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Bleeding in early pregnancy!

If you bleed in early pregnancy it does not always mean that you are having a miscarriage?

 Bleeding during pregnancy is relatively common, but it can be a dangerous sign .In early pregnancy you might get some perfectly harmless light bleeding, called “spotting”. This is when the developing embryo plants itself in the wall of your womb. This often happens around the time that your first period after conception would have been due.

Causes of bleeding in early pregnancy

During the first 12 weeks of pregnancy, vaginal bleeding can be a sign of Miscarriage or Ectopic Pregnancy or Molar Pregnancy .However, many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies

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. About half of women who bleed in pregnancy eventually miscarry, but that doesn’t necessarily mean that if you’re bleeding you’ve lost the baby.


Ectopic Pregnancy In an ectopic pregnancy, the fertilized embryo implants outside of the uterus, usually in the fallopian tube. If the embryo keeps growing, it can cause the fallopian tube to burst, which can be life-threatening to the mother. Although ectopic pregnancy is potentially dangerous, it only occurs in about 2% of pregnancies.

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.

Uterine fibroids: Uterine fibroids are masses of compacted muscle and fibrous tissue, which can be found inside or outside the uterine wall. They can be either problematic or unproblematic during pregnancy — it mainly depends on the location of the fibroids and if they grow or not. Experts aren’t sure why, but pregnancy hormones can cause fibroids to shrink or grow. – See more at: http://www.bellybelly.com.au/pregnancy/bleeding-during-pregnancy/

Changes in the cervix: The cells on the cervix often change in pregnancy and make it more likely to bleed, particularly after sex. These cell changes are harmless, and are called cervical ectropion. Vaginal infections can also cause a small amount of vaginal bleeding

Placental abruption: A serious condition in which the placenta starts to come away from the womb wall. Placental abruption usually causes stomach pain, and this may occur even if there is no bleeding.

phototake_photo_of_8_week_fetus_circlePlacenta Praevia :Low-lying placenta (or placenta praevia) is when the placenta is attached in the lower part of the womb, near to or covering the cervix. This can block your baby’s path out of your body. The position of your placenta is recorded at your anomaly scan.

Vasa Praevia : A rare condition where the baby’s blood vessels run through the membranes covering the cervix. Normally, the blood vessels would be protected within the umbilical cord and the placenta. It should be suspected if there is bleeding and the baby’s heart rate changes suddenly after the rupture of the membranes.

A show: The most common sort of bleeding in late pregnancy is the small amount of blood mixed with mucus that is known as a ‘show’. This occurs when the plug of mucus that has sealed the cervix during pregnancy comes away. This is a sign that the cervix is changing and becoming ready for labour to start. It may happen a few days before contractions start or during labour itself.

Contact Dr. Sarah Hussain immediately if you have any amount of vaginal bleeding before 37 weeks or vaginal bleeding accompanied by abdominal pain. She will monitor your case and provide you the best solution.

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Infertility, the inability of a couple to conceive and reproduce. It is defined as the failure to conceive after one year of regular intercourse without contraception or the inability of a woman to carry a pregnancy to a live birth. Infertility can affect either the male or the female and can result from a number of causes.

Fertility depends on the production of a sufficient number of healthy, motile Sperm by the male, delivery of those cells into the Vagina, successful passage of the Sperm through the Uterus and into the fallopian tubes, and penetration of a normal Ovum (egg) by one of the sperm. A successful Pregnancy also requires that the fertilized ovum subsequently become implanted in the lining of the female uterus. A problem at any one of these stages can result in a couple’s infertility.

What are fallopian tubes? How do they help achieve pregnancy?

