Posts by bpadmin

Understanding High-Risk Pregnancy: Causes, Risks, and Care

Pregnancy is often described as one of the most joyful times in a woman’s life. But when the words “high-risk pregnancy” enter the conversation, it’s natural to feel overwhelmed. The truth is, high-risk pregnancies are more common than you might think — and with the expert care in high-risk pregnancy New Delhi offers, many women go on to have healthy, happy births.

What Does a High-Risk Pregnancy Mean?

A high-risk pregnancy simply means there are certain factors that may pose a higher chance of complications for the mother or the baby. This could be due to age, medical history, current health conditions, or issues developing during pregnancy. It doesn’t mean something will go wrong — it just means that more attention and care are required.

Expert care in high-risk pregnancy New Delhi

If your doctor has flagged your pregnancy as high-risk, don’t panic. The goal is to provide the right support and monitoring to keep both you and your baby safe. With expert care in high-risk pregnancy New Delhi, you’re in good hands from day one.

Common Reasons for High-Risk Pregnancies

Your doctor may recommend additional care if:

  • You’re over the age of 35 or under 17
  • You have chronic health issues like diabetes, high blood pressure, or thyroid conditions
  • You’re expecting twins, triplets, or more
  • You’ve experienced miscarriages or premature delivery before
  • Lifestyle factors like smoking, alcohol use, or poor nutrition are affecting your health
  • Complications such as preeclampsia arise during pregnancy

Each of these situations requires personalized care — and that’s exactly what an expert in high-risk pregnancy New Delhi will provide.

What is Preeclampsia?

Preeclampsia is a serious condition that typically appears after 20 weeks of pregnancy. It’s marked by high blood pressure and signs of damage to another organ, often the liver or kidneys. Symptoms to watch for include:

  • Persistent headaches
  • Sudden swelling in the hands or face
  • Blurred vision or seeing spots
  • Upper abdominal pain

If you notice any of these, don’t ignore them. Seek advice from a preeclampsia specialist in New Delhi immediately. Early intervention can protect both you and your baby.

What to Expect From High-Risk Pregnancy Care

If you’re working with a high-risk pregnancy doctor in New Delhi, your care plan will likely include:

Expert care in high-risk pregnancy New Delhi
  • Detailed health history review
  • Frequent ultrasounds and monitoring sessions
  • Blood pressure and blood sugar monitoring
  • Lifestyle and dietary recommendations tailored to your condition
  • A customized labor and delivery plan
  • Access to neonatal care specialists if needed

With expert care in high-risk pregnancy New Delhi, you’re not just getting more appointments — you’re getting a dedicated medical team who understands your unique needs.

Finding the Right Specialist

Your choice of doctor matters even more in a high-risk pregnancy. Look for the best gynecologist for high-risk pregnancy in Delhi — someone who:

  • Specializes in high-risk obstetrics
  • Has experience managing conditions like preeclampsia or gestational diabetes
  • Takes time to explain your care
  • Offers support beyond check-ups
  • Has access to advanced maternal and neonatal care

Building trust with your care provider is key. It allows you to ask questions, voice concerns, and make informed decisions every step of the way.

conclusion

A high-risk pregnancy can feel daunting, but with the expert care in high-risk pregnancy New Delhi provides, you don’t have to go through it alone. With the right doctor, the right care plan, and the right mindset, you can navigate this journey with confidence.

Yes, your path to motherhood might look different — but it can still be just as beautiful, just as meaningful, and just as full of love.

Take the Next Step

If you believe you might need high-risk care, don’t delay. Reach out to a trusted high-risk pregnancy doctor in New Delhi today. The earlier you begin specialized care, the better your chances of a healthy, happy outcome.

Expert Hysteroscopic Polypectomy in New Delhi: A Simple Solution for Complex Period and Fertility Problems

If your periods have become unpredictable or you’re facing unexplained fertility challenges, it’s time to look a little deeper with Expert hysteroscopic polypectomy in new Delhi. For many women, irregular bleeding, spotting between cycles, or repeated IVF failures are not random — they often have a cause that’s been overlooked.

One of the most common yet underdiagnosed culprits is a uterine polyp — a soft, usually benign growth on the lining of the uterus. And the most effective way to treat it? A minimally invasive procedure called hysteroscopic polypectomy. If you are seeking expert hysteroscopic polypectomy in New Delhi, this guide will help you understand what the procedure is, why it’s done, and where you can find the right care.

What Is Hysteroscopic Polypectomy?

Hysteroscopic polypectomy is a simple, no-incision procedure used to remove polyps from the uterus. Using a thin telescope-like device (hysteroscope) inserted through the vaginal canal, the doctor can clearly view the inside of the uterus and remove the growth with precision.

