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Top Health Tips on Coping With a Miscarriage

Abortion - Homeopathic Remedies for it!

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopath, Navi Mumbai
Abortion - Homeopathic Remedies for it!
Abortion is the process of terminating pregnancy. It is induced, either by the use of medications or by surgical procedure. The term abortion is usually used to denote induced termination. Unsafe sex is one of the major causes of abortion, even though it is legal under a number of circumstances in most countries. The term miscarriage is used to denote spontaneous termination of pregnancy before a fetus develops. In other words, miscarriage is denoted as spontaneous abortion in medical terms.

What are the causes of abortion?
Causes of an abortion or miscarriage may be due to fetal or maternal complications. Some of the fetal factors include:

Unwanted pregnancy
Abnormal development of fetus, either due to abnormal chromosomes or teratogenic factors.
Immunological factors
Problems with implantation
Serious health diseases like kidney disease
What are the homeopathic treatments for abortion?
Homeopathic medication system is one of the most popular and widely accepted holistic medication approaches used all over the world. The choice of remedy for any disease is based on individualized symptoms and lifestyle habits using a holistic method. In such a way, a state of complete wellness can be achieved by eliminating all the signs and symptoms that the patient is suffering from. The main objective of homeopathy is not just to manage the adverse effects of abortion.

Some of the homeopathic remedies that are beneficial in treating abortion or miscarriage are given below:

Aconite Nap: Helpful in treating anxiety, excitement or fear experienced before the procedure.
Apis Mel: Medication used during the 3rd month of pregnancy
Aletris Far: Treats conditions of typical abortion that is done due to anemia or weakness or other conditions affecting the mother
Arnica Montana: To manage abortion that is done after an accident to treat the mother
Baptisia: Used in treating abortion is done due to shock, fever or mental depression. Often used for women under the age of 21.
Sepia: Used when there is an abortion during fifth to seventh month of pregnancy.
Thuja: Used to treat women who have a history of gonorrhea.
Syphilinum: Used for treatment when there the abortion is done due to syphilis.
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Miscarriage - 5 Ways To Manage

Speciality Birthing Care
Gynaecologist, Bangalore
Miscarriage - 5 Ways To Manage
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&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 take 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 think you need additional help and would like to consult with me privately, please click on 'Consult'.
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Infertility - 5 Ayurvedic Remedies for it!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
Infertility - 5 Ayurvedic Remedies for it!
Not everyone can conceive a baby easily. The inability to conceive a baby despite having intercourse during the fertile window in a woman s menstrual cycle for over a year is termed as infertility. Infertility does not affect only the physical health of a woman, but also her mental and emotional well-being as well as the couple s social health.

In some cases, infertility can be treated with Ayurveda. According to Ayurveda, a couple needs to be both physically and mentally strong and healthy. Ayurveda believes that a lack of nutrition in the shukra dhatu or the person s reproductive tissue is the cause of infertility. This can be triggered by indigestion, anxiety, depression, insomnia and the presence of toxins in the body. Some of the ways Ayurveda can be used to treat infertility are as follows:

Eat cool foods: Spicy food can affect the quality of shukra dhatu and lower the quality and quantity of both sperm and ovum. This is because shukra dhatu requires a cool environment to promote fertility. Hence, eat food that is easy to digest and which has a cooling effect on the body. Men can benefit from foods like asparagus, dates and almonds, while foods like quinoa and pineapples can help a woman conceive easily.
Shirodhara therapy: Shirodhara involves the movement of liquid over the forehead in a rhythmic manner at specific points. This stimulates the hypothalamus, pituitary and pineal glands and aids in the secretion of hormones including follicle-stimulating hormone (FSH). When it comes to women, FSH stimulates the ovarian follicles into releasing an egg without which it would be impossible to conceive a child.
Fight stress: One of the effects of stress is reduced libido. Prolonged exposure to stress is often a major factor that contributes to infertility. When it comes to women, stress makes a woman ovulate less regularly. In men, stress can affect the sperm production and affect testosterone levels. To fight stress, try deep breathing exercises like alom vilom or keep a little time aside each morning for a walk or light exercise.
Lodhra: This herb is very beneficial in treating women with infertility. It stimulates FSH and luteinising hormones (LH) and lowers the risk of a miscarriage. It also increases chances of conception. Lodhra should be taken twice a day along with honey and milk.
Lifestyle changes: Ayurveda is not only about herbal medicines but also following the right lifestyle. Bad habits like smoking, drug usage and alcohol not only affect a person s overall health but also interfere with fertility. Hence, when trying to conceive a child, quit these bad habits and try following a healthier lifestyle that involves following a routine, eating right and exercising regularly.
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Understanding Miscarriages

