Side Effects of Contraceptive Pills

Author: Dr. Pratima Thamke MBBS, MRCOG, MD

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Kharghar

Birth control has been a practice among mankind for centuries. However, reliable birth control has been available only for about 100 years and continues to be evolving even today. As of 2023, there are multiple ways to avoid unwanted/unplanned pregnancies such as barrier methods, hormonal methods, long-acting reversible contraceptives, and sterilisation. The most popular and effective forms of birth control are condoms and emergency contraceptive pills. 

What are Contraceptive Pills?

Contraceptive pills or birth control pills are hormone medicines to prevent pregnancy. The hormones in these pills work to stop ovulation, i.e. releasing the egg from the ovary. Some types of contraceptives also alter the uterine lining, making it less likely for the egg to be fertilised. 

These pills come in a pack (28 days for each month) and are to be taken daily. It is the most commonly prescribed form of contraception in the United States with a success rate of 91%. 

Types of Contraceptive Pills

There are majorly three types of contraceptive pills:

1. Combination pills 

Combination pills are made of synthetic forms of hormones estrogen and progesterone, called progestin. Biologically, estrogen controls the menstrual cycle while progesterone thickens the endometrium after ovulation, thereby preparing the uterus for pregnancy. Estrogen levels are highest in the body in the middle of the cycle and lowest during a period. A high level of progesterone prevents natural ovulation. 

These pills come in a pack of 28 and have mostly active pills, i.e. contains hormones, while the remaining ones are inactive, i.e. without hormones. The idea behind inactive pills is to take or skip them in the last week of the cycle to get period on time. 

2. Progestin-only pills 

Progestin-only pills, also called the minipill, contain only progestin and work only to stop ovulation, and thereby prevent pregnancy. These pills are a great choice for people who cannot take estrogen due to other health reasons. 

All pills in the progestin-only prescription are active, so you may or may not get your period while taking these pills. 

3. Emergency Contraceptive Pill

Also called the morning-after pill, emergency contraception is an SOS solution when the woman suspects a ruptured condom or when she misses out on her regular contraceptive routine and engages in unprotected sex. 

This pill contains the hormone levonorgestrel by delaying the maturation of the egg or by interrupting the fertilisation of the egg. It is most effective when taken immediately, i.e. within 72 hours of unprotected intercourse.

What are the side effects of Contraceptive Pills?

Although it is mostly safe for all women, like most medicines, there are some side effects of contraceptive pills on menstrual cycle. Most side effects of taking birth control pills are minor but there are some rare serious side effects as well. 

Some minor but most common side effects of birth control pills are as follows:

1. Nausea

If you’re new to birth control pills, you might experience mild nausea but it goes away in a short time. 

2. Tender breasts or enlargement

You might experience mild breast tenderness within the first few weeks of starting the pills. This can be managed by reducing your caffeine and salt intake until the body gets used to the pill. 

3. Spotting 

Spotting refers to mild vaginal bleeding during active pills. This is one of the  most common side effects of birth control pills  and it usually occurs during the first 3 months of using the pills. After the first three months, 90% of women no longer experience spotting. 

4. Missed period

Sometimes, you may take all your pills correctly and still miss your period. This, again, is a fairly common side effect of birth control pills on periods. Although this can be due to multiple reasons, it is best to take a pregnancy test before starting the new cycle of pills. Studies have also shown changes in the cycle as a side effect of emergency contraceptive pills on periods/menstrual cycle. 

5. Weight gain and mood changes

Sometimes, the body reacts to hormonal medication with fluid retention, thereby leading to weight gain. Contraceptive pills can also affect your mood and emotional status. It is important to discuss your mental health history and changes with your healthcare provider before starting on birth control pills. 

6. Decreased libido, increased vaginal discharge

The hormones in birth control pills may result in a decreased libido. If this persists, you must contact your doctor and seek an alternate solution to contraception. You may also notice a slight increase in the amount of vaginal discharge which is completely harmless. 

Some rare but long-term side effects of birth control pills include:

1. Increased risk of breast cancer and cervical cancer

2. Liver tumours

3. High blood pressure

4. Blood clot 

Alternatives of Contraceptive Pills

Owing to the evolution of medical science, there are available alternatives for contraceptive pills. 

