how abortion procedures are done

Abortion Procedures – Medical & Surgical

No matter where you stand on the issue of abortion, it’s important to be aware of all the facts. This article will provide a detailed description of the abortion procedures – from start to finish. 

 

It’s essential that both sides have an understanding of what actually happens during an abortion, in order to make informed decisions about this complex and personal topic.

So here are details on how abortion is done.

 

 

How Medical Abortion Is Done?

 

  1. The first step in having a medical abortion is to take the mifepristone pill.

  2. 24 to 48 hours after taking the mifepristone, you will take the misoprostol pill.

  3. You will then wait for the abortion to happen. This can take up to four hours, but it is often over sooner than that.

  4. You will likely experience cramping and bleeding during and after the abortion.

  5. If you have any concerns or questions, contact your doctor or a women’s health clinic.

 

Complications Of Medical Abortion

 

There are a few potential complications that can arise from medical abortion. These include:

 

  • Heavy Bleeding

 

Heavy bleeding can occur after a medical abortion. This may include soaking through more than one pad in an hour, passing clots larger than a lemon, or feeling dizzy or lightheaded. 

 

  • Incomplete Abortion

Incomplete abortion is another potential complication that can occur after a medical abortion. This occurs when some of the pregnancy tissue remains in the uterus. Some common difficulties that may arise are pelvic pain, heavy bleeding, fever, or vomiting.

 

  • Severe Cramping

Severe cramping can also occur after a medical abortion. This may include pain that is worse than menstrual cramps, pain in your back or side, and nausea or vomiting.

 

  • Uterine Perforation

Uterine perforation is a very rare but serious complication that can occur after a medical abortion. This occurs when the abortion instrument punctures the uterus. Common issues that may arise are severe abdominal pain, pain during urination, fever, or vomiting.

 

  • Embolism

Embolism is a very rare but serious complication that can occur after a medical abortion. This occurs when the abortion instrument punctures the uterus and causes pieces of the pregnancy to be sent to other parts of the body. 

Common complications include severe abdominal pain, pain during urination, fever, or vomiting.

 

  • Allergic Reaction To The Medication 

If you experience any of the following symptoms after taking the medication for a medical abortion, call your doctor right away.

 

 

How Surgical Abortion Is Done?

 

  1. The abortion procedure will be done in a clinic or hospital setting.

  2. Prior the abortion procedure, you will likely have an ultrasound to ensure the fetus is in the correct stage of development for the abortion method that will be used.

  3. You will be given an opportunity to ask questions and discuss your options with the medical staff before the procedure begins.

  4. You will be asked to sign a consent form prior to the procedure.

  5. You will be asked to remove any jewelry or other objects that might interfere with the procedure.

  6. You will be given a gown to wear during the procedure.

  7. You may be given medication to help you relax or make you sleepy before the procedure begins.

  8. you will be asked to lie down on a table and elevate your feet.

  9. A local anesthetic will be injected into your cervix to numb it before the abortion begins.

  10. The abortion provider will use a speculum to open your vagina and view your cervix.

  11. The abortion provider will then use a small tube called a cannula to suction out the contents of your uterus.

  12. After the abortion is complete, you may experience cramping and bleeding.

 

Complications Of Surgical Abortion

 

Here are the complications that you may face after surgical abortion.

 

  • Hemorrhage 

Hemorrhage is a rare but serious complication of abortion. It can occur during or after the procedure, and can be life-threatening. If you experience any signs of hemorrhage, such as heavy bleeding, dizziness, or fainting, seek medical attention immediately.

 

  • Infection

Infection is a common complication of surgical abortion. It can occur during or after the procedure, and can cause a range of symptoms, such as fever, pain, and discharge. 

 

  • Injury to the Uterus 

Injury to the uterus is a rare but serious complication of abortion. It can occur during or after the procedure, and can cause a range of symptoms, such as pain, bleeding, and infection.

  • Injury to the Cervix

Injury to the cervix is also a rare but serious complication of abortion. It can cause a range of symptoms, such as pain, bleeding, and infection. You can consult your practitioner in this situation.

 

I hope this guide has helped you enough to know all about the abortion procedure. If you are seeking further information about abortion services don’t forget to call our experts.


Category: Abortion
medical vs surgical abortion

Medical vs. surgical abortion: Which is better for you?

The topic of abortion has been debated for centuries, with people on both sides of the argument having strong feelings. 

Pro-choice advocates argue that women have a right to choose what happens to their own bodies, while pro-life advocates argue that life begins at conception and that unborn babies should be protected. 

So, what is abortion?

Abortion is the process of termination of a pregnancy of a woman by removing the fetus or embryo from her uterus before its survival. This can be done through medical or surgical procedures. Abortion is legal in most countries, but there are restrictions depending on the country.

This guide will explore the different aspects of abortion, the benefits, and risks involved in both procedures, and which option is safer than the other.

 

 

What Is Medical Abortion?

 

This procedure is done by inducing medication in the vagina. It can be done in the first 10 weeks of pregnancy. 

The medications used for medical abortion are mifepristone and misoprostol. Mifepristone halts the hormone progesterone, which is required for the pregnancy to continue. 

 

What Is Surgical Abortion?

 

Surgical abortion as the name suggests is a medical procedure to abort your pregnancy. You can opt for this in the first, second, or third trimester of your pregnancy.

A surgical abortion involves using medical instruments to remove the fetus and other tissue from the uterus.

For those who are pregnant between 8 to 24 weeks, for them surgical abortion can be performed in two ways.

 

1. Vacuum Aspiration 

 

The vacuum aspiration abortion procedure uses gentle suction to remove the pregnancy from the uterus. The suction is created by a handheld instrument called a cannula. 