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
Understanding Miscarriages
Miscarriage refers to the spontaneous loss of the fetus before one completes the 20th week of pregnancy, taking into account the period from the conception to gestation. It usually happens in the first trimester of the pregnancy; that is within the seventh and the twelfth week of conception. Recurrent miscarriage is when one suffers from multiple miscarriages in a row.

Possible Causes:

Abnormally-shaped Uterus: Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.
Polycystic Ovary Syndrome (PCOS): Women with this condition have many small cysts in their ovaries.They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood, which can lead to recurrent miscarriage.
Infection: Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.
Diabetes and Thyroid Problems: Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.
Risk Factors:
Your risk of recurrent miscarriage is higher if:

you and your partner are older; the risk is highest if you are over 35 and your partner over 40;
you are very overweight. Being very underweight may also increase your risk.
Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time.

Testing After Recurrent Miscarriage:

If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is not usually offered after one or two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive.
If you had a late (second trimester) miscarriage, where your baby died after 14 weeks of pregnancy, you should be offered tests after this loss.

You can opt for blood tests to check for sticky blood syndrome or APS. Tests would look for antibodies that would help treat the condition. Antibodies are chemicals produced by the body to combat infections.
Get an examination done should the doctor suspect chromosomal abnormalities and in case it is diagnosed, both of you can consult a clinical genetics specialist for genetics counseling.
Your doctor will recommend an ultrasound scan to trace any type of abnormality that may make a pregnancy futile, for instance, a short or a fragile cervix.
Your hopes:

It is natural to pin your hopes on testing as the answer to your problems. But there are three reasons why it may not be the answer you re looking for:

A cause may not be found; when this happens your miscarriages are called unexplained
Even if a cause is found, it may not be treatable;
Treatment may not lead to a successful pregnancy. This can happen if a pregnancy miscarries for a different reason than the one being treated.
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Can Endometriosis Cause Infertility & Miscarriages?

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
Can Endometriosis Cause Infertility & Miscarriages?
There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.

There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.

It is found that endometriosis sometimes leads to infertility. Here is how:

Abdominal Adhesions and Infertility
Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body.

Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.

Secretions from implants
Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.

Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy.

This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.

Just like the endometrium, the implants also secrete these hormones. And the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.

A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.

If you too are fearing of getting this disease, it's better to visit your Gynecologist soon.
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Should All Women be Taking Folic Acid?

D.Sc (Urology), PhD (Pscho Sexual Medicine)U.K., M.D.(Medicine)GOLD MEDALIST, M.B.B.S.
Sexologist, Lucknow
Should All Women be Taking Folic Acid?
Folic acid is an important form of vitamin B, which women must take during pregnancy. It is a form of man-made vitamin B known as folate. Folate plays a significant role in producing red blood cells and helps in the development of your baby s neural tube into the brain and spinal cord, preventing any kind of birth defects in your baby. Birth defects of the brain or spinal cord may occur in early stages of pregnancy.
Therefore, by the time a woman discovers her pregnancy, it may become too late to prevent the defects.

How much folic acid should be taken?
A woman should start taking folic acid within the first three to four weeks of pregnancy, as birth defects may occur during this time. Women who start taking folic acid a year before getting pregnant produce healthy babies without birth defects.

400 mcg of folic acid is the recommended dose for all women who are of childbearing age and also in the first trimester of pregnancy. Multivitamins with the recommended amount of folate and folic acid supplements are generally prescribed as they help the mother deliver a healthy child. From the fourth to ninth month of pregnancy, the dose must be increased to 600 mcg.