Intrauterine device (IUD) is an alternative that prevents pregnancy by stopping the implantation of fertilised eggs for 5-7 days after unprotected intercourse. 
Diaphragm method is a barrier method of contraception wherein the person places a dome-shaped cup in the vagina which prevents the sperm from reaching the cervix. Diaphragm is usually used with spermicides 
Non-hormonal pills are also an alternative form of contraception which works by blocking the hormones responsible for conception.

There are many ways to prevent unplanned pregnancies from occurring today. Which method is best suited for you depends on your menstrual cycle symptoms, lifestyle, your cardiovascular health, other chronic health conditions and the medication for those. Thus, it is important to talk to your doctor before starting any form of birth control pills.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best maternity hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Pratima Thamke, please book your appointment here

FAQS:

1. How to avoid side effects of birth control pills? 

The best way to avoid side effects of birth control pills is to find the best pill suited for you. Your doctor will recommend the best pill suited for you based on your personal health history.

2. Can I take emergency pills during periods?

Yes, the emergency contraceptive pill can be taken at any time during the menstrual cycle. 

How to Tell If You Have Menopause Blues or Clinical Depression?

Author: Dr. Manisha Ranjan MBBS, MGO, FGO, DGO

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Noida Sector 48

As we all know when a woman reaches her 50’s, the reproductive hormones naturally tend to decline. This not only terminates the period, but also brings about other physical and mental changes. Many people talk of mood changes being a normal part of the change of life or menopause.

But not only are these hormones related to reproduction, but they also play a role in defining the person’s mood. For many women it may just be the menopause blues but for the rest, it may lead to depression.

Here’s how to tell if you are experiencing menopause blues or if you have clinical depression.

Perimenopause Phase

As you enter perimenopause, you may experience mood swings. It may be hard to tell if these are just temporary or symptoms of a more serious mental health problem. While many women go through menopause without experiencing depression, many women will experience depression either as a recurrence of previous depression or for the first time in their lives. Depression can make coping with menopause very difficult or impossible. It may impact relationships, professional, and personal life.

Make a Menopause Journal

The best way to differentiate a normal menopause from depression is to analyse your mood. It will be ideal for you to start a journal that will help you track your mood, activity level, other menopause symptoms, and menstrual cycle for a period of three to four months. This will be convenient if you decide to talk about your symptoms over with a professional.

What is Clinical Depression?

Clinical depression, also known as major depressive disorder or unipolar depression is a serious condition characterized by intense sadness or despair that lasts more than two weeks, and that interferes with your daily life. Major depression is typically characterized by symptoms such as sadness, feelings of emptiness, loss of enjoyment of hobbies, work, other activities, weight loss, insomnia, fatigue, loss of appetite and constant thought of dying.

Causes of Midlife Depression

There are ample reasons why women in their 40s may experience depression; it may be biological, situational, or psychological. Factors such as hormonal changes, Response to loss Medical conditions and Drug and alcohol use may contribute to depression.

Symptoms of depression while going menopause may be common, but they may vary depending on severity. Here’s how you can cope with menopause depression and the menopause blues.

Menopause and Age

Some studies suggest that the age of menopause and depression have found that women with longer reproductive period are likely to not get depressed, reason being longer exposure to estrogen produced by the body.

How to treat Menopausal Depression?

Symptoms of depression during menopause may be the same but they may vary in terms of severity. Try these methods of coping with menopause depression and the menopause blues.

It’s okay to feel sad or down for a day or two. Even grief following a major loss is normal for up to a year. But if these symptoms persist then it is mandatory to talk to a psychologist or a counselor about your condition.Or alternatively, you may seek interpersonal or cognitive behavioral therapy as these two therapies have helped a lot of women dealing with depression.
Natural remedies may be an effective way of managing depression for women who experience symptoms that are not so severe. You can try everything from special teas to herbal supplements to keep your symptoms in check.
It is not common for women going through menopause to experience insomnia. Hot flashes and other physical changes can all affect your sleep cycle and eventually your mood. Focus on getting better sleep by meditating which may also improve your mood.
There are several other women out there who are going through menopause and understand what it feels like firsthand. To understand your situation better, read a book on the subject, join a support group, or look up online.

Menopause or depression symptoms are not uncommon in a woman’s life during this phase, but when these symptoms persist, it might be more than just menopause.

Perimenopause: Age, Stages, Symptoms & Treatment

Author: Dr. Suhasini Inamdar MBBS, MS (OBG)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Indiranagar, Bangalore

What is Perimenopause?

