Probable symptom is the changing nature of menstruation. Periods can be heavy or Vice versa — is extremely scarce. Such violations may also be found in various gynecological diseases. For further diagnosis refer to the gynecologist.
The morning sickness can be a symptom of early toxicosis of pregnancy or a symptom of diseases of the digestive system. However, pathology of the digestive system typical other symptoms that are not related to pregnancy. If you began to feel nausea in the morning, consult a gastroenterologist for further diagnosis.
More probable signs of pregnancy include pigmentation of areas of the body — the nipples, the lines along the belly. This happens due to the increase of the level of melanin, after birth, these effects disappear on their own. If you notice any unusual spots on the body make the test for pregnancy and ultrasound follow uterine cavity.
Growing uterus puts pressure on the pelvic organs, particularly bladder, so often a pregnant woman begins to experience frequent urination. Similar symptoms are inflammation of the urinary organs (urethritis, cystitis) and usually accompanied by pain and a burning sensation. To confirm the diagnosis, get tested urine.
Many women who expect a child, there is a change in tastes. Suddenly, they begin to like the unusual combination of ingredients or a desire to eat raw vegetables (e.g., potatoes or beets), meat, lime. If you notice such changes, take a pregnancy test.
The most accurate signs of pregnancy — the presence of HCG in blood or urine and the presence of the fetus in the uterus. A pregnancy test at home, with questionable result give blood for HCG. A positive result means either pregnancy or the presence of a hormone produced tumors of the ovaries. Definitively confirm the presence of a fetus on an ultrasound. Pass this examination.
Advice 2: How to determine ovulation with an irregular cycle
The process of release of the oocyte into the abdominal cavity from the ovary is called ovulation. The ability to fertilize the ovum remains for 24 hours after ovulation. Regular cycle to determine the day of ovulation is quite simple, whereas if the cycle the woman is unstable, then "catch" the moment of ovulation can be quite difficult.
You will need
- Mercury or electronic thermometer, pen, paper, rapid tests for determining ovulation, money, ultrasound, blood test for hormones.
In the determination of ovulation in case of irregular cycle, use of hormonal monitoring is difficult. This is due to the fact that to find out what day analysis of progesterone is quite difficult. As a rule, such analysis gynaecologists prescribe for 5-7 and 18-22 day cycle with an irregular period is likely to be not significant. Because the level of this hormone, like progesterone, revealing in the middle of the second phase of the cycle, and if it is not regular, then guess the middle of the difficult. Analysis of the hormone carried out in the wrong time, may result in setting of misdiagnosis and inappropriate treatment assignment.
When tracking an ovulation test, when an irregular cycle could also be a problem. It is quite difficult to guess the time when you need to start testing, because of this, you may need to purchase is not one of the package tests. Do not forget that the presence of chronic stress, quite common in modern women may result in a permanent increase in the level of LH (the pituitary hormone), which can lead to the emergence of diagnostic strips on the test, regardless of the presence of ovulation.
Another way to determine ovulation may serve as a method of measurement of basal temperature. This is done in the rectum in the morning, not getting out of bed, after 6-8 hours of continuous sleep. Data must be carefully recorded, if there was a night climbs, sexual intercourse the day before, raising overall body temperature or other variation – it can cause an increase in basal temperature should be taken into account in a separate column. Before ovulation the basal temperature falls sharply, and the next day after sharply rising. Of course, you can learn about ovulation only after the temperature jump, but even that can help in the subsequent around to know the number in which it occurs. Estimate the schedule needed doctor. But don't forget that 5% of women the basal temperature is not significant.
The most accurate way to determine ovulation with an irregular cycle is ultrasound monitoring. It can be used to assess the presence and growth of the dominant follicle, the condition of the endometrium, to detect the yellow body formed in place of the ruptured dominant follicle. If the cycle length is unknown, then the first ultrasound should spend on his 10th day, since the growth of the dominant follicle, typically 2 mm per day, and ovulation occurs when it reaches the size 20 to 24 mm, it is possible to accurately calculate the day of ovulation. After diagnosing ovulation on ultrasound can measure the level of progesterone.
Advice 3: How to determine pregnancy after childbirth
After pregnancy and childbirth the woman's body needs about 6-8 weeks to come to normal. The exception is the normalization of hormonal levels and mammary glands. They are recovering a little longer. Since hormones affect the menstrual cycle to determine pregnancy some time after childbirth can be difficult, because menstruation during breast-feeding for most women, missing. In this regard, you should use other means of determining conception.
You will need
- - instant pregnancy test;
- - necesbary for tests
Use instant test for pregnancy. These are sold in every pharmacy. The test detects levels of HCG (human Chorionic gonadotropin) in urine, the amount of which shows a woman's pregnant or not. Take the quiz and read the instructions carefully. Instant test for pregnancy is recommended in the morning as this is the time of day the hormone levels in urine maximum. Usually a rapid survey done about a week after the alleged date of onset of the next menstruation. But since afterbirthfirst period of menstruation is often absent, the test must be done when the first symptoms or doubts.