The best part? There are no external cuts, no stitches, and no overnight hospital stays. It’s a walk-in, walk-out solution performed under anesthesia. If you’re looking for expert hysteroscopic polypectomy in New Delhi, you’ll be happy to know that experienced specialists like Dr. Shelly Singh offer this advanced treatment with care, precision, and a patient-first approach.

 Expert hysteroscopic polypectomy in new Delhi

Why Would You Need a Hysteroscopic Polypectomy?

Uterine polyps can sometimes go unnoticed, but they often cause symptoms that interfere with daily life or fertility. You may need this procedure if you have:

  • Heavy or unusually long periods
  • Irregular menstrual cycles
  • Spotting or bleeding between periods
  • Trouble getting pregnant
  • Multiple failed IVF attempts
  • Miscarriages with no clear reason
  • A polyp detected during an ultrasound or hysteroscopy

These symptoms might not seem serious at first, but they often hint at something more. An expert hysteroscopic polypectomy in New Delhi can resolve these concerns quickly and with minimal discomfort.

What to Expect During and After the Procedure

During the procedure, a hysteroscope is gently inserted through the vaginal opening. The camera helps your doctor view the uterine lining and precisely remove any polyps. The process typically takes less than 30 minutes.

Afterward, most women go home the same day. Recovery is quick — most return to regular activity within 1–2 days.

 Expert hysteroscopic polypectomy in new Delhi

Following the procedure, many women experience:

  • Lighter, more regular periods
  • Relief from mid-cycle spotting
  • Improved chances of natural conception
  • Better IVF outcomes
  • Peace of mind knowing the uterus is clear of growths

Expert Care You Can Trust in New Delhi

If you are looking for expert hysteroscopic polypectomy in New Delhi, it’s important to choose a gynecologist with deep experience in women’s health and minimally invasive procedures. Dr. Shelly Singh stands out as one of the most trusted names in the field.

With over 25 years of experience, Dr. Singh is known for her compassionate care, clear communication, and successful outcomes in treating patients with uterine polyps, fibroids, infertility issues, and menstrual disorders.

Clinic Location:

C-30, Neeti Bagh, New Delhi – 110049
Landmark: Near Ansal Plaza, Delhi

Why Women Choose Dr. Shelly Singh for Hysteroscopic Polypectomy

  • Over 25 years of clinical excellence
  • Extensive experience with minimally invasive gynecological procedures
  • Thoughtful diagnosis and personalized treatment plans
  • Comfortable clinic setting with respectful, women-centric care
  • Honest advice focused on long-term reproductive wellness

Is Hysteroscopic Polypectomy the Right Choice for You?

If you’ve been living with cycle irregularities or struggling to conceive, it’s worth exploring whether a uterine polyp is standing in your way. In many cases, one simple, precise step can dramatically improve your quality of life and reproductive outcomes.

Seeking expert hysteroscopic polypectomy in New Delhi can save you months of uncertainty, repeated fertility treatments, or the burden of living with heavy, painful periods.

Frequently Asked Questions

Q: Is hysteroscopic polypectomy painful?
The procedure is performed under anesthesia, so you won’t feel any pain during it. Mild cramping may occur afterward but usually resolves quickly.

Q: How soon can I try for pregnancy after the procedure?
Most women are advised to wait for one menstrual cycle before trying to conceive, but this may vary based on your individual case.

Q: Are the polyps likely to come back?
While recurrence is possible, regular follow-ups help monitor your uterine health and prevent complications.

Q: Is the procedure covered by insurance?
Many health insurance plans cover diagnostic and therapeutic hysteroscopies. Check with your provider for confirmation.

conclusion

Sometimes, all it takes is one overlooked issue to throw everything off — from your monthly cycle to your chances of starting a family. Expert hysteroscopic polypectomy in New Delhi offers a safe, fast, and effective way to treat uterine polyps and help restore your reproductive health.

You don’t need to live with doubt or discomfort. With expert guidance from Dr. Shelly Singh, you can take back control and move forward with clarity and confidence.

Adenomyosis: The Silent Cause of Painful Periods and Infertility

Many women silently suffer from painful periods, heavy bleeding, and unexplained infertility—often brushing them off as “normal.” However, these symptoms can point to a lesser-known condition called adenomyosis. With rising awareness and medical advancements, seeking the best adenomyosis treatment in New Delhi is the first step toward relief.

In this comprehensive guide, Dr. Shelly Singh, MBBS, MD – Obstetrics & Gynaecology, a renowned gynecologist, obstetrician, and infertility specialist in New Delhi, explains what adenomyosis is, how it affects your body, and the most effective treatment options available today.

What is Adenomyosis?

Adenomyosis is a condition in which the inner lining of the uterus (endometrium) grows into the muscle wall of the uterus (myometrium). This abnormal growth leads to inflammation, uterine enlargement, and painful symptoms. Dr. Shelly Singh emphasizes that this condition is often overlooked but can have a profound impact on a woman’s reproductive health.