Benefits of folic acid
Without sufficient folic acid in your body, the neural tube of your developing baby may not close properly. This may lead to neural tube defects, which include:
1. Spina bifida, a condition where the spinal cord or vertebrae develop incompletely. A baby with spina bifida may be disabled permanently.
2. Anencephaly, a condition that features incomplete development of the brain. Babies affected with anencephaly do not live long.

Having a sufficient supply of folic acid prevents these neural defects from developing in your baby.
Taking folic acid before and during pregnancy protects your baby against many other conditions. They include:
1. Cleft lip and palate
2. Low weight during birth
3. Chances of miscarriage
4. Premature birth

Folic acid also reduces the risk of developing pregnancy complications in the mother such as heart diseases, stroke, several cancers and Alzheimer s disease. Folic acid is naturally found in dark-green vegetables, which you must consume in abundance. Other sources of folic acid include fortified breakfast cereals, beef liver, lentils, egg noodles and great northern beans.
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5 Signs That You Might Be Miscarrying

Gynaecologist, Gurgaon
5 Signs That You Might Be Miscarrying
Miscarriage basically refers to the phenomenon, when a developing embryo or the foetus in a pregnant woman dies a natural death, before it can manage to survive on its own. The common signs of miscarriage are vaginal bleeding accompanied with pain. It leads to depression, anger and guilt. The reasons for miscarriage are manyincluding use of tobacco, smoking, diabetes, extreme obesity, drug or alcoholic addiction. Here are some important signs that indicate you might be miscarrying:

Bleeding: recurrence of bleeding, which keeps on starting and stopping indicates the downfall of your hormonal balance. You must get your pregnancy hormone levels checked. Very intense bleeding, which accounts for soaking your pad within an hour is an indication of the beginning of a miscarriage. However, bleeding is a common factor in normal pregnancy as well.
Cramps: severe cramps in the vaginal region, accompanied by very heavy breathing and suffocation are other signs that you might be headed for a miscarriage. Sometimes, bleeding occurs along with the cramping.
Disappearance of pregnancy symptoms: if you are pregnant, but the signs and symptoms of pregnancy start disappearing, a miscarriage may be indicated. However, it might not be the first major signal. For normal pregnant women, the signs of pregnancy do not appear for many days. You may not feel nauseated or your breasts do not get sore. For ten to fourteen weeks, this phenomenon is a normal one. However, in case it continues for a more prolonged duration, it might be an early sign of miscarriage.
Pregnancy test results vary between positive and negative: results of a pregnancy test done very early may vary between positive and negative. This is completely normal. In case of obtaining the same results when you are already over two weeks pregnant, it may indicate a miscarriage. You might be having an ectopic pregnancy. Spotting is also noticed in the vaginal region. If you had a pregnancy test showing positive results, but the results come negative after re-taking the test a few weeks later, it is high time for you to consult a gynaecologist. You have to deal with ectopic pregnancy before choosing a surgical path. Varying results signify that something is wrong. The urine produced by the body is less concentrated.

A case of miscarriage is very painful for the pregnant woman as well as her family. You should keep healthy, and avoid all bad habits to keep away from miscarriage.
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Fertility Treatment Guide for Couples

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Fertility Treatment Guide for Couples
Know the Right Time to Visit a Fertility Specialist.

If you?ve been facing problems in conceiving, it may be time to get yourself checked as it?s possible that you may be suffering from certain fertility issues or need professional guidance. A series of tests usually determine the root cause of the problem. These tests can include a physical examination, analysis of semen and blood tests, amongst others. There are certain factors that you and your partner must keep in mind when deciding upon the best time to opt for these tests and get started on an infertility treatment programme.

