Pregnancy,or the desire to become pregnant, often inspires women to take better care of them � quitting smoking,caffeine for example,or eating more nutritiously.But now many women face an increasingly common problem: obesity,which affects 36 percent of women of childbearing age.In addition to hindering conception,obesity � defined as a body mass index above 30 � is linked to a host of difficulties during pregnancy,labor and delivery.These range from gestational diabetes,hypertension and pre-eclampsia to miscarriage,premature birth,emergency cesarean delivery and stillbirth.

The infants of obese women are more likely to have congenital defects, and they are at greater risk of dying at or soon after birth.Babies who survive are more likely to develop hypertension and obesity as adults. To be sure, most babies born to overweight and obese women are healthy. Yet a recently published analysis of 38 studiesfound that even modest increases in a woman�s pre-pregnancy weight raised the risks of fetal death, stillbirth and infant death.

Many clinics and doctors� avoid taking obese patients for pregnancy because that may reduce their pregnancy success results. It is time for doctors to take a call and they must take more positive steps to treat obese women who are pregnant or want to become pregnant. Obesity is commonly viewed as a personal failing that can be prevented or reversed through motivation and willpower. But the facts suggest otherwise. Many obese women who manage to lose weight are usually highly motivated and use a commercial diet plan. But many obese females fail even though they are very anxious to get pregnant and have a healthy pregnancy. This is the new reality, and obstetricians have to be aware of that and know how to treat patients with weight issues.

Obese patients should not be viewed differently from other patient populations that require additional care or who have increased risks of adverse medical outcomes. Obese patients should be cared for in a nonjudgmental manner, and it is unethical for doctors to refuse care within the scope of their expertise solely because the patient is obese. Obstetricians should discuss the medical risks associated with obesity with their patients and avoid blaming the patient for her increased weight.
Any doctor who feels unable to provide effective care for an obese patient should seek a consultation or refer the woman to another fertility specialist.

Being obese during pregnancy can have a major impact on your health and your baby's health. Most women who are very overweight have a successful pregnancy but if you have a BMI over 30, extra problems for you may include:

Miscarriage and stillbirth
Gestational diabetes
High blood pressure and pre-eclampsia
Blood clots inside a blood vessel (thrombosis)
Infection (urine and post-caesarean wound infections)
Hemorrhage after the birth
Problems with breastfeeding
Having a baby with an abnormally high birth weight

You are also more likely to need:

Induction and instrumental (ventouse or forceps) delivery
Caesarean section

Obesity during pregnancy can increase the risk of complications for you and your baby. To ease your anxiety, work closely with your health care provider. He or she can help you avoid excessive weight gain, manage any medical conditions, and monitor your baby's growth and development.

Obese women who want to get pregnant must get a preconception checkup from there OB-GYN. This is a medical checkup you get before pregnancy.The doctor can help you with ways to eat healthy and exercise. This can help you lose weight before you get pregnant.

It is the dream of every women to become mother and enjoy parenthood. The Rupal Hospital for Women offer a one-stop diagnostic and treatment service for infertile couples.Our Obstetricians and Gynecologists specialists provide all necessary information and guidance to plus-size women to lose weight before pregnancy,limit weight gain during pregnancy,and lose baby weight quickly after pregnancy. Counseling is given to pregnant or would be pregnant females about appropriate caloric intake and exercise. The use of our cutting edge technology coupled with our personal commitment to our patients has resulted in excellent success rates and high levels of patient satisfaction.

You can contact today for any information and guidance on how to conceive with overweight or any plus size pregnant females can contact at Rupal Hospital for Women and Know today about your options for having a baby using IVF & assisted reproductive technology.You can contact our fertility and IVF specialist at http://www.rupalhospital.com or http://rupalhospital.wordpress.com

Premature ovarian failure, also known as primary ovarian insufficiency refers to a loss of normal function of the ovaries before the age of 40. The main function of the ovaries is to stores and release eggs. If the ovaries fail, they don't produce normal amounts of the hormone estrogen or release eggs regularly. Woman will be left with no or few eggs. Depending on the cause, premature ovarian failure may develop as early as in the teen years, or the problem may have been present from birth. Infertility is the output of this problem.

