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Frequently Asked Questions

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Does IVF treatments increase the incidence of Multiple births?

Multiple births occur more frequently after infertility treatment than in the normal population. About 80% of pregnancies achieved following simple ovulation induction with gonadotrophins result in single births, the remaining 20% being multiple pregnancies, mostly twin pregnancies. New treatment regimens carefully adapted to the patient’s response help to decrease the risk of a multiple pregnancy. After IVF, one pregnancy out of four is multiple (20% twin pregnancies and 3-4% triplets). In many IVF centres, physicians now frequently choose to place a maximum of three embryos inside the uterus, to further reduce the chance of multiple births

Would the infertility treatment have any adverse effects on my health?

Along with their intended benefits, drugs used to treat infertility may on occasion cause side effects. In ovulation induction, close monitoring of follicular growth is crucial to ensure successful treatment. Monitoring techniques (such as ultrasound scan and blood tests) and adequate use of treatment protocols help the physician to avoid Ovarian Hyperstimulation Syndrome (OHSS) and minimize the risk of multiple pregnancies. Current treatment protocols have been designed in a way to reduce the risk of multiple births and OHSS though they are not completely avoidable.

Is cryopreservation a part of the IVF procedure?

Cryopreservation means preserving in a frozen condition. It can be used for freezing gametes( egg and sperm) or embyos.

Embryo Cryopreservation is freezing of embryos in liquid nitrogen at temperature of -196oC. It is used for preservation of surplus good quality embryos which can be used for subsequent cycles. The process is carried out by highly skilled and trained embryologists, following protocols to ensure minimal damage to embryos. This is offered only in select centers

What are the treatment options for a woman who cannot produce any eggs?

Egg donor program is offered to women with Premature Ovarian Failure or those with poor quality eggs. In such a case, an egg donor is chosen who donates her eggs which are fertilized with the sperm of the husband. The selection of a donor is done by the centre and anonymity of the donor as well as the patient is strictly maintained.

This program is advised to a couple where
Wife’s ovaries are unable to produce good sufficient eggs (Poor Ovarian Reserve) Premature Menopause (Premature Ovarian Failure)
Wife’s eggs are of poor quality
Ovaries have been removed or destroyed as a result of previous disease or surgery.

I have undergone a previous ICSI cycle. But I did not conceive. Is there any treatment that can help me?

In couples who have undergone repeated failures of implantation, an alternative technique would be to culture the embryos up to the 5th day if possible, when they become blastocysts. In a natural cycle, this is the stage when the embryo actually implants in the uterus. Blastocyst culture mimics the natural cycle, thereby increasing the chances of pregnancy.

I have undergone a previous IVF cycle. But the embryos did not grow. Is there any treatment that can help me?

In a normal IVF cycle since fertilization of eggs and sperms are allowed to happen naturally so sometimes the embryos are not formed. In such cases we should opt for an advanced procedure called ICSI where the sperm is injected into the egg to form embryos

What are the latest IVF technologies available at Morpheus?

State-of-the-art equipments and latest techniques like IMSI, Zona Birefringence and Laser hatching which have proved to be a boon to couples in difficult cases.

Intracytoplasmic Morphologically Selected Sperm Injection (IMSI):

IMSI is a highly advanced technique where sperms are magnified to approximately 7200 times to allow selection of better quality sperms for ICSI. This technique offered by Morpheus is a major advantage for the couple with bad morphology (abnormal structure) of sperms. It helps to select the sperms with best shape and size for injecting into the egg.

Laser Assisted Hatching (LAH):

LAH is an advanced technique used when the zona pellucida or the covering of the eggs are thicker than usual. The excessive thickening is believed my many scientists to result in lower chances of implantation which lowers the chances of pregnancy. With the help of a laser, the zona is thinned out at one place, to ease hatching of the embryo, hence improving implantation and pregnancy rates.

