HCG

Q : MY HCG was 178 when took first time 465 exactly after 2 days now after 11 days it is 27098 is it normal or any problem like molar
A : Hi kutti; The values of HCG are calculated according to the weeks or gestational age of pregnancy which you have not mentioned.It is difficult to assess the pregnancy whether normal or molar without knowing the weeks in relation with the HCG values.Also the second option is to get a ultrasound done to find out whether the pregnancy youn have is normal or not. Thanks

Physical Recovery After an Abortion

Physical Recovery After an Abortion

These instructions are for recovery after a surgical abortion. Most of them apply to a chemical (medical) abortion as well. Okay, so you've just had an abortion? What physical warning signs should you look for? What can you do, to take care of yourself afterwards as you recover? What about fertility? How soon could you possibly get pregnant again?
On taking care of yourself - Basic things you can do:

• Drink lots of fluids
• Stay off work for a few days if you can
• Take vitamins, eat healthy food, and try to sleep
• Take the antibiotics prescribed by your doctor right away, and for the full amount of days prescribed!
• No exercise for two weeks
• No swimming or tub baths for 2 weeks
• Don't lift anything over 15 pounds for two weeks, don't use ANYTHING vaginally for 2-4 weeks - no sex, no tampons, no douches.
• You can ovulate as soon as two weeks after an abortion, which means yes, you could get pregnant again within two weeks after an abortion!
• After the 2-4 weeks is over, you should NOT have sex again unless you feel physically recovered, and have discussed with your partner what you want to do if an unplanned pregnancy occurs again. Do NOT let yourself be pressured into having sex again before you are physically and emotionally ready, and have had a serious discussion about the course of action for future unplanned pregnancies. You can get pregnant as soon as two weeks after an abortion! Your body normally will go back to it's regular cycle, and release an egg (ovulation) at 2 weeks post-ab. So once you decide you are ready to resume sexual intercourse again, make sure you are using birth control right away. As many of us know, birth control is NOT 100% effective. So it's very important that you don't have sex again until you are healed physically and emotionally, and you have a clear consensus on what will happen if you become unexpectedly pregnant again.
• For women who had an abortion for maternal health reasons, or for a poor prenatal diagnosis, consult your doctor about birth control and future pregnancies.
• If you were 9 or more weeks along in the pregnancy, it is possible that you may have trouble with milk, or a milky fluid leaking from your breasts after the abortion. The further along you were, the higher the chance of having your 'milk come in'. This can be upsetting, but it won't last for long. It's a normal effect of the hormones that your body releases when you are no longer pregnant. These hormones make your body start to produce milk, whenever a pregnancy is ended. Your breasts may feel sore, tight, swollen, and will leak out droplets of clear to whitish fluid. At times the milk may 'let down', and a substantial amount of liquid may come out. To help with this stage, wear a well-fitting/snug bra, and try avoid stimulation of your breasts or nipples. Wear the bra 24 hours a day until your milk dries up. It can take one to four weeks for the milk to dry up. It will not be as painful as it originally feels when the milk first comes in - as the milk is not 'used' the pressure on the milk ducts will cause the milk to 'dry up'. Keep wearing that snug-fitting bra, and take tylenol for the soreness, and this will subside. If you develop a fever, or extreme tenderness in either of your breasts, consult a doctor - there is also a condition where your milk glands can get infected, and this will need to be treated with antibiotics. (This is a rare complication).

What happens after the abortion?

After someone has an abortion, she will probably have some bleeding and cramping for a few days to 2 weeks after the abortion. If she bleeds a lot, has severe lower belly pain, or a fever, she should call her health professional right away. If that happens, she could have an infection or a small bit of tissue may still be in her uterus.

The day after the abortion, most people can go back to their normal activities. The only thing that a person who had an abortion must do differently is to avoid putting anything in her vagina, because her cervix remains open, making it easier to get an infection. That means she shouldn't use tampons, douche, take a tub bath, or have sexual intercourse for 2 weeks, until she gets a check-up with her health professional.