Premature ovarian failure is sometimes referred to as premature menopause, but two conditions aren't exactly the same. Women with premature ovarian failure may have irregular or occasional periods, infertility problems, and menopause-like symptoms. It is difficult, though not impossible, for women who have premature ovarian failure to become pregnant. Women with premature menopause stop having periods and can't become pregnant. Restoring estrogen levels in women with premature ovarian failure helps prevent some complications, such as osteoporosis, but infertility is harder to treat.

Causes of Premature Ovarian Failure (POF)

Although the exact cause of premature ovarian failure is unknown, a genetic factor or a problem with the body's immune system may play a role in some women. In an immune system disorder, the body may attack its own tissues the ovaries. Premature ovarian failure may develop after a hysterectomy or other pelvic surgery or from radiation or chemotherapy treatment for cancer. In some of these cases, the condition may be temporary, with the ovaries starting to work again some years later. With POF, some women still have occasional periods. They may even get pregnant. In most cases of POF, the cause is unknown.

The symptoms of premature ovarian failure are similar to those of menopause and are typical of estrogen deficiency. They include:

1) Irregular or skipped periods (amenorrhea), which may be present for years or may develop after a pregnancy or after stopping birth control pills
2) Hot flashes
3) Night sweats
4) Vaginal dryness
5) Irritability or difficulty concentrating
6) Decreased sexual desire
7) Trouble sleeping

Making the Diagnosis of Premature Ovarian Failure (POF)

The first step in making the diagnosis is a blood test to check whether or not the ovary is producing estrogen and whether the pituitary gland is producing the hormones FSH and LH that stimulate the ovarian follicles. If the pituitary hormones are elevated and the ovary is not producing estrogen, then the diagnosis of POF is made. A transvaginal ultrasound may also be done to evaluate the ovaries. In POF patients, the ovaries are usually small and there are few follicles seen.

Treatment options available for Premature Ovarian Failure (POF)

Treatment for premature ovarian failure will help to manage the symptoms. There is currently no treatment that will make the ovaries start to work properly again. Doctor may prescribe hormone therapy or other medicines to help with hot flashes. Hormone therapy can also help prevent early bone loss in women who have premature ovarian failure. Some women with premature ovarian failure may choose to try to become pregnant using donor eggs and in vitro fertilization. Estrogen therapy and Calcium and vitamin D supplements help prevent osteoporosis. None of these treatments have been proven to be effective in restoring fertility. However, 8% of women with POF who have conceived were using Hormone Replacement Therapy (HRT). Even though there is no absolute treatment, HRT has been one aid in helping women achieve pregnancy. Egg donation is, undoubtedly, the most successful treatment option for women with POF. With their own eggs, POF patients have a very low pregnancy chance. POF patient with egg donor program has high chance of achieving pregnancy.

Factors that increase the risk of developing premature ovarian failure include age where the risk of ovarian failure rises sharply between age 35 and age 40. Another is family history. Having a family history of premature ovarian failure increases your risk of developing this disorder.

Complications of premature ovarian failure include:

Infertility. Inability to get pregnant may be the most troubling complication of premature ovarian failure, although in rare cases, pregnancy is possible. There's no treatment proved to restore fertility in women with this condition. Some women and their partners choose to pursue a pregnancy through in vitro fertilization using donor eggs. The procedure involves removing eggs from a donor and fertilizing them with your partner's sperm in a lab. The fertilized egg (embryo) is then placed in your uterus. During this process, you take medication that balances your hormones to support a pregnancy. Once the pregnancy is established, you stop taking the medication and the pregnancy proceeds naturally to the delivery.