Zona Birefringence:

This advanced optical system assists in assessing the quality of the oocyte in a dimension that is not possible with conventional microscopy. Using this technology selection of better oocytes for fertilization is possible, resulting in good quality embryos.

Is IVF treatment expensive?

The cost of IVF treatment in India is less than a fifth of that in the U.S.

At Morpheus, we have a unique “Double Your Chances” offer, a clinically result oriented and cost effective treatment plan.
Double Your Chances treatment plan improves the chances of pregnancy. This is a clinically result oriented plan wherein the couple gets the second cycle free of procedural cost if the first cycle does not lead to clinical pregnancy

Some Fertility clinics give guaranteed success for the infertility treatment. So what kind of an assurance do I have of the outcome if I enroll for the treatment with Morpheus?

The expected success rate from IVF cycle is in the range of 30 to 35 %. Though every clinic aims to succeed in helping every couple that hopes to conceive, in reality, this cannot be guaranteed. In our practice, we work with the couple to explore the causes of infertility and to outline all possible treatment options. The success rate may vary from centre to centre, since they are influenced not only by the level of expertise of the medical and embryology team but also by the characteristics of the patients treated. Patients’ medical history, cause of infertility, uterine factor, systemic factor and many other conditions affect the outcome of IVF cycle. When you enroll for treatment Morpheus IVF provides the expertise, experience, latest techniques and trained staff to ensure the best possible treatment outcomes for all patient groups.

I want to come to india for IVF treatment. How long would the treatment take?

We start with preparing the couple for IVF. This can be advised by email depending on your history and facilities available in your country. Investigation of the couple which includes blood tests(infectious screening ,hormones), Sonography, and general tests to rule out any health problems. Some patients may require Diagnostic or operative Laproscopy/ Hysteroscopy Lifestyle modification(weight reduction, stop smoking, and stop alcohol or drug usage.) Post this stage we recommend you visit our center for a detailed consultation where the treatment options will be discussed.

Steps involved in actual treatment :

  • Down Regulation (suppression of natural hormones)
  • Stimulation using hormonal injections to grow eggs.
  • Monitoring of the growth eggs (Scans & Blood tests).
  • Oocyte retrieval (egg collection)
  • Embryo formation & transfer.

Timeframe:

  • The preparatory steps and down regulation are variable and take from 1month to 3 months. Some of these can be done in your country, if feasible.
  • From stimulation to embryo transfer will be approximately 2 weeks for which you will have to visit the center.
  • The blood test for pregnancy will be done after 2 weeks from embryo transfer, which is preferably done at our center.
  • So there will be an initial visit and then a stay of minimum 2 weeks during the cycle.
Is it possible to predict the success of the fertility treatment?

The success rate of IVF depends on many factors like Age of the female partner, hormonal profile, clinical diagnosis etc. In case of an IVF treatment we need to evaluate both the husband and the wife as regards their own fertility potential. Based on these tests and clinical history we can estimate the prognosis of that particular case. Success rates in IVF/ICSI self cycle pregnancies all over the world are in the range of 30-40% in the age group of 25-35 yrs (women). Usually ART using donor eggs/ embryos/ sperms yield better results.

What are the treatment options for couple where husband’s semen analysis shows very low counts or no sperms?

Surgical Sperm Retrieval is offered to couple with Azoospermia (no sperm in the semen).

IUI is offered to couple having one or more of the following medical conditions:

PESA (Percutaneous Epididymal Sperm Aspiration) is done in case of blocked ducts leading to azoospermia. Here, under local anesthesia, a needle is inserted in the duct and the sperms aspirated.

TESE (Testicular Sperm Extraction) is done in case of non-obstructive Azoospermia. Under local/short general anesthesia, sperms are obtained by biopsy from testes directly.

TESA (Testicular Sperm Aspiration) is done in case of non-obstructive Azoospermia. Under local/short general anesthesia, sperms are obtained from the testes by relatively less invasive procedure.