 

The cannula is inserted into the uterus through the vagina. The pregnancy is then removed by sucking it out with the cannula.

 

2. Mid-trimester Termination of Pregnancy (MTPT) 

Mid-trimester termination of pregnancy (MTPT) is a type of surgical abortion that is performed in the third trimester of pregnancy. 

It is done when there are concerns about the health or well-being of the mother or the fetus. MTPT involves using medical instruments to remove the fetus and other tissue from the uterus.

 

 

Medical vs. Surgical Abortion

 

Advantages of Medical Abortion

 

  • This procedure may be more affordable as well as comfortable than surgical abortion.
  • Medical abortion do not require general anesthesia and it is more private.
  • This may cause less pain and bleeding than surgical abortion.
  • It is not a long process. You don’t have to go to a clinic or hospital and you don’t have to take time off work. 

 

Risks of Medical Abortion

 

Like any medical procedure, medical abortion has risks. These include:

  • Infection is a common complication after medical abortion. Signs of infection include fever, chills, nausea, vomiting, diarrhea, and pain.
  • You may have spotting or bleeding for up to four weeks after the procedure. If you experience heavy bleeding (more than a pad per hour), call your practitioner.
  • Some women experience damage to the uterus after a medical abortion. This can include scarring, perforation, or infection. If you experience any of these symptoms, call your doctor straight.
  • Death is a very rare complication after medical abortion. But in many instances abortion can cause death as well.

 

Advantages of Surgical Abortion

Surgical abortion is a more invasive procedure than medical abortion, but it has several advantages:

 

  • It is more likely to be successful in terminating a pregnancy.
  • It can be done later in pregnancy than a medical abortion.
  • No medication is required.
  • The procedure can be performed in a hospital or clinic setting.
  • It is generally more comfortable than a medical abortion.

 

Risks of Surgical Abortion

 

Surgical abortion is a more invasive procedure than medical abortion, but it has several advantages:

 

  • It is more likely to be successful in terminating a pregnancy.
  • It can be done later in pregnancy than a medical abortion.
  • When you abort a baby with surgical abortion you don’t need to take any medication.
  • The procedure can be performed in a hospital or clinic setting ensuring your confidentiality and security.
  • It is thought to be more comfortable than a medical abortion. 

 

 Is Medical Abortion Safer Than Surgery?

 

If you are wondering – is abortion pill safer than surgery, there is no definitive answer to this question. Some people feel that medical abortion is safer than surgery, while others feel that surgery is safer. Ultimately, the safest option for you will depend on your individual circumstances.

 

Final Verdict

Though medical and surgical abortions have their respective advantages and risks, in the end, the choice between the two is a personal one. Some women may feel more comfortable with a medical abortion while others may prefer surgery.

 

It is important to weigh all of the pros and cons of each type of abortion before deciding on which is right for you.


Category: Abortion
abortion clinic

Choosing an Abortion Clinic: How to Find a Safe Provider

The decision to end a pregnancy is not one that is made easily. For many women, it is the most difficult decision they will ever make.

Making sure you have all the information you need before making your choice is critical. You need to know your options, and you need to be confident that the clinic you choose will provide safe quality care.

There are many chargeable as well as free abortion clinics out there, and not all of them are created equal.

So how do you find a safe & free abortion clinic in Los Angeles

Here are some tips:

Make Sure The Clinic You’re Considering Is Legitimate

One of the most important things to look for when choosing an abortion clinic near you is legitimacy. Make sure the clinic you’re considering is licensed and accredited by a reputable organization.

You should also look for clinics that have been in business for a long time. Clinic staff should be experienced and qualified. The clinic should also have a good reputation in the community.

You should also ask about the clinic’s safety record.

Ask Them For Information About The Procedure

When you call or go to a clinic, be prepared to ask questions about the procedure. What kind of abortion is available to me? What are the risks and side effects associated with this type of abortion? 

 

How will I feel after the procedure? What kind of follow-up care is offered? You should also be prepared to receive honest, accurate answers to your questions. 

 

If you don’t feel like the clinic staff is listening to you or answering your questions fully, it may be best to look for another provider.

Do a Little More Research Into a Clinic’s Reputation

The internet is a great place to start when researching a clinic’s reputation. Look for reviews from past patients, and see if the clinic has a website or social media page even if the clinic provides a free guide or free pills to have an abortion. 

 

Read through as many reviews as you can, and try to get a sense of the clinic’s overall reputation. If you have any friends or family members who have had an abortion, ask them for their recommendations. 

 

They may have gone to a clinic that they were happy with, or they may have had a negative experience that you should avoid.

Contact Your Local Chapter Of The National Abortion Federation (NAF). 

If you are unsure of where to find an abortion clinic, or which clinic is right for you, contact your local chapter of the National Abortion Federation (NAF). The NAF can help connect you with a clinic that is right for your needs and provide you with information about the procedure.

NAF is a nonprofit organization that supports safe and legal abortion. They can provide you with a list of accredited abortion clinics in your area, as well as information about what to look for when choosing a clinic.

Look For a Clinic That Prioritizes Your Privacy

When looking for an abortion clinic, it is important to find one that prioritizes your privacy. Make sure the clinic you choose does not share your personal information with anyone without your consent. 

 

You should also feel comfortable discussing your decision with the staff at the clinic. They should be respectful and understanding, and they should never pressure you into making a decision.

How Does The Right Abortion Clinic Help You?

