The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages.
A woman starts with 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.
Low reserves are caused by
Progesterone is a naturally occurring steroid hormone that is made from cholesterol consumed in your diet. Normal levels of progesterone help to maintain a healthy hormonal balance. Progesterone plays a key role in the production of other important chemicals the body needs, such as cortisol and male hormones like testosterone. Lower than normal levels of progesterone can contribute to problems with the menstrual cycle, maintaining pregnancy, and common symptoms associated with menopause. Low levels of progesterone can be effectively treated using available prescription products and lifestyle changes.
Using Progesterone to Support Pregnancy
Talk with your gynecologist about increasing progesterone. Women that have recurrent or unexplained miscarriages often respond to treatment with progesterone, and are able to maintain the next pregnancy.
Prevent early miscarriage. Progesterone deficiency is not the cause of every miscarriage, but scientific research indicates that adequate amounts of progesterone are needed to support the early stages of pregnancy.
• Progesterone levels naturally increase during each menstrual cycle once ovulation has occurred. This allows for the uterine wall to thicken to provide support for the pregnancy. This is called the luteal phase.
• Once the released egg has been fertilized, the lining of the uterus provides protection for the egg as it begins to develop. After the first few weeks, the placenta takes over, producing the additional hormones and nutrients needed.
• Some women have naturally lower levels of progesterone. Some studies suggest that low levels during the first few weeks of pregnancy can cause the uterine lining to be inadequate to support the pregnancy, causing the miscarriage. Evidence for this is limited, however.
• Inadequate levels of progesterone needed to support the early stage of pregnancy are sometimes referred to as a luteal phase defect.
Use progesterone vaginal inserts. Using progesterone vaginal inserts may help prevent early miscarriage, depending on the cause of the miscarriage.
• The scientific literature supports the use of vaginally applied progesterone, via inserts or suppositories, to help maintain the lining of the uterus to support the pregnancy.
• While other ways to administer progesterone are available, such as injections, oral dosing, and topical creams, for women with luteal phase defects and recurrent or unexplained miscarriages, this is the recommended method of delivery.
Supplement progesterone during assisted reproductive technology, or ART.ART helps to induce pregnancy by using procedures that remove the eggs from the woman, combine them with sperm in a laboratory setting, then return them to the woman’s body, or to another woman’s body.
• There are many methods that help couples to achieve pregnancy. ART is one only one method. Women that participate in ART require supplementation of hormones, like progesterone, to help their bodies create a healthy environment to maintain the pregnancy.
Use injectable or vaginally administered progesterone. Progesterone administered by either intramuscular injection or by vaginal products have been shown to be effective in establishing the initial higher levels of progesterone needed during ART.
• Injectable progesterone is sometimes used but carries additional risks for complications since progesterone is very rapidly absorbed and is quickly changed into other chemicals.
• By altering the delivery system of the injection, the active progesterone can remain in its desired chemical form as long as possible. This means altering the liquid, or vehicle, the active drug is placed in, by using oils, such as peanut oil. Do not use this form of progesterone if you are allergic to peanuts.
• Possible complications from progesterone injections include developing an allergy to the inactive ingredients, abscesses and pain at the site of injection, and unwanted bleeding into the muscle tissue.
PGS or Pre-implantation Genetic Screening is a test conducted to decipher the chromosome count of the embryo. Today, if you are planning to get pregnant or using alternative technologies for pregnancy; there are several tests that need to be conducted so that the child is born healthy and stable.
One such test is the PGS, it determines whether or not the count of chromosomes is normal, which is forty six, is present in the embryo. If there are abnormal numbers of chromosomes present in the embryo then it might lead to additional problems in the future. In such cases, special treatments and procedures are conducted.
There are several advantages of PGS. Some of them are highlighted in details below.
Thus, these are some of the main advantages of Pre-Implantation Genetic Screening. This helps to determine whether the embryo is of the desired choice or not and whether the baby born out of it would be healthy and normal. It is one of the tests which need to be conducted preceding implantation to provide better results after the implantation process is carried out.
Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy. Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.
Do: Get Adequate Rest
The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires. Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep you muscles relaxed.
Do: Be Smart About Your Work
Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.
Do: Take Multivitamins and Necessary Supplements
Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.
Do: Be Super Hygienic
It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagions.
Don't: Go For Long Stretches Without Eating
Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.
