Recurrent Pregnancy Loss, PCOS Endometriosis

Recurrent pregnancy loss

RPL is classically defined as the occurrence of three or more consecutive losses of clinically recognized pregnancies prior to the 20th week of gestation. These patients require a through investigation before they go in for another pregnancy. Recurrent losses can be because of uterine anomalies, immunological factors like antiphospholipid syndrome, endocrinal factors and genetic defects. All the above need to be investigated and analysed. Specialized early pregnancy care is required which we give our patients to ensure a safe pregnancy.

PCOS endometriosis

Polycystic Ovary Syndrome clinic focuses on the total health care needs of the patient with PCOS.

Frequent symptoms of PCOS include:

• Irregular or absent menstrual cycles (“oligo-ovulation” or “anovulation”)
• Increased dark hair growth on the face, chest or abdomen (“hirsutism”) or male-patterned baldness
• Acne
• Excessive weight gain, or difficulty losing weight
• Infertility

PCOS affects between 1 in 10 women of reproductive age and has a negative impact on a woman’s effort to become pregnant. Women with PCOS are more likely to be overweight and are at an increased risk of metabolic health complications such as high cholesterol, heart disease and diabetes. Adolescent girls with PCOS are more likely to have future problems with infertility, excessive hair growth, acne, obesity, diabetes, heart disease, high blood pressure, abnormal bleeding from the uterus, and cancer. It is crucial to diagnose the condition early, because getting treatment for PCOS reduces a girl’s chances of having serious side effects.

Includes the following services:

• Treatment of Infertility
• Diagnosis of polycystic ovary syndrome
• Regulation of menstrual cycles
• Management of long term metabolic problems like high blood sugar
• Management of body hair
• Individualized nutrition plans and support

Endometriosis Clinic

Endometriosis is a disorder of the female reproductive system in which endometrial tissue (the normal lining of the uterus) is found outside the uterine cavity. This disease is prevalent in women 30-40 years of age, though it can begin in the late teens and early twenties. About 40% of patients with endometriosis will experience some degree of infertility. The primary cause of infertility resulting from endometriosis appears to be a blockage caused by scarring and adhesions in the tubes. These adhesions can prevent the egg and sperm from meeting or prevent the fertilized egg from moving down the tube normally (resulting in an ectopic pregnancy).

Women with endometriosis often, but not always, have one or more of the following symptoms:
• dysmenorrhea (painful cramps during menstruation)
• dyspareunia (painful intercourse)
• dysfunctional uterine bleeding, including heavy periods or unusual spotting
• In about 30% of women, there are no symptoms except infertility

We Diagnose of endometriosis by a laparoscopy, during which the abdominal cavity, the ovaries, and other structures can be seen.
For a woman who wishes to attempt pregnancy, treatment is:
• Opening the tubes and removing any adhesions that may affect conception, fertilization, and movement of fertilized eggs down the fallopian tubes
• If not possible IVF is needed
• Keeping the disease process in check by decreasing hormonal stimulation to these implants so that they do not grow and slough off, resulting in more damage to surrounding tissues.