  • They understand your needs and provide you with the care you need.
  • The right abortion clinic has knowledgeable and experienced staff who can answer all your questions and help you through the process.
  • The right abortion clinic respects your privacy and keeps your information confidential.
  • The right abortion clinic offers a variety of services, including early abortions, late abortions, and medication abortions.
  • The right abortion clinic is affordable and accepts insurance plans.
  • The right abortion clinic is conveniently located near you and in many instances, they provide a free consultation.

Final Verdict

When it comes to making a difficult decision about abortion, you need all the help you can get. This is why choosing the right clinic is so important. 

 

Not only do they provide quality services and support, but they also offer a wide range of resources that can help you make the best decision for yourself and your family. It is important to do your research before choosing a free abortion clinic. Contact us for more information about abortion, you can call us at 213-372-0538 or email at hersmartchoice@elitehour.com.

 

We hope this article has helped you better understand what to look for when choosing an abortion clinic and how they can help you through this tough time.

 

Good luck


You Got A STD?!? – Now What?

You Got A STD?!? – Now What?

The diagnosis of a STD(s) or sexually transmitted diseases can be devastating for most men and women. It may raise several questions in their minds. At the same time, it can also increase concerns about how they can overcome the infection. 

The mixed bag of emotions, as well as the health issues that have been diagnosed, need to be managed carefully in order to avoid worsening the condition. Men and women who are suffering from a STD(s) are advised to follow the guidelines given below in order to manage their health in a safe and effective manner and overcome the emotional turmoil caused due to the same.

You Got A STD

Doctor, patient and urine test cup. Physician giving pee container to a woman in clinic or hospital emergency room. Urinary sample for medical exam in hospital. Checkup for infection.

What are STDs?

When the doctor informs the patients that he or she suffers from a STD, there is a need to understand what it exactly means. Sometimes a diagnosis of a STD is made by patients themselves, based on the specific symptoms they develop. In either case, it is important to understand what a STD(s) means and the different forms of these conditions so that patients can seek appropriate treatment. 

A proper understanding of sexually transmitted diseases, how they spread, the various routes of transmission of these infections and the available treatment modalities can help patients recover faster.

A STD(s) or sexually transmitted diseases refer to the infective conditions that are most often, though not exclusively, transmitted through sexual intercourse. The common sexually transmitted infections include HIV, syphilis, genital herpes, chlamydia, genital warts, and gonorrhea. Hepatitis, and trichomoniasis are also common infectious disorders transmitted through sexual intercourse. 

Earlier, STDs were referred to as venereal diseases. What makes STDs a serious concern is they are some of the most common contagious diseases. Also, some forms of STDs tend to produce recurring symptoms while some forms are difficult to cure completely. 

It is estimated that more than 65 million people in America suffer from incurable STDs. More than 20 million new cases of STDs are reported every year of which nearly 50% are young people between the ages of 15 and 24 years. 

Since STDs are known to have long-term emotional and physical consequences, it is important to be aware of the best ways to manage these conditions. Regular treatment coupled with the adoption of safe sex practices can help men and women avoid future sexually transmitted infections. 

Hence, the knowledge of how to avoid STDs forms the crux of the management of these infections. Patients who are diagnosed with a STD should find out why or how they might have contracted the infection and how they can avoid such infections in the future. This forms the first step that they should follow after the diagnosis of a STD. 

How do sexually transmitted diseases spread?

STDs spread from one person to another through vaginal, anal, and oral sex. STDs such as trichomoniasis may also spread through contact with moist or damp objects such as wet clothing, towels, and toilet seats, though it is more commonly transmitted via sexual contact. 

Men and women are at a high risk of STDs if they:

  • Have multiple sex partner.
  • Have sexual intimacy with someone who has had multiple partners.
  • Practice unprotected sex or do not use condoms during intercourse.
  • Share needles while injecting intravenous drugs.
  • Have used contaminated needles. 
  • Had a transfusion of infected blood. 
  • Trade sex for drugs and money. 

These risk factors make it clear that STDs can also get transmitted through routes other than sexual intercourse. Hence, it is advisable for men and women to avoid blaming themselves or their partner when they are diagnosed with these conditions. 

It should be noted that blaming the partner when the infection has actually been contracted due to the use of an infected needle during the administration of injection or blood transfusion may only strain their relations. 

Men and women should rather focus on avoiding the factors that may increase their risk of repeated STD in the future. 

It should also be noted that the pathogens that cause STDs can reside in the blood, semen, vaginal secretions, and even saliva of the infected person. Hence, care should be taken to avoid vaginal, anal, as well as oral sex with a partner known to have a  STD. Some STDs such as hepatitis B can spread through skin contact and the sharing of personal items like toothbrushes and razors. 

Men and women diagnosed with STD should make an effort to educate themselves about the possible modes of transmission of the infection so that the spread of the pathogen to others can be prevented. 

Treatment of STDs 

The diagnosis of any STD must be followed by the proper treatment of the specific condition. It is advisable to seek advice of a healthcare practitioner for the management of a STD. The doctor would not just prescribe appropriate medications for treating the infection, but also provide advice regarding the best ways to avoid the spread of the disease. Depending on the infection, the patient will be advised the following treatments for the STD:

  • Antibiotics: Antibiotics administered in a single dose are usually prescribed for patients diagnosed with STDs of bacterial and parasitic origin. Antibiotics are effective for the management of STDs such as gonorrhea, chlamydia, syphilis, and trichomoniasis. 

 

Antibiotics act in a variety of ways to control the infection. They may kill the bacteria directly or create an environment that makes their survival difficult. 

 

In most cases, chlamydia and gonorrhea are treated at the same time as these two infections tend to appear together. 

