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First Trimester of Pregnancy: What to Expect

First Trimester of Pregnancy: What to Expect

First Trimester of Pregnancy: What to Expect

Pregnancy is one of the most beautiful and exciting moments in a woman’s life. The pregnancy is classified into three trimesters. The most difficult and yet more exciting is the first trimester.

Normally, after the fertilization the egg spends 3 -7 days traveling from fallopian tubes toward the uterus. Once the egg reaches the uterus it will float for several days until it gets implanted into the uterine wall.

 

1 to 3 Month Pregnancy Symptoms

During the first trimester many women are not aware that they are carrying a child. Once the pregnancy is confirmed, a lot of changes will occur in a short period of time, both for the mother and the zygote.

The main symptoms of pregnancy include: fatigue, mood changes, dizziness, morning sickness, breast tenderness, food cravings, etc. Nausea and vomiting will more than likely stop by the end of the first trimester, though rare, it may continue throughout pregnancy.

 

First Prenatal Appointment and Tests

Once the pregnancy is confirmed, the first prenatal appointment is very important. A total check –up as well as a deep medical history are necessary. Once a woman finds out that she is carrying a child, a full physical examination is routinely performed. Other tests which are performed include:

  • Blood type, Rh factor and antibody screening
  • Complete blood count
  • Rubella immunity
  • Screening for Hepatitis B
  • Screening for Syphilis
  • HIV testing, etc.

 

Physical Changes During the First Trimester

  • Vaginal bleeding – About 25% of pregnant women experience slight bleeding during their first trimester. Early in the pregnancy, light spotting may be a sign that the fertilized embryo has implanted in the uterus. However, if you have significant bleeding, cramping, or sharp pain in your abdomen, call your doctor. These could be signs of a miscarriage or ectopic pregnancy
  • Enlarged Breasts – result due to hormonal changes and high levels of progesterone and estrogen.
  • Breast tenderness – result from high levels of progesterone and estrogen. The nipples may darken 1-2 shades, white bumps may appear, an increase in blood flow to the area may also bring out blue lines in the breast, which are actually blood vessels.
  • Shortness of breath is usually caused by an expanding uterus or the hormone, progesterone.
  • Fatigue – results from the stress that an growing infant puts on a female body.
  • Irritability and mood swings – occur due to fatigue and surging hormones.
  • Morning sickness and nausea – are very common during pregnant women. These symptoms usually go away after the first trimester.
  • Frequent urination – occurs due to a rapid growth of the uterus, which puts pressure on internal organs, including the bladder.
  • Constipation – occurs often during pregnancy as the high levels of progesterone relax the smooth muscles, causing the intestines to slow down.
  • Discharge – thin and milky white discharge is normal during early pregnancy. If you notice any possible change in your vaginal discharge please consult your doctor.
  • Heartburn – it is normal to experience heartburn during pregnancy as the body produces more progesterone. It is known that progesterone relaxes the smooth muscles, including the muscles of the esophagus, which allows the acid to get back from the stomach to your esophagus. To avoid the heartburn, eat frequent, smaller meals throughout the day, don’t lie down right after eating, and avoid greasy, spicy, and acidic food. You can also try raising your pillows when you sleep.
  • Weight gain – during the first trimester it is normal to gain about 3-6 pounds. Be careful and don’t overdo it. You don’t need to eat for to. The most important thing is to eat healthy and various types of food in order to make sure your baby is getting all the nutrients he/she needs. Only 150 calories are needed extra during the first trimester of pregnancy. Get those calories the healthy way, by adding extra fruits and vegetables, milk, whole-grain bread, and lean meat to your diet.

 

The Truth About Uterine Adenomyosis

The Truth About Uterine Adenomyosis

The Truth About Uterine Adenomyosis

Uterine adenomyosis is a gynecological condition of the uterus that occurs when the innermost layer of the uterus or endometrium infiltrates the middle or muscular layer of the uterus. Normally, the walls of your uterus consist of three layers, the endometrium, myometrium, and perimetrium from inside out. While the myometrium is made up of muscles, the endometrium consists of specialized tissue that grows, sheds, and bleeds during the different phases of a woman’s menstrual cycle. Unfortunately, when the endometrium extends into the myometrium, it continues to undergo the same changes related to the menstrual cycle resulting in the symptoms of uterine adenomyosis.

Although, this disorder resembles endometriosis, they are both completely different from each other. Endometriosis involves the implantation of the endometrial tissue outside the uterus or on its outer surface. On the contrary, uterine adenomyosis is the infiltration of the endometrium into the uterine wall alone. However, about 10% women are likely to suffer from both of these diseases at the same time.

 

What Causes Adenomyosis?

The cause of  uterine adenomyosis isn’t clearly known. However, any trauma to the uterine wall that breaks the barrier between the endometrium and myometrium is likely to increase the risk of this disease. Some of the possible risk factors include C-section, history of uterine surgery, pregnancy, surgical termination of pregnancy, tubal ligation, or middle age. The reason behind an increased incidence of adenomyosis in middle age is a possible elevation in the blood estrogen levels.

 

Symptoms of Adenomyosis

Uterine adenomyosis may or may not cause any symptoms. However, since the infiltrating endometrial tissue continues to undergo changes related to the menstrual cycle certain symptoms like increased pain or bleeding are quite common. Here’s a list of the symptoms that may occur with this disease.

