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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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Dear Doctor, It has been 3.6 year to our marriage and we are trying for a baby since last two year and from last eight month we are consulting with Gyno, in our initial test my wife is diagnosed with hypothyroid (TSH Level 5.255) so our doctor prescribed us Thyronorm 12.5 mgc. Again after 3 month we did TSH test and this time TSH level has been decreased to 4.861. Meanwhile she asked us for several test which includes: Semen Analysis, follicular studies and HSG however she never asked for FSG test. Each of these test are normal. After 6 month we again did TSH test and this time TSH level has been increased to 7.442. After that, I have taken consultation from other doctor and she asked us to do AMH and TB Gold test. Here my concern is no one is giving importance to TSH level and asking for different test however as per my research TSH level should be in 1 to 2 range to get pregnant successfully. So, isn't doctor should focus on thyroid treatment before going for other test. It would be very helpful for us if you can provide us your valuable comments on this. Also could you please suggest correct does of Thyronorm.
Am on ttc for 3 years. Am 98 kg. Reduced from 110 kg. Present 98 kg. I took all hormone test. Hsg test. Everything normal. Husband side everything normal. But i m not able to conceive at all. why? can I go for iui. Doctor says my cervix length. Is deep (i.e) in distance. .what is that?
Hii I m going for injectable iui treatment and with ovitrop injections on 5, 7, 9 day and after gmh injection the follicle size is 20 mm of left ovaries and right ovaries 16 mm, 16 mm on day 14 et 10.2 and 5 pm of 14 day had hcg trigger shots but day 15 had bleeding with clots so I m worried whats that because tomorrow they will do iui at 9 am. Is anything wrong or they will not do iui because of bleeding. please tell me the cause of bleeding.
Miscarriage refers to a pregnancy that has ended prematurely, within 20 weeks. Research shows that around 10-25% of all clinically recognized pregnancies end in miscarriages. Chemical pregnancies cause 50-75% of all miscarriages. The condition happens when a pregnancy is lost not long after implantation, bringing about bleeding that happens around the time of her normal period. The woman may not understand that she has conceived when she encounters a chemical pregnancy.
The normal period where miscarriages are expected to occur is during the first 13 weeks of pregnancy. While pregnancy can be an overwhelming and exciting experience, it is beneficial that the woman keeps herself informed about the possibilities of miscarriages.
Some types of miscarriage are:
- Threatened Miscarriage
- Inevitable or Incomplete Miscarriage
- Complete Miscarriage
- Missed Miscarriage
- Recurrent Miscarriage
- Blighted Ovum
- Ectopic Pregnancy
- Molar Pregnancy
In case of any of the following signs, the doctor should be consulted immediately,
- Mild to Severe Pain
- White-Pink Mucus
- Weight loss
- True Contractions
- Sudden Decrease in Signs of pregnancy
- Tissue made of clot-like material passing from the vagina
- Bright red or Brown bleeding with or without cramps
- The majority of women will require a transvaginal ultrasound (TVS) and 98% of complete miscarriages can be diagnosed in this way.
- If a transvaginal ultrasound scan is unacceptable to the woman, then a transabdominal ultrasound scan should be offered and the woman should be made aware of the limitations of this method of scanning.
- If there is no visible heartbeat then a second scan should be performed. This is either done at a minimum of 7 or 14 days, depending up the measurements of the crown-rump length or the mean gestational sac.
- Be aware that a woman with a pregnancy of unknown location may have an ectopic pregnancy.
- Serum hCG
- Serum hCG tests can help to exclude an ectopic pregnancy in women with a complete miscarriage (or pregnancy of unknown location), determined by ultrasound.
- Serial tests are required but results should complement clinical assessment and not replace it. Two tests are taken as close as possible to 48 hours apart:
- >63% increase suggests ongoing pregnancy.
- >50% decrease suggests pregnancy is unlikely to continue.
- A woman with results between these parameters should be reviewed in the EPAU withing 24 hours.
- Slow doubling times are associated with miscarriage and declining values have high sensitivity of 93-97% in diagnosing a complete miscarriage.
- Rare causes of a raised hCG should also be borne in mind, including gestational trophoblastic disease or cranial germ cell tumour, which must be considered.
One meta-analysis has shown that a single low progesterone measurement for women in early pregnancy, presenting with bleeding or pain and inconclusive ultrasound assessments, can rule out a viable pregnancy. However, a very low serum progesterone can be seen in normal viable pregnancies, so progesterone should not be used as the definitive diagnostic test without other evidence.
- Admission to hospital can be avoided in 40% of women with threatened or actual early pregnancy loss.
- Following a miscarriage, all women should have access to support, follow-up and formal counselling when necessary.
- Anti-D rhesus prophylaxis (250 IU) should be offered to all rhesus-negative women who have a surgical procedure to manage a miscarriage.
- However, anti-D rhesus prophylaxis does not have to be given to those women who:
- Receive solely medical management for an ectopic pregnancy or miscarriage.
- Have a threatened miscarriage.
- Have a complete miscarriage.
- Have a pregnancy of unknown location.
- Women need evidence-based information to guide their decisions, as well as access to support and counselling; leaflets, web addresses and helpline numbers for support organisations should be offered to all women experiencing miscarriage.
- There is no evidence to support a couple delaying attempts to conceive following a miscarriage.
The main purpose of treatment is to prevent haemorrhage and infection. It is common that the body expels all the fetal fluid during the earlier stages of the pregnancy. In case it doesn t, a procedure known as D&C (Dilution & Curettage) is performed to remove the fluid and prevent infection.
Since most miscarriages occur due to chromosomal abnormalities, nothing significant can be done to prevent them.
Tips to be taken to ensure a healthy conception are:
- Regular Exercise
- Stress Management
- Daily consumption of folic acid
- Not smoking. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
1. Her Fertility Booster: Weight Control
2. His Fertility Booster: Increase your Sperm.
3. Her Fertility Booster: Watch the Beverages
Drinking too much coffee or too much alcohol can impair a woman's fertility.
Studies on alcohol intake and women's fertility have produced mixed findings.
Want to cut out alcohol completely once you are pregnant.
4. Couple's Fertility Booster: Stop Smoking
Smoking cigarettes can impair both a woman's and a man's fertility.
5. Couple's Fertility Booster: The Fertile Window
it advises keeping close track of ovulation -- either by the calendar method, Do Regular Sexual Act During Mid Days of cycle. sex every other day produced nearly as good a pregnancy rate.
6. Couples Fertility Booster: Choose Lubricants Wisely
With more frequent intercourse, couples may turn more to vaginal lubricants. Some lubricants can actually decrease fertility. When you're trying to get pregnant, be sure to avoid products that have spermicidal agents.
7. Couple's Fertility Booster: Avoid Pesticides and Other Harmful Exposures
Exposures to pesticide. And exposure to some solvents and toxins -- including those used in printing businesses and dry cleaning establishments -- can adversely affect women's fertility.
After delivery I m having sex but next day my vagina and abdomen is pain. Doctors insert the cooptie inside vagina for unwanted birth before three year is good for me or notMy virginal delivery and after birth some stichs also in vagina. But now is five months complete of delivery why my body feelings paining aches uneasy lazinessPlease suggest.
My mother is present of blood sugar she is feeling every time weakness. I want know to how much dangerous it is.
Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.
The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D and C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.
While the above takes care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.
- Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.
- Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.
- Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.
- Formal medical counseling: If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.
- Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.
As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better. If you wish to discuss about any specific problem, you can consult a Gynaecologist.