High-Risk Pregnancy- Here’s How You Can Manage It

High-Risk Pregnancy- Here’s How You Can Manage It

Although for most people, pregnancy should be a normal and risk-free experience, some women may experience a high-risk pregnancy. If there are possible risks that could prove dangerous for the infant, mothers, or both, in such cases the pregnancy is considered high-risk.

Health conditions such as high blood pressure, diabetes, autoimmune disorders, lung/kidney/heart defects, or any other complications during pregnancy or childbirth, lead many people to such a pregnancy.

 

There are a few steps you can take to avoid a high-risk pregnancy, as well as a few tips for dealing with one. Continue reading to learn more about them:

 

  • Pre-conception Consultation:

Before pregnancy, you should make a few moves. A preconception consultation will help your health care professional in assisting you in achieving a healthy weight before becoming pregnant, prescribing vital supplements, adjusting medications, and discussing the dangers you may face as a result of your health conditions. This could lower the chances of having a high-risk pregnancy in the future.

 

  • Regular visits to the health care provider

Prenatal care is essential to keep track of your wellbeing and the growth of your infant. If the condition warrants, you will be referred to a professional, and all questions or concerns will be answered. The quicker a problem is identified, the greater the chances of successfully managing it.

 

  • Eat a well-balanced diet:

This may seem self-evident, but you’ll need to supplement your body with folic acid, calcium, protein, and iron when pregnant. To support your baby’s wellbeing, you’ll need to gain weight as well. This also means you’ll have to stay away from things like alcohol and tobacco.

 

  • Anxiety management:

Anxiety can be harmful to both the mother and the child’s wellbeing. You should speak with your health care professional and ask for suggestions about how to relax and stay calm in the face of adversity. A few interventions, such as recommended exercise or music, can aid in the reduction of undue stress.

 

  • Tests:

An ultrasound, chorionic villus sampling, cordocentesis, ultrasound for cervical duration lab studies, and a biophysical profile may be requested by your doctor to monitor the baby’s growth and handle the risks appropriately.

Some prenatal diagnostic tests, such as amniocentesis and chorionic villus screening, carry a slight risk of pregnancy loss, so the mother and her husband must decide whether or not to get them performed after consulting with their health care provider.

 

  • Signs of Risk:

Vaginal bleeding, discomfort or cramping in the lower abdomen, extreme headaches, contractions, reduced foetal function, pain or burning during urination, water vaginal discharge, and vision changes should all be kept in mind. Do not overlook this and refer to a good hospital like Ashakiran Hospital and doctor like Dr. Ashish Kale immediately.

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Causes & Symptoms of Hypothyroidism

Causes & Symptoms of Hypothyroidism

The thyroid is a small, butterfly-shaped gland that drapes across the front of your windpipe.

If you place your fingers on the sides of your Adam’s apple and swallow, you’ll feel your thyroid gland sliding under your fingers.

It releases thyroid hormone, which controls the growth and metabolism of essentially every part of your body.

The pituitary, a tiny gland in the middle of your head, monitors your physiology and releases thyroid-stimulating hormone (TSH). TSH is the signal to the thyroid gland to release thyroid hormone.

Sometimes TSH levels increase, but the thyroid gland can’t release more thyroid hormone in response. This is known as primary hypothyroidism, as the problem begins at the level of the thyroid gland.

Other times, TSH levels decrease, and the thyroid never receives the signal to increase thyroid hormone levels. It is called secondary hypothyroidism.

Hypothyroidism, or “low thyroid,” can cause a variety of signs and symptoms. This article will help you recognize and understand these effects.

 

  1. Weight Gain:

Unexpected weight gain is another common symptom of hypothyroidism.

Not only are low-thyroid individuals moving less — they’re also signaling their livers, muscles and fat tissue to hold on to calories.

When thyroid levels are low, metabolism switches modes. Instead of burning calories for growth and activity, the amount of energy you use at rest, or your basal metabolic rate, decreases. As a result, your body tends to store more calories from the diet as fat.

Hypothyroidism signals the body to eat more, store calories and burn fewer calories. This combination leads to weight gain.

 

  1. Fatigue:

One of the most common symptoms of hypothyroidism is feeling worn out. Thyroid hormone controls energy balance and can influence whether you feel ready to go or ready to nap. Those with high levels of thyroid hormone feel nervous and jittery. In contrast, people with low thyroid feel exhausted and sluggish.