 

Different antibiotics may be prescribed to patients in varying dosages and durations based on the specific infection and the age of the patients

 

Once the antibiotic treatment is started, the entire course of the medication must be completed as recommended. If patients feel they would not be able to take the medication as prescribed or complete its entire course, they should inform the physician so that she/he can prescribe a shorter and simpler course.

 

Additionally, patients should abstain from sex during treatment and for seven to ten days after they have completed the course of antibiotics as well as until the sores have healed completely. Experts suggest retesting after about three months to rule out the presence of reinfection.

 

  • Antiviral drugs: treatment of STDs caused due to viruses are treated using antiviral drugs. For example; patients diagnosed with herpes or HIV are advised to use antiviral drugs. 

 

A daily suppressive therapy using an antiviral drug can help patients have a lower risk of recurrence of herpes. However, it is still possible for the patients to transmit the infection to their partner during sexual intercourse. Hence, the physician may also advise the partner of the infected patient to undergo antiviral therapy. 

 

While there are no medications to cure AIDS (Acquired immunodeficiency syndrome) caused due to HIV (Human immunodeficiency Virus) infection completely, patients may be prescribed antiviral drugs to keep the infection in check for several years. 

 

Regular treatment of patients diagnosed with HIV/AIDS using antiviral drugs can help to control the multiplication of the virus thereby slowing down the progress of the infection. However, patients may still carry the virus and transmit the infection to the partner. Hence, couples need to follow appropriate precautionary measures to prevent the spread of the infection. 

 

Patients are advised to seek treatment for HIV and other STDs at the earliest once the diagnosis is made. The sooner they start the treatment, the more effective the results will be.. 

 

Taking an antiviral medication exactly as recommended would help to heal the sores, relieve the symptoms, and reduce the viral count thereby reducing the risk of serious complications.

 

Partner notification and preventive treatment

Patients suffering from a STD are required to inform their sexual partners about the diagnosis as they are likely to spread the infection during sexual intercourse.

They should inform their current sexual partners as well as other partners they have had intimate sexual contact with over the past one year. The symptoms of most STDs do not become evident for a period ranging from a few weeks to months. Hence, even if the current or past partners seem to be in good health and do not have any evident symptoms, they must be informed about the diagnosis so that they can get tested. In case, the tests show positive results, the partners should also seek appropriate treatment for the infection. 

Guidelines of partner notification 

All states have different guidelines related to the disclosure of the diagnosis of STDs. Most states require certain STDs to be reported to the concerned health departments. Public health departments usually employ expert disease intervention specialists who can provide help for notifying the partners.

Official yet confidential notification to the partner can help to limit the spread of sexually transmitted diseases, particularly syphilis and HIV. This practice can also steer the high-risk patients toward counseling and early diagnosis and treatment. 

Patients who have had a STD once are more likely to contract the same or another infection again in the future. Hence, partner notification is essential to reduce the incidence of reinfection. Patients diagnosed with STDs should follow these guidelines so that they can protect the health of others while also avoiding reinfection in the future. 

Here are some more recommendations that patients should follow when diagnosed with STDs

Recommendations for patients diagnosed with a STD

Pregnancy and Breastfeeding

Pregnant women diagnosed with STDs should contact a physician to learn more about the risk of transmitting the infection to the baby. Certain types of STDs such as HIV, gonorrhea, hepatitis B, chlamydia, and genital herpes are known to spread to the fetus or infant during pregnancy and labor. 

STDs in pregnant women may also increase the risk of complications such as premature labor and infection in the uterus. Some STDs like syphilis may cross the placental barrier and infect the fetus. 

Women should also be aware of the risk of transmission of the infection to the baby during breastfeeding. Women who have HIV should refrain from breastfeeding to prevent the spread of infection to the baby. 

STDs like trichomoniasis require women to wait until the course of the antibiotic is over before they can start breastfeeding the baby. Women diagnosed with syphilis or herpes can breastfeed provided they do not have active sores on any part of the breasts. 

How to reduce the spread of STDs?

Men and women should learn effective ways to reduce the spread of STDs in the future. Here are some precautionary measures recommended to  reduce the spread of STDs:

  • Avoiding any form of sexual contact 
  • The use of barrier methods of contraception such as condoms during vaginal, oral, or anal sex.  
  • Avoiding multiple sexual partners
  • Discussing each other’s sexual history before intimate contact with a new partner
  • Avoiding the use of contaminated needles
  • Receiving vaccination for hepatitis B and HPV 

Counseling

It can be common for men and women to experience emotional challenges when they are diagnosed with a sexually transmitted disease. In most cases, the emotional upheaval is associated with a feeling of guilt, shame, and even helplessness. Questions may also be raised about the source of the infection and the trust issues in the relationship especially when the infection is contracted through the partner. 

Hence, patients are advised to undergo individual and family counseling to prevent mental stress, strained relations, and more serious complications such as depression. 

Conclusion

Taking proper treatment can help to relieve the symptoms of STDs and ensure a faster recovery of patients. At the same time, individual and family counseling also forms an integral part of the management of sexually transmitted diseases. 

Adequate precautionary measures must be taken to prevent the recurrence of the same or of other sexually transmitted infections. Comprehensive management of STDs keeping in mind the physical and emotional symptoms can help patients and their partners to stay healthy while enjoying safe sex.

 

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Category: Gonorrhea, STD, SyphilisPost Date: February 4, 2020

The Change Before “The Change”; Hot Flashes, Infertility, Happening Earlier Than You’d Expect?

The Change Before “The Change” Hot Flashes, Infertility, Happening Earlier Than You’d Expect?