  • Severe pain that continues to increase during the menstrual period and around ovulation
  • Intense pressure in the uterus and vagina as the extra endometrial tissue tries to shed during the menses
  • A bearing down sensation
  • Heavy and/or prolonged bleeding
  • Blood clots along with menstrual bleeding
  • Pain during sexual intercourse

 

Treatment of Adenomyosis

Most women with uterine adenomyosis to tend find some relief after menopause. Hence, the treatment also depends on the woman’s age and her proximity to menopause. Those nearing their menopause are likely to receive pain medications to reduce the pain alone, as the rest of the symptoms may disappear after menopause without any medical intervention. Oral contraceptive pills containing both estrogen and progesterone are also helpful in reducing the bleeding and pain associated with uterine adenomyosis. Additionally, progestin-only intrauterine contraceptive devices and birth-control pills may also help with this disorder by stopping the menses completely. All said and done, women with severe pain and bleeding and who are young with a lot of time before they attain menopause may require surgical removal of the uterus or hysterectomy. However, surgery is generally the last step when none of the other treatments seem to work.

 

17 Modern Contraceptive Methods You Can Choose

17 Modern Contraceptive Methods You Can Choose

17 Modern Contraceptive Methods You Can Choose

All women and men can decide when and if they want to have children. Choosing the right contraceptive method is not easy. Keep in mind that even the most effective contraceptive methods can fail. There is no 100% protection. Today there are different kinds of contraceptive methods available.

  • Continuous abstinence – not having sexual intercourse at all
  • Natural family planning – consists on avoiding sexual intercourse on the days when the female is more fertile. Normally a woman who has regular menstrual cycles is more fertile about 5 days before and 3 days after ovulation, as well as the day of ovulation.

 

Barrier Contraceptive Methods

  • Contraceptive sponge – is a soft and disk-shaped device, made out of polyurethane foam but which also contains spermicide in order to kill the sperm. Before sexual intercourse the sponge should be wet and placed inside of the vagina in order to cover the cervix. The sponge is effective for 24 hours, so you and your partner can have more than once sexual intercourse. It needs to be left in for at least 6 hours after sexual intercourse, but needs to be removed within 30 hours after insertion.
  • Diaphragm – it is a shallow latex cup that blocks the sperm from entering the cervix. There are different sizes of diaphragms, so your doctor should find the right size for you. It should be left in place for 6 to 8 hours after sexual intercourse, but should be taken out within 24 hours.
  • Cervical cap – is a thimble-shaped latex cup. There are also different sizes of cervical caps, so your doctor should find the right size for you. It should be left in place for 6 to 8 hours after sexual intercourse, but should be taken out within 48 hours.
  • Cervical shield – is a silicone cup that has a one-way valve that creates suction and helps it fit against the cervix. It should be left in place for 6 to 8 hours after sexual intercourse, but should be taken out within 48 hours.
  • Female condom – is worn by the female inside of the vagina in order to keep the sperm from getting inside of the body. It is made of thin, flexible, manmade rubber and is packaged with a lubricant. It can be inserted up to 8 hours before having sex.
  • Male condoms – the most commonly used contraceptive methods. Is worn by the male during sexual intercourse in order to keep the sperm from entering the woman’s body. They are made of latex, polyurethane, or “natural/lambskin”. Condoms are either: lubricated or non-lubricated. Keep in mind that condoms can tear or break if you keep them in a hot place like a wallet.

 

Hormonal Contraceptive Methods

  • Oral contraceptive methods – there are two types of pills available, the pill that contains both estrogen and progesterone, or the pill that contains only progestin. Contraceptive pills are taken daily in order to keep the ovaries from releasing an egg.
  • The patch – can be worn in buttocks, outer arm, upper body or lower abdomen. It releases progestin and estrogen which will stop the ovaries from releasing an egg. The patch is put on for three weeks. The fourth week is the week of menstrual periods.
  • Shot – of progestin every 3 months, in order to stop the ovaries from releasing an egg.
  • Vaginal ring – is a thin, flexible ring that releases the hormones progestin and estrogen. It works by stopping the ovaries from releasing eggs, thickens the cervical mucus and prevents the egg from fertilization. The ring should be squeezed between the thumb and the index finger first, than it should be inserted inside of the vagina. The ring is worn for 3 weeks. Later it is removed in order to have a menstrual period. A new ring is inserted after the menstrual periods.

 

Implantable Devices

  • Implantable rod – it is a flexible, matchstick – size rod that is put under the skin in the upper arm. It releases progestin and is effective for up to 3 years.
  • Intrauterine devices (IUD) – is a T shaped device that is inserted inside of the uterus. There are two types: copper IUD and hormonal IUD. Protection is for more than 5 years.

Permanent Contraceptive Method

  • Sterilization implant – it is a non-surgical sterilization method for women. The scar tissue may take up to three months to form, so in the meantime it is very important to use another contraceptive method. The sterilization implant works by blocking the fallopian tubes.
  • Surgical sterilization – closes the fallopian tubes by cutting, tying or sealing them. This will stop the egg from traveling into the uterus.

Emergency Contraception

Emergency contraception – keeps a woman from not getting pregnant in cases when another contraceptive method has failed. It can be taken as a single dose or in two doses. It works by stopping the ovaries from releasing an egg or keeping the sperm from joining with the egg. For the best chances for it to work, take the pill as soon as possible after unprotected sex. It should be taken within 72 hours after having unprotected sex. It is often known as the morning after pill. Keep in mind that it should not be used as e regular birth control method.

 

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Disclaimer:

This website contains general information about medical conditions and treatments. The information is not medical advice.

If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider.