What Happens if I Stop Taking the Birth Control Pill and my Period doesn’t Come Back?

Birth control pills come in 21 days of packaging of active hormone oils and for 7 days of placebo pills. By taking placebo pills menstrual period like bleeding occurs. Some extended cycle pill treatments have active hormone pills every day for 3 months, which follows by a week of low dose estrogen pills or placebo pills. Top Gynaecologist in Tricity . During the last week you will experience menstrual bleeding.

What happens when you take the pills?

If you don’t get period for several months then you might be suffering from post pill amenorrhea. The pill prevents your body from producing hormones which are involved in menstruation and ovulation. When you stop taking pills, then it takes some time for the body to bounce back to normal production of these hormones.

What happens when you stop taking the pills?

Your period will return back within three months once you stop taking the birth control pill, but also depend on you and what cycle are you in. In some cases women who take pills to balance their menstrual cycles may not have a period for several months. This happens because the pill contains hormones that stop egg (ovulation) release each month. If the period does not occur for 3 months then you should take the pregnancy test to make sure you are not pregnant and you should see your doctor.

What are the factors that can influence your Menstrual Cycles ?

Stress, weight, health, exercise and medical condition like polycystic ovary syndrome (PCOS) can also influence you period cycle. The first period after stopping pill is known as withdrawal bleed. The natural period occurs after that.

If you want to get pregnant then it is best to wait until you have your first natural period. This gives you time to make sure you are in your best physical condition for pregnancy. It also helps to detect your doctor to predict your due date more accurately. Birth control pills do not cause fertility problem but it can mask the underlying problem like irregular periods. Top Gynaecologist in Tricity for irregular periods for more details visit  Dr. S.K.Gambhir website.

Intermittent Preventive Treatment Of Malaria (Iptp)

Malarial infection during pregnancy is a major public health problem with substantial risks for the mother, her fetus and the neonate. Pregnant women are especially at high risk for malaria because of their change in the immune system during pregnancy and the presence of a new organ (placenta). With new places for the parasite to bind, pregnant women lose their immunity. Anti-malarial drugs have been used in various ways to prevent malaria in the resident population of endemic areas for nearly 100 years.

Chemoprophylaxis is highly effective in reducing mortality and morbidity from malaria in young children and pregnant women living in endemic areas. Malaria during pregnancy is a major cause of anemia and neonatal death and one of the main causes of low birth weight. Best  Maternity Care in Chandigarh. The unique treatment of malaria in pregnancy was first described 75 years ago.

 Several chemoprophylaxis has been used for decades. The IPTp was first tested in 1995. WHO recommends IPTp with sulfadoxine (500mg)-pyrimethamine (25mg) (IPTp-SP) in all areas with moderate to high malaria transmission?

Malaria infection during pregnancy can have adverse effects on both mother and fetus including maternal anemia, fetal loss, premature delivery, intrauterine growth retardation and low birth weight infants. It is a particular problem for women in their pregnancy and for women in their first and second pregnancy and HIV positive women. In Africa, malaria infection in pregnancy is a major threat to the lives of all the mothers and fetuses and mothers.

Main points in preventive treatment according to WHO recommendations are-

Intermittent Preventive Treatment in Pregnancy (IPTp) with sulfadoxine and pyrimethamine is given to all pregnant women starting as early as possible in the second trimester. The women should receive at least 3 doses of SP during her pregnancy, with each dose being given at least 1 month apart – SP can safely be administered up until the time of delivery.

IPTp in pregnancy is a full therapeutic course of anti-malarial medicine given to pregnant women at routine antenatal care visits, regardless the women are infected with malaria or not. The symptoms and complications of malaria in pregnancy vary according to malaria transmission intensity in the given geographical area- stable (high) or unstable (low) transmission.

Recommended Interventions

§          Use of insecticide-treated bed nets.

§          Intermittent preventive treatment for women in high transmission areas.

§          Effective case management.

