Category: Gynecology

What is PCOS?

Polycystic Ovary Syndrome, or PCOS, is a common health problem. It affects women of childbearing age. PCOS awareness is important because many women do not know they have it. PCOS happens when hormones in the body are out of balance. This can cause problems with periods, skin, and even fertility. According to the CDC, PCOS affects about 1 in 10 women. Early understanding helps with better care and management.

Common Symptoms of PCOS

Many women notice signs of PCOS in their teens or early twenties. However, symptoms can start at any age after puberty. Not every woman has the same symptoms. Still, some signs are more common than others. For example, you may notice:Irregular periods or missed periodsExtra hair growth on the face, chest, or backAcne or oily skinThinning hair or hair loss on the scalpWeight gain or trouble losing weightDark patches of skin, often on the neck or underarms

Because these symptoms can be mild, many women do not realize they have PCOS. Yet, knowing the signs of PCOS can help you seek help sooner.

Causes and Risk Factors

Doctors do not know the exact cause of PCOS. However, several factors may play a role. For instance, genetics can increase your risk. If your mother or sister has PCOS, you may be more likely to have it too. In addition, high levels of insulin in the body can lead to PCOS. Insulin helps control blood sugar. When the body does not use insulin well, it makes more. This can cause hormone changes and lead to PCOS. Obesity can also raise your risk. But even women at a healthy weight can get PCOS.

How PCOS is Diagnosed

Doctors use several steps for PCOS diagnosis. First, they ask about your symptoms and medical history. Next, they may do a physical exam. Blood tests help check hormone levels. An ultrasound can show if there are small cysts on the ovaries. However, not all women with PCOS have cysts. Because other problems can cause similar symptoms, your doctor will rule out other conditions. Early PCOS diagnosis can help you start treatment sooner.

Treatment Options and Lifestyle Management

There is no cure for PCOS, but many PCOS treatment options can help manage symptoms. Your doctor may suggest:Birth control pills to help with periods and hormone balanceMedicines to lower insulin or help with acne and hair growthFertility treatments if you want to get pregnant

Besides medicine, lifestyle changes are important. For example, eating a healthy diet and staying active can help control weight and lower insulin. Even a small weight loss can improve symptoms. Living with PCOS can be easier with support and good habits.

Prevention and Self-Care Tips

While you cannot always prevent PCOS, some steps may help lower your risk or manage symptoms. Try these self-care tips: Eat balanced meals with fruits, vegetables, and whole grains Exercise regularly, even simple walks help Keep a healthy weight, if possible, manage stress with relaxation or hobbies See your doctor for regular check-ups

Because PCOS can affect many parts of your health, self-care is key. Small changes can make a big difference over time.

Importance of PCOS Awareness

PCOS awareness helps women get the care they need. Many women live with symptoms for years before getting help. By learning about PCOS, you can spot signs early and talk to your doctor. Early treatment can prevent problems like diabetes, heart disease, and infertility. Sharing what you know can also help friends and family. Together, we can support women living with PCOS.

If you think you may have PCOS or have questions, consult a healthcare specialist at Oorkid Hospital and IVF Centre for personalized advice and care.

Everything You Need to Know About Bad Obstetric History (BOH) 

What is Bad Obstetric History (BOH)?

The term Bad Obstetric History indicates the woman who has issues in previous and present pregnancies. These pregnancy issues include stillbirth, miscarriage, and other unwanted conditions. According to WHO, previous fatal outcomes of more abortions, Intrauterine growth restriction, and fetal death are implied by Bad Obstetric History (BOH). In this article, we are going to discuss the cause, history, treatment, and tests of Bad Obstetric History.

Causes Bad Obstetric History (BOH)

The causes of Bad Obstetric History (BOH) depend on different reasons. These are –

