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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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I had iui on 14 th of this month from yesterday light bleeding was there today bleeding increase blood clots there I am depressed. Is it normal period. But my actual date is 4 th Feb.
I have not missed period till now though I am confused whether it is implanting blood or period, I fear to be pregnant can I take the pregnancy test at home for making it sure before next month's period as I am confused about its implanting blood or period?
Menstruation is a barometer of a women's health. Any changes in the menstrual pattern of a woman could be a harbinger of serious underlying disease and should not be overlooked. However adolescent girls are a special case where menstrual pattern is variable and much different from Adult women. It is very common for teenaged girls who have recently started menstruating to have irregular periods. This period pattern is wrongly classified as 'period problems". At the same time one needs to understand that some of the real problems like period pain in young girls are often overlooked as "normal" when they could be associated with serious medical disorders.
Although menstrual disorders are fairly common in most young women, it may have an underlying cause which can be indicative of a serious issue. Therefore, it is recommended for young women to consult a gynecologist if any difficulties arise.
Symptoms Of Menstrual Disorders (Severe)
- Excessive abdominal pain
- Excessive vaginal pain
- Missed / irregular periods
- Painful periods
The severe symptoms are usually accompanied by mild symptoms such as:
- Weight loss
- Headaches/back pain
PCOS and Menstrual Disorders
Polycystic ovarian syndrome is a common reason for women to experience irregular menstrual periods. PCOS occurs when there is an excess of male hormones (androgens) in the body which hinder the production and release of eggs in the ovaries, resulting in menstruation problems. Symptoms of PCOS are acne, hair loss and weight gain. Women with PCOS are 80% more likely to suffer from fertility issues later in life. Along with that, PCOS can result in high cholesterol and high blood pressure. One serious concern for women with PCOS is resistance to insulin which leads to diabetes.
Diet and menstrual disorders
Poor diet can also lead to menstrual complications. An extremely high fiber diet can result in less frequent ovulations and therefore irregular periods. A diet which is too low in fats and fatty acid can also result in abnormal menstrual patterns.
Stress and PCOS
Young women are often prone to immense stress. Stress is one of the primary reasons for delayed periods. Stress can cause minor complications in the hypothalamus which may have consequences in the levels of hormones in the body.
The presence of ovarian cysts in the vagina may be a cause for irregular or painful periods. Endometriosis can cause heavy bleeding and extreme pain. If you wish to discuss about any specific problem, you can consult a gynaecologist.
I am a 28 years old married man. I would like to know what is the safest period in a month for safe sex without any precaution.
Dear Doctor, We have done unprotected sex yesterday, i. E. 2nd october evening for pregnancy. My wife (she is 33) period date in every month 7-10. So there have any chances for pregnancy? Please suggest us what time is the best for sex for pregnancy?
Hi doctor I have Pcos follicle egg not growing so I took last month 3 day to 7th day Clomid 100 mg so 11th day 6 mm egg size and 16th day 12. 5 mm egg size and 20th day 17. 7 mm egg size so 21st rogon hp injection gaven 5000 iu now 1 week over we did intercourse that time so now stomach cramping so much my periods length 28 to 30 days now today 28th day it is symptoms of period or early pregnant sign back pain is there My age 24 Height 154 cm Weight 61 kg I have 1 baby she is 3 years now c-section Doing 25 minutes yoga and 30 mins zumba and diet Please reply me I'm waiting.
I m 28 years old. I m going to married. In7 days. I don't know that how many times and how many days I m having sex with my wife to get her pregnant.
I am 21 weeks pregnant now. My Dr. had told me to start naturogest sr 400 from the day I conceived. Now after my anomaly scan my Dr. has told me to stop naturogest now. I wanted to ask that should I stop the medicine or no. It will be safe because I am scared that everything should be fine even if I stop the medicine. Please suggest.
How to fit my self. Its so difficult in these periods. There is a harmless things in our surrounding.
What is recurrent miscarriage?
If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.
Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being.
If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.
Treatment of Recurrent Pregnancy Loss
Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.
A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.
Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.
Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.
Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.
Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid
Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.
Role of IVF
Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.
In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.