Perimenopause occurs among women during the natural transition period before menopause, when the reproductive functions begin to wane – this is the time when the ovaries reduce the amount of estrogen produced and it lasts till the point when the ovaries stop producing eggs. It normally lasts from around 40 years of age to 55, but in some women it can even start in their mid to late 30s.

Perimenopause Symptoms

The level of estrogen is uneven during this time and the menstrual cycles become irregular. This means that bleeding could happen twice a month or happen once in two months, and there are cycles when the ovaries may not release an egg. The first sign for a woman who is approaching menopause is when the woman’s menstrual cycle is either infrequent or involves less bleeding.

The common problems during this period are hot flashes, which is a feeling of intense heat and sweating with rapid heartbeat and usually occurs during the night. Other symptoms are sleep problems, vaginal dryness and mood swings due to the changes in hormone levels. Low estrogen could also lead to frequent vaginal and urinary infections. It is also possible that due to poor tissue tone, she could experience incontinence. This could also lead to psychiatric problems. The bone density also decreases, increasing the risk of osteoporosis – which causes fragile bones. Women could also develop male balding patterns due to the increase in ratio of testosterone as compared to estrogen and this may also lead to them developing extra facial hair.

Lipid profiles also go haywire during this period and because of the reduced levels of estrogen, it could lead to an increase in LDL – bad cholesterol. Cardiac and cerebral strokes are also very common in perimenopause phase because of poor cholesterol levels. This period of perimenopause is expected to last around 5-10 years.

Perimenopuse Diagnosis

It is important for women to keep a track of their periods and the symptoms so that they can discuss it with their doctor. The doctor usually asks to do a test to make sure it is not a thyroid condition which also cases hormonal imbalance. The usual tests are Follicle Stimulating Hormone test. During menopause, the FSH levels increase and estrogen levels decrease. Prolactin levels are also tested to check if they are high, which signals approaching menopause. Anti Mullerian Hormone (AMH) is another test that shows the ovarian reserve and when that is low, it also means she is heading towards menopause.

The doctor also asks for certain blood tests and scans, to check the thickness of the endometrium. If the woman is not getting periods during perimenopause, the inner lining should not be very thick. If it is thick, they conduct other tests like hysteroscopy and D&C, pap-smear tests to rule out abnormalities like cervical cancer.

Perimenopuase Treatment and Management

Once menopause has been confirmed, the doctor may recommend medication and hormone replacement therapies to deal with the symptoms of perimenopause. The person may not necessarily need any treatment if the symptoms are not severe. But, there is a possibility that it may affect the quality of life – it is even possible for daily life to be affected if the symptoms are severe.

Doctors might recommend psychiatric help for women who are having a difficult time with mood swings and irritability. Women also need to follow some basic lifestyle changes in order to deal with symptoms. For hot flashes, it is recommended that they sleep in a cool and airy place. A change of place during the hot flash may help as will drinking cool water.

It is important to follow a good and nutritious diet and avoid fried food and sweets. The doctor will also recommend taking vitamins and supplements for getting the required nutrition. It is recommended they avoid or reduce intake of caffeine, alcohol and smoking as these increase the symptoms. Women can use lubricants to manage the problems of vaginal dryness.

Exercise is a very important part of managing symptoms. It keeps one healthy and delays the problems of aging. Maintaining a positive attitude also helps a lot towards addressing mood swings and mental issues. Perimenopause is a very natural part of life and much of the symptoms can be handled naturally by just following a good lifestyle rather than depending on medications.

What is the best diet for pregnancy?

Food is the main source of nutrients for the body and fetus. So, one must know what to eat and avoid during pregnancy. During pregnancy, it is better to consume different types of food which include a variety of lean meats, grains, fruits, vegetables, and unsaturated fats.

What are the foods that should be avoided?
Some foods can affect your or baby’s health and should be avoided, such as:
• Seafood high in mercury
• Raw, undercooked or contaminated food
• Undercooked meat, poultry and eggs
• Unpasteurized foods
• Unwashed fruits and vegetables

What is the normal weight for pregnancy?

Your health care professional will reflect on Body Mass Index (BMI) for weighing aspect. You will be suggested to maintain weight in healthy ways.

What are prenatal vitamins?
For the better growth and development of a baby, prenatal vitamins are important as they contain nutritious elements like vitamins and minerals. Your healthcare provider will suggest you consume any prenatal vitamin.

Should a pregnant woman exercise?

Exercise is a way to a healthy lifestyle, but a pregnant woman should avoid activities that are risky and excessive.