• Stillbirth– The still birth indicates the newborn who does not breathe after the period of viability. After the delivery, he/she doesnot show any sign of life. The cause behind it is trauma pregnancy and birth asphyxia.
• Baby with low weight– The reason behind low weight is maternal stress, abnormal placentation, uterine abnormality, chronic medical condition, insufficiency of the placenta, infection, and heavy bleeding in Choriodecidual space, etc. It can result in pulmonary syndrome, fatal shock, dehydration, respiratory problem, and cerebral hemorrhage.
• Intrauterine death– It implies the death of the baby in the uterus and a fatal demise. In the 2oth week of pregnancy, women can feel the movements of the baby but in this case, they cannot feel that. There is a basic difference between stillbirth and intrauterine death. Stillbirth indicates the baby doesn’t respond after birth but in case of intrauterine death, the baby doesn’t respond in the uterus of the mother. This can happen due to genetic abnormalities.
• Prolonged labour– It has a huge reason behind it. The disproportion of contracted pelvis fetopelvic, tumor n pelvic, malposition and male proportion and in fetus congenital anomalies. Too long labor causes low oxygen levels and abnormality in the heart rhythm in the baby.
• Recurrent loss of a pregnancy– It indicates more than two spontaneous pregnancy losses. It causes hypertensive disease, endocrinal, cervical incompetence, and syndrome- thrombophilia Antiphospholipid antibody. This can be genetic as well.

Treatment for bad obstetric history
The method of treating bad obstetric history mainly depends on the cause of BOH. There are some common procedures for treatment. These are-
• When endocrine causes are the reason behind the BOH, the levels of prolactin need to get monitor along with anti-thyroid antibodies and Thyroid Stimulating Hormone in the body.
• Some antibodies can cause BOH. For this, the process of the TORCH test is needful to screen the infection.
• Other than this, Karyotype analysis is another treatment that is useful in the case of habitual abortion. With this type of treatment, we can evaluate the number of chromosomes along with the structure. It can help in the detection of abnormalities. When it comes to the case of habitual abortion, the parents and the aborted fetus get tested through it.
• They can get help from having a supplement of Vitamin D.
• The problem of hypothyroidism and treatment of bromocriptine must be done.

These are the treatments, the doctors follow for bad obstetric history.

Bad Obstetric History (BOH) profile test
The infection in urine can lead to recurrent abortion and the BOH panel tries to find these common agents which are causing this. It is applicable in the case of spontaneous abortions and unexplained fatal deaths.
• For this test, you need to do overnight fasting as per the rule.
• You need to fill the Coagulation Requisition form, this is a mandatory process.
• There are some recommendations from doctors for avoiding affected results. These are- They ask patients to stop Oral Anticoagulants and Heparin for 7 days and 1 day respectively. To stop this, you should consult your treating physician.
• The test components are- anti-nuclear antibody, phospholipid antibodies panel, lupus anticoagulant by dRVVT, TSH Ultrasensitive, and Cardiolipin antibodies panel.
• The test methods are- EIA, CLIA, and Electromechanical clot detection.

Why BOH profile test performed?

In case of offering recurrent pregnancy losses, the doctor needs to consider the situation and psychological needs of the couples. The problem of child death is physically traumatic and affects emotionally a lot. The termination of pregnancy crushes all the hopes of the parents. They need a solution for it. So, profile testing is the best way. Once the issue is detected, it becomes easier for treatment.

Conclusion:
First of all, we need to find the cause of the problem. Here, maternal age, poor blood supply, stress, smocking and issue with blood clotting are major problems. The history of bad obstetric history is very important because it provides the details about the problem. This can prevent the situation from facing the same again. The chance of live birth and successful pregnancy get increased.

Gynecology is a medical specialty that deals with the health of the female reproductive system. It encompasses a wide range of topics from menstrual health to pregnancy and childbirth and everything in between. A gynecologist is a doctor who has specialized training in diagnosing and treating conditions related to the female reproductive system.

As a woman, it is important to have a gynecologist that you trust and feel comfortable with. Your gynecologist will be with you through many of the important moments in your life, and they play a vital role in maintaining your reproductive health.

If you are looking for a gynecologist in Surat, you are in luck. Surat is home to many experienced and skilled gynecologists, and one of the most respected in the field is Dr. Kaajal Mangukiya. Dr. Mangukiya is a highly trained and experienced gynecologist who has dedicated her career to helping women achieve their best possible health.

At Orkid Medilife Hospital in Surat, Dr. Mangukiya and her team provide comprehensive gynecological care, including routine check-ups, pap smears, and more specialized services such as infertility treatment. Orkid Medilife Hospital is equipped with state-of-the-art technology and staffed by a team of experienced healthcare professionals, ensuring that patients receive the best possible care.

In conclusion, having a trusted and knowledgeable gynecologist is crucial for a woman’s reproductive health. If you are looking for a gynecologist in Surat, consider reaching out to Dr. Kaajal Mangukiya and the team at Orkid Medilife Hospital. They will provide you with the care and support you need to maintain your health and achieve your reproductive goals.