Osteoporosis . The hormone estrogen helps maintain strong bones. Women with low levels of estrogen have an increased risk of developing weak and brittle bones (osteoporosis), which are more likely to break than healthy bones.

Depression or anxiety. The risk of infertility and other complications arising from low estrogen levels may cause some women to become depressed or anxious.

At this time, there is no way to prevent premature ovarian failure. But you can take steps to protect your overall health. Women with premature ovarian failure have a higher risk of bone thinning and fractures (osteoporosis), diabetes, and heart disease. A balanced and low-fat diet, regular exercise, and not smoking can help protect your bones and heart. Getting enough calcium and vitamin D may help slow bone loss. Talk to your doctor about other steps you can take.

Fertility preservation, whether through ovarian tissue cryopreservation, egg freezing or embryo freezing, is the latest ART technology. It helps women with the option of attaining motherhood at the later stage in the life. It also helps cancer patients to become pregnant after the treatment. Fertility preservation may become a major part of proactive POF treatment in the future.

Learning that you have premature ovarian failure may be emotionally difficult. But with proper treatment and self-care, you can expect to lead a healthy life. Rupal Hospital for Women is a premiere leader in women's healthcare since 45 long years. We are committed to providing women with the highest quality and most advanced healthcare throughout all stages of their lives, from adolescence through menopause. The team of specialist doctors at Rupal hospital helps and guides women with the premature ovarian failure problems in treatment and having a baby using donor egg IVF & assisted reproductive technology.

We at Rupal Hospital educate and create awareness amongst the women about the nature of their disease and the current treatments available.

Start creating your family by Contacting today Rupal Hospital for Menopause clinic and Fertility treatment in Surat and for consultation with our highly skilled fertility specialist Doctors at http://www.rupalhospital.com or at http://www.rupalhospital.com/infertilitytreatmentformaleandfemale.html or http://rupalhospital.wordpress.com or you can contact us on +91-261-2599128 to schedule an appointment with us.

The trend towards later maternity is strongest among women with better educational qualifications, as they increasingly postpone child rearing to pursue their careers.
On the whole, babies are more likely to be planned and wanted by women in their thirties. There is evidence that older women express greater satisfaction and feel they are ready to have a child because they have been fulfilled in their lives before that time. The notion of sacrifice is more often talked about in younger mothers. Older mothers may want to spend more time with their children."

Most of the degenerative changes, pre menopausal problems and metabolic diseases, thyroid dysfunction, cancers of breast and genital organs and deteriorating vision start from mid thirties, let us say around 35 years only. For preventive and optimal healthcare, we have to start early from the mid thirties, while later comes curative and palliative stage. The most common problem faced by the females over age 35 is menopause. Lets learn what to expect and ways to stay strong and healthy in the years around menopause.

Menopause

Menopause is a natural process that occurs as a woman�s ovaries stop producing eggs and the production of female hormones (estrogen and progesterone) declines. Menopause can also occur if a woman�s ovaries are damaged by certain diseases or cancer treatments, or if they are surgically removed. Menopause usually happens gradually between the ages of 45 - 55. The average age that women reach menopause is 51 years although it can occur as early as age 40 to as late as the early 60s. Women now have a life expectancy of more than 80 years. Currently, women can expect to live some 30 or 40 years of their life in the postmenopausal state.

Menopause does not occur suddenly. A period called perimenopause usually begins a few years before the last menstrual cycle. There are two stages in the transition:

1) Early Stage. Pre menopause can begin in some women in their 30s, but most often it starts in women ages 40 - 44. It is marked by changes in menstrual flow and in the length of the cycle. There may be sudden surges in estrogen.

2) Late Stage. The late stages of pre menopause usually occur when a woman is in her late 40s or early 50s. In the late stages of the menopausal transition, women begin missing the periods until they finally stop. About 6 months before menopause, estrogen levels drop significantly. The fall in estrogen triggers the typical symptoms of vaginal dryness and hot flashes (which can last from half a year to more than 5 years after onset of menopause).