Women seeking the best adenomyosis treatment in New Delhi must understand that early diagnosis and specialized care are critical to managing the condition effectively.

Best adenomyosis treatment in New Delhi

Common Symptoms of Adenomyosis

According to Dr. Shelly Singh, symptoms of adenomyosis can vary, but most women report:

  • Severe menstrual cramps
  • Heavy or prolonged menstrual bleeding
  • Pelvic pain or pressure
  • Pain during intercourse
  • Chronic fatigue
  • Infertility or difficulty conceiving

These symptoms often mimic other conditions like fibroids or endometriosis, making expert evaluation essential for accurate diagnosis and the best adenomyosis treatment in New Delhi.

What Causes Adenomyosis?

While the exact cause of adenomyosis is unknown, risk factors may include:

  • Previous uterine surgeries (C-sections, fibroid removal)
  • Childbirth history
  • Hormonal imbalances
  • Middle age (common in women aged 35–50)

Dr. Shelly Singh, known for offering the best adenomyosis treatment in New Delhi, stresses that women experiencing persistent menstrual issues should not delay medical evaluation.

How is Adenomyosis Diagnosed?

Diagnosis typically involves:

  • Pelvic examination
  • Ultrasound imaging
  • MRI scans
  • Ruling out similar conditions (like fibroids or endometriosis)

Timely diagnosis is crucial, and women should consult a specialist like Dr. Shelly Singh, who offers advanced diagnostics and the best adenomyosis treatment in New Delhi.

Best adenomyosis treatment in New Delhi

Best Adenomyosis Treatment in New Delhi – Options Explained by Dr. Shelly Singh

Treatment for adenomyosis depends on the severity of symptoms, age, and future fertility goals. As a leading gynecologist, Dr. Shelly Singh offers personalized care plans tailored to each patient’s needs.

1. Medication-Based Treatment

  • Pain relievers (NSAIDs)
  • Hormonal therapy (birth control pills, IUDs)
  • Gonadotropin-releasing hormone (GnRH) agonists

These methods are effective in managing symptoms for many women, particularly those not planning to conceive.

2. Minimally Invasive Procedures

For moderate cases, Dr. Shelly Singh may recommend:

  • Endometrial ablation
  • Uterine artery embolization (UAE)

These preserve the uterus and can significantly reduce symptoms.

3. Surgical Treatment

In severe cases, especially when fertility is no longer a concern, a hysterectomy may be recommended. As an experienced surgeon, Dr. Shelly Singh ensures that this option is considered only after evaluating all alternatives.

Seeking the best adenomyosis treatment in New Delhi ensures that women receive the full range of medical and surgical options tailored to their reproductive goals.

Fertility and Adenomyosis – What You Need to Know

Adenomyosis can interfere with embryo implantation and increase the risk of miscarriage. As a reputed infertility specialist, Dr. Shelly Singh offers advanced fertility treatments alongside adenomyosis management, making her clinic a one-stop destination for women hoping to conceive.

If you’re trying to get pregnant and experiencing symptoms, getting the best adenomyosis treatment in New Delhi early is crucial.

Why Choose Dr. Shelly Singh for Adenomyosis Treatment?

  • Over 25 years of experience in women’s health
  • Expertise in complex gynecological and fertility cases
  • Compassionate, personalized care
  • Offers both medical and surgical treatment options

Women from across the region seek the best adenomyosis treatment in New Delhi under the expert guidance of Dr. Shelly Singh, who is known for her patient-first approach and clinical excellence.

FAQs about Adenomyosis

Q1. Can adenomyosis cause infertility?
Yes, it can impair fertility by affecting the uterine environment. Early treatment by an infertility specialist like Dr. Shelly Singh is recommended.

Q2. Is adenomyosis the same as endometriosis?
No. Adenomyosis affects the uterine muscle wall, while endometriosis involves endometrial tissue outside the uterus.

Q3. Can adenomyosis be cured without surgery?
Mild cases can often be managed with medications or hormonal therapy. Consult Dr. Shelly Singh for the best non-surgical options.

Q4. How is adenomyosis different from fibroids?
While both cause heavy periods and pain, fibroids are tumors; adenomyosis is a tissue invasion of the uterine wall.

Q5. What is the best treatment for adenomyosis in New Delhi?
The best adenomyosis treatment in New Delhi includes a combination of hormonal therapy, minimally invasive procedures, and surgery—available under Dr. Shelly Singh’s care.

Conclusion

Adenomyosis may be silent, but its impact on a woman’s life can be loud. Ignoring the symptoms could delay effective treatment and affect fertility. By consulting Dr. Shelly Singh, you can access the best adenomyosis treatment in New Delhi, guided by a trusted expert in gynecology and fertility.

Early detection and expert care can turn silent suffering into empowered healing—don’t let adenomyosis go unnoticed.