Hot flashes and night sweats! I was kind of prepared for it. I knew that somewhere around my 50’s, I would start getting these symptoms or maybe a few years earlier. I also knew there would be mood swings; I would be more irritable or angry and so on. 

But, I had reassured myself again and again that it was going to be just a natural phase of menopause that I couldn’t avoid. However, though most of the things I knew about menopause were correct, there was a small misconception I had and that was about the age! 

I was under the impression all these symptoms wouldn’t start when I got closer to 45. So, when I was around 40, I was relaxed thinking I have a few more years to go before I need to face menopause.

But, during that age itself, I started getting those annoying symptoms. I used to feel a sudden surge of heat in my body. I used to get all sweaty even when the weather was pleasant. My moods had become unpredictable. 

I started to wonder if it could be due to menopause. But I was still menstruating regularly. So, it didn’t make sense because menopause is actually a phase when the woman stops getting her periods.

So, why was I suffering from all these symptoms? It was very important for me to know that. I also wanted to find out how I could get relief because those hot flashes, mood swings, and sweating had started affecting my life in a huge way. 

Since I wanted to get a clear idea of whether these symptoms had anything to do with menopause, I decided the best person to approach for advice was a gynecologist. When I met my gynecologist, she told me I was suffering from a phase called perimenopause. I came to know many facts about perimenopause from her which I want to share with you today.

What is Perimenopause?

“Most women think ‘this can’t happen to me as I am still menstruating,'” said my gynecologist.  

However, the symptoms most women brush aside thinking they are not linked to menopause are actually due to a phase that occurs before menopause. And this phase is called perimenopause. 

It is the time when the production of estrogen in the ovaries begins to reduce gradually.

Perimenopausal symptoms usually last up until menopause when the ovaries stop producing or releasing eggs. In the initial 1 or 2 years of perimenopause, the decline in estrogen levels speeds up.

“Perimenopause is a transitional time that can occur around the age of 35. Women may begin feeling symptoms like hot flashes, mood swings, and increase sweating”, said Corio, a gynecologist in New York. 

However, not all women experience the same set of symptoms due to perimenopause. Some women are able to sail through this phase without much discomfort while others develop severe symptoms that interfere with their routine life significantly. 

 

The Change Before “The Change” Hot Flashes, Infertility, Happening Earlier Than You'd Expect

The Change Before “The Change” Hot Flashes, Infertility, Happening Earlier Than You’d Expect

What are the common symptoms of Perimenopause?

The symptoms of perimenopause are quite similar to those of menopause. The only striking difference is perimenopause occurs before menopause. The symptoms may include:

  • Hot flashes
  • Reduced fertility 
  • Irregular periods
  • Fatigue
  • Vaginal dryness
  • Mood swings
  • Decreased libido
  • Heart palpitations

These are the common symptoms of perimenopause. In rare cases, women may develop tenderness in the breasts along with pain or discomfort in the vagina during sex that could be linked to vaginal dryness. 

They may also experience involuntary leakage of urine, especially while coughing or sneezing along with urinary urgency or a frequent, urgent need to pass urine. 

Difficult in getting sound sleep is also one of the symptoms of perimenopause that can affect the daytime productivity of women and worsen their mood swings and irritability. The loss of sleep can also lead to low energy levels and fatigue. 

However, I still didn’t understand what menopause, perimenopause or anything related to women’s reproductive functions could affect my body temperature or sweating. In fact, I always had this question in my mind. 

My gynecologist explained to me why I was experiencing these symptoms. She told me hot flashes involve a sudden sensation of a wave of warmth or heat through the body that is usually accompanied by sweating, rapid heartbeat, and redness or flushing of the skin. The hot flashes usually last for about 1 to 5 minutes and are followed by a cold chill.

It is estimated that nearly 75% of women experience hot flashes during perimenopause.

Experts have attributed this sign to the decline in the levels of estrogen that occurs as women move towards the menopausal phase. As estrogen levels decline, the hypothalamus, a part of the brain which regulates body temperature, perceives an increase in body temperature. So, to bring the temperature back to normal, the brain releases hormones that work by increasing the heart rate and inducing dilation of the blood vessels. 

This leads to a sudden surge of blood through the face and skin aimed at dissipating the heat across the body tissues. The increased blood flow is what is primarily responsible for the hot flashes most women experience every now and then during the perimenopausal and menopausal period. 

Similarly, the natural cooling method triggered by the body to reduce the temperature works by increasing sweating, which explains why I was getting sweaty in spite of the weather being so pleasant. 

I also wanted to know more about why women’s ability to conceive reduces with age and whether it was due to perimenopause. The doctor told me the decline in fertility is linked to both aging as well as perimenopause. 

The drop in estrogen production during perimenopause inhibits the production and release of eggs from the ovaries thus causing a failure to get pregnant. 

However, the gynecologist also told me that some women are able to conceive even during perimenopause, though the chances are extremely low. Even Corio had mentioned that all women need to know this. 

She told me, ”Your chances of getting pregnant reduces after the age of 24. I see it often, women are just 32-year-old and 35-year-old, and their eggs are not viable for conception. The egg quality is poor. They are already in perimenopause and they do not even know it.” 

Being aware of the fact that fertility can decline as age increases, especially when we enter perimenopause, can allow women to make appropriate decisions about pregnancy planning. 

The decline in estrogen levels can also cause vaginal atrophy causing dryness and thinning of the vaginal tissues. This leads to a feeling of tightness, pain, and soreness in the vagina during sex. This affects women’s sexual pleasure and reduces their libido.

How long does perimenopause last?