Menopause is considered to have occurred after a woman has gone a full 12 months without a period. Menopause marks the end of menstruation and a women�s fertility.
Menopause is not a disease. However, many conditions are associated with estrogen depletion, including heart disease, osteoporosis, and other complications. Fortunately, effective treatments are available for these conditions.

Many women experience some physical and emotional symptoms during menopause, caused by hormonal imbalance. Typically, a woman will begin to experience menopause symptoms around her mid-40's as her body's reproductive capability comes to the end. This prolonged stage of gradually falling and fluctuating hormone levels is called per menopause, which can last upwards of two years before a woman's final period. For most women, symptoms end at menopause; however, some women will experience symptoms into postmenopausal life. The first symptom is usually a change in the pattern of your monthly periods. The start of the menopause is known as the pre menopausal stage. During this time, you may have light or heavy periods.The frequency of your periods may also be affected. You may have a period every two-three weeks, or you may not have one for months at a time. Other prominent symptoms of the transition to menopause include:

1) Hot flashes and night sweats . Women often feel hot flashes as an intense build-up in body heat, followed by sweating and chills. Some women report accompanying anxiety as the sensation builds. In most cases, hot flashes last for 3 - 5 years, although they may linger in some women for years after menopause. Women who have surgical removal of both ovaries, and who do not receive hormone replacement therapy, may have more severe hot flashes than women who enter menopause naturally.

2) Heart pounding or racing can occur, with or without hot flashes.

3) Difficulty sleeping . Insomnia is common during perimenopause. It may be caused by the hot flashes, or it may be an independent symptom of hormonal changes.

4) Mood changes . Mood changes are most likely to be a combination of sleeplessness, hormonal swings, and psychological factors as a woman undergoes this intense passage in her life. Once a woman has reached a menopausal state, however, depression is no more common than before, and women with a history of premenstrual depression often have significant mood improvement.

5) Sexuality . Sexual responsiveness tends to decline in most women after menopause, although other aspects of sexual function, including interest, frequency, and vaginal dryness vary. It is useful to remember that most symptoms of menopause eventually go away.

6) Forgetfulness . This appears to be one of the few symptoms that are common across most cultural and ethnic groups.

7) Urinary symptoms. During the menopause, you are more likely to experience recurrent lower urinary tract infections, such as cystitis. You may also feel an urgent and frequent need to pass urine.

8) vaginal dryness and pain, itching or discomfort during sex.

9) Joint stiffness .

10) Skin, Hair and Other Tissue Changes. With the increase in the age, you will experience changes in your skin and hair. Loss of fatty tissue and collagen will make your skin drier and thinner and will affect the elasticity and lubrication of the skin near your vagina and urinary tract. Reduced estrogen production may contribute to hair loss or cause your hair to feel brittle and dry.

Women from different countries and states have different menopausal symptoms. Menopause is not a disease. However, many conditions are associated with estrogen depletion, including heart disease, osteoporosis, and other complications. Fortunately, effective treatments are available for these conditions. After the menopause it is common for the following complications to appear.

Cardiovascular disease - a drop in estrogen levels often goes hand-in-hand with an increased risk of cardiovascular disease. Women who experience early menopause are almost twice as likely as the general population to have a heart attack, stroke, or other cardiovascular disease later in life. In order to reduce the risk of developing cardiovascular disease a woman should quit smoking, try to keep her cholesterol, blood sugar, and blood pressure within normal, healthy levels, do plenty of regular exercise, sleep at least 7 hours each night, and eat a well-balanced healthy diet.

Osteoporosis - Bone density may be lost at a fast rate for the first few years after menopause because estrogen plays a role in building new bone. The risk of fractures to the hip, wrist, and spine are especially pronounced in postmenopausal women.