MESA (Microsurgical Epididymal Sperm Aspiration): refers to the process of microscopic surgery used to retrieve the sperms from the ducts that convey them from the testicles. This is attempted in case there’s an obstruction to the duct (obstructive Azoospermia).

TESE or MESA is a technique developed for patients with no sperm cells in their sperm due to an undeveloped or obstructed spermatic cord. The cause of obstruction can be a former sterilisation or an infection of the epididymis.

The sperms thus retrieved are used for ICSI. IMSI is useful in couples where the morphology of sperms is bad in selecting the best sperm.

When the testicles make no sperm cells at all, of course these are not possible. Sperm donor program is advised to a couple where husband’s semen has no sperm. For the couples opting for donor sperms, we procure semen sample from certified sperm banks. Donor IUI or IVF/ICSI is offered as per indication. The confidentiality and anonymity of the sperm donor as well as recipient couple are strictly maintained.

Which is the best possible treatment for me to conceive?

A correct diagnosis accomplished by investigations and consultation with a Fertility Specialist can help you determine the correct treatment options. At Morpheus, the team of doctors and counselors to the couple about all the treatment options available to help them make an informed decision.

How frequently do we need to have intercourse in order to conceive?

Around the middle of the cycle is the time of ovulation which is release of a mature egg from the ovary. Usually the fertile period is one week before and after the probable date of ovulation. Unprotected intercourse on alternate days during this period gives better a chance of pregnancy.

My husband and i do not have any health problems, my periods are fairly regular and we have a good sex life. But I haven’t been able to conceive, what could possibly be wrong?

It is recommended that you consult your Gynaecologist at the earliest, who will try to find out the cause of infertility by advising some investigations to you and your husband. These tests will tell if your husband’s sperm count is normal, if your fallopian tubes and uterus are normal, and if you are producing good sufficient eggs. It is only after undergoing these tests will your doctor be able to diagnose the cause of infertility. Based on the diagnosis, Doctor will recommend the best possible solution.

Can the uterine or tubal defects be corrected?

Anatomical abnormalities of uterus and damaged Fallopian tubes can be corrected by Advanced Reproductive Surgeries. Advanced reproductive surgery involves meticulous surgical technique for optimal results. Reproductive Surgeons treat tubal obstruction, endometriosis, uterine fibroids, scarring of the ovaries or other pelvic structures. Abnormalities that lead to infertility can be treated surgically by removing scar tissue, laser, coagulate, or excising endometriosis, and repairing tubes blocked at the Fimbrial end. Many types of minor female reproductive surgery can be performed laparoscopically through a very tiny incision.

What is polycystic ovary syndrome or PCOS?

Polycystic ovary syndrome (PCOS) is a common hormonal disorder among women of reproductive age. The name of the condition comes from the appearance of the ovaries in majority—containing numerous small cysts located along the outer edge of each ovary (polycystic appearance).

Infrequent or prolonged menstrual periods, excess hair growth, acne and obesity can all occur in women with polycystic ovary syndrome. In adolescents, infrequent or absent menstruation may signal the condition. In women past adolescence, difficulty becoming pregnant or unexplained weight gain may be the first sign.

The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment may reduce the risk of long-term complications, such as type 2 diabetes and heart disease.

What is endometriosis? How does endometriosis affect fertility?

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus (endometrial implant). Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region. In endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal tissue that binds organs together. This can give rise to infertility or subfertility.

How do the fallopian tubes get damaged?

This is mostly due to sexually transmitted diseases (for example Chlamydia or gonorrhoea) or complicated appendicitis, Tuberculosis or Pelvic Inflammatory Disease (PID) can also cause damaged tubes. Other causes are multiple miscarriage, abdominal operations (gynaecological operations, caesarean section, sterilisation or other) and diseases like Crohn’s disease. Affected patients can have fertility problems and are at risk for having a pregnancy located in the tubes (ectopic or tubal pregnancy).

Do painful periods or longer interval (5-6 week) between periods cause infertility?