Listen to your feelings. Many women experience some discomfort during pregnancy – nausea, headaches, irritability, weakness and fatigue, sometimes even the desire to eat something spicy or salty, exacerbation of smell, frequent urination, etc.
Refer to the gynecologist. Tell the principal symptoms of your condition, especially your cycle until pregnancy and after childbirth and so on. The doctor performs a vaginal exam and determines whether you are pregnant or not.
Give blood for levels of HCG (human chorionic gonadotropin) in the blood. If its level is above normal, then most likely you are pregnant. This method of determining pregnancy is one of the most accurate.
Do the ultrasound (ultrasound). Using ultrasound to determine pregnancy, as well as pathology and deviation, with maximum reliability.
Sometimes the symptoms are similar to symptoms of pregnancy, you can talk about any illness or infection. To exclude this possibility, consult your doctor and get tested.
If a test for pregnancy was positive – is still not a 100% indicator of pregnancy, as well as the fact that you feel sick in the morning and pulls on solenenkoe". In any case, you should consult a doctor.
Advice 4: Why during pregnancy go monthly
One of the first signs of pregnancy in healthy women is lack of menstruation. However, in some cases pregnant women report ongoing menstruation.
Stories about similar situations you can hear quite a lot, so many pregnant do not attach importance to this phenomenon and are not in a hurry for a gynecological examination. In fact, menstruation during pregnancy can not be.
Is there any pregnancy period
Once a month the female body Matures, the egg is ready for fertilization. If it doesn't, then it is destroyed. At this time there is a reduction of the uterus, and go spotting.
If pregnancy begins to produce the hormone progesterone, which does not shrink the walls of the uterus and prevents the fertilized egg from rejection. That is why when month of pregnancy can not be.
Why during pregnancy you can go monthly
Bleeding during pregnancy can not be considered the norm. In the first month of pregnancy, a woman can be confused with the beginning of monthly bleeding, sometimes occurs in the implementation of the ovum in the uterine wall. However, typically, such selection is more sparse and start several days before the expected menstruation.
The reason for the onset of menstruation during pregnancy can be pathology in fetal development, hormonal disorders in the mother's body, detachment of the ovum, ectopic pregnancy.
Sometimes the outbreak of the month can talk about the inadequate intake of pregnancy hormone that may cause miscarriage. In such situations, are usually prescribed drugs to compensate for the lack of progesterone, and the woman continues to quietly endure my pregnancy.
Another hormonal disorder, which can occur monthly – hyperandrogenism, but this disease is treated with timely treatment to the gynecologist.Rarely bleeding can occur in multiple pregnancies, when one fertilized egg is rejected.
In case of any bleeding a woman need urgent medical advice.
Advice 5: Will do ultrasound in pregnancy, the deformity of the fetus
Pregnant ultrasound allows to detect 90% of all known deformities and anomalies of development of fetus. The diagnostic performance depends on the accuracy of the settings of equipment, the degree of accuracy of ultrasound, expertise of the doctor. Gross malformations, anomalies incompatible with life, and deformity, leading to disability, visible very well. Minor malformations of internal organs can be seen and diagnosed only after birth.
In the first trimester ultrasound is done for a period of 11-13 weeks. Doctor, measuring separately size, nuchal translucency thickness, the length of the fetus from crown to rump and conducting a study of section of the bones of the skull, is able with sufficient accuracy to suggest the presence of anomalies neural tube, brain and chromosomal mutations. Atresia of the duodenum, renal anomalies, hernia of the spinal cord and brain, defects abdominal ─ objective ultrasound data is enough to identify these anomalies. Themselves the ugliness may not be visible, the conclusion is based on the statistical data. Since the limbs are already formed, that on pen ultrasound their visible defects.
For the term of 20 weeks is clearly visible smaller deformities ─ pathology of the skeletal system, pathology of the brain and gross malformations of the heart. Hydrocephalus, anecephaly, the lack of eyes in the fetus, absence of fingers or extra fingers on the upper and lower extremities, visible features of the development of Siamese twins, which allows doctors to change the tactics of management of pregnancy ─ after surgery these children, albeit different from the other, but it may take care of themselves, mental activity is rarely. Ultrasound at 20 weeks to do and in order to confirm or refute the data of the first ultrasound. The fact is that hernia that the doctor will see the first ultrasound, can be independent pathologies, in this case, successfully treated, and can be a part of the manifestations of Edwards syndrome ─ this defect considered incompatible with life. At this period a well marked abnormalities of the genital organs.
At 32-34 weeks, the doctor is able to see the violation that previously did not show. These violations do not require an active action before the birth. But the woman can be given a direction to a specialized hospital, where the child will assist in the first hours of life. It could be a bowel obstruction, for example, structurally unstable heart defects, abnormalities in the urinary system. Such diseases are eliminated immediately after birth or in a planned manner and the child grows healthy. At 32-34 weeks to confirm the presence of cleft palate (cleft palate). Modern facial surgery eliminates this defect in the first 6-12 months of a child's life.
