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First Trimester Bleeding - Common Causes Behind It!

Dr. HelloDox Care #
HelloDox Care
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Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester:
Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

1. Implantation bleeding. You may experience some normal spotting within the first six to 12 days after you conceive as the fertilized egg implants itself in the lining of the uterus. Some women don't realize they are pregnant because they mistake this bleeding for a light period. Usually, the bleeding is very light and lasts from a few hours to a few days.

2. Miscarriage. Because miscarriage is most common during the first 12 weeks of pregnancy, it tends to be one of the biggest concerns with first trimester bleeding. However, first trimester bleeding does not necessarily mean that you’ve lost the baby or going to miscarry. In fact, if a heartbeat is seen on ultrasound, over 90% of women who experience first trimester vaginal bleeding will not miscarry.

3. Molar pregnancy (also called gestational trophoblastic disease). This is a very rare condition in which abnormal tissue grows inside the uterus instead of a baby. In rare cases, the tissue is cancerous and can spread to other parts of the body. Other symptoms of molar pregnancy are severe nausea and vomiting, and rapid enlargement of the uterus.

Additional causes of bleeding in early pregnancy include:

-Cervical changes. During pregnancy, extra blood flows to the cervix. Intercourse or a Pap test, which cause contact with the cervix, can trigger bleeding. This type of bleeding isn't cause for concern.

-Infection. Any infection of the cervix, vagina, or a sexually transmitted infection (such as chlamydia, gonorrhea, or herpes) can cause bleeding in the first trimester.

Bleeding during the second or third trimesters:
Spotting may also occur during late pregnancy and the possible reasons are listed below.

1. Problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

2.Uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

3.Premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

4. Vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.
Investigating early bleeding

Your doctor is likely to begin with an internal examination to feel the size of your uterus and to look for any obvious visible sign of bleeding.

-Ultrasound: After about six weeks of pregnancy the baby’s heart beat can usually be seen on ultrasound. If you have been bleeding, you will likely be offered a vaginal ultrasound because it offers the best possible view of your pregnancy. A vaginal ultrasound is a narrow probe, which is put inside the vagina; it feels much like an internal examination and is quite safe.

-Blood tests: A blood test can measure the level of the pregnancy hormone hCG (human Chorionic Gonadotrophin), which changes depending on how pregnant you are.

Bottom line:
No matter when it occurs, any bleeding during pregnancy warrants a phone call to your doctor or midwife, even if only to confirm nothing is amiss. Be prepared to answer detailed questions about the color, amount, and timing of blood in order to best help your practitioner determine the possible cause.

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Excessive Bleeding During Pregnancy - Things You Need To Be Aware Of!

Dr. HelloDox Care #
HelloDox Care
Consult

Bleeding during pregnancy is relatively common and doesn’t always mean there is a problem. It can be daunting and scary. However contrary to common beliefs, bleeding need not be a necessary harmful to a pregnant woman. However, it is important to take bleeding seriously at any stage of the pregnancy.

What are the possible causes of vaginal bleeding during pregnancy?

Causes of vaginal bleeding during early pregnancy include

1.Implantation bleeding: It is a harmless light bleeding that often occurs around the time your period would have been due. It occurs when the developing embryo implants itself in the wall of the womb.

2.Cervical changes: Cervical changes due to pregnancy may sometimes cause bleeding specifically after sex.

3.Miscarriage: During early pregnancy vaginal bleeding can be a sign of miscarriage. About 1 in 5 pregnancies miscarry and usually, the cause is in the fetus and not the mother or the partner. At the same time, it is important to note that many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies.

4.Ectopic pregnancy: An ectopic pregnancy is when fertilized egg implants outside the womb, for example in the fallopian tube. It can cause bleeding and is dangerous.

Early detection and appropriate management is a must in this case, so as to prevent any life-threatening complication. Other less common causes are molar pregnancy (a mass that forms inside the uterus that does not result in a baby) and problems with the cervix such as a cervical growth or cervical or vaginal infections. Vaginal bleeding might also occur during the later second or third trimester of the pregnancy.

Some of the commonly occurring includes

1.Placenta praevia (low lying placenta): This is when the placenta is attached in the lower part of the womb, near to or covering the cervix. Bleeding from a low lying placenta can be very heavy and put you and your baby at risk

2.Placental abruption: It is a serious condition in which the placenta starts to come away from the womb wall.

3.Vasa praevia: A rare condition where baby’s blood vessels run through the membranes covering the cervix. When your water breaks, these vessels are torn and cause vaginal bleeding.

Vaginal bleeding towards the end of the pregnancy is normal. Often bleeding mixed with mucous (which is called show) can be a sign of the starting of the labor.

When to visit a doctor?