Painful periods do not affect fertility. In fact, for most patients, regular painful periods usually signal ovulatory cycles. However, progressively worsening pain during periods (especially when this is accompanied by pain during intercourse) may mean you have endometriosis which in turn may affect your fertility. As long as the periods are regular, this means ovulation is occurring. Some normal women have menstrual cycle lengths of as long as 40 days. Of course, since they have fewer cycles every year, the number of times they are “fertile” in a year is decreased. Also, they need to monitor their fertile period more closely, since this is delayed (as compared to women with a 30 day cycle).

Is it always that the female who is responsible for the infertility?

No. The incidence of infertility in men and women is almost equal. Infertility is due to problem in female in approximately 30%of the cases and problem in male in approximately 30% of the cases. Problems common to both partners are diagnosed in 15-30% of infertile couples. In spite of thorough medical investigations, the causes of the fertility problem remain unexplained in up to 5-10% of infertile couples.

What are the conditions leading to infertility?

Infertility is due to female problem in 30% of the cases and male problem in 30% of the cases. Problems common to both partners are diagnosed in 15-30% of infertile couples. Unexplained infertility is when cause of infertility is not found and is seen in 10-15 % of couples.

 Female factors are: Ovulatory disorders Damaged fallopian tubes Endometriosis Tuberculosis Uterine abnormality Endocrine abnormality like Hyperprolactinemia.
How common is infertility across the world?

Global estimates of infertility range between 8-12% of couples with women of child bearing age, affecting between 50 – 80 million people.

What is infertility?

World Health Organization (WHO) definition of infertility is failure to conceive following twelve months of unprotected intercourse in absence of any known pathology.

Is endometriosis cancer?

No. Endometriosis cysts are sometimes referred to as “beningn tumours”, because they may “behave similarly” to cancer, but endometriosis is not the same disease. In very rare cases, endometriotic implants has lead to cancer, but this is very very rare. Some research suggests that some women with endometriosis may be at a slightly higher risk of developing certain cancers but this is still controversial.

Will pregnancy cure endometriosis?

No. Some women find that their pain symptoms are reduced during pregnancy, but this is not the case for everyone. In most cases, endometriosis will return after giving birth and stopping breast feeding.

Will a hysterectomy cure endometriosis?

Some women chose, as a last resort, to have a hysterectomy. However, this does not guarantee complete pain relief. If you opt for a hysterectomy it is important that all the endometriosis is removed at the same time.

Will I be able to have children?

It is estimated that 30-40% of women with endometriosis may have difficulties in becoming pregnant. This, however, means that 60-70% will have no problems. If fertility is a great wish, then please discuss your symptoms with your physician so that together you can develop the best treatment plan for you.

Is endometriosis inherited?

The cause of endometriosis is not yet known, but research does show that first-degree relatives of women with this disease have a seven-fold risk of developing endometriosis.

Is endometriosis a sexually transmitted disease or infectious?

No. Endometriosis cannot be transferred from one human being to another. The cause of endometriosis is not yet known, but it is not an infectious disease.

Where do I find someone who specialises in endometriosis?

Most national or local support groups will be able to advise you where to find specialist help. Also read our article on how to find a centre which specialises in treating endometriosis and the questions you need to ask your physician before you decide on the right specialist and the right treatment for you.

Is there a cure for endometriosis?

No. But it can be treated, and for many women it is possible to manage their symptoms through a combination of long term treatments.

How is endometriosis diagnosed?

The only way to diagnose endometriosis for sure is during a laparoscopy, which is a small surgical procedure. However, many physicians are able to “diagnose” endometriosis based on a woman’s symptomas and start treatment on that basis.

What are the symptoms of endometriosis?

The most common symptom of endometriosis is pelvic pain. The pain is often with menstruation, during ovulation, and/or in connection with sexual intercourse. However a woman with endometriosis may also experience pain at other times during her monthly cycle. Another symptoms is infertility, and some women with endometriosis also experience severe fatigue.