What is Kangaroo Care? The Key to Newborn Bonding

Have you ever seen a baby kangaroo crawl into its mother’s pouch? Every time I come across that image, it brings a sense of warmth and safety. That is the inspiration behind kangaroo care—a gentle and powerful method that involves holding your newborn baby close to your chest, offering warmth, comfort, and security.

Kangaroo care is a proven method of skin to skin contact between a caregiver—most often the mother—and a new born baby. It mirrors the natural nurturing approach of kangaroos and has been recognized globally, especially for its benefits in breastfeeding and new born development.

In honor of Kangaroo Care Awareness Day, we explore how this simple yet transformative practice can support early parenting and infant care.

Understanding Kangaroo care

The World Health Organization (WHO) defines kangaroo care as direct skin to skin contact between a mother and her new born baby, ideally coupled with breastfeeding. However, even if breastfeeding is not possible, the skin to skin component alone has profound benefits.

If the mother is unable to participate—due to medical reasons or recovery—a father or another caregiver can provide the same level of closeness and comfort. This method is especially recommended for low birth weight or preterm babies, but it is beneficial for all newborns.

Insights from Dr. Shelly Singh

Kangaroo care

As a highly experienced Gynaecologist, Obstetrician, and Infertility Specialist, Dr. Shelly Singh emphasizes the importance of kangaroo care in early neonatal health. Her clinical experience highlights that this method not only benefits the baby but also supports mothers in their post-delivery recovery and emotional well-being.

“Kangaroo care fosters emotional bonding, encourages effective breastfeeding, and supports the physical development of the baby. It’s a natural and safe way to ensure a gentle beginning for both mother and child.”

Dr. Singh actively encourages new parents to incorporate this method into their daily routine right from birth.

Benefits of Kangaroo care

Kangaroo care offers a range of physical and emotional benefits that are both immediate and long-lasting. Some of the key advantages include:

  • Stabilizes the baby’s heart rate and breathing: New born held in skin to skin contact tend to show improved cardiorespiratory stability.

  • Supports healthy sleep patterns: This gentle closeness helps babies relax and fall into restful sleep, which is essential for growth and brain development.

  • Promotes emotional bonding: The connection formed through kangaroo care helps the baby feel secure and loved while enhancing the mother’s emotional bond.

  • Encourages effective breastfeeding: Skin to skin contact increases the likelihood of successful latching and feeding.

  • Boosts growth and development: Especially important for low birth weight and preterm babies, kangaroo care helps in healthy weight gain and overall development.

  • Prevents hypothermia: The body heat shared during kangaroo care helps regulate the baby’s temperature naturally.

  • Reduces stress in the baby: Babies cry less, show fewer signs of discomfort, and adjust better to their surroundings.

  • Supports early hospital discharge: With stable vitals and successful feeding, both mother and baby may be able to go home sooner.

Who Can Practice Kangaroo Care and When?

Kangaroo care should begin as soon as possible after delivery. Ideally, it should be a daily routine for the first several days or even weeks after birth. While mothers are the primary caregivers, fathers and other family members can also offer skin to skin contact, especially if the mother is recovering or unavailable.

Regular, repeated sessions of kangaroo care are most effective and can be tailored to suit the baby’s comfort and medical condition.

Highlighting Kangaroo Care Awareness Day

Kangaroo Care Awareness Day reminds us of the beauty and science behind a simple human connection. This day emphasizes the importance of informed, gentle parenting practices that have a significant impact on the health of new born babies.

Dr. Shelly Singh and her team remain dedicated to educating families on the importance of such practices in early infancy and encouraging them to embrace natural, evidence-based approaches to postnatal care.

Frequently Asked Questions

Q1. Is kangaroo care suitable for all new born?
 Yes. While it is particularly helpful for preterm or low birth weight babies, all new born benefit from kangaroo care.

Q2. How often should kangaroo care be done?
 It is best to start immediately after birth and continue daily for at least 1–2 hours each day in the early weeks.

Q3. Can fathers or caregivers do kangaroo care?
 Yes, kangaroo care can be provided by any caregiver, including fathers, when the mother is unavailable.

Q4. Does kangaroo care help with breastfeeding?
 Yes, babies held skin to skin are more likely to latch effectively and feed well.

Q5. Can kangaroo care replace incubators?
 While not a full replacement in critical cases, kangaroo care can supplement medical care and improve outcomes for many babies.

Conclusion

Kangaroo care is a deeply nurturing, low-cost, and highly effective method that offers incredible advantages to both parent and baby. Rooted in nature and supported by science, this practice strengthens the physical and emotional bond from the very beginning of life. Whether you’re welcoming a full-term or a preterm baby, practicing kangaroo care gives your child the gift of warmth, safety, and love.

