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Pregnancy Tips

IVF or IUI - Which One To Choose From ?

Dr. Ruchi Malhotra 90% (481 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
IVF or IUI - Which One To Choose From ?

Intrauterine insemination (IUI) and in vitro fertilization (IVF) are two commonly used methods of fertility treatment, which increase a couple’s chance of becoming pregnant.

The Procedure

IUI- IUI is a procedure during which processed and concentrated motile sperm are inserted directly into a woman’s uterus. This procedure is timed according to a woman’s ovulation, and may be performed one to two times in the days immediately following the detection of ovulation. After ovulation a woman’s egg is picked up by the fallopian tube and waits there for the sperm. Since the IUI procedure deposits higher concentrations of good quality sperm close to where the egg is waiting, the chances that the egg and sperm will find one another are increased.

IVF- IVF is the most successful method of fertility treatment utilized today to help couples to conceive. The basic components of the IVF process include stimulation of the ovaries to produce multiple eggs at a time, removal of the eggs from the ovary (egg retrieval), fertilization of the eggs in the laboratory, and subsequent placement of the resulting embryos into the uterus (embryo transfer). The chance of pregnancy from IVF depends primarily on the age of the woman, the cause of infertility, and factors related to the quality of the IVF laboratory.

Success Rates Of Both Treatments 

IUI Treatment: There is a marked difference between IVF and IUI pregnancy rates. IUI has a success rate between 5% and 20%, but it can even be as low as 1-2 %, depending on the woman’s age and fertility levels. The chances of conceiving through IUI is higher if fertility drugs are administered along with the treatment.

IVF Treatment: IVF has a high success rate – between 20% and 35% and it can even go as high as 40%. This may not seem like a lot, but it is very high, considering that an average young and fertile couple has only a 15-20% chance to conceive in a month. It is important to understand what IVF and IUI success rates mean and the factors that affect it before deciding on a fertility treatment. You can also use any reliable online IUI vs IVF comparison tool to determine your approximate success rates with each of these treatments, depending on your age, lifestyle, and medical history.

You should use online sources of information to understand more about fertility problems, how age affects fertility levels, and whether freezing your eggs is a good option for you. However, discuss all these issues with your doctor to ensure that you have the right information and that you have understood it correctly. Fertility specialists provide you with personalized fertility plans based on your health which is why you should always talk to them before you make any decision.

1 person found this helpful

PCOS Pregnancy Diet - Essential Tips For A Healthy Pregnancy!

Dr. Pratibha Gupta 93% (76 ratings)
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:

  1. 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.
  2. 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.
  3. Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
  4. 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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.

  1. Avoid whites – pasta, rice, and bread
  2. Baked and processed foods
  3. Candies, chocolates, snacks
  4. Salty and spicy fried snacks
  5. 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

Prenatal Care Checkups - What To Expect

Dr. Meenakshi Yelvantge 85% (10 ratings)
MBBS, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Pune
Prenatal Care Checkups - What To Expect

What is Prenatal care?

It is crucial for a woman who is on her way to becoming a mother to pay special attention to her health. Health care offered to a pregnant woman is also known as prenatal care or antenatal care. It is a very important phase in a woman's life, so go for regular prenatal checkups as they go a long way in reducing risks of complications during pregnancy and child birth. This, in turn, increases the chances of giving birth to a healthy baby.
Contrary to popular belief, prenatal care does not begin when a woman is told that she is pregnant. Prenatal care should ideally be started at least three months before you try to conceive a child. This prepares your body and mind for the changes that pregnancy will bring. Some healthy habits to follow during this period include:

  • Quit Drinking alcohol and smoking
  • Consult a gynecologist about any existing medical conditions, medication you may be on and what supplements you should start taking
  • Avoid contact with chemicals and toxic substances

Once your pregnancy is confirmed, you will need to visit the doctor regularly for checkups.