It is important to keep the doctor informed about any bleeding that may have occurred at any stage of the pregnancy. A woman should carefully note details such as the type of bleeding, its texture, whether it included any tissue or clots, other symptoms such as pain and dizziness To work out what is the causing the bleeding, you may need to have a vaginal or pelvic examination, an ultrasound scan or blood tests and according to the cause and how many weeks pregnant you are it would be advised whether you need to be admitted to hospital or not and further treatment would be planned and advised.

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Bleeding During Pregnancy - When To Worry?

Dr. HelloDox Care #
HelloDox Care
Consult

Pregnancy is a beautiful phase for any woman, and should be enjoyed to the fullest. That being said, pregnant women need to take care of their health at all times, as a young life depends on them. Taking into account how paranoid a to-be mother can be, any form of bleeding during pregnancy can cause a lot of trepidation. However, a lot of this worry is not really required at all.

A lot of pregnant women bleed during the first trimester of their pregnancy. As a matter of fact, many who bleed do not know or realise just how common it really is, and as a result, they get quite a lot more worried than they should. In fact, it happens to about one in five women who are pregnant.

Why bleeding occurs?

-It is quite likely that if a miscarriage is to occur, it will occur during the first trimester, or the first twelve weeks. As a matter of fact, bleeding is most likely to occur between weeks five and eight. A woman would get to know that she is having a miscarriage if there is tissue which is being passed, and at the same time, she feels some very intense cramps in the lower part of the abdomen.

-Another reason why women bleed, which is also quite likely to occur during the first trimester, is due to the process of implantation. However, this sort of bleeding is not heavy by any measure. The ironic thing is that a lot of women discover that they are pregnant by this form of bleeding and it usually occurs within a week to about twelve days after the conception has taken place.

-One of the more baffling reasons for bleeding when a woman is pregnant is bleeding which occurs after sexual intercourse. While it may seem odd that something which is supposed to be pleasurable should actually end up causing blood loss, all this is a sign of is that the tissues around the vagina are receiving a great amount of blood supply. It is to be noted, that no risk is caused the foetus because of this as it is located in the uterus.

What to do if you bleed?

-No matter how light or heavy the bleeding, the midwife or the doctor must be kept up to date with the situation at hand. This is because if there is any corrective action which is to be taken, the delay in time is to be kept to a minimum.

-A cause for genuine concern over the period of the pregnancy is if there is bleeding post 20 weeks. In most circumstances, bleeding is not worth the mental trouble.

Published  

Bleeding During Pregnancy: Everything You Need To Be Aware Of

Dr. HelloDox Care #
HelloDox Care
Consult

Bleeding during pregnancy is relatively common and doesn’t always mean there is a problem. It can be daunting and scary. However contrary to common beliefs, bleeding need not be a necessary harmful to a pregnant woman. However, it is important to take bleeding seriously at any stage of the pregnancy.

What are the possible causes of vaginal bleeding during pregnancy?

Causes of vaginal bleeding during early pregnancy include

1.Implantation bleeding: It is a harmless light bleeding that often occurs around the time your period would have been due. It occurs when the developing embryo implants itself in the wall of the womb.

2.Cervical changes: Cervical changes due to pregnancy may sometimes cause bleeding specifically after sex.

3.Miscarriage: During early pregnancy vaginal bleeding can be a sign of miscarriage. About 1 in 5 pregnancies miscarry and usually, the cause is in the fetus and not the mother or the partner. At the same time, it is important to note that many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies.

4.Ectopic pregnancy: An ectopic pregnancy is when fertilized egg implants outside the womb, for example in the fallopian tube. It can cause bleeding and is dangerous.

Early detection and appropriate management is a must in this case, so as to prevent any life-threatening complication. Other less common causes are molar pregnancy (a mass that forms inside the uterus that does not result in a baby) and problems with the cervix such as a cervical growth or cervical or vaginal infections. Vaginal bleeding might also occur during the later second or third trimester of the pregnancy.

Some of the commonly occurring includes

1.Placenta praevia (low lying placenta): This is when the placenta is attached in the lower part of the womb, near to or covering the cervix. Bleeding from a low lying placenta can be very heavy and put you and your baby at risk

2.Placental abruption: It is a serious condition in which the placenta starts to come away from the womb wall.

3.Vasa praevia: A rare condition where baby’s blood vessels run through the membranes covering the cervix. When your water breaks, these vessels are torn and cause vaginal bleeding.

Vaginal bleeding towards the end of the pregnancy is normal. Often bleeding mixed with mucous (which is called show) can be a sign of the starting of the labor.

When to visit a doctor?

It is important to keep the doctor informed about any bleeding that may have occurred at any stage of the pregnancy. A woman should carefully note details such as the type of bleeding, its texture, whether it included any tissue or clots, other symptoms such as pain and dizziness To work out what is the causing the bleeding, you may need to have a vaginal or pelvic examination, an ultrasound scan or blood tests and according to the cause and how many weeks pregnant you are it would be advised whether you need to be admitted to hospital or not and further treatment would be planned and advised.