Don't: Be stressed
Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.
As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby.
Hypertension or high blood pressure is common in pregnant women, even in those who have no previous history of high blood pressure. This leads to complications in about 6% to 10% of all pregnancies around the world. High blood pressure may develop before or after conception and as such needs special medical attention.
Hypertension prevents sufficient flow of blood to the placenta and this inhibits the normal growth of the fetus. This could result in low birth weight of the child. However, if diagnosed in time and treated properly, hypertension does not affect the child's health too much.
1. Gestational hypertension
This type of hypertension is developed about 20 weeks after conception. There is no abnormality in urine or any signs of other organ damage (as is common with hypertension during pregnancy) but the condition can worsen and complicate very quickly. Pregnant women below the age of 20 and above the age of 40 are often diagnosed with high levels of blood pressure. Women who have heart or kidney conditions before pregnancy and women carrying more than one child are also likely to develop gestational hypertension.
2. Chronic hypertension
Chronic hypertension is high blood pressure which develops around 20 weeks before conception and does not normalize within 12 weeks after childbirth. The patient may also have been suffering from high blood pressure for a long time but the complications appear only during pregnancy because high blood pressure rarely exhibits symptoms without an associated condition.
3. Chronic hypertension superimposed with Preeclampsia
Women who have hypertension before pregnancy may develop even higher blood pressure levels during pregnancy. This leads to several health disorders like frequent headaches, fatigue and depression. Sometimes, protein is found in the urine.
Preeclampsia is often a serious complication of gestational pregnancy and affects about 5% to 7% of all pregnancies globally. Gestational pregnancy does not always develop into preeclampsia but it needs to be diagnosed and treated in time to avoid the complication. Women who have conceived for the first time or have a history of hypertension in the family are at a greater risk of preeclampsia. The symptoms of the condition are throbbing headaches, blurred vision, nausea and vomiting, pain in the upper abdominal region and shortness of breath.
अक्सर लोग प्रेगनेंसी की जांच ये पता लगाने के लिए करते हैं कि कितने दिनों में प्रेगनेंसी का पता चलेगा. हालांकि कई बार दूसरे कारणों के होने से भी इनकार नहीं किया जा सकता है. आपको ये जानकर आश्चर्य होगा कि प्रेगनेंसी को आसानी से जांचा जा सकता है. इसे जांचने के कई उपाय उपलब्ध हैं. यहाँ तक की बाजार में कई तरह के प्रेगनेंसी कीट भी उपलब्ध हैं जो कि आसानी से आपको इसकी जानकारी दे सकते हैं.
आइए इस लेख के माध्यम से हम ये जानें कि प्रेगनेंसी का पता कितने दिनों में और किन किन तरीकों से लगा सकते हैं.
1. पेशाब से करें पता -
ये भी एक बेहद आसन तरीका है. इसमें आपको एक छोटी सी कटोरी या डिबिया लेनी है. इसक कटोरी या डिबिया में आपको अपना मूत्र भरकर 3-4 घंटों के लिए छोड़ देना है. ध्यान रहे डिबिया को हिलाना-डुलाना बिलकुल नहीं है. इसके बाद यदि पेशाब की सतह पर सफ़ेद रंग की एक पतली सतह बनती है तो समझिए कि आप गर्भ से हैं. लेकिन यदि पेशाब की सतह पर कोई परत नहीं है तो सझिए कि आप प्रेगनेंट नहीं हैं.
2. गेहूं और जौ-
यह एक परम्परागत तरीका है. इसमें प्रेगनेंसी जांचने के लिए आपको जौ और गेहूं का इस्तेमाल करना पड़ता है. कहा जाता है कि मुट्ठी भर जौ और गेहूं के दाने लेकर उनपर पेशाब करना होता है. उनपर पेशाब करने से यदि वो अंकुरित हो जाते हैं तो समझिए कि आप गर्भवती हैं. लेकिन यदि दोनों में से कोई भी अंकुरित नहीं होता है तो समझिए कि आप प्रेग्नेंट नहीं हैं.