Who gets endometriosis?

Endometriosis typically affects women during their menstruating years – also known as their “reproductive years”.  These are typically the years between the onset of menstruation until menopause.

It is estimated that 176 million women across the world has endometriosis – this is one in ten women during the reproductive years (10%).

What is endometriosis?

Endometriosis is a condition where tissue similar to the lining of the uterus is also found elsewhere in the body, mainly in the abdominal cavity.

What happens next?

No two women with fibroids are alike. The type of treatment will depend on the severity of the symptoms and the fibroid size, number and location. A woman’s preference and desire for future childbearing is also considered. There are many effective ways to treat fibroids. However, not all treatments are recommended for all women. For example, some fibroid treatments may not be proven safe for women desiring future childbearing.

When is fibroid treatment necessary?

Most fibroids, even large ones, do not produce symptoms. Unless a woman is experiencing symptoms, she usually doesn’t need to undergo a fibroid treatment. However, when fibroids cause symptoms, a woman should seek medical attention.

What happens to fibroids over time?

Some fibroids grow steadily during the reproductive years, while others stay the same size for many years. All fibroids should stop growing after menopause. Women with fibroids that enlarge after menopause should seek evaluation from their doctor.

Who is affected by fibroids?

Fibroids are very common. It is estimated that 20-50 percent of all women have these benign uterine growths. Fibroids are most likely to affect women in their 30s and 40s. For reasons we don’t yet understand, fibroids occur more frequently in African-American women. Many women with fibroids have other family members with fibroids too.

What causes fibroids?

Doctors and medical researchers do not know what causes fibroids to develop. However, evidence suggests that the female hormones, estrogen and progesterone, can make fibroids grow. During pregnancy, when the hormone levels are high, fibroids tend to increase in size. After menopause, when the hormone levels are low, fibroids stop growing and may become smaller.

What are the different types of fibroids?

Fibroids can grow in different parts of the uterus the pear-shaped organ located between the bladder and rectum. The uterine walls are composed of muscle, allowing it to expand enormously during pregnancy. Within the uterus is a central cavity in which the fetus develops.

Pedunculated fibroids are attached to the uterine wall by stalks. Subserosal fibroids extend outward from the uterine wall. Submucosal fibroids expand from the uterine wall into the uterine cavity. Intramural fibroids develop within the uterine wall. These different types of fibroids cause different symptoms. For example, submucosal fibroids typically cause heavy periods. In contrast, subserosal fibroids are more likely to push against the bladder, resulting 3in frequent urination.

What are fibroids?

Fibroids are round muscle growths that develop within a woman’s uterus, also known as the womb, which is a pear-shaped organ located between the bladder and rectum.

Fibroids are almost always benign, meaning that they are non-cancerous. Fibroids vary in size, ranging from as small as a pea to as large as a melon. They are also called leiomyomas or myomas.

Outcomes of Laparoscopy

The results of these procedures are usually good. This technology allows the surgeon to easily see and diagnose many problems. Recovery time is also shorter compared to open surgery.

Risks of Laparoscopy

Skin irritation and bladder infection are common side effects of this procedure.

More serious complications are rare. However, they include

  • damage to the abdominal blood vessel, bladder, bowel, uterus, and other pelvic structures
  • nerve damage
  • allergic reactions
  • blood clots
  • problems urinating

Conditions that increase your risk of complications include:

  • previous abdominal surgery
  • obesity
  • being very thin
  • extreme endometriosis
  • pelvic infection
  • chronic bowel disease

The gas used to fill the abdominal cavity can also cause complications, if it enters a blood vessel.

Pay close attention during the recovery period. Write down any complications and discuss them with your doctor.

Recovery After Laparoscopy

Once the procedure is over, nurses will monitor your vital signs. You will stay in recovery until the effects of anesthesia fade. You will not be released until you can urinate on your own. Difficulty urinating is a possible side effect of catheter use.