For more information on new born care, bonding, and postnatal support, connect with Dr. Shelly Singh—your trusted expert in Obstetrics and Gynaecology. Contact us today and give your baby the best start possible.

Vaccines During Pregnancy: What Every Mother Should Know

Pregnancy is a precious journey filled with joy, curiosity, and responsibilities. Among the many health decisions you make, one of the most important is taking the right vaccines during pregnancy. These vaccinations offer protection not only to the mother but also to the unborn child.

Why Vaccines Matter in Pregnancy

During pregnancy, a woman’s immune system changes, making her more vulnerable to certain infections. Vaccines help boost immunity and create antibodies. These antibodies pass through the placenta, helping to protect the baby in its early months of life.

Dr. Shelly Singh, a well-known gynecologist, strongly advises pregnant women to stay updated on their vaccinations. According to her, “Prevention is always better than cure, especially when it involves two lives.”

Key Vaccines Every Pregnant Woman Should Know About Vaccines during pregnancy

Let’s look at the main vaccines recommended during pregnancy.

1. Td Vaccine

The Td vaccine offers protection against tetanus and diphtheria. It is often given early in the pregnancy and is considered safe for both mother and baby.

This vaccine replaced the older TT vaccine due to an increase in diphtheria cases. Getting the Td vaccine is usually part of standard prenatal care in India.

2. Tdap Vaccine

The Tdap vaccine in pregnancy protects against tetanus, diphtheria, and pertussis (commonly known as whooping cough). Whooping cough can be deadly for infants, especially in the first few months of life when they are not fully immunized.

Health experts recommend taking the Tdap vaccine between 27 to 36 weeks of pregnancy. This is the ideal time for the mother’s body to create and transfer antibodies to the baby.

Dr. Shelly Singh emphasizes the importance of this vaccine in each pregnancy, even if the mother has taken it before. She also advises family members and caregivers to take the vaccine as part of the “cocooning” strategy, which helps shield the newborn.

3. Influenza Vaccine

The influenza Vaccines during pregnancy protects the mother from seasonal flu, which can become severe and even life-threatening. Pregnant women are more likely to develop complications from the flu compared to other adults.

This vaccine can be taken at any point during pregnancy, but ideally before the flu season begins. Getting vaccinated also helps protect the baby in the first few months of life.

Dr. Shelly Singh says, “Pregnant women who catch the flu often experience more serious symptoms. The flu shot can prevent this and also protect the baby after birth.”

4. Hepatitis B Vaccine

The Hepatitis B Vaccines during pregnancy is given only to women who are at higher risk. This includes healthcare workers, individuals with Hepatitis B-positive partners, and those who have a history of multiple sexual partners or drug use.

If a woman has already started the Hepatitis B vaccine series before becoming pregnant, she can safely continue it during pregnancy under her doctor’s guidance.

Are These Vaccines Safe?

Yes, all recommended Vaccines during pregnancy are considered safe. Most of them do not contain live viruses and are well-tolerated.

Side effects, if any, are usually mild and short-lived. These may include a slight fever or soreness at the injection site. However, the benefits far outweigh the risks.

Dr. Shelly Singh assures her patients that these vaccines go through strict safety checks and are regularly recommended by health authorities like WHO and ICMR.

When to Get Vaccinated?

  • Tdap: Between 27 and 36 weeks
  • Td: First trimester or early second trimester
  • Influenza: Before or during flu season
  • Hepatitis B: As advised, based on risk level

Final Thoughts

Taking Vaccines during pregnancy is a vital step in protecting both mother and baby from preventable diseases. It also reduces the chances of complications during and after delivery.

Don’t wait for symptoms to appear—vaccination is all about prevention. It’s a simple yet powerful way to give your baby a healthy start in life.

 Vaccines during pregnancy

Dr. Shelly Singh, with her years of experience, always encourages her patients to make informed choices about pregnancy care, including immunization.

 Book Your Appointment Today

If you’re expecting or planning to conceive, consult with Dr. Shelly Singh to discuss your vaccination schedule. With her expert guidance, you can enjoy a safer and healthier pregnancy.

Call now or book online to schedule your consultation with Dr. Shelly Singh. Your journey to motherhood deserves the best protection.

Weight gain during pregnancy

Pregnancy is a time of great changes in the body . One of the requirements of pregnancy is weight gain – this weight is the weight of the growing baby , amniotic fluid around the baby , placenta , uterus , breast tissue and blood volume that increases during pregnancy .

The main gain in weight happens in the second and third trimesters of pregnancy . In the first trimester there may even be a loss of weight up to 1 kg owing to nausea and vomiting . In the second and third trimesters the weight gain is approximately 0.5 -1 kg per week .

 

Do all pregnant women gain the same kind of weight during pregnancy ?

No .