On average, the duration of perimenopause is about 4 years. However, in some women, this phase may last just for a few months, while in others, it may begin at an early age and continue for 8 to 10 years. Perimenopause can be said to have ended when the woman has not had her periods for 12 months.

How to differentiate perimenopause from normal menstrual irregularities?

I was getting my menses regularly. However, I had noticed there were some changes in the flow. My menstrual flow was heavier than ever and I was also passing clots. I wanted to know whether these changes were also due to perimenopause and the hormonal change occurring due to it.

The gynecologist told me that most women get irregular periods during this phase. However, some women may have normal and regular periods while some may experience regular periods though with a few changes in their regular pattern. 

She told me that the effect of perimenopause on your menstrual cycles depends on how the levels of two female sex hormones, estrogen, and progesterone, change during this period. During perimenopausal phase, women may develop menstrual irregularities such as:

  • Heavier flow
  • Passing of large blood clots
  • The periods last longer than usual
  • Spotting between periods
  • Spotting after sex
  • Periods come more frequently

Most of these abnormal changes in periods could be linked to the changes in estrogen production. At the same time, it can also be due to other causes such as the use of birth control pills, fibroids in the uterus, and blood clotting disorders. 

In some cases, the spotting could also occur as a result of pregnancy. Most women do not consider pregnancy to be the cause of spotting especially after they have had kids or passed a certain age when they do not think they can get pregnant. However, it is essential to rule out this possibility as well because the ovaries are still producing eggs during perimenopause and hence, it is possible for women to get pregnant and experience spotting due to it. 

In rare cases, increased bleeding, and frequent periods can also occur due to cervical, endometrial or uterine cancer. Hence, women are advised to contact a gynecologist when they experience a change in their menstrual cycles to find out if it is due to perimenopause or any other factor.  

Menopause vs. Perimenopause

So far, I had a misconception that women can develop hot flashes and mood swings only due to menopause. But now that I had learned that even perimenopause can cause similar symptoms, I was obviously interested in knowing what the difference between these two phases was. 

The doctor told me perimenopause is when you still get your periods whether regular or irregular. Hence, it is still considered your reproductive age. Menopause, on the other hand, marks the end of periods as well the women’s reproductive age. 

You may enter perimenopause or menopause at an earlier age if you:

  • Have a history of early menopause in your family 
  • Have had an oophorectomy or hysterectomy 
  • Are a smoker
  • Have undergone treatment for cancer 

What is the treatment for Perimenopause?

I was eager to know if there was a way to overcome the symptoms that I was being plagued with for many years. 

The gynecologist told me I could get temporary relief from hot flashes by using low-dose birth control pills. However, if the symptoms are severe, it is advisable to choose other options such as birth control skin patch, progesterone injections, and vaginal ring. 

She also recommended some lifestyle strategies to relieve the symptoms. Let me share them with you:

  • Exercise regularly
  • Get adequate sleep every day and try going to bed and waking up at the same time every day
  • Stop smoking
  • Limit alcohol intake
  • Maintain a healthy weight 

Narrative

The doctor’s advice gave me insight into what was happening to/with me, I had clarity. Now, I know why I was experiencing those symptoms that were supposed to occur in a few years from now. I was in perimenopause. 

The doctor asked me to do some tests including blood levels of hormones. Based on the reports, she advised me to use a birth control patch. I also followed the advice related to my lifestyle as suggested by her. 

The symptoms started subsiding slowly with the treatment. The doctor had also advised me to use calcium supplements as I had a higher risk of osteoporosis. My complete health check-up had revealed my bone mineral density was low. 

The comprehensive treatment offered by the gynecologist based on my specific symptoms and overall health helped me overcome this phase with ease. 

It’s been 2 years since I visited the gynecologist for the first time. I am taking treatment and doing tests regularly to check my hormonal levels. Within a few more years, I suppose, I would stop getting periods and enter menopause. However, I am confident, I wouldn’t have to face any difficulties during menopause as I am seeking regular advice from my gynecologist who recommends appropriate treatment based on my symptoms and hormonal levels. 

Conclusion

Perimenopause is a change in women’s life that occurs before the major change of menopause. Women may experience hot flashes, reduced fertility, and other symptoms during perimenopause due to the decline in the production of female sex hormones.  If you are suffering from such symptoms, it is best to contact a gynecologist so that you can receive timely treatment based on the correct diagnosis.

 

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menopause, infertility, hotflashes, moodchanges, hormones, estrogen, vaginaldryness, reducedfertility, Irregularperiods, Fatigue, Moodswings, Decreasedlibido, Heartpalpitations, yourbody, obgyn, gynecology, womenshealth, obstetrics, gynecologist, perimenopause


Category: Menopause, PerimenopausePost Date: January 31, 2020

How Do Women Feel After A Pregnancy Termination?

 

How Do Women Feel After A Pregnancy Termination?

Did you know most women DO NOT regret their decision to terminate a pregnancy and are no more likely to experience mental health problems than women who carry an unplanned pregnancy to term?

 

What if you’ve already made your decision, but you are still not sure about your emotional health after the procedure? And you wonder, what will you possibly feel after pregnancy termination?

  1. The most common emotional reactions after pregnancy termination are minimal or none as it’s a personal choice. 
  2. A small group of women may feel relief, transient guilt, sadness, and a sense of loss.
  3. There is no good evidence from large surveys that choosing to terminate an unwanted pregnancy places a woman at higher risk of subsequent depression than choosing to deliver an unwanted baby.
  4. The percentage of women who regret carrying and delivering an unwanted pregnancy is very high.

The type of abortion procedure you have depends on a few factors, including how far along you are in your pregnancy, your medical suitability, which procedures are available in your area, and your preferences. A health care provider can also discuss the options with you to help you make an informed decision.

