy to occur.



Preparing ahead of time for your pregnancy is also important for decreasing the chance of a miscarriage, these steps must be practiced for at least 3 months before you become pregnant again. If you are currently experiencing a miscarriage contact your doctor or midwife right away.

Prepare for conception: The first step is to prepare your body with fertility cleansing. Fertility cleansing helps you to support the liver in cleansing the body of old toxins and excess hormones while encouraging the uterus to cleanse itself of old contents, increasing uterine circulation and tone.

Eat a nutrient dense fertility diet: The next step is to nourish and build up your body to be a healthy, baby friendly body. This can be done through eating a well balanced and nutritious diet. What you eat has a strong impact on:

The health of your eggs
Your hormonal balance
Creating a healthy placenta
Decreases chance of a miscarriage
Building nutrient storage for baby
Creating a healthy reproductive system
Build a healthy foundation: One of the major foundational steps to increase your chance of having a healthy pregnancy is to take some basic vitamins, minerals, and EFA s. There are specific vitamins and minerals that are necessary for a healthy reproductive system, hormonal balance, and ovulation. Essential fatty acids are also extremely important for miscarriage prevention.

7 Symptoms Of Ectopic Pregnancy!

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
7 Symptoms Of Ectopic Pregnancy!
In a normal pregnancy, the egg that the ovaries release enters the fallopian tube. If a sperm fertilises it, the fertilised egg attaches itself inside the uterus. However, sometimes the fertilised egg can attach itself outside the uterus. This condition is called ectopic pregnancy.

Ectopic pregnancy can be detected in the first few weeks of the pregnancy itself. If your doctor does discover ectopic pregnancy, you would need immediate medical attention. Ectopic pregnancies can be sad and scary. The survival rate of the baby is extremely low, and you may need some time to get over your loss. Fortunately, one ectopic pregnancy doesn't mean you can never conceive again. Many women who lost their first baby to ectopic pregnancy have been able to have a healthy and normal pregnancy the second time around.

The causes of ectopic pregnancy include:

An inflammation or infection of the fallopian tube can lead it to become entirely or partially blocked.
Scar tissue from a surgery or an infection of the fallopian tube may also hinder the movement of the fertilised egg.
Surgery in the tubes or pelvic areas in the past might cause adhesions.
Birth defects or abnormal growths can cause anomalies in the shape of the tube.
These causes are usually followed by certain risk factors, such as:

Age (The age group of 35-44 especially)
An ectopic pregnancy in the past
Previous abdominal or pelvic surgery
Pelvic inflammatory disease
Several prompted abortions
Conceiving with an intrauterine device in place
Smoking
Endometriosis (growth of uterus lining tissues outside the uterus).
Fertility treatments.
The signs and symptoms of ectopic pregnancy include:

Minimal vaginal bleeding
Vomiting and nausea with pain
Pain in the lower abdomen
Sharp cramps in the abdomen
Localised pain (Pain concentrated on one side of your body)
Pain in your neck, rectum or shoulder
Rupture of the fallopian tubes can cause fainting due to the bleeding and pain
The treatment of ectopic pregnancy can be any one of the following:

If the pregnancy has not progressed too far, methotrexate will be administered. This absorbs the pregnancy tissue and can save the fallopian tubes.
The tubes may be removed if they have ruptured or stretched, and have started bleeding.
Laparoscopic surgery (operations performed by making minor incisions) may be performed to remove or repair the tubes and recover the ectopic pregnancy.
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