Urinary incontinence - the menopause causes the tissues of the vagina and urethra to lose their elasticity, which can result in frequent, sudden, strong urges to urinate, followed by urge incontinence (involuntary loss of urine). Stress incontinence may also become a problem - urinating involuntarily after coughing, sneezing, laughing, lifting something, or suddenly jerking the body.

Urinary Tract Infections - Because of vaginal drying, women are at increased risk for recurrent urinary tract infections after menopause.

Low libido - this is probably linked to disturbed sleep, depression symptoms, and night sweats.

Overweight/obesity - during the menopausal transition women are much more susceptible to weight gain because metabolism slows. Experts say women may need to consume about 200 to 400 fewer calories each day just to prevent weight gain - or burn of that number of calories each day with extra exercise. The chances of becoming obese rises significantly after the menopause.

Breast cancer - women are at a higher risk of breast cancer after the menopause. Regular exercise and check ups after menopause significantly reduces breast cancer risk.

Skin and Hair Changes - Estrogen loss can contribute to slackness and dryness in the skin and wrinkles. Many women experience thinning of their hair and some have temporary hair loss.

Lifestyle Changes Changing and improving lifestyle is the basic factor in preventing 50% of ageing and metabolic diseases. Making lifestyle changes may help ease the discomfort of menopause symptoms. Simple changes in lifestyle and diet can help control menopausal symptoms such as hot flashes. Avoid hot flash triggers like spicy foods, hot beverages, caffeine, and alcohol. Dress in layers so that clothes can be removed when a hot flash occurs. For vaginal dryness, moisturizers, and non-estrogen lubricants are available. Quit smoking, get enough sleep, and make a conscious effort to eat healthily and exercise more to keep symptoms of menopause under wrap and keep yourself fit and healthy. One of the keys to enjoying menopause is to try to keep up a happy and healthy lifestyle. The right diet, open communication with your partner, and stress relief are examples of ways to make life the most easy in menopause.

How long will the phases of menopause lasts in women is completely individual. Most women experience the majority of their symptoms over a 2-year period of time�, but that will just annoy those women who find themselves still up to the eyeballs in hot flushes after 5 years. The average age when menopause is on is around 52 years old, but many women start in their 40s and some not until their late 50s, so really you just have to see what happens for you.

The ultimate aim is to give healthy lives in later age, to compressor illness in to short period of time, to reduce morbidity and disability of ageing women passing more than one third of their life in the menopausal age.

Rupal Hospital for Women is a premiere leader in women's healthcare since 45 long years. The doctors are committed to providing women with the highest quality and most advanced healthcare throughout all stages of their lives, from adolescence through menopause. Rupal clinic for women is providing special care to women around 35 years, Premenopausal, Menopausal and post menopausal ageing women. Dr. Malti Shah senior Gynecologist and obstetrician, qualified for Menopause Practice gives her services to the clinic. Rupal Hospital Menopause Clinic offers care for women with concerns about the menopause, including women with early menopause or menopause caused by surgery or illness. Rupal Hospital understands and meets all the health needs of a woman and fosters the understanding of how advanced health care can improve the lives of women and their families.

Contact Rupal Hospital for Infertility treatments like IUI, IVF, ICSI,TESA/MESA,Egg, Sperm and embryo freezing, Egg /sperm/Embryo Donation, Surrogacy, Obstetrics,Gynaecology services, Laparoscopy and Hysterectomy and know everything about menopause, Premenopausal, Menopausal and post menopausal consultation at http://www.rupalhospital.com or at http://www.rupalhospital.com/menopause_clinic.html or http://rupalhospital.wordpress.com/menopause-clinic-india