3. सफ़ेद सिरका-
सफ़ेद सिरके की सहायता से भी आप अपनी प्रेगनेंसी की जांच कर सकती हैं. जाहिर है ये भी एक आसान तरीका है. इसमें आपको एक कटोरी में आधा कप सफेद सिरका लेना है और इसमें आधा कप सुबह का सफ़ेद मूत्र डालना है. इसके बाद इसका निरिक्षण करना है. इसमें देखना ये है कि इसका रंग बदलता है या नहीं. यदि रंग बदल जाता है तो आप प्रेग्नेंट हैं लेकिन यदि नहीं बदलता है तो इसका मतलब है कि आप गर्भ से नहीं हैं.
4. सरसों से जांचें, प्रेग्नेंट हैं कि नहीं-
आसानी से सबके घरों में उपलब्ध सरसों को पीरियड्स शुरू करने का एक कारगर नुस्खा माना जाता है. इसके लिए आपको करना बस इतना है कि एक टब में दो कप सरसों के बीज का पाउडर मिला लीजिए. फिर इस टब में कुछ देर तक अपना गर्दन डूबा कर रखिए. ध्यान रहे कि बर्दाश्त करने भर ही. इसके बाद गर्म पानी से स्नान कर लीजिए. ऐसा करने के एक या दो दिन में पीरियड्स फिर से शुरू हो जाए तो समझिए कि आप प्रेग्नेंट नहीं हैं और यदि दो हफ्ते तक भी पीरियड्स शुरू नहीं हुए तो समझिए कि आप गर्भ से हैं.
5.चीनी से भी कर सकते हैं जांच-
जाहिर है कि चीनी भी बहुत आसानी से सबके घरों में उपलब्ध है. चीनी की सहायता से प्रेगनेंसी जांचने के लिए सुबह का पहला मूत्र तीन चम्मच लें और फिर इसे कटोरी में रखी एक चम्मच चीनी पर डालें. फिर कुछ देर तक इसका निरीक्षण करें. यदि चीनी कुछ समय बाद घुल जाती है तो आप प्रेग्नेंट नहीं हैं लेकिन जब नहीं घुले तो समझ जाइए कि आप गर्भवती हैं. इसके पीछे का लॉजिक ये है कि प्रेग्नेंट होने पर जो हार्मोन निकलता है वो वो चीनी को घुलने से रोकता है.
6. टूथपेस्ट भी आता है काम-
रोजाना इस्तेमाल होने वाला टूथपेस्ट भी आपके गर्भ की जांच कर सकता है. लेकिन इसमें एक बात का जरुर ध्यान रखना है कि टूथपेस्ट का रंग सफेद हो. यानी कि कोलगेट या पेप्सोडेंट जैसा. क्लोजप या मैक्स फ्रेश जेल नहीं चलेगा. आपको इस टूथपेस्ट को एक डिब्बी में डालना है और उसमें थोड़ी सी अपने पेशाब डालें. इसके कुछ घंटे बाद इसे देखें कि इसका रंग बदलता है या इसमें झाग बनता है या नहीं? यदि इसका जवाब हाँ में है तो आप गर्भवती हैं और यदि नहीं में है तो आप गर्भवती नहीं हैं.
7. ब्लीच से जांच-
ब्लीचिंग पाउडर के प्रयोग से भी प्रेगनेंसी को जांचा जा सकता है. इसके लिए आपको सुबह का अपना पहला मूत्र एक कटोरी में लेना है. इसके बाद इसमें थोड़ा सा ब्लीचिंग पाउडर मिलाना है. फिर इसका निरिक्षण कीजिए. यदि इसमें से बुलबुले उठते हैं या झाग बनती है तो समझिए कि आप प्रेग्नेंट हैं लेकिन यदि ऐसा कुछ नहीं होता है तो आप प्रेग्नेंट नहीं हैं.
8. गुप्तांग का रंग देखकर-
प्रेगनेंसी को जांचने का एक और भी आसान तरीका है. इसके अनुसार आपको अपने गुप्तांग का रंग देखना है. यदि आपके गुप्तांग का रंग गहरा नीला या बैंगनी लाल है तो इसका मतलब ये हुआ कि आप गर्भवती हैं. इसका कारण ये है कि गर्भ के दौरान खून का दौरा तेज हो जाता है. लेकिन यदि ऐसा नहीं है तो चिंता करने की कोई बात नहीं है.
