Even after hearing so many stories, I had worries, as any woman would. I had my first miscarriage with my first pregnancy (that I know of). I was concerned about being able to carry a child at all, but was very relieved when I became pregnant again just two months later. At that point I decided not to take any chances and got a doctors note which allowed me to move into a less physically demanding job for the term. I now have a beautiful six year old boy who is just starting kindergarten and a four year old in preschool.

After two successful pregnancies I became pregnant again when my younger son was a year old. It was an unexpected, but not unwanted, pregnancy. The doctors had always told me that if you get past the first trimester you were fairly safe from miscarrying. Knowing that I was past 20 weeks I was not concerned at all, until my ultrasound. I had brought my two boys in to see their new sibling on the monitor and the tech asked my husband to take them out of the room. The bottom fell out of my stomach. I was then told that the baby hadn’t actually developed past 6-8 weeks and that my body would soon realize this and miscarry. Knowing as I did how common miscarriages are you might think I would have an easier time dealing with this loss, after all I was an old hand at this and according to my husband hadn’t really wanted to have another child so soon anyway.

To this day I still think of that baby by name, which I had already chosen. I don’t feel that even after three years I have properly been allowed to grieve for my lost child. She may never have been real to my husband or the doctors, but she was real to me. My sister had a baby almost on the exact due date I had originally had for that pregnancy and it took me two years to get to a point where seeing her daughter didn’t make me want to cry. I had been a doting aunt to her two boys, but couldn’t even look at her daughter. I don’t think anyone has even noticed. Even my family assumes all is past and dealt with. It took me this long to realize how deeply the loss affected me. So much else that was truly horrible and needed to be dealt with happened immediately following the miscarriage that I spent all my emotional energy on dealing with the break up of my marriage, the loss of my home and the death of a beloved dog that I had had for 15 years. Now that those traumas are fading from my mind I realize that this one does not fade. Not yet and maybe never. I am giving myself that permission to grieve and figuratively burry my lost child. There is no way to know for sure, but I truly feel that this was my little girl. I still regret not asking the doctor to see her before they took her away. I have never truly believed that there would not have been a recognizable baby. The delivery was more difficult than either of my other two in so many ways, emotionally and physically.

It is true that every woman is at risk for a miscarriage and I truly do believe that most women who have had children have probably also had a miscarriage, whether they know it or not. But not every miscarriage is the same. No person, mother or father deals with the loss in the same way. The worries of losing a first pregnancy are not the same as dealing with the loss of what will be a last pregnancy. A first trimester loss is not the same emotionally or physically as a later loss. If you are in the middle of dealing with this kind of loss, I truly hope that this story will help you realize that you have permission to grieve. Whether that means having a ceremony and laying your child to rest, or keeping quietly to yourself and giving yourself permission to cry and to worry, please realize that it is your loss, your grief, and even if it is a common experience it is not an easy one.

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First, you need to know if you are at risk. Your doctor will most likely let you know, but here are some basic guidelines for your personal use. At risk pregnancies include the very young (under 17 years of age) and older (over 35) women, women carrying multiple babies, women with a history of preterm births, women who suffer from cervical or uterine variations (such as a divided uterus), and African American women.

Your lifestyle can also cause you to go into labor prematurely. If you don’t see a doctor or receive prenatal care during your pregnancy, you are more likely to have your baby early. Also, women who are under a lot of stress, have little or no social support and are in an abusive relationship are at risk for preterm labor. Anyone who abuses drugs, drinks alcohol or smokes during the pregnancy is also at a higher risk than those who quit these habits.

One of the first steps to avoiding premature labor is to quit any of the bad habits listed above. Stopping smoking or using drugs can drastically reduce your chances of having a premature baby. It’s healthier for both you and your unborn child, as well. Also, if you are in an abusive relationship, it might be time to get out.

For women who have jobs that require them to be on their feet most of the time, such as waitresses, bartenders, etc. this can also raise your risk level. It’s a good idea to talk to your boss about being able to sit if at all possible, or you may need to reduce your hours. Talk to your doctor about this.

Taking good care of yourself during the pregnancy is perhaps the best way to avoid having your baby early. Eat well and get enough rest. You should also be taking prenatal vitamins to ensure that your baby doesn’t sap all of the vitamins and minerals out of your body, which can cause deficiencies and early labor. Good prenatal care is vital to catch any problems that might occur, before they result in anything serious . . . like premature labor. If you can’t afford to see a doctor, there are free prenatal clinics all over the country that can help.

If you suspect that you are starting preterm labor, it is important that you go to the hospital immediately. They will be able to administer drugs to stop the contractions and halt the process if possible. The signs of preterm labor include contractions that are less than 10 minutes apart, with or without pain, menstrual-like cramps, a sensation of pressure in the vagina (the baby dropping), and possibly a flow of pinkish or brownish liquid from the vagina. This last one could mean that your water has broken, in which case, you need to get to the emergency room ASAP as the baby will be born soon and needs the special care of experts.