Ultrasound does not give a 100% guarantee. Often it is necessary to do again while may be invited specialists of different levels. This is important, as timely diagnosis of severe deformities that make the child viable, allow you to terminate the pregnancy in time. The birth of children with complex defects ─ even more stressful than the interruption. In this case, equally hard and mother and child. The child is in pain, often die in the first months after birth.
Advice 6: How to get pregnant with irregular periods
With irregular periods it is much harder to calculate the most favorable period for pregnancy. Easier helps use special ovulation tests.
If your menstrual cycle is not regular, but you want to get pregnant, take to planning conception with a certain degree of seriousness. In this case, you will help maintain a calendar with notes on the occurrence of "critical days", the end. If such a calendar is available, carefully review it and evaluate how much different from each other duration of each of the cycles.
When the cycles in duration are different for a few days, it is not pathology. In this case, safely use the calendar method to calculate ovulation. Can use the online service to determine the most favorable days for conception. This service provides a specialised Internet portals. To calculate select average duration of the menstrual cycle.
If the difference in the length of your cycles is essential, and periods are completely irregular, see the gynecologist. Perhaps this is a result of any violations that may prevent the onset of fertilization.
Planning pregnancy with irregular periods is complicated by the fact that it is impossible to calculate the ovulation calendar method. To determine the time favorable for conception, listen to your body. During the period of release of an egg from the ovary, you may feel pain in the lower abdomen. Ovulation is often accompanied by swelling of the mammary glands, increase in their sensitivity. You can also feel slight discomfort and even nausea.
To more accurately track the time of the onset of ovulation is possible by means of daily measurement of basal temperature. During the period favorable for conception, there is a sharp increase in basal temperature. If you want to be absolutely certain that ovulation occurred at some point, purchase at the pharmacy a few special tests. Spend the Express analysis through the day, starting from the second week of the cycle.
After the establishment of the fact of ovulation schedule conception within a few days after that. This is the most favorable time for pregnancy.
To determine the onset of ovulation, and using the ultrasound. Usually this method is used in cases when a woman cannot get pregnant for a long time.
Measure basal temperature strictly in the morning, before getting out of bed. So you can get a more accurate reading.
Advice 7: What is polycystic ovaries and how to treat it
One of the common causes of female infertility is polycystic ovarian syndrome – a hormonal disorder associated with improper functioning of the endocrine system. With advances in modern medicine, this disease is successfully diagnosed and treated, and women acquire the joy of motherhood.
Polycystic disease is a condition, accompanied by the formation on the ovaries multiple cysts which prevent the maturation of oocytes. The causes of polycystic may be different: stress, climate change, infectious diseases, hereditary, psychogenic and other factors, but they all cause dysfunction of the hormonal system of the woman's body and ultimately lead to infertility.
Suspected polycystic ovaries occur when irregular menstrual cycle or no menstruation, excessive owolosenie, including on the face and around the nipples, weight gain and obesity. These signs may be present together or separately. To establish the correct diagnosis, it is necessary to conduct General and gynecological examination women, ultrasound examination of the uterus and appendages, and, if necessary, a laparoscopy.
During vaginal examination the doctor can detect enlarged ovaries, normal or reduced the uterus, if ultrasound - to assess in detail the condition of the internal genital organs, and laparoscopy – to obtain full morphological descriptions and to take a biopsy of the ovaries and endometrium for histological examination. Reliable signs of polycystic ovaries are enlarged, thickened sheath, multiple fibrous growths, modified non-developing follicles, no dominant and Mature follicles.
Polycystic ovaries treated both conservative and surgical methods. The first phase involves the restoration of fat and carbohydrate metabolism, the treatment of inflammatory diseases, psychoemotional disorders and depression. This applies diet therapy, exercise therapy, physical therapy, and if necessary - antidepressants and sedatives.
In the next stage of treatment of polycystic ovaries are prescribed hormonal therapy aimed at the formation of a regular menstrual cycle, the maturation and release of eggs. Different schemes provide the application in the first phase of the cycle estrogen, and the second – progestogen for several months, clomiphene citrate, providing formation of co-dominant follicles and gonadotropins that stimulate ovulation, as well as two-component oral contraceptives with estrogen and progestogen. The effect of this treatment is quite short, as it is noted within 2-3 months after cessation of treatment.
The most successful method of diagnosis and treatment of polycystic ovaries today is laparoscopy examination of the pelvic organs through an optical instrument through the abdominal wall. During the operation, removed the damaged part of the ovaries (wedge resection), or an electrocoagulation – the surface of the ovary nadequate in several places with a needle electrode. Laparoscopy has a high efficiency: 85% women restored ovulation, normal menstrual cycle and pregnancy. Furthermore, with this surgery the risk of formation of adhesions is minimal.