If you?re a female, it?s time to get yourself examined when:
1. You haven?t been able to conceive for over a year despite trying (when you are under 35)
2. You haven?t been able to conceive after trying for 6 months (above the age of 35)
3. You?ve had 1 or more miscarriages
4. You?ve been ovulating irregularly and your previous drug treatment has failed to correct the problem
5. You suffer from damaged or blocked fallopian tubes and endometriosis (a condition where tissues that cover your uterus also develop outside of the womb, causing pain and bleeding)
6. You have a history of genital infections

If you?re a male, you should consider an infertility treatment if you experience the following:
1. Facing difficulty in sperm ejaculation
2. Suffering from a low sperm count including poor sperm movement or structure (sperm?s shape and size)
3. Having an undescended testicle (a genital abnormality that occurs when the testicle fails to move into its normal position in the scrotum during the first 3 months of your life)

Apart from the above mentioned points, another important factor that you and your partner must decide upon is whether or not you intend to use assisted reproductive procedures, such as ICSI (IntraCytoplasmic Semen Insertion) or in vitro fertilization (IVF) to help in conceiving. While the former sees fertilisation occurring naturally after the eggs and sperm get placed inside one of the two fallopian tubes, the latter deals with the transference of the embryo created in the laboratory into the uterus.

Even though the thought of infertility can be disappointing for you and your partner, early and timely intervention can help in easing up the process of conception and remove obstacles that might hinder your chances of having a baby.

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How To Know If You Are At Risk Of Having A Miscarriage?

Gynaecologist, Chandigarh
How To Know If You Are At Risk Of Having A Miscarriage?
Do you know about the various signs and symptoms that indicate a miscarriage? Miscarriage refers to pregnancy, which ends on its own, within 20 weeks of gestation. Miscarriage is a matter of great loss and grief for pregnant women. It accounts for being the most common form of pregnancy loss. According to studies, almost 10% to 25% of pregnancies result in a miscarriage. Chemical pregnancies are likely to be responsible for almost 50% to 70% of miscarriages.

Causes of miscarriage

The causes of miscarriage vary from one woman to another and in many cases the exact cause is not identified.
During the first trimester of pregnancy, chromosomal abnormality is the most common cause of miscarriage. It signifies some problem with your baby s chromosomes. Most cases of chromosomal abnormalities occur because of damaged eggs and sperm cells.
A certain problem which appears after the zygote goes through divisional procedures may also be responsible for a miscarriage.
Other causes for miscarriage include the following:

Hormonal imbalance, maternal health complications, and infections
Several habits such as smoking, malnutrition, excessive caffeine consumption, drug abuse, and exposure to toxic substances
Maternal age
Maternal trauma
When implantation of the egg in the uterine lining occurs improperly
Warning signs of miscarriage
There are several warning signs of miscarriage. The most important of them are as follows:

Back pain, which can vary from being mild to fatal. This pain can be even worse than menstrual cramps.
Loss of weight
Discharge of mucus that is whitish pink in color
True contractions are likely, in which pain occurs after every 5 to 20 minutes.
Bright red or brown bleeding with or without the presence of cramps may indicate a miscarriage.
Passage of tissue with a cloth material from your vagina.
Sudden reduction in the signs and symptoms of pregnancy
Chances of miscarriage
There are certain factors, which indicate whether you are likely to have a miscarriage. They are as follows:

Increase in your maternal age increases the chances of a miscarriage.
Women who are in between the age of 35 to 45 are at a higher chance of miscarriages than women who are relatively young. In women above the age of 45, the chances of miscarriage are maximized.
A woman having a miscarriage in the past has more chances of having another miscarriage.
In case you experience some or any one of these symptoms, it is important for you to seek professional health care as you need to evaluate whether you are having a miscarriage or not.
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Recurrent Miscarriages - 7 Major Causes

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Recurrent Miscarriages - 7 Major Causes
Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive.For many cases, cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.It may not always be possible to identify a cause for recurrent miscarriage in a couple even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:
1. Chromosomal abnormalities
Incompatible chromosomes can result into pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting into chromosomal abnormality. Such conditions lead to miscarriages.
2. Uterine abnormalities or Incompetent cervixes
Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.
3. Immunologic disorders
Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are antibodies which attack self-tissues such as embryos and prevent them from building up. This leads to miscarriages.
4. Untreated thyroid problems
Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.
5. Polycystic ovary syndrome
Women with polycystic ovary syndrome tend to have high levels of male hormones which result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.
6. Bacterial infections
There may be presence of a number of micro-organisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract which can prevent development of embryo, thus leading to miscarriages.
7. Lifestyle
Smoking and drinking are harmful lifestyle habits which may increase chances of miscarriages to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
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