§         Women should also receive iron-folate supplementation to protect against anemia, a commonoccurrence among all pregnant women. However high doses of folic acid counteract the effect of SP, therefore it is preferred that women take the only 0.4mg daily recommended dose of folic acid. Sometimes it is recommended to withhold folic acid supplementation for 2 weeks.

§        Duration for post-treatment prophylaxis is likely to be an important determinant of the benefit of IPTp.

§        More effective anti-malarial drugs need to be evaluated for IPtp in both low and high transmission areas.

For Malarial infection during pregnancy Treatment Best Maternity Care in Chandigarh For More Details Visit Dr.S.K Gambhir Website.

What Drug Is In An Epidural? Do Epidurals Slow Down Labor?

Epidural anesthesia is the most popular method of pain relief during labor. 50% of women giving birth use epidural anesthesia. It is the pain-relieving shot that some pregnant women get when they are giving birth. But it has other uses too. It is an injection that goes into your epidural space which is right outside the membrane that protects your spinal cord. Best Gynaecologist in Mohali Doctors use epidural injections to relieve pain during and after surgery, as well as managing labor pain. It requires a low dose of medicine and has fewer side effects.

How is an epidural useful?

Epidural may give you longer lasting pain relief. You stay more alert and mobile during the epidural. This is the most common analgesia in which doctor block the spinal nerves and prevent pain signals from traveling to your brain begins to work in 10 to 20 minutes. You would get a nerve block through a small flexible tube called a catheter that goes near your spine at the back and discharges the medicine, so you will not feel any pain.

How does an epidural work?

All epidural target the nerves that carry pain signals. So you are still able to feel foul and pressure. You will be able to walk as and with some help for their reasons doctors usually recommend the used an epidural nerve block when a woman chooses to get anesthesia during childbirth. Epidural medications fall into a class of drugs called local anesthetics such as bupivacaine, chloroprocaine or lidocaine. They are often delivered in combination with opioids or narcotics such as fentanyl etc. to decrease the dose of local anesthetic.

How is an epidural given to a pregnant woman?

Intravenous fluid is started before active labor begins and prior to the procedure of placing the epidural. Anesthetist will administer your epidural, you will be asked to arch your back and remain still which lying on left side or sitting up. An antiseptic solution is used to wipe the area of your mid back. A small area on your back will be injected with the local anesthetic to numb it. A needle is inserted into the numb area surrounding the spinal cord. After that a small tube or catheter is inserted through the needle into epidural space. The needle is then carefully removed leaving the catheter in place to provide medication either through periodic injection or continuous injection. The catheter is tapped to the back to prevent it from slipping.

There are two types of epidural:

Regular Epidural: A combination of narcotic and anesthesia is administered either by a pump or by periodic injections into epidural space.

Combines Spinal Epidural: an initial dose of narcotic, anesthetic or a combination of the two is injected beneath the outermost of the spinal cord and inward of the epidural space. This is the intrathecal area. The anesthetist will put the needle back into the epidural space thread the catheter through the needle, then withdraw the needle and leave the catheter in place. This allows more freedom to move and greater ability to change position with assistance with the catheter in place you can request an epidural at any time. Best Gynaecologist in MohaliFor More Details Visit Dr. Sk Gambhir  Website.

15 Things Your Mother’s Health Says About You

Yours mother body may be an indication of your own future heath. Here is how and what you can do about it. Genetics play a big part in health conditions; so looking at your mom’s health can give you’re a clue of what can happen with you. Best MaternityCare in Chandigarh is especially true of complications that affect women more than men. These are as follows:

·         Osteoporosis: A recent research has found genetic variants predisposing some people to the disease. There is an evidence for an increased risk of osteoporosis if your mother has it or parental history of hip fracture. So take enough of calcium and vitamin D and live a healthy life style.

·         Wrinkles: If you are getting wrinkles, then ask your mom when did she begin having wrinkles. Looking at her and her pictures can help you understand the things that are needed to deal with it. Daily sunscreen lotion and an anti-aging serum with retinol, vitamin C and vitamin E application can help. If skin is fairer, chances of skin cancer is more.

