Common Specialities
Common Issues
Common Treatments

Progesterone Health Feed

PCOS Pregnancy Diet - Essential Tips For A Healthy Pregnancy!

MS - Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
PCOS Pregnancy Diet - Essential Tips For A Healthy Pregnancy!
Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.

Pcos predisposes women to diabetes, hypertension, obesity, cardiovascular complications, lipid metabolism disorders, uterine cancer in long run. Some of them are listed below:

Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
Dietary changes:

With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:

Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:

Anything that can spike up calories and is of low nutritional value should be avoided.

Avoid whites pasta, rice, and bread
Baked and processed foods
Candies, chocolates, snacks
Salty and spicy fried snacks
Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy.
1 person found this helpful

I have recurrent miscarriages all at 7 weeks as no heart beat the last one at 6 weeks 5 days der was heart beat and everything normal but at 7 weeks 4 days I started bleeding dey found the sac irregular no fetal pole or yolk sac and an ovarian cyst. I have fibroids from years and done most of the test katotyping etc but cudnt find any reason. Can you advise on how should I go about next I had PCOD for 5 years after my 3rd MC and again miscarried. Should I try again or wait I am 37 already.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
I have recurrent miscarriages all at 7 weeks as no heart beat the last one at 6 weeks 5 days der was heart beat and e...
take sepia0 /2 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
1 person found this helpful
Submit FeedbackFeedback

Mam mera 2 time miscarrage hua 6 week 3 days ka doctor ka kahna hai ke 6 week tak sub okk tha heartbeat bhi normal thi but uske bad baby grow nhi krta .uske aas pas khun ke thakke jma hote hai or baby ki heartbaeat stop hoti hai. Aisa q mam kya problem hai please batayye please ab 3 mahine bad mai fir concive kar rhi hu please help mam.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Mam mera 2 time miscarrage hua 6 week 3 days ka doctor ka kahna hai ke 6 week tak sub okk tha heartbeat bhi normal th...
Ek abortion hona bahut common hai aur majority cases me vajah malum nahi pad sakti. Sirf VDRL dono wife husband ka aur GTC F (75 gms) 1,2,3 hours sirf wife ka karvake normal hai ki nahi dekh lo. Jinko do ya jyada abortion hote hai un logo ke liye hi detailed reports jarurat hai.
2 people found this helpful
Submit FeedbackFeedback

My wife is running in her 3 month pregnancy. Earlier she used to take amisulpride 100 mg for anxiety. She has stopped post pregnancy but having frequent mood swing. How can we manage that.

MBBS, MD - Psychiatry
Psychiatrist, Delhi
My wife is running in her 3 month pregnancy. Earlier she used to take amisulpride 100 mg for anxiety. She has stopped...
Hello. Amisulpiride is an antipsychotic drug and not to be used as anti anxiety medicine. It is good that she has stopped it already. If the anxiety is overwhelming then she can be prescribed some pregnancy-safe anxiolytic medicines else she should try relaxation exercises. I would recommend that you get her assessed by a mental health professional for "mood swing" before asking for management. Best luck thanks.
2 people found this helpful
Submit FeedbackFeedback

Ovarian Cancer - Are You At Risk?

MBBS Bachelor of Medicine and Bachelor of Surgerygmc patiala, MD - Obstetrtics & Gynaecology
Gynaecologist, Mohali
Ovarian Cancer - Are You At Risk?
The cancer of the ovaries is known as ovarian cancer. In women there are two ovaries present on each side of the uterus. These ovaries are as big as an almondin size and produce egg also known as ova. They also secrete the hormonesprogesterone and estrogen.

Ovarian cancer goes undetected until it spreads to the abdomen and pelvis. When detected at this stage then it might be fatal and the treatment gets difficult. An early stage ovarian cancer where the cancer is restricted in the ovaries is much easier to treat with high success rates.