The doctor will want to see the person who had an abortion 2 to 3 weeks after the procedure. The doctor will do a pelvic exam to make sure that the bleeding has stopped, the cervix has closed, and the uterus has returned to its normal size. When everything is fine, she will be able to have sexual intercourse again.

How long does it take to feel better after an abortion?

After the procedure, the person will be taken to a recovery room where the IV medicine will start to wear off. In the recovery room, she might feel a bit light-headed, dizzy, and sleepy for an hour or so. While she's there, a nurse will check to see that she is having a normal amount of vaginal bleeding. When she feels up to it, she can go home.

If the person getting the abortion has a blood type that's Rh-negative (such as A negative or AB negative), she must get a shot of Rhogam (a substance the keeps the person's body from developing antibodies to a fetus that has Rh-positive blood) before she leaves the clinic or hospital. This is very important, because girls and women with Rh-negative blood can have problems with future pregnancies. Getting the Rhogam shot will help to ensure healthy future pregnancies. That is why a doctor will always check a person's blood type before an abortion.

What happens during a first trimester abortion?

More than 95% of abortions are done in the first trimester, which is the 6th through 12th week of pregnancy, or 4 to 8 weeks after conception. An abortion done during the first trimester is a simpler medical procedure than one done later in a pregnancy.

The person having the abortion lies on an examining table with her legs in stirrups, just like she would for a pelvic exam. The doctor examines her, especially the size and shape of her uterus, to see how far along the pregnancy is. The doctor inserts an intravenous (IV) tube into the arm or hand of the person having the abortion. The tube is hooked up to a medication that will go into the bloodstream to help the person relax. It may make her feel sleepy and will help to take away any pain she might have.

The doctor then places a speculum in her vagina to see her cervix better and injects a local anesthetic in and around the cervix. A special instrument is put on the cervix to hold it in place so it doesn't move around. The doctor uses other special instruments to slowly dilate (open) the cervix. After the cervix is opened, a plastic tube is inserted through the cervix into the uterus. The tube is connected to a vacuum suction machine. Using the suction, the doctor removes all the pregnancy tissue from the uterus. The machine makes a lot of noise while it's working, but the process usually takes just a minute or two. The suction may cause some cramping while it is going on, but the person shouldn't feel much else because of the local anesthesia around the cervix and the IV medication.

Once the suction is done, the procedure is over. The doctor will remove the special instruments from the cervix and the speculum. From start to finish, the entire process takes about 10 minutes.

What are some reasons that a person might have an abortion?

The most common reason for an abortion is that the pregnant girl or woman doesn't want to have a baby. Other, less common, reasons might be that the fetus isn't developing correctly (for example, it might have Down syndrome) or the pregnant girl or woman might have health problems that make pregnancy very dangerous to her health.

Does a past abortion affect my chances of getting pregnant?

Does a past abortion affect my chances of getting pregnant?
Does a past abortion (or more than one) affect my chances of getting pregnant?

Expert Answers
The BabyCenter Editorial Team

Probably not. However, in rare cases, multiple dilations and curettages (the cleaning out of the uterus, also known as a D&C) can cause some scarring
at the top of the cervix or inside the uterus. A procedure called hysteroscopy (when a small camera is placed through your cervix into your uterine cavity) can be used to check for this problem and can usually repair the scar tissue at the same time. But even if that's not the case for you, you should know that any procedure that dilates the cervix (a necessary step during most abortions) can weaken it.

So if you've had more than one abortion and you get pregnant again later on, you may find that you have what's known as an incompetent cervix — a cervix that starts dilating prematurely. This can sometimes be treated with a stitch to keep the cervix closed, called a cerclage. On the bright side, having conceived before proves that you ovulate and that your fallopian tubes are open.

Best Day to Get Pregnant

The best day to get pregnant can be different for different women, but there are general guidelines to help you to find the best day for you. Women who have regular periods find it easier to determine the best day, and those with very irregular periods find it a bit more difficult, but certainly not impossible, especially with all the new techniques to help determine the optimal time for ovulation.