In one study, 138 adults with hypothyroidism experienced physical exhaustion and reduced activity. They also reported low motivation and feeling mentally tired

 

 

  1. Hair Loss:

Like most cells, hair follicles are regulated by thyroid hormone.

Because hair follicles have stem cells that have a short lifespan and rapid turnover, they are more sensitive to low thyroid levels than other tissues.

Low thyroid hormone causes hair follicles to stop regenerating, resulting in hair loss. This will typically improve when the thyroid issue is treated.

 

 

  1. Menstrual Irregularities:

Both irregular and heavy menstrual bleeding is linked to hypothyroidism.

One study showed that about 40% of women with low thyroid hormone experienced increasing menstrual irregularity or heavy bleeding in the last year, compared to 26% of women with normal thyroid levels

 

  1. Constipation:

Low thyroid levels put the brakes on your colon.

According to one study, constipation affects 17% of people with low thyroid hormone, compared to 10% of people with normal thyroid levels

While constipation is a common complaint in patients with hypothyroidism, it’s uncommon for constipation to be the only or most severe symptom.

 

  1. Changes in Skin Texture:

Like hair follicles, skin cells are characterized by rapid turnover. Therefore, they are also sensitive to losing growth signals from the thyroid hormone.

When the normal cycle of skin renewal is broken, the skin may take longer to regrow.

This means the outer layer of skin has been around longer, accumulating damage. It also means that dead skin may take longer to shed, leading to flaky, dry skin.

 

 

  1. Diabetes:

Hyperthyroidism is typically associated with worsening glycemic control and increased insulin requirements. There is underlying increased hepatic gluconeogenesis, rapid gastrointestinal glucose absorption, and probably increased insulin resistance. Indeed, thyrotoxicosis may unmask latent diabetes.

 

  1. Depression:

Hypothyroidism is linked to depression. The reasons for this are unclear, but it might be a mental symptom of an overall decrease in energy and health.

64% of women and 57% of men with hypothyroidism report feelings of depression. About the same percentage of men and women also experience anxiety

 

  1. Infertility:

Low levels of thyroid hormone can interfere with the release of an egg from your ovary (ovulation), which impairs fertility. In addition, some of the underlying causes of hypothyroidism — such as certain autoimmune or pituitary disorders — may impair fertility.

 

The thyroid is a crucial gland in our body and considering these various factors that it can have an impact on Dr. Ashish Kale – An IVF Specialist in Pune recommends not only his patients but others as well to not ignore these symptoms and have a close watch on it and take the necessary precautions. 

  

 

 

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Breast Feeding your Baby

The decision of breastfeeding is a personal choice. Some women may consider breastfeeding their new born, while some may not. It has generally been observed that one draws a strong opinion from his/her surroundings like friends and family.

 Medical experts like the American college of obstetricians and gynaecologist, recommend breastfeeding the infant’s at least for 6 months. It is also recommended to breast feed the new born till his first birthday. Food items like fruits, vegetables, and good grains can also be fed but after 6 months along with breast feeding. 

 Breast milk is an ideal source of nutrition for babies. It has the required nutrients for babies in the right proportion and is also easy to digest. It has also been observed that babies absorb the required nutrients from their mothers and mothers who are low on calcium or vitamin D fail to provide the required proportion of vitamin d in such cases new born babies are prescribed vitamin d drop till the duration of 6 months or more.

 In the current situation, it is paramount that we maintain not only our health but also our little ones.

 There is no such scientific proof about corona virus spreading through breast feeding; studies are still being carried out. So, all the new mothers who are breast feeding their kids need to take special precautions and specifically mothers who fear of testing corona positive or have been tested corona positive should take the following precautions:

  1. Wash or sanitize hands before breast feeding.
  2. Wear a mask while breast feeding.

If the above precautionary measures are followed, the mother can breast feed her new born. But it is also advised to maintain distance from the baby at other times. 

Now lets us look at the top three questions associated with breast feeding, which are usually asked, my new moms:

  1. Am I producing sufficient milk for my baby?

If you concerned that wither you produce sufficient milk for your baby or not then you should pay attention to the following signs,

  1. If your breast is full before a feed and feels drained after a feed.
  2. Your baby needs feed after every 2 or 3 hours.
  3. If your baby is gaining steady weight per week.

If you agree with the above signs it means you are meeting your babies need for milk.