Prenatal checkups are meant to keep an eye on your health and the health of your baby. In most cases, you will be asked to come in every month for the first two trimesters and every two weeks during the seventh and eighth month of your pregnancy. During the ninth month, your doctor may want to see you once a week until the delivery. In cases where a pregnancy is considered high risk because of existing medical conditions, the age of the mother or any other factors, the doctor may ask a for more frequent checkups.

A prenatal checkup involves a physical examination, tests, screenings and dietary consultations. Some of the common tests include blood tests to check for HIV, the mother’s blood type and anemia. Your blood pressure will also be monitored. When it comes to the baby’s health, determining the rate at which the baby is growing and heart rate are most important. In the later stages of your pregnancy, the position of the baby will also be noted. It is important to not skip these checkups even if you are feeling fine.

Keep your doctor informed about any changes you may notice in your health. Do not take any medication without consulting your doctor even if it is for something as simple as a cold. Do not feel shy about talking to your doctor and ask him or her anything you would like to about your pregnancy and childbirth.

 

1 person found this helpful

10 Side Effects Of Birth Control Pills!

Dr. Mukta Nadig 90% (13 ratings)
MBBS, MS - Obstetrics and Gynaecology, Certificate Programme in Laproscopic, Work Shop in Laparoscopy
Gynaecologist, Bangalore
10 Side Effects Of Birth Control Pills!

A birth control pill is commonly referred to as an oral contraceptive pill. A form of hormonal contraception and is a highly effective method of birth control. Only 1% of women experience unintended pregnancy when on the pill.

Birth control pills are of two types i.e combination pills and mini pills. Combination pills contain synthetic forms of the two hormones called oestrogen and progesterone. The mini pill only contains the hormone progesterone and is called progestin.
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However, the pill does have some side effects to it. These include the following:

  1. Intermenstrual spotting: Within the first three months of s36184tarting the pill, women experience vaginal bleeding between the two period cycles.
  2. NauseaAlthough the symptoms subside after some time, some women till experience nausea for a while after taking the pill. If one consumes the pill with food or before going to bed, this can help lower the likelihood of feeling nauseous.
  3. Breast tendernessThe breasts might feel tender and enlarged after taking the pill. However, anyone who finds a lump in the breast or feels continuous pain needs to seek medical help.
  4. HeadachesMigraines and headaches are a very common phenomenon of the birth control pill. Different types and doses of these pills may result in different headache symptoms.
  5. Gaining weightExperiencing certain fluid retention in the hip or breast area is very common. It also affects the fat cells of the body because of the oestrogen present in the pills.
  6. Mood swings: Those with a history of stress or depression might start to feel the same again. If one has that kind of a history and starts to feel emotional changes, she should consult a doctor immediately.
  7. Missing periods: It is a common side effect that after using the pill, one's period might get skipped. This is influenced by several factors including stress, depression or thyroid dysfunctions.
  8. Decreased libido: The sex drive can be widely affected by the birth control pill. Although many other factors could result in a decreased libido, but if it remains after having the pill and is persistent, one should seek medical help or consult a specialist.
  9. Vaginal dischargeThere could be an increase or a decrease in the vaginal lubrication. Some people might experience vaginal discharge since it is very common. Changes in vaginal discharge never turn out to be harmful.
  10. Changes in the vision: Fluid retention due to the birth control pill can result in the swelling of corneas. Because of this, even contact lenses do not fit comfortably. Contact lens wearers should consult an ophthalmologist if their vision or lens tolerance is disturbed.

Although there are certain side effects to taking birth control pills; however, one should not abstain from taking them in the fear that they might cause certain side effects. These pills are a precautionary measure along with other protection methods and should be taken in case someone wants to avoid pregnancy at the time being. 

2625 people found this helpful

3 Ways To Treat Ectopic Pregnancy!

Dr. Noopur Sharma 88% (10 ratings)
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.

  1. 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.
  2. 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.
  3. 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

Postures You Should Avoid During Pregnancy!

Dr. Rashmi Chaudhary 93% (10 ratings)
MBBS, DNB - Obstetrics and Gynecology, Fellow of Indian College of Maternal & Child Health (FICMCH), Certification in Infertility
Gynaecologist, Bangalore
Postures You Should Avoid During Pregnancy!