Recovery time varies. It depends on what procedure was performed. You may be free to go home a few hours after surgery. You might also have to stay in the hospital for one or more nights.

After surgery, your belly button might be tender. There may be bruises on your stomach. The gas inside you can make your chest, middle, and shoulders ache. There is a chance that you will feel nauseated for the rest of the day.

Before you go home, your doctor will give you instructions regarding medication and side effects. Your doctor may prescribe pain medication. You may also receive antibiotics to prevent infection.

Depending on the surgery, you may be told to rest for a few days or weeks. It may take a month or more to return to normal activities.

Serious complications of laparoscopy are rare. However, you should call your doctor if you experience:

  • serious abdominal pain
  • prolonged nausea and vomiting
  • fever of 101 degrees F or higher
  • pus or significant bleeding at your incision
  • pain during urination or bowel movements
Advances in Laparoscopy

Robotic surgery is sometimes used for gynecological laparoscopy. Robotic arms are steadier than human hands. They may also be better at fine manipulations.

Microlaparoscopy is a newer approach. It uses even smaller scopes. This procedure can be done with local anesthesia in your doctor’s office. You won’t be completely unconscious.

Procedure

Laparoscopy is almost always performed under general anesthesia. This means you will be unconscious for the procedure. However, you may still be able to go home the same day.

Once you are asleep, a small tube called a catheter will be inserted. This collects your urine. Then your abdomen will be filled with carbon dioxide gas. This is done with a small needle. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury.

The surgeon will make a small cut in your navel. The laparoscope will be inserted. It transmits images to a screen. This gives your doctor a clear view of your organs.

What happens next depends on the type of procedure. For diagnosis, your doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then surgery is performed using the laparoscope as a guide.

Once the procedure is over, all instruments are removed. Incisions are closed with stitches. Then you will be bandaged and sent to recovery.

Preparing for Gynecologic Laparoscopy

Preparation depends on the type of surgery. You may need imaging tests. Your doctor might order fasting or an enema.

Tell your doctor about any medication you take. This includes over-the-counter drugs and supplements. You may need to stop them before the procedure.

Plan to have someone drive you home after surgery. A friend can pick you up or you can schedule a car service. You will not be allowed to drive yourself.

Reasons for Gynecologic Laparoscopy

Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can turn into treatment.

Some reasons for diagnostic laparoscopy are:

  • unexplained pelvic pain
  • unexplained infertility
  • history of pelvic infection

Conditions that might be diagnosed include:

  • endometriosis
  • uterine fibroids
  • ovarian cysts or tumors
  • ectopic pregnancy
  • pelvic abscess (pus)
  • pelvic adhesions (painful scar tissue)
  • infertility
  • pelvic inflammatory disease
  • reproductive cancers

Some types of laparoscopic treatment include:

  • hysterectomy (removal of the uterus)
  • removal of the ovaries
  • removal of ovarian cysts
  • removal of fibroids
  • endometrial tissue ablation (endometriosis treatment)
  • adhesion removal
  • reversal of tubal ligation (contraceptive surgery)
  • burch procedure for incontinence
  • vault suspension to treat prolapse
Gynecologic Laparoscopy

Gynecologic laparoscopy is an alternative to open surgery. It uses a laparoscope to look inside your pelvic area. Open surgery often requires a large incision.

A laparoscope is a slender, lighted telescope. It allows a doctor to see inside your body. Diagnostic laparoscopy can determine whether you have conditions such as endometriosis or fibroids. It can also be a form of treatment. With miniaturized instruments, your doctor can perform a variety of surgeries. These include:

  • ovarian cyst removal
  • tubal ligation (surgical contraception)
  • hysterectomy

Laparoscopy generally has a shorter healing time than open surgery. It also leaves smaller scars. A gynecologist, general surgeon, or other specialist may perform this procedure.

Why is my doctor screening me for gestational diabetes?