 

To schedule an appointment, please Click Here

 

How Do Women Feel After A Pregnancy Termination?

 

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Category: Abortion, Abortion pillsPost Date: January 18, 2020

How To Differentiate A Normal Menstrual Cycle From An Abnormal One?

How To Differentiate A Normal Menstrual Cycle From An Abnormal One?

Her Smart Choice Women’s Health Center Educational Series Presents ‘How To Differentiate A Normal Menstrual Cycle From An Abnormal One?’

 

Preventive health visits should begin during adolescence to start a dialogue and establish an environment where a young patient can feel good about taking responsibility for her own reproductive health and feel confident that her concerns will be addressed in a confidential setting . 

 

Because menarche is such an important milestone in physical development, clinicians should educate adolescent girls and their parents or guardians about what to expect of a first menstrual period and the range for normal cycle length of subsequent menses.

 

Young girls and their parents or guardians frequently have difficulty assessing what constitutes normal menstrual cycles or patterns of bleeding. By age 15 (years old), 98% of females will have had menarche. Although menstrual cycles vary considerably during the first few years after menarche, the majority of cycles in adolescents last 21 to 45 days with two to seven days of menstrual bleeding. By the third postmenarchal year, 95 percent of cycles fall into this range. The average adult menstrual cycle lasts 28 to 35 days with four (4) to six (6) days of menstrual bleeding.

 

Adolescents with regular menses have cyclic estrogen secretion that permits orderly growth and shedding of the endometrium (estrogen-withdrawal bleeding), even in the absence of ovulation. 

 

In addition, the secretion of progesterone associated with the occasional ovulatory cycle in adolescents with regular menses helps to stabilize endometrial growth and permits more complete shedding.

 

 

Now let’s talk about Abnormal Uterine Bleeding. What is it and why does it happen?

A number of medical conditions can cause abnormal uterine bleeding, characterized by unpredictable timing and variable amount of flow. Although a long interval between cycles is common in adolescence due to anovulation, it is statistically uncommon for girls and adolescents to remain amenorrheic for more than 3 months (90 days).

 

Abnormal Uterine Bleeding (AUB) may be caused by ovulatory dysfunction and bleeding patterns can range from amenorrhea to irregular heavy menstrual bleeding.

 

The most common cause of AUB in adolescents during the initial one to two years of menstruation are anovulatory cycles (no ovulation), which are related to immaturity of the hypothalamic-pituitary-ovarian axis. 

How To Differentiate A Normal Menstrual Cycle From An Abnormal One?

Other common causes of AUB in adolescents include:

  • Pregnancy – pregnancy-related problems.
  • Bleeding disorders.
  • Polycystic ovary syndrome.
  • Thyroid dysfunction.
  • Hypothalamic dysfunction (eg, related to stress, exercise, underweight, acute weight loss, or obesity).
  • Hormonal or intrauterine contraception.
  • Infection. 

 

More than one cause may contribute or exacerbate AUB in a given adolescent.

 

  1. What is considered excessive menstrual bleeding? Excessive menstrual bleeding may be prolonged (greater than 7 days) or of increased volume (greater than 80 mL/cycle). Because neither patients nor clinicians can accurately estimate the volume of blood loss, excessive menstrual bleeding is often defined clinically (eg;  soaks a pad or tampon more than every two hours; interferes with activities (eg; wakes from sleep); and/or interferes with physical, emotional, social, and/or material quality of life). 
  2. What is the origin of bleeding? Excessive bleeding is typically from the uterus, whereas light bleeding, staining, or spotting may be from any site along the genital tract. Postcoital bleeding suggests bleeding from the cervix or other lower genital tract source. Bleeding that occurs solely with urination or defecation suggests a urinary or gastrointestinal source.
  3. What might it be associated with? Heavy menstrual bleeding, commonly associated with anovulation, also has been associated with the diagnosis of a coagulopathy (including von Willebrand’s disease, platelet function disorders, and/or other bleeding disorders) or other serious problems (including hepatic failure) and, rarely, malignancy.

 

To chart your menses may be beneficial, especially if your menstrual history is too vague or considered to be inaccurate.

 

For additional information, please visit www.HerSmartChoice.com. 

 

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Normal Menstrual Cycle From An Abnormal One? Normal Menstrual Cycle From An Abnormal One?

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Category: PeriodPost Date: January 9, 2020

What Should You Look For In An Abortion?

 

What Should You Look For In An Abortion?

 

We understand it is difficult to know that you are pregnant and not ready! If you have made your decision to terminate or thinking about terminating your pregnancy, here are a few major factors you want to consider:

  • Is it safe?
  • What methods are available?
  • Will I be able to have kids in the future?
  • How much pain or bleeding will I have?
  • Where can I get the procedure done?
  • What are my benefit and expected outcomes?
  • What does it cost?.
  • What is the difference between Medical and Surgical Abortion?

Many women have questions about what is true or not based on what they have heard about abortion:

  • MYTH 1: Abortion is dangerous

♀ FACT: Legal abortion is one of the safest medical procedures available today. While abortion does have some risks, on the whole, carrying a pregnancy and giving birth have been found to be riskier than having an abortion. It is important to know that abortion performed by someone who is not trained (for example, by a woman herself or someone who is not a health care provider) may not be safe and can lead to serious complications, including bleeding, infection, infertility, and even death.

 

  • MYTH 2: Abortion will make me infertile

♀ FACT: When an abortion is performed safely by someone who has the training, it does not lead to difficulty getting pregnant in the future.

 

  • MYTH 3: Abortion increases the risk of breast cancer.