The female reproductive system includes two fallopian tubes, one on each side of the uterus. These flexible, trumpet-shaped tubes extend to the surface of each ovary. When the ovary releases an egg, finger-like projections at the flared end of the tube catch the egg. It is there, in the tube, that conception occurs if the egg meets sperm and becomes fertilized. Tiny hairs inside the tube’s lining push the resulting embryo (fertilized egg) out of the tube and into the uterus where it implants and grows


There are two types of cells within the fallopian tubes. Ciliated cells are most abundant in the infundibulum and ampullary. Estrogen increases the production of cilia cells in the fallopian tubes. Scattered between the ciliated cells are peg cells which produce tubular fluid. This fluid contains important nutrients for both sperm, oocytes (ova), and zygotes (fertilized ova). The secretions also promote capacitation of the sperm.  Progesterone increases the number of peg cells. Estrogen increases the height and secretory activity of the peg cells. In addition, tubal fluid flows against the action of the cilia, near the fimbriated end. Not only is progesterone and estrogen balance vital to the menstrual cycle overall, but it is vital to the health and proper function of the fallopian tubes as well.

A fallopian tube  blockage typically prevents successful passage of egg to the Sperm, or the fertilized egg to the Uterus. When fallopian tubes become damaged or blocked, they keep sperm from getting to the egg or block the passage of the fertilized egg into the uterus

Damaged tubes may present in the following ways:

  • Distorted tubes – tubes which are pulled to one side or the other and may be kinked
  • Beaded tubes (appearing as beads of a necklace) as seen on xray (hysterosalpingogram)
  • Blocked tubes – may be blocked near the uterus, in the mid-portion or at the far end
  • Dilated tubes – collection of fluid or pus/blood (rare)

Causes of Blocked Fallopian Tubes

There are different types of fallopian tube blockages. Because the fallopian tubes have different parts and are a tube, there may be different parts of the tube blocked.

  •  Proximal tubal occlusion involves the isthmus This can occur after infection such as complications from abortion, missed miscarriage, cesarean section or PID. Permanent birth control procedures like Essure block the isthmus.
  • Midsegment tubal obstruction This is most often due to tubal ligation damage . Tubal ligation is a surgical procedure to permanently prevent pregnancy. Some women who have had tubal ligation change their mind later in life and choose to have this procedure reversed. This can be done surgically and has a 75% pregnancy success rate. Tubal ligation removal comes with its own risk for development of more scar tissue on top of scar tissue already present from the initial tubal ligation procedure.
  • Distal tubal occlusion This is the type of blockage that affects the part of the fallopian tube end towards the ovary. This type of blockage is typically associated with hydrosalpinx. Hydrosalpinx is often caused by Chlamydia trachomatis infection, which is a sexually transmitted disease. Untreated Chlamydia is known to cause both pelvic and fallopian tube adhesions.
  • Endometriosis
  • Pelvic Inflammatory Disease (PID)
  • Uterine Fibroids
  • Ectopic pregnancy
  • Tubal Ligation Removal
  • Complications from lower abdominal surgery such as Cesarean section
  • Genital Tuberculosis (still common in developing countries, especially India)

There are both Surgical and Natural ways to improve the fallopian tubes’ functionality. For better suggestion and appropriate treatment, please contact Dr. Sarah Hussain, who specializes in treating such disorders and to identify potential causes and possible treatments — for infertility.


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Do you know PMS May Signal Future Health Problems for Women?

Pre-menstrual Syndrome means days of emotional distress and physical pain because of change in levels of hormones, such as estrogen and progesterone, but new research confirms that it could also have effects on women years later.

Some of the effects includes:

  1. Women who suffer from moderate to severe premenstrual syndrome (PMS) appear to be at greater risk of having high blood pressure
  2. Women suffer with p-m-s had a 40 percent increased risk of developing hypertension
  3. Women suffer with p-m-s had a 50 percent chance in suffering with heart disease
  4. Trouble sleeping and perimenopause
  5. Memory loss

How to reduce the impact of PMS?

By improving vitamin B intake, it reduces effects of PMS which includes abnormal menstrual symptom, severe lower hypertension risk and high blood pressure risk.