Many doctors do routine tests for gestational diabetes for pregnant women who are older than 25-years-old, have a family history or ethnicity that is prone to the condition, are obese, have delivered a baby over 9-pounds in weight, or have had a previous instance of gestational diabetes with another pregnancy. The condition affects approximately 10-precent of all pregnancies and is caused by hormonal shifts that lead to glucose intolerance that can affect both mom and baby—just while pregnant.

Which types of fitness activities are safe for pregnant women?

You no longer have to swear off exercise during your pregnancy. There are ways to stay active, fit, and safe while you await the arrival of your little bundle of joy. Unless your doctor advises otherwise, gentle, low impact exercise—such as low gravity swimming, aqua aerobics, walking, jogging (if you did it before your pregnancy), yoga, Pilates, tai chi, and dance are all totally safe. Just steer clear of activities with jumping or shaking movements, or contact sports that pose fall, collision, or injury risks.

How can I prevent stretch marks?

Approximately 90-percent of pregnant women develop stretch marks as their body grows during pregnancy on the stomach, thighs, buttocks, and breasts. You don’t have to be in the majority! You can do your part to prevent stretch marks by drinking lots of water to keep skin hydrated, by massaging your skin daily with a moisturizer or oil that’s high in vitamin A and vitamin E (i.e., cocoa butter) to prevent stretch marks, and increase circulation and tissue repair; and by consuming a diet that’s rich in skin-supporting vitamins—E, C, A, and zinc.

What can I do to prevent this nasty heartburn?

Heartburn plagues most expecting women due to a growing uterus and progesterone, a hormone that relaxes muscles (including the stomach valve) to ready the body for pregnancy—both allowing acid into the esophagus. However, you can use certain tricks, such as eating smaller and more frequent meals, taking a walk after meals, keeping the head and chest elevated while you sleep, wearing loose clothing, sipping ginger root tea, and taking antacids to alleviate indigestion and gas.

How important is it to take prenatal vitamins?

Prenatal vitamins are vital in the wake of the increased demands of pregnancy. Growing a new person isn’t easy on your body, and you will require additional vitamins and minerals in your diet—like folic acid, calcium, and iron—for a healthy pregnancy and a healthy baby. Rather than just selecting a prenatal vitamin yourself, talk to your doctor or midwife about if you need a special formulation (i.e., in cases of anemia or nutritional deficiencies), and if a tablet, capsule, or liquid prenatal vitamin will work most efficiently.

What should I expect from my first prenatal checkup?

A lot will happen at your first prenatal visit and it’s best to be ready for a lengthy appointment that will include the following:

a)      A blood and urine test to confirm you are pregnant and estimate your due date

b)      A detailed medical history review

c)       A general physical health exam to examine weight, blood pressure, heart, lung, pelvic, and breast, health

d)      A blood test to check for things like anemia, existing STDs, and antibodies to rule out any genetic disorders (if it’s in your medical history)

e)      A pap smear and culture to check for vaginal infection and cervical cancer

f)       A urine test to check for infection, as well as measure sugar and protein levels

g)      A discussion about your nutrition and lifestyle, and to answer any questions you might have about your pregnancy

Is it safe to have sex when pregnant?

It is safe to have sex during pregnancy between 3 months & 7 months of pregnancy. but still you have to be careful when you have special condition like low lying placcula or placentra previa.

How do I calculate my baby’s due date?

Congratulations on your pregnancy! Now how do you know when you can expect your baby? The average pregnancy lasts 280 days from the last menstrual period, or more precisely, 266 days following your last ovulation cycle (or approximately 40 weeks). Remember this will be an estimate and not a definite certainty.

What are the earliest signs that I’m expecting?

Wondering if you’re pregnant? A pregnancy test is the way to know for sure. But what if it’s too soon for accurate results? You may notice some subtle signs of pregnancy—fatigue, nausea, frequent urination, aversions to foods that you normally love, morning sickness, breast swelling and tenderness, and a missed period if you are very regular with menstruation.

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