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Fibroids Treatment � Shrink your fibroids by angiography methods (Uterine Fibroid Embolisation) - No Surgery, Quick Recovery and Affordable Treatment.
Fibroids in uterus with symptoms can be treated without surgery by procedure called Uterine Fibroid Embolisation (UFE).
Advantages of Uterine Fibroid Embolisation (UFE)
1. It is performed under Local anaesthesia. Not General anaesthesia.
2. Requires only a needle puncture in skin (No surgical incision of abdomen).
3. Recovery is much shorter than from hysterectomy or open myomectomy.
4. You can walk after rest for 4 hrs. Within 3 days you can carry out routine activities.
5. No complications associated with surgical opening.
6. All fibroids are treated at once, which is not the case with myomectomy.
7. Uterine fibroid embolization involves virtually no blood loss or risk of blood transfusion.
8. Many women resume light activities in a few days and the majority of women are able to return to normal activities (including exercise) within a week. If the presenting complaint was excess vaginal bleeding, 87-90% of cases experience resolution within 24hours.
9. Emotionally, financially and physically benign procedure -embolization can have an overall advantage over other procedures as the uterus is not removed.


FAQ's
Q. What are the conditions that can be treated?
A.
1. Single / multiple Uterine Fibroids with symptoms.



Q. What are typical symptoms?
A.
1. Heavy, prolonged menstrual periods and unusual bleeding, sometime with clots.

2 .Lower abdomen pressure or heaviness


Q. Who is most likely to have uterine fibroids?
A. Uterine fibroids are very common, although, often they are very small and cause no problem. From 20% to 40 % of women aged 35 and older have uterine fibroids of a significant size.

Q. How are uterine fibroids diagnosed?
A. Sonography
Q. What is fibroid embolization?
A. UFE is performed by an interventional radiologist, a physician who is specially trained to perform this and other minimally invasive procedures. The doctor makes a needle puncture in the groin and inserts a catheter into an artery. The catheter is guided through the artery to the uterus while the interventional radiologist guide�s the progress of the procedure using X-ray. The interventional radiologist injects tiny particles the size of grains of sand into the artery that is supplying blood to the fibroid tumor. This cut off the blood flow and causes the fibroid to shrink. The artery on the other side of the uterus is then treated. This procedure is available at few hospitals.
Q. Which patient can go for fibroid embolization?
A. Patients who have single / multiple fibroids which are causing symptoms
Q. How successful is the fibroid embolization procedure?
A. Studies show that up to 94% of women who have the procedure experience significant or total relief of heavy bleeding, pain and other symptoms. The procedure also is effective for multiple fibroids. No re-growth of treated fibroids is observed.
Q. Are there risks associated with the treatment of fibroid tumors?
A. There are some associated risks, as there are with almost any medical procedure. Most women experience moderate pain and cramping in the first several hours following the fibroid embolization procedure. Some experience nausea and fever. These symptoms are controlled with antibiotics and pain medication. Less than 1% of the patients need myomectomy or hysterectomy to complete the removal of a persisting fibroid.
Q. What are the risks of Surgery for fibroids
A. Hysterectomy and myomectomy carry risks, including infection, bleeding leads to blood transfusion. Patients who undergo myomectomy may develop adhesions causing tissue and organs in abdomen to fuse together, which can lead to other problems. In addition, the recovery time is much longer generally one to two month.

SPIDER VEINS
What are spider veins?
Spider veins are tiny prominent blood vessels seen on the skin of legs. These are 0.5-1mm in size. Veins 1-3mm in size are called reticular veins. These veins occur in patches. Usually they do not cause any problems. Sometimes these veins can bleed, cause pain and irritation.

What investigations are done?
If you have too many spider veins doctor may do sonography of veins

What are the reasons for seeking treatment?
1. Bleeding from spider veins.
2. Pain and irritation
3. Itching
4. For cosmetic reasons if they are prominent

What is done for treatment?
Treatment is called �Sclerotherapy�. It is done on OPD basis. Doctor can give injections into these veins. They veins will swell up after treatment and then collapse over few days and then disappear.

What are the side effects of treatment?
The common side effect is pigmentation along the treated veins. This will fade away with creams most of the times.