Women Who Have a Normal Twenty-Eight Day Cycle

Women who have a normal twenty-eight day cycle normally ovulate about two weeks into their menstrual cycle, which would make the best day to get pregnant between the fourteenth and sixteenth days. The egg released during ovulation is ready to be fertilized for approximately 12 hours before it starts to degenerate, and will survive approximately 24 hours.

Women Who Have an Irregular Cycle

For women who have an irregular menstrual cycle, the best day to get pregnant can be determined in other ways. If you know when to expect your next period, count back twelve to sixteen days from this date, which should be the range of dates that you will be ovulating. Your body may also provide other clues to help in determining when you are most fertile.

Cervical Mucus Can Help Determine the Best Day to Get Pregnant

During the menstrual cycle, the cervical mucus increases in volume as well as it changes in texture. This change reflects the body's rising levels of estrogen, shown best when the mucus is clear, stretchy and slippery, similar to raw egg whites. This mucus helps the sperm get safely through the uterus and into the Fallopian tube before meeting with the egg.

Body Temperature Fluctuations

A woman's basal body temperature can also help determine her best day to get pregnant. Basal thermometers can be purchased at most stores, and will show a woman's slightly raised temperature after ovulation. This temperature can increase .5 - 1.5 degrees, making it hard to determine the change on a regular thermometer.

Lower Abdominal Discomfort and Cramping

Some women experience discomfort or cramping in their lower abdominal region during ovulation. Approximately 20% of women feel this discomfort, which ranges from mild aches and twinges of pain all the way to moderate cramping. This condition is called mittelschmerz, and can last anywhere from a few minutes to a few hours.

Using an Ovulation Kit or Fertility Monitor

Using an ovulation kit or fertility monitor to determine the best day to get pregnant is another popular method. These kits and monitors, also available at most stores, read the LH surges prior to ovulation and are easy to use and generally accurate for predicting ovulation. Fertility monitors read LH as well as other hormone changes and require even less guesswork. Finding the best day to get pregnant is now much easier than in the past. Using any combination of these ways to determine a woman's optimal time for ovulation will help a couple to get pregnant much easier, and more quickly.

Causes of infertility

The causes of infertility are many and varied. They are classified as either absolute or relative. Absolute causes of infertility will, in the absence of treatment, totally prevent pregnancy. Relative causes reduce the chance of pregnancy but do not necessarily prevent it all together. An analogy is that absolute causes are like turning the pregnancy switch off and relative causes are similar to turning the dial down.

Over the last thirty years the impact of changing attitudes towards pregnancy, childbirth, work and family commitments has electively lead to a marked increase in the age of first pregnancy. As a result of these changes in western societies there is no doubt that increasing female age has become the single most important influence on a couples chance of achieving a pregnancy. For most couples it is a more important influence on the chance of successful pregnancy than any specific cause and it is becoming a more and more common problem as couples decide to start families later in life.

Among the specific causes of infertility there are however only four absolute causes of infertility that without treatment totally prevent pregnancy. They are:

• No sperm

• No eggs

• Blockage preventing egg and sperm meeting

• Prevention of embryo implantation

Often however a series of relative causes multiply together to reduce the chance of pregnancy by such an amount the realistic impact on couples is as severe as if they had an absolute cause.


Female factors

There are several main areas where fertility can be jeopardized in the female: the ovaries, the fallopian tubes, the uterus, and the hormones affecting these.

There will be a decrease in fertility if:

• ovulation is irregular or absent – this can be corrected with hormone treatment in most cases
• there is an obstruction between the vagina and the ovary, preventing the sperm and egg from meeting. These usually occur in the fallopian tubes, and it was for this condition that in vitro fertilization (IVF) was originally developed. Obstructions can often be treated surgically, but generally success rates are better with IVF
  
• there is an abnormality of the uterus, such as polyps or fibroids (obstructions can often be treated surgically, but can return) which impairs embryo implantation into the lining of the uterus
• endometriosis which is a common condition where tissue like the lining of the uterus grows outside the uterus, hampering a number of events leading to a pregnancy
  

Male factors

Male fertility seems less complicated than female fertility simply because the male is responsible for fewer stages in the process of creating a baby. Essentially, male fertility comes down to sperm.