Can a person travel during pregnancy?

It is safe to drive or travel during pregnancy where even air travel is allowed up to 37 weeks gestation. However, a woman can talk to her doctor about following some safety measures as well during travelling.

What are the safe medications during pregnancy?

To ease some symptoms of pregnancy, you can have some non-prescription medication where the healthcare professional will recommend you safe over-the-counter meds as well.

Fetal Developmental Stages And Baby Growth

After the fertilization of sperm and ova, the egg develops that rapidly divides into many cells which reach the fallopian tube and remain there for three days. Then the fertilized egg is passed to the uterus and persists in dividing slowly, where it attaches to the endometrium for implantation. The further growth and development of the fetus occur in the uterus where the period is divided into three stages as:

First Trimester: From Fertilization to Baby’s Development

First Trimester: After the baby is conceived, this period begins and spans 12 weeks. It constitutes the first 3 months of pregnancy where the fertilized egg is divided into cells that will change into a fetus. The fetus begins to develop baby-like features where after three months all the organs and limbs are present. Generally, it is about 4 inches long.

Second Trimester: Comfortable and Baby-Like Features

Second Trimester: This is the second stage of pregnancy which has to be the best experience and remains up to 7 months or 28 weeks. The discomfort and symptoms of early pregnancy are no longer here. Facial features along with some movement are seen in the developing fetus, where it also responds to stimuli as well. The fetus is generally 14 inches long at the end of the seventh month and weighs between 2-4 pounds.

Third Trimester: Fetus is Fully Prepared for Birth

Third Trimester: This is the last stage of pregnancy which remains up to 40 weeks or 9-10 months (in some cases). During this stage, the fetus starts to gain weight along with body fat. Lungs are almost fully developed along with the brain, internal organs and other reflexes that begin to coordinate like the closing eyes, turning the head etc. The fetus is generally 17-19 inches long and weighs 5-6 ½ pounds. Finally, at the time of labour fetus is developed with all the organs and is prepared for birth.
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Importance Of Good Gynaecologists In Women’s Health

Health checkup's at motherhood india hospital

Annual Gynaecologist Check-ups for Women’s Health

In order to sustain a healthy life, a woman must visit a good gynaecologist. A gynaecologist deals with the medical care of women and their reproductive system. Every woman should make a visit to a gynaecologist annually for better health and to manage other changes in their life. Women can face a lot of health issues that can become serious if not treated at the right time so it becomes essential to look for treatment.

Managing Changes and Complications with Gynaecological Care

From the very onset of puberty, there are significant changes like breast development, pregnancy to menopause, etc. during which the risk of diseases also increases in women. Managing these changes and other diseases is a field specialized by a gynaecologist who creates awareness and gives suggestions to maintain sound physical and mental health.
It is recommended to visit the gynaecologist between 13 and 15 years of age where a relationship can be established between the patient and the doctor. It can lead to creating awareness about reproductive health topics which includes menstruation. After crossing the age of puberty, during pregnancy, visiting a gynaecologist is a must-go. There are various aspects of pregnancy that can lead to high-risk conditions that can affect the mother and a gynaecologist comes to safeguard the person.

Gynaecologists: Educators and Counselors for Women’s Reproductive Health

The general recommendations and planning to reduce complications of the pregnancy are a way out where a gynaecologist plays an important role to help in the management of this period.

Throughout different stages of life, proper education, counselling and prevention methods are excellent guidance that can help a woman to maintain her overall health being. These services are rendered by gynaecologists who can also manage complications of major diseases as well. Therefore, in order to understand the importance of health, it is important to visit a gynaecologist once in a while.

Why Don’t We Know Enough About Women’s Health?

Womenns Health Care Clinic near me - Motherhood India Hospital

There is a significant gender gap in between the knowledge that we have related to women and men. Most of the biomedical knowledge we have is based on the research and effects that were solely concerned on men. It’s only during the past few decades that the research community is paying attention to the existing gender differences, though there is still a lot more needed to understand the women health. and broaden this concept.

The Historical Context of Women’s Health Research

If we trace the history, we come to know that the National Institutes of Health hardly used to enlist the people to keep the track of women in research. Besides, The Food and Administration Department was also excluding women of childbearing age from participating in drug trails that were conducted. The possible reasons researchers would give in was the child bearing capacity of a woman that could endanger two lives or the hard work that had to be carried out for women’s varying hormonal changes and cycles. To understand it better, if we look at the case of depression, women are twice as likely to have depression than males, yet the majority of research was conducted on males.

The Importance of Closing the Gender Gap in Healthcare

Though the scenario has changed and women are being a part of the research more than ever, they are still under presented in most of the research areas. Most of the tissue samples and cell lines are obtained from men where the knowledge on the symptoms and risk factors of various diseases remain limited to them only. Besides, it has been seen that most of the health problems common in women are comparatively under researched which include autoimmune diseases, gynecological disorders,, fertility, chronic pain, conditions etc. Besides being neglected of research, research funding has been also very petite in these areas.

Growth Scan In Pregnancy: Why, How & When Is It Done?

Author – Dr. Manju Gupta MBBS, MS
Senior Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Noida

What Is a Growth Scan?

A growth scan in pregnancy is an ultrasound examination that helps monitor the growth and development of the fetus. This type of scan is an important tool for ensuring the health and well-being of both the mother and the baby. In this blog post, we will cover the purpose, timing, and process of growth scans, as well as the information obtained from them and the factors that can impact fetal growth.

Why Do I Need a Growth Scan?

Growth scans are performed to track the growth and development of the fetus throughout pregnancy. They help determine if the baby is growing at a normal rate and check for any potential issues that may affect the health of the mother or baby.

Growth scans are usually performed between 24 to 32 weeks of pregnancy and then again between 36 to 40 weeks of pregnancy. However, in some cases, additional scans may be recommended if the ultrasound doctor suspects any potential problems.

Process Of a Growth Scan

The following is a detailed step-by-step guide to the process of a growth scan:

Preparation: Before the scan, you will be asked to lie down on an examination table and expose your belly. You may also be asked to drink water and not empty your bladder to help improve the visibility of the fetus during the scan.
Ultrasound Gel: The radiologists will apply a special gel to your abdomen, which helps to conduct the ultrasound waves.
Transducer placement: The sonographer will then place a transducer, which is the handheld device that sends and receives ultrasound waves, onto your belly.
Measurement of the fetus: The sonographer will measure the size of the fetus, including the head circumference, abdominal circumference, and femur length. This information is used to determine the fetal weight and assess if the baby is growing at a normal rate.
Checking for abnormalities: The sonographer will also check for any abnormalities or problems, such as a low level of amniotic fluid or a problem with the placenta.
Examination of the fetus: The sonographer will examine the fetus for any signs of distress, such as reduced movement or abnormal heart rate.
Images and recordings: The sonographer will take images and recordings of the fetus, which will be used to create a detailed report of the results.
Final check: The sonographer will perform a final check of the fetus to ensure that all necessary measurements have been taken and that there are no concerns.

Information Obtained from a Growth Scan

There are many factors that can influence fetal growth, including the mother’s health, the amount of amniotic fluid, and the presence of any medical conditions such as gestational diabetes. The information obtained from a growth scan helps determine if the fetus is growing at a normal rate and checks for any potential issues that may affect the health of the mother or baby. This information can also help predict the due date and determine the position of the fetus in the womb.

Motherhood India hospitals are well-equipped to provide comprehensive prenatal care, including growth scans. We have state-of-the-art facilities and equipment, and highly skilled sonographers and obstetricians to perform growth scans. These scans are performed in a safe and comfortable environment and provide expectant mothers with valuable information about the health and well-being of their baby.

Benefits of Growth Scans

Growth scans are an important tool for monitoring fetal well-being and ensuring the health and safety of both the mother and baby. They provide valuable information about the growth and development of the fetus and help identify any potential problems early on. A few benefits include:

Fetal weight estimation: A growth scan provides an estimate of the fetal weight, which is important for determining if the fetus is growing at a normal rate. This information can also help identify if there is a need for further tests or interventions if the fetus is not growing as expected.
Detection of growth abnormalities: A growth scan can detect if there are any growth abnormalities, such as low birth weight or macrosomia (excessive birth weight). This information can help inform decisions about delivery and potential complications.
Monitoring fetal well-being: A growth scan provides important information about the health and well-being of the fetus, such as the position of the fetus and the level of amniotic fluid. This can help detect potential problems such as a reduced fetal movement and help provide early intervention if necessary.
Detection of structural abnormalities: A growth scan can detect structural abnormalities, such as cleft lip, spinal cord defects, and heart problems. Early detection of these abnormalities can help inform decisions about prenatal care and delivery planning.
Improved prenatal care: A growth scan can help inform prenatal care by providing important information about the growth and development of the fetus. This information can be used to develop a customized care plan for both the mother and the fetus, which can help optimize the health and well-being of both.

Interpretation of Growth Scan Report

The growth scan report is interpreted by a gynecologist. If the results indicate that the fetus is not growing at a normal rate, further tests and scans may be recommended to determine the cause and determine the best course of action. It is important to continue to attend all recommended prenatal appointments to ensure the health and well-being of both the mother and baby.

Conclusion

In conclusion, growth scans during pregnancy are an important tool for monitoring the growth and development of the fetus. They provide valuable information about the health and well-being of both the mother and the fetus.

FAQ’s

Are growth scans safe?

Yes, growth scans are generally considered safe and do not pose any risks to the mother or baby. To know more about risks and benefits of growth scans, you can book an appointment with Motherhood Hospitals by calling 𝟭𝟴𝟬𝟬 𝟭𝟬𝟴 𝟴𝟬𝟬𝟴 or by going here.

How often are growth scans performed during pregnancy?

Growth scans are usually performed between 24 to 32 weeks of pregnancy and then again between 36 to 40 weeks of pregnancy. Additional scans may be recommended if the Sonologist suspects any potential problems.

What happens if the growth scan shows that the fetus is not growing at a normal rate?

If the growth scan shows that the fetus is not growing at a normal rate, the gynecologist will review the results and recommend any necessary follow-up tests or scans. In some cases, additional monitoring may be necessary, or an intervention such as an induction of labor may be recommended to ensure the health and well-being of the fetus.

At Motherhood, the Department of Radiology offers a full range of imaging services, including ultrasound and x-ray. We are dedicated to ensuring that you experience absolutely no negative radiation effects, and that your time with us is as safe and comfortable as possible. We have the best Radiologists in Noida. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. Do take an appointment with the best maternity hospital in Noida at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Manju Gupta MBBS, MS, please book your appointment here.

Medical Termination of Pregnancy (MTP)/Medical Abortion: Risks Involved

Author – Dr. Manju Gupta MBBS, MS

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Noida

What is medical termination of pregnancy (MTP) in India?

Medical termination of pregnancy (MTP) is a safe and non-surgical procedure for ending a pregnancy using medication. MTP can be performed up to 10 weeks of gestation and is a safe and effective alternative to surgical abortion.

Legal Framework for MTP in India

The MTP Act of 1971 allows for the termination of pregnancy in India under certain circumstances. According to the MTP Act, pregnancy can be terminated if:

The pregnancy poses a risk to the life of the woman.
The pregnancy is likely to cause grave injury to the physical or mental health of the woman.
The pregnancy is a result of rape or incest.
The fetus has a substantial risk of having serious physical or mental abnormalities.

Factors to Consider Before Undergoing MTP

Before undergoing an MTP, it is important to consider various factors that may impact the decision. These may include:

Personal beliefs and values
Current health and medical conditions
Support from family and friends
Access to safe and legal MTP services

Available Methods for MTP and Their Comparison

There are various methods for MTP, and the choice of method will depend on various factors such as gestational age, personal preference, and medical conditions. The most common methods of MTP in India include:

Medical abortion: This involves taking a combination of medications to end a pregnancy.
Surgical abortion:This involves a minor procedure to remove the pregnancy tissue.

Process Of MTP In India

The process for MTP involves a consultation with a healthcare professional to discuss your medical history, any potential risks and complications, and the available options for MTP. If you choose to proceed with MTP, you will receive medication to take at the hospital or at home, depending on the type of MTP you have chosen. After taking the medication, you may experience some discomfort or side effects, such as cramping, nausea, or bleeding. A follow-up appointment will be scheduled to monitor your progress and ensure a safe and successful termination of pregnancy.

What Is the MTP Kit & How Can It Be Used?

The MTP Kit is a non-surgical option for ending a pregnancy, and it involves taking a combination of medications. In India, an MTP kit is a combination of two drugs, mifepristone, and misoprostol, which work together to end a pregnancy. Mifepristone is taken first and works by blocking the hormone progesterone, which is necessary for a pregnancy to continue. Misoprostol is taken 24-48 hours later and causes the uterus to contract, expelling the pregnancy tissue. Medical abortion is generally considered safe and effective, and it can be performed up to 10 weeks of gestation. However, it is important to seek the advice of a qualified healthcare provider and to follow their instructions carefully to ensure a safe and successful medical abortion.