Weight gain during pregnancy depends on the pre pregnancy weight and BMI of the individual . It also depends on whether you have a singleton pregnancy or twins / higher order pregnancy

 

BMI                                  Weight gain

Normal (18.5-24.9)         11-15 kgs

Underweight(<18.5)       12.5-18 kgs

Overweight (>25-29.9)  7-11 kgs

Obese (>30)                     5-9 kgs

If the pregnancy is a twin pregnancy or that of higher multiples ,weight gain in the respective categories as given above should be

17-24 kgs , 23-28 kgs, 14-23 kgs and 11-19 kgs .

 

Is gaining too much weight or too little weight detrimental to your health or your baby’s health ?

Gaining too much weight may be a sign of high BP , preeclampsia and may predispose to gestational Diabetes and a large , macrosomic baby whereas too little weight gain may lead to preterm delivery and low birth weight baby . Gaining too much weight may also lead to difficulties in shedding that weight after delivery.

 

 

Should you be thinking of diets and losing weight during pregnancy?

The answer is no . Pregnancy is not the time to be thinking of going on diets or losing weight as the calorie requirement increases by 300 kcal during pregnancy .

 

Most girls struggle with ideal weight gain during pregnancy but one way to do it is with regular frequent eating every 3-4 hours ; this should be healthy snacking like green vegetables , fruits , nuts , mixed seeds, whole grains, lean meat , eggs, milk and milk products . Fried , processed and junk food can be given a miss. Exercise regularly unless your obstetrician finds some medical or pregnancy related reasons to prohibit exercise . This could be 30-45 minutes of exercise 5-6 times a week . Work out could be brisk walking , jogging , swimming or even prenatal yoga .

Hope that answers most of your pregnancy weight related questions . For anything else please talk to your doctor now !

Menstrual cramps – What you should know

Dysmenorrhea or menstrual cramps are painful cramps that come just before or during the menstrual period . About 50 % of women during their reproductive period have had different degrees of dysmenorrhea ,some time or the other .

 

What causes menstrual cramps ?

During the menstrual period there is release of some chemicals called prostaglandins which are produced in the lining of the uterus . These cause contractions of the muscle layer of the uterus and its blood vessels causing pain in the abdomen , back or thighs .

Period Pain | Menstrual Cramps | MedlinePlus

How severe is dysmenorrhea ?

For some women , it is just mild , for others it is so severe that it causes disruption of normal everyday activities and lifestyle .

 

What are the types of dysmenorrhea?

Technically there are 2 types of dysmenorrhea – primary and secondary . Primary amenorrhea is the uterine spasm that I’ve described above . It recurs in every menstrual period and is not associated with any reproductive organ disease .Secondary dysmenorrhea is secondary to some disease in the reproductive organs like Endometriosis , adenomyosis, fibroids , pelvic inflammatory disease , congenital defects of the uterus , fallopian tubes , vagina or an imperforate hymen .

Secondary dysmenorrhea starts much before a menstrual period , is more intense and lasts much longer than 1 or 2 days from the start of the period .

 

22,300+ Period Pain Illustrations, Royalty-Free Vector Graphics & Clip Art  - iStock | Woman period pain, Girl period pain, Woman with period pain

Are menstrual cramps just painful cramps ?

No, sometimes they are associated with headache, nausea, vomiting , diarrhoea and dizziness.

 

When should you meet a doctor ?

If dysmenorrhea is quite severe and affects your life and day to day activities during the time of your menstrual periods or it lasts much longer than them please meet your doctor . They will take a complete history , examine you and order an ultrasound – pelvic or trans vaginal . If there are some abnormal pathologies in the reproductive organs ,they may also do a diagnostic or corrective laparoscopy .

 

How are painful periods treated ?

  • Painkillers like NSAIDs -some like Meftal spas , Combiflam , ibuprofen etc are available over the counter . These reduce the prostaglandins and hence the intensity of cramps.
  • Using a hot water bottle or a thermal pad over the lower abdomen may help.
  • For more severe cases hormone pills like oral contraceptive pills , patches , implants , vaginal rings and intrauterine devices ( IUDs) may help.
  • Surgery like laparoscopic treatment of endometriosis, fibroids , adhesions may also be needed in patients who do not respond to medical treatment. Hysterectomy to take care of adenomyosis may also be recommended. However , remember , surgery is generally a last resort.

 

Are there any alternate therapies to take care of menstrual cramps ?

Acupressure , acupuncture , physical therapies that ease trigger points for pain may be helpful .

 

How can menstrual cramps be reduced ?

  • Regular exercise most days of the week produces chemicals which block prostaglandins which cause menstrual cramps. Aerobic exercises like walking , running , swimming , cycling help. Making exercise a way of life definitely has its perks, taking care of dysmenorrhea being one of them.
  • Using heat pads and hot water bottles on the lower abdomen
  • Adequate sleep and relaxation in the form of yoga and meditation also help to alleviate pain to a certain degree.
  • Avoid caffeine containing beverages , alcohol and smoking

 

So remember , you don’t have to suffer this pain silently. If it affects your lifestyle or is intense , take stock and talk to your doctor right away . There’s definitely help on the way.