There will be a decrease in fertility if the sperm are:

• not being produced in adequate numbers (or at all)
• being produced, but facing an obstruction that prevents them from reaching the outside world
• being produced, but not swimming very well
• stimulating antibody production in either partner by causing an allergic reaction.
  

Some of these problems can be treated surgically, but in most cases IVF is the best option.


Unexplained infertility

The cause of infertility is not always obvious. In many cases, both partners can appear to be fine, but they can’t seem to get pregnant. This is known as unexplained infertility. Having no identifiable cause does not mean that there is no available treatment. Indeed the prospect of spontaneous pregnancy is often higher than for those couples with a specific cause. Indeed IVF is highly effective for couples with female age under 40 years who have unexplained infertility.

Can you get Pregnant if you have sex during your period?

Can you get Pregnant if you have sex during your period?

Unfortunately, many women of all ages believe that if a Girl has sex during her period, she will not fall pregnant, that she isn't fertile and it just could not happen!

But even though this belief and rumour is well spread and very common, it is absolutely POSSIBLE for a girl to become pregnant when she is menstruating (bleeding).

There a number of reasons why this can happen:

Not all vaginal bleeding is the result of a menstrual period. Sometimes a girl will bleed from her Vagina at the actual time of ovulation - the time when the egg is released from one of the body's ovaries and then travels down the fallopian tube to the Uterus. And it is very common now for girls/women who are ovulating to experience some vaginal bleeding that can be unfortunately mistaken for a period.Sometimes ovulation can actually occur before the bleeding from a girl's/woman's period has stopped. Or it may occur within a few days after her period has finished. In both of these cases, having sex before the period has finished or just after it has finished, can result in pregnancy.

Having unprotected sex at any time including when you've got your period is incredibly risky. Along with the risk of becoming pregnant, there is also the risk of getting a sexually transmitted disease, such as Chlamydia, genital warts, or HIV (AIDS). The only surefire and safest way to prevent pregnancy and/or STD's is abstinence!

Now we would be rather unrealistic to expect this to be the case, so if you are going to take part in sexual relations with your partner, use a CONDOM! Or in the best case scenario - first of all, make sure you both get checked out by the Doctor so you have a clear bill of health. And then if all is clear, make sure you use some form of contraceptive or protection to stop you from receiving an unexpected surprise

Abortion Follow Up Care

Abortion Follow Up Care

Most clinics will schedule a follow-up appointment with you after your abortion or encourage you to see your primary doctor after your abortion. It is important that you keep your follow-up appointment, so you can help prevent any infections. Your doctor should give you instructions on how to care for yourself after your abortion. Make sure your doctor's instructions carefully and fully. You must return approximately 4-6 weeks after abortion and remember that you can get pregnant again soon after abortion. Call the hotline at 1-866-942-6466 with questions about abortion.
Be sure you follow these guidelines, and any additional guidelines, which the doctor:

• If you are prescribed antibiotics, take them fully addressed until you are finished with them.
  
• Do not put anything into your vagina as a tampon or shower for at least 2-6 weeks.

• Not least 2-6 weeks.

• Showers and swimming are OK, but do not take a bath for 2-6 weeks.

These are the side effects of abortion

• Abdominal pain and cramps

• Nausea

• Vomiting

• Diarrhea

• Spotting and Bleeding

Call your doctor immediately and seek medical help if you have a serious adverse reactions or if you experience any of the following:

• Severe abdominal and back pain that interferes with your ability to resist

• Bleeding, which is heavier than a normal menstrual cycle

• Smelling discharge

• Fever over 100.4 F