Motherhood is a life transforming phase that all women look forward to. With the conception of a baby, a number of physiological and psychological changes take place within the mother’s body. Soon there will be a number of restrictions in the kind of food a mother a can consume, the activities that a mother can perform, the way she sleeps or sits. These restrictions are put so as to allow the baby to grow and develop safely. The restrictions prevent injuries and accidents that can be quite fatal to both mother and child.

Sitting Postures You Must Avoid

  1. Do not sit straight on the edge of the chair. Provide a support to your back.

  2. Do not sit in a way that pressurises only one side of your hips. Evenly distribute your weight when sitting down. Be comfortable.

  3. Do not sit at the same place and in the same position for extended time periods.

  4. Do not twist from your waist when you are sitting on a rotating chair. Instead, slowly move the chair along with your entire body to turn around.

Standing Postures You Must Avoid

  1. Avoid standing with your pelvis tilted forward or backward. You must stand straight with your stomach held in and up as much as possible.

  2. You must not slouch while standing.

  3. Do not stand in the same position for an extended period of time.

  4. Do not put your weight on one foot. Shift weight occasionally if your feet are hurting, but make sure to evenly distribute the weight.

  5. Do not bend too much backwards or forwards.

  6. Do not keep your head tilted down or sideways when you are standing. Look up, look straight.

Sleeping Postures You Must Avoid

  1. Lying on your stomach

  2. Sleeping with pillows under your shoulders. Pillows should only support your head.

  3. Do not sleep all curled up. Relax your feet and hands to allow the blood circulation to continue smoothly.

  4. Do not jerk up from your lying position. Turn to the side, swing your legs down to the side of the bed slowly and sit up using the support of your hands.

Activities You Must Avoid

  1. Hard core gyming

  2. Weightlifting

  3. Intense cardio

  4. Intense aerobics that include a lot of jumping

  5. Squatting

  6. Lifting heavy weighted objects

  7. Travelling by public transport on a jerky road.
4062 people found this helpful

Blood Clots During Pregnancy - Know How To Prevent Them!

Dr. Nidhi Jain 85% (18 ratings)
MBBS, DGO(DAWN)
Gynaecologist, Bhopal
Blood Clots During Pregnancy - Know How To Prevent Them!

Women during pregnancy are more prone to blood clots. The occurrence of blood clots during pregnancy is more commonly known as DVT or deep-vein thrombosis in the medical world. Deep-vein thrombosis refers to a condition in which blood clots form in the veins of the pelvic region or legs. Blood clots during pregnancy definitely aggravate the risks associated with pregnancy. Women generally experience blood clots in the first three months of their pregnancy.

The symptoms of blood clot during pregnancy include:

  1. You may notice swelling in the calf and thigh region.
  2. Pain sensation in your pelvic and leg region.
  3. Feeling of pain in the legs while walking.
  4. If the condition is severe, then it may lead to chest pain or breathing troubles.

Treatment:

Deep-vein thrombosis or blood clot during pregnancy may become fatal in nature if it results in Pulmonary Embolism, where the blood vessels of the lungs get affected. Blood clot in pregnant women can be treated by prescribing an anticoagulant which helps to prevent the blood from clotting further.

Blood clot during pregnancy may be prevented in the following ways:

  • A healthy lifestyle can help you to prevent blood clots.
  • Exercising regularly is extremely beneficial for proper blood circulation and can also help you to prevent blood clots.
  • Do not lead a sedentary lifestyle; a sedentary lifestyle is pretty much always the menace.
  • Seeking a doctor’s advice at an initial stage is very important to avoid further complications such as heart attacks or miscarriage.
2865 people found this helpful

Acne In Pregnancy - How To Treat It?

Dr. Anjuli Dixit 88% (693 ratings)
DGO, MBBS
Gynaecologist, Faridabad
Acne In Pregnancy - How To Treat It?