                            I pill- No magic pill – What Every Woman Should Know

 

Picture this – patient XYZ reports to the OPD with irregular spotting through out the month . On taking a detailed history ,you find out she’s taken an I pill three times in the course of 35 days ,every time she has unprotected sex . She’s also complaining of nausea and occasional vomiting . We do a urine pregnancy test and to her surprise and horror she tests positive for pregnancy . But how? That’s her constant refrain .

Let me tell you about the I pill or the emergency contraceptive pill .

 

What exactly is the Emergency contraceptive pill?

As the name suggests , the Emergency contraceptive pill is a hormone containing pill that contains a high dose of the hormone Levonorgestrel ( a progesterone ) . It is to be used only in an emergency , ( within 72 hours of sex) for instance when a condom has slipped , burst , leaked or if you’ve forgotten to take your regular oral contraceptive pill . It can be used if there has been an occasional unprotected , unplanned intercourse or if there’s forced sex . It is never to be used as a regular method of contraception . The success rates are about 90 % and failure rates around 10 % . Success rates are better if taken within 24 hours of intercourse . In comparison , the failure rates of regular low dose oral contraceptive pills are less than 1 % only .

Also remember , the I pill can not cause abortion of a pregnancy that has already occurred .

 

Monthly Contraceptive Pill Shows Promise in Pig Study | The Scientist Magazine®

 

IT IS THEREFORE A BACKUP METHOD OF CONTRACEPTION NOT A REGULAR PRIMARY ONE

 

Is there misuse of this contraceptive pill ? What are the problems that could arise due to indiscriminate use of this I pill?

The answer to the first part of the question sadly , is yes. This pill is available over the counter and with huge publicity around it , most women are using it without thinking twice . If this is popped so frequently there are chances that there will be irresponsible and unsafe sex leading to sexually transmitted diseases and unwanted pregnancies . This pill also comes with its side effects and is definitely no magic pill .

 

What are the side effects of the Emergency contraceptive pill ?

This causes headache, nausea , vomiting , breast pain , lower abdominal pain and irregular bleeding . Irregular bleeding may lull one into a false security ,as in the case described above and pregnancy may have happened but is not detected early . These pills are also known to cause ominous tubal ectopic pregnancies should they fail .

Emergency contraception: Types, side effects and more

 

Hence please give up using this commercially easily available pill as the magic cure or prevention of an unwanted pregnancy ; switch to regular methods of contraception some of which even protect you against STDs like gonorrhoea , chlamydia, herpes , HIV , hepatitis B etc .

Take charge of your reproductive health today .

Advantages of a Normal Delivery

 A question often asked is why normal delivery ?

Let me explain the reasons why .

A normal vaginal delivery is one where you deliver through the vagina . This delivery could follow a spontaneous onset of labour or an induced one .

Spontaneous onset of labour means that you go into labour without any artificial means or medication at 37-42 weeks of pregnancy and induced labour means that medication is used to bring on labour pains . A delivery could also be assisted delivery using vacuum or forceps .

 

Why normal delivery ?

First and foremost , because nature intended it this way .

Labor & Delivery

Labour pains no doubt are very intense but there are ways of relieving those to a large extent using methods like epidural analgesia or entonox or N2O gas inhalation which eases pain .

There is less blood loss , chances of infection and no anesthesia complications like those in a caesarean delivery .

Recovery is faster and hospital stay too . You are discharged within 1-2 days of a normal delivery compared to a caesarean section .

Skin to skin contact with your baby and breast feeding can also be initiated earlier.

 

Why is a normal delivery more beneficial for your baby ?

As the baby goes down the tight birth canal , fluid from the chest and lungs are squeezed out and this reduces respiratory issues .

The baby also acquires more good bacteria from the vagina thus gaining better immunity for life due to this micro biome .

Natural Birth: Benefits, Risks & Preparing for Labor Without Pain Medication

And as already stated , you can begin bonding with your baby earlier ; breast feeding is also initiated earlier compared to a caesarean delivery .

 

Pregnancy and delivery is a life changing event that comes with its share of joy, positivity and fears . Every delivery is different and so it is best to chalk out a birth plan with your doctor and to allay whatever anxiety or apprehensions you may have . Also remember that labour is a very fluid process and during its course ,should problems arise , you must be prepared with plan B as well .

Engage a birth partner like your husband , mother , mother in law in these deliberations with your doctor and look towards a happy and healthy beginning of a lifetime of motherhood !

It’s OK to feel apprehensive but go into labour , more empowered and informed .

Endometriosis decoded

What is Endometriosis?