♀ FACT: Several studies have conclusively shown that having an abortion does not increase the risk of developing breast cancer.

 

  • PROBABLE MYTH 4: Abortion increases my chance of miscarriage in the future

♀ FACT: A number of well-designed studies have found that early abortions do not increase the risk of miscarriage, preterm delivery, or other complications with future pregnancies.

Your health care provider is the best source of information for questions and concerns related to your medical problem. 

What Should I Look For In An Abortion?

What Should I Look For In An Abortion?

 

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For additional information, please visit hersmartchoice.com. 

 

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Category: Abortion, Abortion pillsPost Date: January 8, 2020

Why Do Women Get Periods Or Menstrual Cycles?

Why Do Women Get Periods or Menstrual Cycles?

Her Smart Choice Women’s Health Center Educational Series Presents ‘Why Do Women Get Periods Or Menstrual Cycles?’ 

 

Do you know when your last menstrual period began or how long it lasted? If not, it might be time to start paying attention. Periods or Menstrual Cycles

 

Tracking your menstrual cycles can help you understand what’s normal for you, time ovulation and identify important changes, such as a missed periods or unpredictable menstrual bleeding. 

 

The menstrual cycle is the monthly series of changes a woman’s body goes through in preparation for the possibility of pregnancy. Each month, one of the ovaries releases an egg, a process called ovulation. At the same time, hormonal changes prepare the uterus for pregnancy. 

 

 

If ovulation takes place and the egg isn’t fertilized, the lining of the uterus sheds through the vagina. This is a menstrual period.

 

The normal menstrual cycle is a tightly coordinated cycle of stimulatory and inhibitory effects that results in the release of a single mature oocyte from a pool of hundreds of thousands of primordial oocytes. Despite variations worldwide and within the U.S. population, median age at menarche has remained relatively stable, between 12 and 13 years, across well-nourished populations in developed countries. 

 

A variety of factors contribute to the regulation of this process, including hormones and paracrine and autocrine factors that are still being identified. 

 

The average adult menstrual cycle lasts 28 to 35 days, with approximately 14 to 21 days in the follicular phase and 14 days in the luteal phase.

Why Do Women Get Periods Or Menstrual Cycles?

Why Do Women Get Periods Or Menstrual Cycles?

 

There is relatively little cycle variability among women between the ages of 20 and 40 years. 

In comparison, there is significantly more cycle variability for the first five to seven years after menarche and for the last 10 years before cessation of menses.

Your menstrual cycle might be regular, about the same length every month,  or somewhat irregular, and your period might be light or heavy, painful or pain-free, long or short, and still be considered normal.

 

Within a broad range, “normal” is what’s normal for you. To find out what’s normal for you, start keeping a record of your menstrual cycle on a calendar or your smartphone.

 

To schedule an appointment, please Click Here.

For additional information, please visit www.HerSmartChoice.com. 

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#hersmartchoice #hscmc #period #menstrualcycle  #yourbody #obgyn #gynecology #womenshealth #obstetrics  #gynecologist #doctor #ovulation #trackyourperiod #hormones #menstrualbleeding #hormonalchanges #irregularperiods #menses #BodyCare #AuntFlow #LadyBusiness #timeofthemonth #ontherag #RedTide #RedRiver #RedSea #RedMoon #CodeRed #MonthlyVisitor #MotherNature #LadyTime #CrimsonWave #CrimsonTide #BloodyMary #TheBlob #Sharkweek #ineedsomeicecream #cramps #machzorchodesi #muchodolor #moodchanges #dolor


Category: Menstrual Cycle, PeriodPost Date: December 31, 2019

Which Type of Abortion is Right for You?

 

Which Type of Abortion is Right for You?

 

Her Smart Choice Women’s Health Center Educational Series Presents ‘Which Type Of Abortion Is Right For You?’ abortion 

 

Did you know 1 in 4 women in the US will have an abortion by the age of 45?

There are two different ways an abortion can be performed in an OB/GYN’s office.

  1. The first is a medical abortion – meaning the abortion or pregnancy termination is completed by taking pills orally.
  2. The second is a surgical abortion. It’s performed as a standard surgical procedure called a D&C (Dilatation and Curettage) at a clinic or hospital.

 

 

 

The type of procedure you choose depends on several factors, including:

  • How far along you are in your pregnancy?
  • Which procedures are available in your area? 
  • What are your personal preferences?

 

Options available may be different at different stages of pregnancy. 

You might choose a medication abortion if you are less than ten weeks and wish to avoid an invasive procedure and anesthesia and prefer the privacy of being at home when you pass the pregnancy.

 

Which Type Of Abortion Is Right For You? Abortion Pills or Surgical Abortion

Which Type Of Abortion Is Right For You?

 

The benefits of medical abortion are (abortion pills):

  • No instruments or suction will be used, so you will not be exposed to the chance of cervical injury and uterine perforation that rarely occur with surgical abortion.
  • There is a very small likelihood of infection after medical abortion.
  • You will be at home during the actual abortion process. 

If you are more than ten weeks pregnant, you might consider a surgical or aspirational abortion. This process takes place at a clinic or hospital under anesthesia. The abortion will be completed in one to two days. The time spent in the clinic is generally three to six hours.

The benefits of surgical abortion are:

  • It can be performed later in the pregnancy than a medical abortion.
  • It usually involves only one visit to the clinic.
  • There’s usually less bleeding and cramping than with a medical abortion.

 

To schedule an appointment, please Click Here

 

For additional information, please visit hersmartchoice.com. 

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Category: Abortion, Abortion pills, Surgical AbortionPost Date: December 28, 2019
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