Many women experience acne during pregnancy. It is most common during the first and second trimester. During pregnancy our body produces an increased amount of hormones called androgens which can cause the glands to grow and produce more oil. This oil leads to bacteria, inflammation, and breakouts. This is natural, and nothing to worry about from a health perspective. There is often no way to prevent acne during pregnancy as it is not possible to control the hormonal changes that lead to the problem. However, you can take following precautions to check its outbreak:

  1. Use a mild, soap-free face wash or cleanser to clean your face daily. You should cleanse your face not more than twice a day.
  2. Pat your skin dry after each wash as rubbing with towels or washcloths can irritate the facial skin, leading to the problem.
  3. Use oil-free moisturizers, face wash and makeup.
  4. Use an oil-free sunscreen lotion whenever going out during daytime.
  5. Wear full-sleeve clothes to avoid exposing your skin to direct sunlight.
  6. Wash your hair regularly especially if you have oily hair.
  7. Maintain proper hygiene. Wash and clean your towels, pillowcases and hats regularly.
  8. Drinking lots of water to flush to keep the skin hydrated.
  9. Have a balanced diet containing plenty of fresh fruits and vegetables which are rich in vitamins A, E and B complex and fibre.
  10. Avoid oily, greasy foods and fast foods.
  11. Have adequate sleep and practice some relaxation techniques to avoid fatigue and stress.
  12. Stop touching your face that often as bacteria from your fingers can pass on to your face.
  13. Buy makeup products after utmost diligence.
  14. You should also take zinc supplements to prevent acne.

If you still get acne despite following the above mentioned tips, then you should take appropriate medicine as prescribed by the dermatologist. Medicines like Clindamycin e.g. Cleocin T, Clindagel, Azelaic acid (Finacea, Azelex) and Erythromycin are considered safe during pregnancy. You can also apply the medicine only as recommended as most products are intended for daily or twice-daily use only. Also try some home remedies like apply a mixture of honey and ground oatmeal to your face and rinsing off gently. Massage gently with a plain carrier oil such as argan oil or olive oil. You can also consider applying aloe vera gel to cure acne. These treatments will not be as effective as taking medicines though.

However, avoid hormone therapy including anti-androgens like spironolactone, flutamide and estrogen as these can lead to major developmental changes to the foetus. Oral tetracycyclines and topical retinoids should also be avoided. Accutane also leads to increased risk of miscarriage, hence do not even consider it.

3602 people found this helpful

Thyroid Disorders!

Dr. Kulin R Shah 90% (1044 ratings)
Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Thyroid Disorders!

The thyroid gland is a butterfly-shaped organ located on the front side of the neck. The function of the thyroid gland is to make 2 thyroid hormones- t4 & t3. These hormones have an effect on nearly all the cells of the body. They are necessary for the efficient functioning of each & every cell of the body.

 The thyroid hormones have to be in perfect balance for the efficient functioning of the body systems. Too little or too much thyroid hormone can have a various deleterious effect on the body.

Hypothyroidism - this condition is characterized by insufficient or low production of thyroid hormones. This can lead to various symptoms like –

  • Unexplained weight gain
  • Tiredness & easy fatiguability
  • Excessive sleepiness
  • Hoarse voice
  • Swellings on legs & feet
  • Hair loss
  • Constipation
  • Loss of memory

Causes of hypothyroidism

  • Autoimmune thyroid disorder (most common)
  • Congenital (from childhood)
  • Drug-induced
  • Removal of thyroid gland (surgery)
  • Absence of thyroid gland
  • Disorder of pituitary gland
  • Exposure to excess iodine

Who is at risk of hypothyroidism?
 

  • Women older than 35 yrs
  • Having other autoimmune diseases
  • Hereditary or family history of thyroid disorders
  • Having treatment with radioactive iodine or antithyroid medications
  • Had thyroid surgery
  • Pregnancy

Untreated hypothyroidism affects liver, kidneys, intestines, brain, heart, reproductive system (infertility, repeated abortions)

What conditions are associated with hypothyroidism?
Conditions like diabetes, hypertension, high cholesterol levels, anaemia, depression, other autoimmune diseases.