Risks and Complications Associated with MTP

As with any medical procedure, MTP may have associated risks and complications. These may include:

Heavy bleeding
Pain and cramping
Infection
Reaction to anesthesia
Difficulty in becoming pregnant in the future.

Emotional and Mental Health Aspects of MTP

Undergoing an MTP can be an emotionally and mentally challenging experience for many women. It is important to seek support from family, friends, or a mental health professional if needed.

Motherhood India hospital is a leading healthcare provider in India that offers comprehensive services for medical termination of pregnancy (MTP). The hospital has a team of experienced and qualified healthcare professionals who provide personalized and compassionate care for women undergoing MTP. The hospital offers both medical and surgical options for MTP and uses the latest medical technologies and procedures to ensure safe and effective termination of pregnancy. The hospital also provides counseling and support services for women and their families during and after the MTP procedure. With a commitment to providing high-quality care and a supportive environment, Motherhood India hospital is an excellent choice for women seeking MTP services in India.

Options for Post-MTP Care and Recovery

After an MTP, it is important to take care of oneself to ensure a smooth and safe recovery. This may include:

Taking pain medication as directed
Avoiding strenuous activities
Following a healthy diet
Seeking medical attention if symptoms worsen

In conclusion, medical termination of pregnancy is a sensitive and personal decision that must be made with careful consideration and access to accurate information. Women in India have the right to access safe and legal MTP services under the Medical Termination of Pregnancy Act of 1971. It is important to understand the legal framework and options available, as well as the potential risks and complications associated with MTP. Additionally, taking care of oneself both physically and emotionally during and after the procedure is crucial for a smooth recovery.

FAQ’s

How effective is MTP?

Medical termination of pregnancy (MTP) is generally considered safe and effective, with a success rate of over 95% when performed up to 10 weeks of gestation. However, the effectiveness of MTP can vary based on factors such as the gestational age of the pregnancy, the health of the woman, and the type of MTP chosen. For more information, you can contact Motherhood India Hospitals on 𝟭𝟴𝟬𝟬 𝟭𝟬𝟴 𝟴𝟬𝟬𝟴 or book an appointment by going here.

What are the potential risks and complications of MTP?

As with any medical procedure, there are potential risks and complications associated with MTP. Some common risks include heavy bleeding, infection, incomplete termination of pregnancy, and an adverse reaction to the medication. However, these risks can be minimized by seeking care from a qualified healthcare provider and following their instructions carefully.

Can I have children after MTP?

Yes, most women are able to have children after MTP. Medical termination of pregnancy (MTP) does not affect a woman’s ability to conceive and have children in the future. However, it is important to discuss any concerns with a qualified gynecologists and to follow their recommendations for post-MTP care and recovery.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Sector 48, Noida. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. Do take an appointment with the best Gynaecology hospital in Sector 48, Noida at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Manju Gupta, please book your appointment here.

A Guide to Understanding and Treating Uterine Fibroids

Author – Dr. Jainesh Doctor MBBS, MS (Obgyn), FMAS

Consultant – Advanced Gynaecological Endoscopic Surgeon at Motherhood Hospital Kharghar, Mumbai

What Are Uterine Fibroids?

Uterine fibroids are common non-cancerous growths that develop in the uterus. They are often asymptomatic and can go unnoticed, but when they do cause symptoms, they can have a significant impact on a woman’s life. This is particularly true during pregnancy, where the presence of fibroids can complicate the pregnancy and put the health of both the mother and the baby at risk.

Motherhood India Hospitals are equipped to handle all aspects of pregnancy, including the management of uterine fibroids. Our hospitals have a team of experts, including gynecologists and obstetricians, who are well-versed in the latest diagnostic and therapeutic techniques for the management of fibroids in pregnancy.

Symptoms & Diagnosis of Uterine Fibroids

Some of the symptoms of uterine fibroids during pregnancy may include:

Heavy or prolonged menstrual bleeding: Fibroids can cause heavy or prolonged menstrual bleeding, which can be particularly noticeable during pregnancy.
Abdominal pain or pressure: Fibroids can cause abdominal pain or pressure, which may be exacerbated by the growing uterus during pregnancy.
Urinary frequency or incontinence: As fibroids grow, they can put pressure on the bladder, causing frequent urination or incontinence.
Constipation: Fibroids can also put pressure on the rectum and cause constipation.
Miscarriage or preterm labor: In some cases, fibroids can increase the risk of miscarriage or preterm labor.
Enlarged uterus: An enlarged uterus may be a sign of fibroids.
Difficulty becoming pregnant: Fibroids can cause infertility in some women.