·         Mental health: Stress and depression are twice more common in women than men. This is due to the hormonal fluctuations in women and due to reaction of women to stress and trauma. Female experience depression more often than men and it is genetically linked. Certain genetic mutations associated with depression occur only in women. So if your mother had depression and you have mild symptoms, get timely treatment.

·         Migraines: Women are more likely than men to have migraines, because of hormonal fluctuations. One of the main factor for migraine is family history. If your mother has migraine, you are likely to develop.

·         Alzheimer’s disease: Nearly two-third of those with Alzheimer’s are women. There are genetic markers that have been identified that increase the risk of Alzheimer’s disease. If your mother and father have genetic mutation of early onset of Alzheimer’s, there is 50% chance that your will inherit it. You can reduce your risk by exercising, eating a healthy diet, maintaining social ties and staying mentally active.

·         Heart disease and diabetes: If you have a genetic similarity of weight and body shape, you and your mother also have a similar risk of heart disease, the no. one killer of women as well as type 2 diabetes. American Society of Human Genetics found that maternally inherited gene variants of how women store fat can affect their risk of Type 2 DM. There is evidence that if your mother has heart disease and type 2 DM, you are at higher risk of developing them.

·         Pregnancy: If you want to know what will be your pregnancy experience, then ask your mother. If you have family history of diabetes, you are at increased risk for gestational diabetes. Pre-eclampsia is also more common in women who have had high B.P. and high B.P. is inherited. Severe morning sickness is also inherited.

·         Breast cancer: Breast cancer has genetic pre-disposition. If you have family history of breast cancer, then you have increased chance of getting it. Talk to your doctor about your individual risk. If your mom or other female relative have breast cancer, consider a genetic counselor for genetic testing. The gene mutation which is to be tested is BRCA 1.

·         Ovarian cancer: The same is with ovarian cancer. The gene mutation which is associated with hereditary ovarian cancer is BRCA 2 gene mutation.

·         Post-partum depression (PPD): Studies show that post-partum depression is genetically linked. Your risk for PPD increases if your mother or another family member for eg. sister, aunt had PPD. So ask your mother about her post-partum experiences. This will give you a clue about risk factors for you.

·         Eye issues: Women are more likely to have the eye condition called glaucoma and are more likely to be visually impaired or blind from it says the American Academy of Ophthalmology (AAO). Women are more likely to have dry eye syndrome. If your mom or dad has glaucoma, then you should screen for it regularly.

·         Menopause: Studies have shown that the age at which your mother went through menopause will be partly responsible for which you will have if your mother went through menopause early or premature ovarian failure before 40. It can be caused by number of conditions in which some of the conditions are inherited.

·         Fertility: Regarding getting pregnant, causes of infertility and miscarriage are not genetic. But there are certain conditions like endometriosis; there is increased risk in first-degree relative. Some women with recurrent miscarriage can have inherited chromosomes and genetic testing can be done. In some other conditions like PCOD, it is not clear yet whether genetics are at play.

·         Weight and body shape: The condition of your body is partly genetic and partly environmental. So if your mother has a certain body type or weight, you may be more likely to have the same one. But this is not genetic. If you grow up eating the same way as your mother, you develop a similar body. Like-wise the fitness level you achieve is partly hereditary and partly lifestyle. If your mom is over-weight, you can help avoid the same by eating healthy and exercising.

·         Rare genetic disorders: A few disorders like Huntington’s disease are very strongly genetically linked. If one of your parents has the mutated genes that cause this neuron-degenerative disease, you have 50% chances of inheriting that gene. If you have, you will develop Huntington’s 100%. You may be born with a genetic predisposition to certain disorders but that does not mean you will develop it. Genetic predisposition is the loaded gun and lifestyle factor can pull the trigger. So some of the things we can control and some we can’t. so if your mom had certain conditions, you can try to avoid them. Best Maternity Care in Chandigarh is especially true of complications that affect women more than men. For More details visit Dr. S.K.Gambhir  Website.