Hypothyroidism & pregnancy

Pregnancy-related hormones lead to decrease in thyroid hormone levels. Few reports suggests that up to 14% of pregnant women may have hypothyroidism. Untreated hypothyroidism in pregnancy can cause the following health problems in -
Mother-

  • High blood pressure
  • Anemia
  • Postpartum bleeding
  • Congestive heart failure
  • Foetus
  • Stillbirth
  • Growth retardation
  • Congenital anomalies
  • Premature birth
  • Placental abnormalities

Child-

  • Low birth weight
  • Low iq

Monitoring-
Monitoring has to be done during all the 3 trimesters of pregnancy. Take the advice of a thyroid specialist as pregnancy is a very delicate issue wherein the health of mother & baby, both, is involved.
 

Hyperthyroidism- it is a condition characterized by excess production of the thyroid hormones. It is a more serious condition than hypothyroidism as it has more adverse effects on the body. Also, the treatment can be tricky & complicated at times. Hence, a consultation with a thyroid specialist is a must. 

Signs & symptoms-

  • Rapid heartbeat
  • Nervousness or anxiety
  • Hand tremors
  • Mood swings
  • Fatigue or muscle weakness
  • Trouble with sleeping
  • Weight loss
  • Loose motions/ increased stool frequency.

What are the adverse effects of untreated hyperthyroidism?

  • Heart problems (rapid heart rate, heart failure)
  • Brittle bones/osteoporosis
  • Eye problems (exophthalmos)
  • Red swollen skin.

A sudden intensification of the symptoms of hyperthyroidism (thyroid storm) could lead to fever, rapid pulse & even acutely disturbed state of mind.

Care to be taken by persons with thyroid problems-

  • Consult a thyroid specialist if you have any of the symptoms mentioned above.
  • Take medications as advised by the doctor.
  • Do not skip medicines
  • Do not change/ stop medications without the advice of the doctor.
  • If the symptoms persist or return, consult your doctor.
  • Follow a healthy & nutritious diet.
4 people found this helpful

What Is Emergency Contraception?

Dr. Anjali J Bapat 90% (34 ratings)
Masters In Counselling & Psychotherapy, DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Mumbai
What Is Emergency Contraception?

Contraception refers to something, which works to prevent a pregnancy from occurring. But what is emergency contraception? This sort of contraception is made use of in case other methods of birth control do not work or a woman has had unprotected sex.

This sort of contraception is also referred to as the morning after pill and postcoital contraception, which effectively means that it is taken after sex. Well, if while having sexual intercourse, there is a breakage of the condom or it slips off the penis, then it is a good idea to make use of emergency contraceptives, as should a woman if it so happens that she misses two or more birth control pills over the course of her monthly cycle.

While it is true that a large majority of emergency contraceptives, which are available in the market today are in the form of pills, note that this is not the only form of emergency contraception. As a matter of fact, copper containing intra uterine devices (IUDs) happen to be the most effective way to prevent a pregnancy from occurring, but this is only true if they are fitted within five days of unprotected sex. Again, even in this case, the sooner, the better!

Most people believe that an emergency contraceptive is almost always successful in ending a pregnancy. This is quite inaccurate as the main intention of an emergency contraceptive is not to end a pregnancy, but to prevent it from happening in the first place. This is exactly why it is so essential to have an emergency contraceptive pill after sex as soon as possible. The longer a woman delays, the higher the risk of fertilisation taking place and pregnancy then being left to be a foregone conclusion.

It is important to keep in mind that emergency contraception is not a substitute for taking precautions when it comes to sex. As a matter of fact, it can be said that there is no substitute for being responsible and making use of condoms or birth-control pills in a prudent way. After all, who wants to have the stress and the repercussions of a potential unwanted pregnancy? It makes quite a bit of sense to take some extra care so that there is no need for anxiety, as it isn’t really required and sex remains as much fun as intended!

3487 people found this helpful
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