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How to Get Pregnant When You Have Endometriosis

Dr. HelloDox Care #
HelloDox Care
Consult

Endometriosis worry about whether they’ll be able to conceive and carry a child. With endometriosis, uterine (endometrial) tissue collects outside of the uterus, in and around the reproductive organ. The result is often painful inflammation and the development of blood-filled cysts and bands of scar tissue called adhesions.

Fertility can be at risk when these endometrial tissue growths get in the way of the normal functioning of reproductive organs. Endometrial tissue that forms around the ovaries, for example, can keep eggs from being released. When the tissue forms around the fallopian tubes, it can get in the way of sperm traveling to the egg, or the fertilized egg from making its way to the uterus.

Although it can be challenging, G. David Adamson, MD a reproductive endocrinologist and surgeon with ARC Fertility and medical director of the Palo Alto Medical Foundation’s In Virtro Fertilization (IVF) Program sounds a hopeful note. Lots of women with endometriosis — as much as one-third — get pregnant naturally, without any fertility treatment at all, he says.

Even if a woman doesn’t conceive after a year of unprotected intercourse, he says that eventually, in some way or another, many women with endometriosis eventually do become pregnant. “With IVF, most women will get pregnant,” Dr. Adamson says.

“A big change from even a decade ago is the increased focus on research to understand and treat infertility in endometriosis going on around the world today,” adds Adamson, who is also president of the World Endometriosis Research Foundation. “Unfortunately, there isn’t a breakthrough yet, but we’re promoting global research and collaboration like never before. Many major research centers are collecting data and collaborating to find solutions.”

Surgery, Hormones, and Other Endometriosis Fertility Solutions
While endometriosis often makes conceiving a baby more difficult, it by no means prevents it, according to a review published in 2014 in Frontiers of Surgery. Surgery to remove endometriosis lesions is one option. But risks with this approach include the possibility that endometriosis symptoms will actually get worse, and interfere with blood flow to the ovaries. Surgery can also create scar tissue that’s worse than the original endometrial growth.

That said, surgery is also often successful, leading to pregnancy in 30 to 80 percent of women — though success depends in part on the severity of the disease, according to Adamson. A study published in June 2017 in the journal Acta Obstetricia et Gynecologica Scandinavica adds that surgery for endometriosis-associated infertility has become controversial in many parts of the world because its overall effectiveness is unclear.

If obstruction and blockages were the only problem, a simple surgery might be more consistently successful. But endometrial tissue in and around reproductive organs can lead to a separate set of problems, upsetting the normal chemistry of reproductive organs. It can get in the way of the delicate hormonal balance that helps fertility, for example, and change the mix of chemicals that make eggs ready to be fertilized.

Many experts believe IVF is helpful for women with severe endometriosis, especially those with many adhesions. But for women with mild disease, there’s still no clear consensus. The use of a hormone such as leuprolide along with IVF may help, but Adamson says researchers are still trying to understand how long women should be on this potent drug.

How to Make Pregnancy Possible
To prepare for making pregnancy possible with endometriosis, your doctor will probably start an evaluation of hormones and other chemicals in your body. Diagnostic tests like laparoscopy, hysteroscopy, and hysterosalpingography can also be very valuable in helping to understand what’s going on.

Making the choice among fertility drugs, surgery, IVF, and other assisted reproductive technologies is not easy. Fertility treatments can be expensive and are not always covered by insurance. Some treatment options work for some women, and not for others.

Choosing whether to pursue pregnancy with endometriosis is a very personal decision that depends on many factors, including the severity of your disease and your age. These factors can affect the quality and quantity of your eggs, even without the added complication of endometriosis.

Your decision might be influenced by heredity factors, too. Although most women with endometriosis have children who don’t go on to develop the condition, studies consistently show an increased risk of endometriosis for women whose mothers have it. Researchers don’t know yet whether this connection is the result of genetics or if it’s related to environmental factors — or both.

Dr. Akash Kadam
Dr. Akash Kadam
BDS, Dentist Oral Medicine Specialist, 4 yrs, Pune
Dr. Maya Golikere
Dr. Maya Golikere
BAMS, Panchakarma General Physician, 2 yrs, Pune
Dr. SS Bansal
Dr. SS Bansal
MBBS, Obstetrics and Gynecologist, 32 yrs, Pune
Dr. Cliford John
Dr. Cliford John
BDS, Dental Surgeon Root canal Specialist, 6 yrs, Pune
Dr. Rahul Pherwani
Dr. Rahul Pherwani
BHMS, 22 yrs, Pune
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