Diagnosis of fibroids in pregnancy is typically made using ultrasound or MRI scans. Once the diagnosis is made, the next step is to determine the size, location, and number of fibroids. This information is critical in determining the best course of action for the mother and her baby.

Treatment Of Uterine Fibroids

There is no cure for uterine fibroids, but there are several treatment options available to manage the symptoms and reduce their impact on a woman’s life. The appropriate treatment will depend on a variety of factors, including the size and location of the fibroids, the severity of the symptoms, and the woman’s age, overall health, and plans for future pregnancy.

Here are some of the common treatments for uterine fibroids:

Medications: Hormonal medications, such as birth control pills or gonadotropin-releasing hormone (GnRH) agonists, can help to manage symptoms such as heavy bleeding and reduce the size of fibroids.
Uterine Artery Embolization (UAE): UAE is a minimally invasive procedure that cuts off the blood supply to the fibroids, causing them to shrink.
Myomectomy: Myomectomy is a surgical procedure that removes the fibroids from the uterus, preserving the uterus and allowing for future pregnancy if desired.
Hysterectomy: Hysterectomy is a surgical procedure that removes the uterus and is typically recommended as a last resort for women who no longer wish to have children and have debilitating symptoms from the fibroids.
Magnetic Resonance-guided Focused Ultrasound (MRgFUS): MRgFUS is a non-invasive procedure that uses high-intensity focused ultrasound to destroy the fibroids.

In some cases, fibroids can be managed conservatively during pregnancy, with close monitoring and observation. This may involve regular prenatal visits, ultrasound scans, and bed rest. However, if the fibroids are causing significant symptoms, such as heavy bleeding, pain, or affecting the growth and development of the baby, then intervention may be necessary.

If you’re looking for the right doctor for treatment, Dr. Jainesh is a highly respected gynecologist and obstetrician from Motherhood Hospital, Kharghar, Navi Mumbai with expertise in the diagnosis and treatment of uterine fibroids. He has a passion for helping women overcome the symptoms of fibroids and has helped countless women to manage their fibroids and regain their quality of life. Dr. Jainesh has extensive experience in both surgical and non-surgical treatments for uterine fibroids, including myomectomy, uterine artery embolization, and magnetic resonance-guided focused ultrasound. With a commitment to providing individualized, patient-centered care, Dr. Jainesh takes the time to listen to each woman’s concerns, answer her questions, and develop a customized treatment plan that is right for her.

In conclusion, uterine fibroids are common during pregnancy and can have significant impacts on the health of both the mother and the baby. Motherhood hospitals in India have the expertise and resources to manage fibroids in pregnancy and provide women with the best possible care and support during this critical time. If you are pregnant and have been diagnosed with fibroids, it is important to discuss your options with your doctor and choose a treatment plan that is right for you and your baby.

FAQ’s

What are the symptoms of fibroid in the uterus?

Common symptoms of uterine fibroids include heavy or prolonged menstrual periods, pain during sex, pelvic pressure or pain, frequent urination, and constipation. Some women may experience no symptoms at all.

What is the main cause of fibroids?

The exact cause of uterine fibroids is unknown, but they are believed to be related to hormonal imbalances, particularly the increase in estrogen levels. Genetics, obesity, and certain lifestyle factors may also play a role in the development of fibroids.

What is the best treatment for uterine fibroids?

The best treatment for uterine fibroids depends on several factors, including the size and location of the fibroids, the severity of symptoms, and the woman’s age, overall health, and plans for future pregnancy. Options for treatment include hormonal medications, uterine artery embolization, myomectomy, hysterectomy, and magnetic resonance-guided focused ultrasound. To know more about treatment options, connect with Motherhood Hospitals on 𝟭𝟴𝟬𝟬 𝟭𝟬𝟴 𝟴𝟬𝟬𝟴 or book an appointment by going here.

Can uterine fibroids come back after being removed?

In some cases, fibroids may grow back after they have been removed. This is more likely to occur if the fibroids were large or if multiple fibroids were present.

Are fibroids cancerous?

Uterine fibroids are noncancerous (benign) growths. They may cause symptoms that impact a woman’s quality of life, but they do not become cancerous or spread to other parts of the body.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. Do take an appointment with the best Gynaecology hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Jainesh Doctor, please book your appointment here.