9. प्रेगनेंसी किट-
हलांकि सबसे बेहतर उपाय यही है कि आप बाजार से प्रेगनेंसी किट ले आएं और उसकी सहायता से ही जांच करें. इसकी कीमत भी कोई बहुत ज्यादा नहीं होती है. इसका परिणाम सबसे ज्यादा विश्वसनीय है.
In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF.
Endometrium explained in brief:
The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy.
The enhanced success of achieving pregnancy:
The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle.
Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows:
This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure.
Many factors affect the success of an IVF cycle, but embryo quality may be the most important factor. The majority of all miscarriages, about 60 percent, are caused by abnormalities in the embryo.
If you’re having IVF treatment, transferring the best quality embryos increases your chance of a successful pregnancy. Your fertility center’s embryologists play an important role in selecting which embryos to transfer to your uterus and which to freeze and store, so you have a second chance at IVF if you need it. The process of embryo grading may sound mysterious, and it does require a huge amount of training and skill, but it’s a normal part of every IVF cycle.
The embryologists monitor the embryos and, prior to choosing which ones to transfer at the cleavage or blastocyst stage, grade them to determine which ones have the best chance of being healthy and resulting in a successful pregnancy. Grading of embryos is a non-invasive method of selecting the best embryos for transfer. In addition, the embryologists look at the embryo growth rate as too fast or too slow can indicate the presence of chromosomal problems.
Embryo grading may be done at the cleavage stage or blastocyst stage. Embryo grading at the cleavage stage includes the number and appearance of the cells and the degree of fragmentation, which is the presence of small pieces of cellular material which have broken off during division of the cells.
If you are expecting a baby in the next couple of months and are worried about being overweight; don't fret, because you are not alone in the league. Half of the pregnant women across the world are overweight, if not obese. However, having to walk around with more weight than the recommended level is an adversity for your pregnancy and can put you at high health risks. That is why you should consult your doctor and reduce those extra pounds right away.
There are certain health problems you can experience if you are overweight during your pregnancy term:
'Congratulations! You're pregnant!' Almost all women long to hear these words and nothing should come in the way, even diabetes. So, if you are a Type 1 or Type 2 diabetic, here are a few things you should keep in mind to have a healthy baby :
1) Your blood sugar must be monitored regularly
The most important thing you can do to have a healthy baby is to keep your blood sugar as close to normal before and during your pregnancy. Testing is recommended a minimum of four times a day. Glucose passes through the mother's blood to the fetus and hence if your blood sugar fluctuates, so will your baby's. High blood sugar levels are especially harmful during the first 8 weeks of pregnancy when the baby's brain, heart, kidneys and lungs are formed.
2) Your pregnancy is considered high risk
High blood sugar levels can increase the risk of a miscarriage as well as the risks of your baby being born with birth defects. Diabetes can also increase the risk of developing preeclampsia during the second half of your pregnancy. This could result in a C section or premature birth. Thus, maintain regular checkups and keep your doctor in the loop of all your activities.
3) You should watch out for signs of ketosis
When you have low blood sugar, the body produces ketones that can be passed on from you to your baby. This production of ketones is a result of the body's burning of fat instead of glucose to provide energy and can develop a condition called ketosis. Symptoms you should watch out for are stomach aches, nausea, fatigue, muscle stiffness, frequent urination and fruity breath.
4) You need Vitamins and Supplements
Most women require vitamin and mineral supplements at the time of pregnancy. Of these, folic acid, iron, calcium and vitamin D are the most important. These supplements help in the healthy growth of the baby.
5) You should exercise regularly
Maintaining a regular physical activity routine is very important for diabetics who are expecting a baby. This will help you regularize your blood sugar, relieve stress and strengthen your heart. Avoid activities that increase your risk of falling and aim for at least thirty minutes of daily exercise such as walking, swimming or yoga.
6) Check your medication
Some medication can be detrimental during pregnancy such as cholesterol and blood pressure medication. Consult your doctor to find a suitable alternative, if needed. You may also need to change the kind of insulin you take and its frequency and amount. As you get closer to the delivery date, your insulin requirement may even double or triple.
The key to preventing complications during pregnancy is controlling your diabetes. So take your insulin regularly, maintain regular checkups and eat healthy. You need to be seen by your obstetrician more frequently. Your pregnancy will be monitored closely by more frequent ultrasounds and NST. If your sugar level remains under control and pregnancy is advancing well, a natural onset of pains is aimed for and a normal delivery is expected.