 

  1. How to enhance breast milk production?
  • Feeding baby frequently can help you produce more milk
  • Consume a balanced diet
  • Drink more fluids
  • Take adequate rest and quality sleep

 

  1. How to avoid and soothe engorged Breasts?

Breast engorged happens when the mother produces more milk than the babies’ requirement or due to blocked ducts. In such cases, it is advisable to use hand express technique or use of breast pumps to release excess milk. It is also advisable to use a hot water bag to open the blocked ducts.

 

 For any further query or assistance, you should visit a gynaecologist. Experiencing motherhood is the greatest of all the treasures in the world so make sure you cherish. 

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TIPS FOR A SAFE AND HEALTHY PREGNANCY IN WINTER

It’s amazing being pregnant at any season of the year, of course, but winter brings on a few unique challenges. How to stay comfortable and reduce women’s problems when winter hits

Remember to stay hydrated

Just because it’s not warm outside, you may think dehydration is not going to be a difficulty, but winter air can be very dry, and when you are going into cold places or homes you probably will find yourself hot and sweaty. So remember to take more water than you think you need to.

Wear a Winter Jacket

Being soft and warm is the most important thing in the winter period. Buying a new jacket to wear is a good idea as it will help in maintaining the body hot. Instead of going to the thrift store to buy a maternity coat to use only for a few periods, it is a wiser decision to buy a winter jacket and keep the body comfortable and warm by zipping it up correctly. Though it may be attractive to wear the regular jacket that you own, a new jacket will help you stay healthy and survive easily when the winter elements get tough.

Stay in Home as much as Possible

When you are pregnant, your body converts more sensitive and vulnerable to diseases. It can be very dangerous if your body is exposed to severe weather situations and the mother and the baby can be hurt by the bacteria. Some women experience common cold and cough due to severe weather situations. The sensitive body during pregnancy takes time to adjust to the changed environment of chilly winds outside after leaving the cozy home. All outings should be postponed severe weather situations during pregnancy

Regular Exercises

When it is seriously cold, it is not easy to go for a walk as the chilly air makes the lungs feel like they are loaded with icicles. For pregnant women, it is even more complicated. Some indoor activities can be a good replacement to keep yourself healthy and safe. You can go to a local indoor pool, join a gym, do regular yoga to stay healthy and active during peak winters during pregnancy.

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THE PREGNANCY DIET

THE PREGNANCY DIET

Now that you’re trying to conceive, it’s time to overhaul your eating habits. Here are the foods and nutrients you need most.

You don’t have to wait until you’re pregnant to start eating well for your baby.Use this nutrition guide to plan out your meals.

Healthy eating tips if you’re trying to get pregnant

By overhauling your diet now, it’ll be easier to stick to a healthy diet once you get pregnant. Follow these tips:

Eat more fruits and veggies. Vegetables provide a hefty dose of vitamin A, vitamin C, iron and magnesium, while fruits offer up vitamin A, vitamin C, potassium and fiber.

Limit your sugar intake. No one can swear off sugar entirely, but it’s smart to temper your sweet tooth whenever possible.

Analyze your eating habits. If you follow a restricted diet — whether that’s due to personal beliefs or because you’re managing a chronic condition — ask your doctor if you need to shore up any nutritional gaps in your meals

Practice good (food) hygiene. Food poisoning is dangerous for anyone, but when you’re pregnant, it can lead to premature birth and other potential problems. And some foodborne illnesses can affect your baby’s health even before you conceive.

Don’t skip meals. Right now, you might prefer to sleep through breakfast or work through lunch, but we guarantee you that baby will think differently. Time to overhaul your schedule and start eating three square meals a day.

Cut back on caffeine. When you’re trying to conceive, you should drink no more than 200 mg a day, or about one 12-oz cup of coffee.

Don’t smoke. Using tobacco can make it harder for you to get pregnant — and once you are pregnant, you may also be more likely to have a miscarriage.

Don’t drink alcohol. Alcohol can harm a developing baby, warns the CDC, and make it tougher to conceive in the first place. Best to stick with a mocktail.

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the Best Infertility Center in Pune.