Vitamin B includes:

  • Thiamin (Vitamin B1)
  • Riboflavin (Vitamin B2)                                             Vitamin B
  • Niacin (Vitamin B3)
  • Pantothenic Acid Vitamin B6
  • Biotin (Vitamin B7) Folic Acid
  • Vitamin B12

Food Items with Vitamin b are:

  • Vegetables – Such As Peas
  • Fresh And Dried Fruit
  • Eggs
  • Wholegrain Breads
  • Some Fortified Breakfast Cereals
  • Liver
  • Milk
  • Fortified Breakfast Cereals
  • Rice
  • Chicken
  • Soya Beans
  • Peanuts
  • Beef
  • Potatoes
  • Porridge
  • Tomatoes
  • Broccoli
  • Whole Grains – Such as brown rice and wholemeal bread

Apart from your Diet, Take proper treatment for PMS by consulting expert & Specialist doctors like Sarah Hussain .

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Is there any correlation between weight and Gynic problems?

During last decades some observations confirmed that a very low or very high body weight could create disorders of the menstrual cycle, infertility and reduce fertility. Women’s weight and body composition is significantly influenced by the female sex-steroid hormones. So there is a correlation between obesity and menstrual cycle.

Some of the gynic problems that relates with weight are:

  • One of the most common gynaecological disorders associated with over weight is polycystic ovary syndrome (PCOS)
  • With an increase in weight results in skipping menstrual cycle
  • Heavy blood flow during  periods
  • Women who desire pregnancy and ovuation, the effects of obesity on the menstrual cycle can be frustrating as well, since a large percentage of infertile couples suffer from ovulatory dysfunction. Extra-weight increases the concentration of estrogens (women hormones) which could disturb the ovulation.
  • Increased risk for miscarriage, both spontaneously and after infertility treatment
  • Increased prevalence of pregnancy-induced hypertension, gestational diabetes, cesarean section, and Down syndrome
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Essential things one should know about Menopause!!

Are you nearing the age of menopause? Well then you should read this article carefully and be more aware about all the facts and myths that surrounds about menopause.

During the menopause, everything in the body goes through changes, right from the bones to the heart. Menopause is a difficult time in every woman’s life. The symptoms of menopause appears due to the decreased production of estrogen from the ovaries.

Have a look at 11 vital facts, every woman ought to know about menopause.

  1. Periods may not be regular in the years prior to menopause.
  2. Menopause occurs around the age of 51. The majority of women have their last menstruation between the ages of 45 and 55.
  3. An early menopause is menopause which happens before 40. This can happen as a result of a medical condition or can be genetic. Radiation and chemotherapy can also bring to an early menopause since they damage the ovaries. An early menopause happens instantly in case the ovaries are removed as part of a surgical procedure.
  4. The period before your menopause is called perimenopause. The estrogen levels may begin to fluctuate in the thirties or forties, throughout the transitioning period. The most usual sign is irregular periods or inconsistency in their duration.
  5. Some of the other symptoms are putting on weight and having hot flashes, which is an extreme feeling of warmth that can last for a few seconds or couple of minutes. Other symptoms are mood swings, sleep problems, headaches, vaginal dryness and problems with memorizing things.
  6. As a result of estrogen loss, women may experience a drop in the bone density in the first five or seven years after menopause.
  7. The symptoms of menopause vary greatly from one woman to another .The age and rate of decline of ovary function differ tremendously, necessitating the importance of individual management.
  8. The risk of developing a cardiovascular disease increases after menopause because of the lower levels of estrogen. If you suffer from high blood pressure or have high cholesterol the risk is even bigger.
  9. You can take hormone therapy such as progesterone and estrogen which helps with the menopause symptoms. However, taking hormonal pills for too long may increase the risk of stroke, blood clots and heart attack. Hormone therapy can help with menopause symptoms.
  10. During Menopause, Women may face gynaecological issues such as Vaginal Dryness, Painful penetration, Emotional Distractions etc.
 If you have concerns or Queries about symptoms and treatments related to menopause, contact Dr. Sarah Hussain– Specialist in Gynaecological Solutions.
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