Endometriosis is a common condition that requires a bit of understanding. Normally there is a uterine lining that is made of tissue which is shed off every month cyclically. When this uterine [endometrial tissue]is present outside the uterus ,in the abdomen, pelvis, sometimes even in the chest , this is called Endometriosis.

A few sites where endometriosis may develop are

  • The outside and back of the uterus
  • In ligaments like uterosacral ligaments which support the uterus
  • Ovaries
  • Fallopian tubes
  • Peritoneum(the smooth lining of the abdomen and pelvis)
  • Rectum
  • Urinary bladder and ureters
  • Diaphragm
  • Some scars like those of Caesarean deliveries

 

So what happens due to these endometriotic implants?

During the menstrual periods, this tissue which is outside the uterus, also thickens and bleeds. However since it can’t escape from the abdomen or pelvis, it becomes trapped. This blood causes ovarian cysts to develop and tissue around it also liberates some inflammatory chemicals that cause irritation, leading to scar tissue and adhesions-fibrous bands that cause pelvic tissues and organs to stick to each other. This is a simplified version to describe the effects of endometriosis.

 

Blog – What you should know about the four stages of endometriosis and how  to get treated | Main Line Health

 

Who is liable to get endometriosis?

Most commonly endometriosis occurs in women in their reproductive years (25-45 years) but it can also happen in adolescents. People in the menopausal years may find relief but it may still cause some discomfort and pain

Are there any risk factors for endometriosis ?

Yes

This condition may be genetic and may run in families. It is also common if you have onset of periods early ,before the age of 11 years. More frequent periods, longer days of bleeding and defects in the structure of the uterus may make one more liable to get this condition. Never giving birth and a late menopause are also risk factors.

 

What are the symptoms that point to endometriosis?

Some people may have endometriosis and not have any symptoms. The severity of endometriosis is not related to symptoms though. You may have mild disease and severe symptoms or even the reverse.

Pain or dysmenorrhea during periods is the commonest problem. Pain may be in the lower abdomen, back and pelvis; related or unrelated to periods and fairly constant.

Feeling tired all the time is another symptom.

Painful intercourse

Spotting between periods or heavy menstrual bleeding

Infertility

Painful bowel movements or uncommonly cyclical bleeding during passing urine or stool at the time of menstrual periods

Painful nodules at a surgical scar site that become larger and more painful at the time of menstrual  cycles

Breathlessness, chest pain, blood in cough during menstrual periods are also rare symptoms of chest or diaphragmatic endometriosis

 

How do doctors diagnose endometriosis?

The Role of Endometriosis Specialists & Doctors in Treatment | Empowered  Women's Health

Sometimes endometriosis may only need a good history and a high index of suspicion to be diagnosed. A pelvic or rectal examination is done. The other investigations are ultrasounds -preferably Transvaginal  or transrectal in young adolescent girls. MRI of the pelvis is also an important diagnostic tool. The gold standard of investigation is laparoscopy which may sometimes be done for other reasons like infertility. Endometriotic deposits may be seen and biopsies from these taken to prove  the disease. However not all biopsies may yield positive results. A high index of suspicion on the basis of history, examination, imaging tests and laparoscopy clinches the diagnosis.

 

What treatment options are available and who need treatment?

The treatment is based on

  • Age of the patient
  • Severity of symptoms
  • Fertility issues
  • Severity of the disease

Endometriosis is a very debilitating disease, progressive , and may impact the quality of life due to the pain , dysmenorrhea, painful sex and infertility it causes. It is also a recurrent disease and may come back even after surgical treatment and prolonged medical treatment.

 

Treatment may be medical or surgical or a combination of the two. Medical treatment may be NSAID pain killers, hormones- oral, injectable or hormone containing IUDS or implants.

Surgical options include laparoscopy or hysterectomy.

 

What happens due to untreated endometriosis?

There may be formation of cysts and adhesions in the pelvis. The pelvic organs like the bowel, bladder, ureters , tubes and ovaries may get stuck to the uterus, obliterating and distorting normal anatomy , often posing a risk even of injury during surgical procedures. Hence highly experienced surgeons are needed to perform surgeries related to endometriosis.

Surgery too should be optimal and not done again and again. Symptoms of endometriosis become better during pregnancy but contrary to popular belief pregnancy does not put an end to this progressive  malady. Post menopausal women may get respite but there may still be a mild discomfort.

 

Is Endometriosis linked to malignancy?

Yes, there is a small risk of ovarian cancer but if regular follow up is done , there is no need to panic .

In conclusion , endometriosis is a debilitating illness -both physically and mentally , progressive, multi factorial, involves many organs , sometimes a diagnostic dilemma too. But being informed and aware, discussing treatment options with your doctor and getting the right treatment at the right time, based on your needs and symptoms goes a long way in increasing the quality of life  and managing your symptoms.