Key nutrients to eat when you’re trying to conceive

As a mom-to-be, you’ll need a mix of healthy foods that are packed with nutrients, including:

  1. Folic Acid/Folate:This B vitamin (B9) is one of the most important nutrientsyou can take before (and during) your pregnancy. You can also find it in foods like:
  • Leafy green vegetables.
  • Fortified cereals.
  • Oranges and strawberries. 
  • Beans and nuts. 
  1. Calcium:Calcium keeps your reproductive system functioning smoothly and may even help you conceive faster.
  • Milk
  • Yogurt
  • Cheese
  • Kale and broccoli
  1. Iron:Women with adequate iron stores have less trouble getting pregnant than women with lower levels.
  • Fortified breakfast cereals
  • Lean meats
  • Spinach
  1. Fatty acids:This is one fat that you may need to include more of in your prepregnancy diet.
  • Seafood
  • Grass-fed beef
  • Nuts and seeds
  1. Iodine:This mineral helps your body make thyroid hormones, which work to control your metabolism.
  • Dairy products:Milk, yogurt and cheese all contain iodine.
  • Iodized salt:
  1. Fiber:Including more complex, slowly-digestible carbohydrates like fiber in your diet might help boost your fertility levels.
  • Whole grains
  • High-fiber cereals
  • Fruit and vegetables
  • Beans and legumes
  1. Protein:A staple of everyone’s diet, protein will help supply your baby with important nutrients.
  • Fish
  • Lean meats
  • Black beans

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help.

He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the Best Infertility Center in Pune.

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What is PCOS

What is PCOS?

Polycystic ovary syndrome (PCOS) is a heterogeneous disorder presenting with several complaints including ovarian dysfunction, hyperandrogenism, menstrual irregularity, insulin resistance (IR), and obesity. Hyperinsulinemia is one of the main factors in PCOS causing hyperandrogenism, as it directly induces both ovarian and adrenal androgen release and, increasing glucose concentrations, restrains liver sex harmone binding globulin (SHBG) synthesis, as well as production of insulin like growth factor binding protein 1 (IGFBP-1). The increased androgen signaling causes premature follicular atresia and anovulation. IR and reactive hyperinsulinemia are further stimulated by adipose tissue, being enhanced in obese patients.

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the Best Infertility Center in Pune.

To know more about PCOS visit on – https://www.ashishkale.com/polycystic-ovarian-syndrome-understanding-the-causes-symptoms-treatment/

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10 Ways Women Should Take Care of Their Health this Women’s Day

A home is not a home without ‘Women’. They are the core part of the family. As a woman, you are a wife, sister, daughter, mother. You play different roles to fulfil the needs of family members. Throughout the day, you’re too busy and focused on taking care of them. And for you, it’s a common thing to push your needs and wishes on your to-do list. Finding ‘me’ time is like next to none in your busy schedule. Sounds something familiar? If you want to take care of others, you must care for yourself first. This International Women’s Day, inculcate below 10 ways to take care of your health and thank yourself every day. The good news is: these activities will really make a difference in your daily life.

1. Eat Healthy, Stay Healthy

Are you the one who heaps food? Stop doing so because unknowingly you are increasing your caloric intake. So, eat the right amount of fruits and vegetables as it can increase your metabolism and give a healthy life. It is advisable to control your meal portions. Switch to three meals and two snacks a day program and try to include more calcium in your diet. Calcium not only protects against bone thinning but also reduces the significance of PMS (Premenstrual Syndrome).

2. Tone-Up with Yoga

Redefine your beauty with Yoga and Meditation. Relax your mind by simply focusing on your breath with easy Yogasanas. This will establish a sense of calm, peace and balance. Also, assist in controlling heart diseases.

3. Enough Sleep

Good sleep is like fuel which runs your body and mind. So, get at least 8 hours of sleep. Think sleep as your long-term investment as it is going to contribute to your mental and physical wellbeing. Try to not rely on pills for sleeping.

4. Keep Moving

Walking is an excellent way to burn calories and it boosts blood flow in the body. According to researchers women who walk at least 6000 steps a day on an average reduce their risk of heart stroke and dementia by 20%. So, move as much as you can and gift yourself an active life.

5. Say No to Sugar & Salt

Cut down the amount of sugar and salt from your food. Studies show that these two evils are mostly associated with the risk of weight gain, high blood pressure, heart disease and others.

6. Hydrate Yourself

Revitalize your mind and body with the regular intake of water. It is advisable to drink 7-8 glasses of water. Stick to this rule to improve digestion and overall health. Bored with normal water intake? Try lemon and honey water, natural juices, green tea, coconut water or water-rich fruits to keep yourself hydrated.