Should the preterm labor be preventable, it is quite possible that you will be required to stay in bed until your baby is physically ready to be born. For some women, this means several months of bed rest. You might be tempted to ignore the doctor’s orders, especially if you are feeling fine, but this is a mistake that could cost your child his life. You may also be given medications to prevent early contractions.

In many cases, premature labor is preventable if you know ahead of time that you are at risk. Your doctor or midwife is the best person to advise you in this situation and you should be sure that you follow their advice, even if you get bored of being in bed all day! Premature labor is very dangerous to your baby and should be avoided at all costs.

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2. Being Assertive With Your Obstetrician
3. Nipple Stimulation to Induce Pregnancy is a Waste of Time

Clomid affects the estrogen receptors in the hypophysis cerebri and ovaries. Taking Clomid provides binding the estrogen receptors to the hypophysis cerebri. While you on Clomid, follicle-stimulating hormone and luteinizing hormone are developing and affecting the estrogens in the pituitary gland. However, Clomid is proved not to affect the estrogen level in blood.

Clomid is an effective antagonist inhibiting the estrogen receptors. Clomid helps the estrogen receptors in the pituitary gland to be bound selectively, and decreases the inhibition of the pituitary gland and hypothalamus, providing faster restoration of their functions.

Clomid is recommended to be taken strictly under the doctor.s prescription. Clomid is typically indicated as one 50mg pill once a day at bedtime, starting on the fifth day of the menstrual cycle, during five days. Each dose should be taken with a full glass of water after a meal. If the drug effect is not revealed, the doctor may increase a dosage up to 150mg.

Take care when driving, operating machinery, or involving into any unsafe activities. During treatment, in rare cases, Clomid may cause visual side-effects such as temporal blurred vision or other.

Self-treatment with Clomid is not allowed, first consult the doctor, especially if you suspect pregnancy, have thyroid or another endocrine disorder, uterine fibroids, liver disease, or experience unusual vaginal discharges or bleeding.

For additional and detailed information about Clomid, refer to your pharmacist.

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During your regular doctor’s check-up it is best to ask as many questions as you want. Don’t hold back. That is what your healthcare provider is there for and being paid for. Don’t be afraid to speak up and don’t worry if you feel that you are taking up too much time. It is always best to be well informed. You surely will feel better going home with your questions and concerns addressed. Most clinics also have phone nurses for any additional queries that come up once you are home.

If, after a few visits to your provider, you do not feel comfortable or he or she may seem distracted or forceful during your visit, SWAP DOCTORS! Trust me. They will not be offended in any way. After all, you are the most important person there. You do not want to dread your next visit or risk a miserable delivery. Labor is one of the most important days of your life, and having the confidence that the OB will honor your wishes should the birthing plan suddenly change. Your doctor may not agree with your wishes or listen to your opinion. If you are not okay with this, don’t be afraid to speak up or find someone who will listen to you. You deserve the respect.

During active labor you have the right to change your birth plan and demand medication (although if you are too far into labor you will be denied). Your labor and the delivery of your baby is a once in a lifetime experience and you shouldn’t have to associate negativity with it. If your wishes are denied, demand someone else immediately. You may get another partner in the practice or a doctor on duty, but they may be more inclined to treat you adequately.

Postpartum is every bit as important as the pregnancy itself – if not more so – because now your body is attempting to repair the ravages of childbirth, whether it was a C-section or a vaginal delivery. It is vital that you keep a close eye on your body for any negative symptoms that are listed on the hospital or birthing center discharge paperwork. For example, if your C-section incision site becomes red and painful, contact your doctor. If he or she says tells you this symptom is normal but you don’t feel it is, get it checked out immediately. I, personally, was told this and ended up with multiple C-section infections because I did not speak up. It is imperative that you follow your instinct. If you feel that your worries are not being adequately addressed, speak to someone about it. Don’t take the risk of getting sicker.

Some doctors are not as in tune with postpartum depression as others. It is not something to be ashamed of; it is a serious condition that will affect your recovery as well as your bonding time with your baby. If your doctor dismisses it, bring it to his or her attention. If you are given medication that makes it worse, tell your doctor and they will be able to help. They should be familiar with postpartum depression and should understand how important this is. If not, they can refer you to someone who can help.

Hopefully all will go well for you and your baby. It is up to you to help to make it possible. Make yourself comfortable with your healthcare and lifestyle. This is the best and most important time of your life.

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Because polycystic ovary syndrome is the result of a hormone imbalance, typical symptoms are irregular periods, hirsutism (unusual hair growth on face or other parts of body), chronic acne, weight gain, and patches of dark skin on the neck or other areas. Having these symptoms does not necessarily mean that you have polycystic ovary syndrome, so check with your doctor to be sure.