Risk Factors of Ovarian Cancer :

Age - With increasing age the risk of ovarian cancer is higher and is more common in women who are 60 and above. It is less common in women below 40 years of age and develops often after menopause.Obesity Women who have a body mass index of 30 are at a risk of developing ovarian cancer.
History of Reproduction - It is believed that women who conceive before 26 and carry the full term have a lower risk of ovarian cancer. However, the risk is higher in those women who get pregnant after 35 or who do not have a full term pregnancy. Also, breastfeeding the baby lowers the risk.
Gene Mutation - Inherited gene mutation causes some percentage of ovarian cancer. These genes are called breast cancer genes 1 and 2 (BRCA1 and BRCA2). These were initially found in cases with breast cancer but also pose great risk for ovarian cancer. Also, gene mutation leading to Lynch syndrome plays an important role in increasing the risk of ovarian cancer.
Family History - If a woman's mother, sister or daughter is suffering from ovarian cancer then she is at a higher risk of developing the same. The risk also increases if someone from the father’s side also has ovarian cancer.
Fertility Drugs - Drugs like clomiphene citrate, if used for more than a year can increase the risk of the cancer. The risk is even higher if a woman taking the drug does not get pregnant.
Hormone Therapy and Estrogen Therapy - Long term use and large doses of estrogen can cause an increased risk. However, if estrogen is used in combination with progesterone then the risk is less.
Age of menstruation and menopause - If menstruation starts before 12 and menopause occurs before 52 then there is a higher risk of getting the cancer.
Diet - A low fat vegetarian diet has less risk of the disease. Fresh fruit and vegetables should be included in diet along with pulses, rice, pasta, beans, cereals and breads.
2307 people found this helpful

I live in the US. I am 37 years old. Is it possible to freeze my eggs in India? Does it even make sense since I live in the US? How long will the procedure take?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
I live in the US. I am 37 years old. Is it possible to freeze my eggs in India? Does it even make sense since I live ...
Dear user. I can understand. Please don't be panic. Freezing eggs are for female. For you it is stocking sperm cells. Yes. It is possible to be done in India. I suggest you to consult a infertility specialist in person. We are here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. We will help you in overcoming your problems certainly. Take care.
Submit FeedbackFeedback

Hi, I did my ultrasound today at 7.6 weeks. There was a yolk sac but no fetal pole. Gestational age is 5.1 weeks. Dr. gave me hcg 5000 injection. What is the probability of a healthy baby or miscarry at my age of 38?

General Physician, Solapur
Hi, I did my ultrasound today at 7.6 weeks. There was a yolk sac but no fetal pole. Gestational age is 5.1 weeks. Dr....
Repeat usg after a week if still no fetal pole seen then existence of this pregnancy to be successful is highly doubt ful considering your age the are bit higher chances of wastage.
1 person found this helpful
Submit FeedbackFeedback

3 Ways To Treat Ectopic Pregnancy!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS
Gynaecologist, Ghaziabad
3 Ways To Treat Ectopic Pregnancy!
An ectopic pregnancy takes place in the case when the completely fertilized egg attaches itself to a place outside the inner side of the uterus. Ectopic pregnancy is also called tubal pregnancy because in most cases, it takes place in the Fallopian tube. Usually, the Fallopian tubes are not responsible for holding an embryo, which keeps on growing. Hence, the egg has no scope to develop in the Fallopian tube. This problem must be treated as soon as possible to avoid further complications. Here are several ways of treating ectopic pregnancy.

Expectant management: In case you are not experiencing any symptoms of pregnancy or the pregnancy cannot be found, close observation is required. This is known as expectant management. You should conduct regular blood tests and follow them up in order to detect, whether the hCG level in your blood is ascending or descending. You are likely to have vaginal bleeding. Use pads and towels instead of tampons. Pain in your tummy is also indicated.
Proper medication: In case ectopic pregnancy is detected at an early stage and constant monitoring is not suitable for you, a medicine by the name of methotrexate can be used for treatment. The medicine stops this pregnancy from developing. It is usually injected into your buttocks. Regular blood tests must be carried out to know how the treatment is taking shape on your condition. Trusted contraception measures should be taken for three months following the treatment as methotrexate is very harmful for an infant in case you become pregnant. Keep away from alcohol, as the combination of methotrexate with alcohol is harmful to the liver.
Surgical means: The most common mode of surgery for removing ectopic pregnancy during an early stage is laparoscopy or keyhole surgery. While a laparoscopy is carried out, you will be in a state of anesthesia. A narrow tube or the laparoscope is inserted through surgical cuts in the tummy. The Fallopian tube, which had the ectopic pregnancy is totally removed in case the other Fallopian tube is functioning well. Else the pregnancy has to be somehow removed without cutting off the Fallopian tube. Removal of the Fallopian tube is the best remedy for treating ectopic pregnancy and getting pregnant again is also possible. It takes a normal woman almost six weeks to recover after the surgery. Laparotomy is another kind of surgery carried out to repair a ruptured Fallopian tube.
3780 people found this helpful