7. Manage Your Stress

Just do what you enjoy every day to slow down your stress level. It might be dancing, listening to music, cooking, reading, chatting with your friends, painting or watching movies. Counting to 10 can also ease stress and help to improve your mood.

8. Gift Yourself a Spa Treatment

Pamper yourself with a Spa treatment and enjoy looking your best at all times. If possible, give yourself a new look from head to toe. It would definitely make you look and feel great about yourself.

9. Spoil Yourself by Travelling

Plan a trip for yourself and spend quality time with your friends & family. This will lessen feelings of depression, anxiety & anger. It also helps to put aside your responsibilities and allows you to focus on the moment.

10. Regular Health Check-up

If you want to enjoy your life and achieve goals, then it is important to have good health. Listen to your body and accordingly schedule your health appointments. Keep a track of your Health check-ups and cut down your healthcare cost.

Remember, no one can care you better than you. Show some care to yourself because you deserve it and be there for your loved ones. Recharge your battery by doing what you love and of course, don’t forget to appreciate yourself!!

Happy Women’s Day!

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Pregnancy Symptoms — Early Signs Of Pregnancy

Pregnancy symptoms differ from woman to woman and pregnancy to pregnancy; however, one of the most significant pregnancy symptoms is a delayed or missed period.

Understanding the signs of pregnancy is important because each symptom may have causes other than pregnancy. You may experience pregnancy signs within a week of conception.

Most Common First Signs Of Pregnancy

What are the most common first signs of pregnancy? The most commonly reported first symptoms of pregnancy include:

  • 29% of women surveyed reported a missed period as their first pregnancy symptom
  • 25% indicated that nausea was the first sign of pregnancy
  • 17% reported that a change in their breasts was the initial symptom of pregnancy

While implantation bleeding is often considered the first pregnancy symptom, the survey revealed that only 3% of women identified implantation bleeding as their first sign of pregnancy.

Symptoms Of Pregnancy Explained

Each of your symptoms of pregnancy below could be explained by other causes. What else could they be?

Spotting or light bleeding: If pregnant, this symptom is usually associated with implantation bleeding and is considered one of the earliest signs of pregnancy. The embryo usually implants to the uterine between 6 to 12 days after conception. Some women will experience spotting as well as cramping. Other women do not even notice implantation bleeding or cramping, so don’t worry if you are trying to get pregnant and don’t experience these symptoms; you could still be pregnant.

When this implantation occurs, light bleeding or spotting is perfectly normal. This symptom is sometimes accompanied by light cramping. Many women will conceive and not notice any implantation bleeding, so do not worry if you are trying to get pregnant and do not see this symptom, you could still be pregnant.

 Missed period: A delayed or missed period is the most common pregnancy symptom leading a woman to test for pregnancy. When you become pregnant, your next period should be missed.

Is it possible to be pregnant and still have a period? Some women can bleed while they are pregnant, but typically this bleeding will be shorter or lighter than a normal period. A missed period can be a symptom of pregnancy caused by something else.

Nausea or morning sickness: Nausea or morning sickness is the second most commonly reported first sign of pregnancy. Experienced to some degree by most expecting women, nausea typically shows up between 2 to 8 weeks after conception.

Nausea can be experienced with or without vomiting. It is important to know that nausea, frequently called morning sickness, can actually be experienced at any time of the day. Similarly, it usually occurs during the first trimester and subsides after that for most women, but some will experience nausea all throughout their pregnancies.

Swollen or tender breasts: The third most frequently cited symptom of pregnancy changes in the breasts.  These changes are usually indicated by swelling or tenderness. Changes to the breasts can start as early as 1 to 2 weeks after conception.

Fatigue or Tiredness: Following conception, as early as the first week after, many women cite feeling tired as a sign of pregnancy. This fatigue is commonly experienced by those who are expecting and is recognized as a typical symptom of pregnancy.

Frequent Pregnancy Symptoms

The previous symptoms are usually the first signs you experience when pregnant. There are other signs also commonly experienced by those who are expecting as well:

Backaches: Lower backaches are commonly reported by women who discover that they are pregnant. This symptom can occur with the onset of pregnancy, but it is often experienced later as the pregnancy progresses. This makes it an easy pregnancy symptom at week 27 to week 34.