The exact cause of polycystic ovary syndrome is unknown. The disease affects hormone cycles, so scientists believe that the problem lies somewhere in the chain of events that leads to the production of estrogen and progesterone, the female sex hormones. Normally, the pituitary gland in the brain produces certain hormones that cause the ovaries to make estrogen and progesterone (and also a small amount of the male sex hormone, testosterone). It is an imbalance in this production cycle that leads to polycystic ovary syndrome. Women who have polycystic ovary syndrome often have a mother or sister with the syndrome, but there is no proof so far that the disease is hereditary.

Since there is no cure for polycystic ovary syndrome, treatment is generally geared towards alleviating and minimizing the symptoms. If a woman does not want to become pregnant, birth control pills might be prescribed in order to regulate abnormal menstrual cycles. If a woman does want to become pregnant, fertility medications may be prescribed. Also, anti-androgens (to treat any symptoms caused by extra male hormones) may clear up acne and minimize abnormal hair growth.

Polycystic ovary syndrome can lead to an increased risk of developing life-threatening health problems such as diabetes, heart attacks, high blood pressure, and unhealthy cholesterol levels. Doctors may recommend lifestyle changes (dieting, exercise, etc.) in order to lower the chance of developing these serious problems. Also, women may suffer emotional effects due to embarrassment about acne and hirsutism.

If you believe you might be exhibiting symptoms of polycystic ovary syndrome, consult your doctor immediately. If you have already been diagnosed with the disease, there are support groups that can help with psychological issues, as well as groups aimed at increasing public awareness. Although polycystic ovary syndrome is a serious medical condition, early diagnosis and proper medical care will help those who suffer from this disease to live normal, healthy lives.

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What is cystitis?

Cystitis is an inflammation of the bladder (the sac that stores urine) and is the most common type of urinary tract infection.  It usually occurs when bacteria that normally live in the bowel travel up the short tube (urethra) that connects the bladder to the outside. Once inside the bladder, these bacteria quickly grow.

Cystitis is common in women of all ages. Around 30-50 per cent of women will have cystitis at some time in their lives. A woman is most likely to get cystitis when sexually active, while pregnant and after menopause. The infection cannot be passed to others during sex. Women get cystitis more often than men because women have a shorter urethra. The urethral, vaginal and anal openings are also very close, making it easy for bacteria to be spread from one to the other.

What are the symptoms?

• Stinging or burning when you pass urine.
• Passing only small amounts of urine.
• An urge to pass urine more often.
• Feeling that the bladder is still full after passing urine.
• Smelly, cloudy, dark or bloody urine.
• Pain low down in the abdomen.
• Feeling unwell with nausea and fever.

Treatment

• A urine sample is necessary to test for infection.
• Antibiotics are used to treat the infection. You should take the full course even if you feel better, as some bacteria maystill be active.

• Alkalinisers (such as Citralite, Citravescent or Ural) can help improve symptoms (such as stinging during urination) and can be purchased at a pharmacy and some supermarkets.

Please check with your doctor or pharmacist if these can be taken with any other medications you may be taking. Another option is to take one teaspoon of baking soda in a glass of water (250ml) three times a day.

Home care

• Ensure you completely empty your bladder fully each time you urinate.
• Get plenty of rest.
• Take mild painkillers, such as paracetamol, for the pain (if necessary).
• Place a warm pack, such as a wheat bag or hot water bottle wrapped in a towel, on your abdomen or back to help relieve pain.

What to expect

While cystitis can be very uncomfortable, it is easy to treat with antibiotics. They act quickly and symptoms often improve within two days.

If symptoms persist, see your local doctor. Cystitis can become serious if left untreated, and may lead to kidney infection and sometimes kidney failure.

Can cystitis happen again?

Women who have had one infection are likely to develop another. This is more likely in sexually active women.

Recurrent cystitis should be treated early, so see your local doctor if your urinary symptoms return. This is especially important if you are pregnant, as an untreated infection may affect the growth of your baby.

If your cystitis keeps coming back, you may need further tests and a referral to a urologist (a doctor who specializes in urinary problems) for further treatment. Some people need to take antibiotics every day to prevent repeat infections.

Prevention

There are some simple measures you can take to prevent further attacks.

• Drink plenty of water.
• Pass urine often, empty your bladder completely and do not ‘hold on’.
• Wipe yourself from front to back (urethra to anus) after going to the toilet.
• Use a lubricant during sex. If you are able to, try to avoid using spermicides and diaphragms. You can discuss other forms of contraception with your doctor.
• Pass urine after sex.
• Wear cotton underwear and avoid synthetic or tight-fitting clothing such as jeans or pantyhose.
• Avoid using soap or perfumed products on your genitals.
• Cranberry juice/capsules help prevent infections if taken daily (they stop bacteria sticking to the walls of the bladder).

Tell your doctor if you are taking cranberry supplements as they may interfere with some antibiotics.

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1. Understanding Varicose Veins: Basics, Symptoms, Treatment, & Prevention
2. Urinary Tract Infection: How to Prevent Recurring Attacks
3. Polycystic Ovary Syndrome. Symptoms, Treatment, Causes.