Headaches: Experiencing headaches at the onset of pregnancy is another common early sign of pregnancy. Experts believe that the sudden rise of hormones in your body leads you to experience the headaches.

Headaches during pregnancy may also be caused by the increase of blood flow. There is an approximately 50% increase in the volume of blood flowing while you are expecting.

Frequent urination:  Don’t be surprised if you feel like you have to pee more often. Increase urination starts for most people between 6 to 8 weeks.

You will find that increased urination will pick back up or continue throughout your pregnancy as the expanding baby and uterus place pressure on your bladder.

Food cravings or food aversions:  The reason for certain food cravings or food aversions is not known. Don’t be surprised if you find yourself drawn to something you normally do not care for, or avoiding things that you normally like.

The food that expecting women crave or seek to avoid varies and are quite sporadic. It is alright to allow yourself the freedom to pursue those cravings and avoid the things you don’t want as long as you are getting the nutrition you need for a healthy pregnancy.

These cravings or aversions can occur early in pregnancy or anytime throughout your pregnancy.

Darkening of the Areolas: Some people lump darkening of the areolas into the symptom of pregnancy referred to as breast changes. That’s alright, it is important to note that if the areolas, area around your nipples, darkens, that is normal.  It is a common occurrence within those who are expecting.

Mood Swings: Expecting mothers frequently experience mood swings. This believed to be primarily caused by the hormonal changes that affect the neurotransmitters of the brain. The types of mood swings can vary from woman to woman.  Some may experience elevated highs and lows, whereas others alternate between states of happiness to states of depression or anxiety.

It is important to note that mood swings are normal; however, if you find yourself struggling with depression or extended periods of sadness, you should contact your healthcare provider. Some women prefer to go directly to a counsellor or mental health professional.

Pregnancy Symptom Alternatives

It is challenging already to determine if you are pregnant or not, but with symptoms of pregnancy varying from woman to woman and even pregnancy to pregnancy, it gets even more difficult. Additionally, most of the typical “pregnancy symptoms” can be explained by something else.

What else could it be?

A missed or delayed period, the most commonly reported first sign of pregnancy, could be caused by any of the following:

  • Pending menstruation
  • Excessive weight gain or loss
  • Fatigue or exhaustion
  • New workout regimen
  • Hormonal imbalance
  • Tension or stress
  • Change in birth control usage
  • Various illnesses
  • Breastfeeding

Nausea or morning sickness, the second most frequently cited symptom of pregnancy, might be explained by one of the below:

  • Food poisoning
  • Tension or stress
  • Anxiety
  • Change in hormonal birth control
  • Other stomach ailments

Tender or changing breasts, as the third most noted pregnancy symptom, might be triggered by any of the following:

  • Hormonal imbalance
  • Change in hormonal birth control
  • Impending menstruation

Fatigue or tiredness can be brought on by any of the following:

  • Tension or stress
  • Exhaustion from working too hard
  • Depression or other mental health struggles
  • Common cold or flu
  • New workout regimen
  • Allergies or other ailments
  • Lack of sleep
  • Improper nutrition

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the best Infertility Center in Pune.

 

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Diabetes, Obesity & PCOS – Did You Know It Is The New Epidemic?

PCOS is a common hormonal abnormality seen mostly in reproductive Age groups Affects about 30% females.

Diagnosis is by Rotterdam criteria: 2/3 should be present.

  • Oligo/anovulation
  • Polycystic ovarian morphology
  • Hyperandrogenism

It also affects other metabolisms like insulin resistance causing diabetes, impaired glucose tolerance and this ultimately exacerbates obesity

  • It has a genetic predisposition.
  • PCOS can either be lean PCOS or obese PCOS.
  • This classification is important to categorize the causal effect and treatment also differs
  • Insulin-mediated glucose disposal reflects the action of insulin on muscle cells and this is decreased by 30-40% in women with PCOS.
  • This is further worsened with obesity.
  • The endogenous glucose production is also affected and this causes glucose intolerance.
  • They also have menstrual irregularities and infertility due to lack of mature egg (anovulation ) production.

 

Treatment

  1. Change in lifestyle and diet
  2. Exercise
  3. Weight reduction
  4. Drugs to regularise menses and antidiabetic drugs
  5. Ovulation-inducing agents with or without IUI for subfertility

In case you have a concern or query you can always consult Dr.Ashish Kale & get answers to your questions!

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the best Infertility Center in Pune.

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