Tearing During One Delivery, What Will Happen Next Time?

Lots of factors have to do with the preservation of the pelvis and preservation of the pelvic floor during birthing. How big the bay is, whether you are birthing twins, how long the labor, how much pushing, what devices were used, whether you had an epidural. Too many to list, and not all studies are really clear if these factors are all damaging, and if so, how damaging. For instance in the 70s a gyno named Bickers thought epidurals were pelvic floor protective, and in research published much laters Legino in Nebraska did work that said epidurals actually led to more birth injuries. But both those studies were before epidurals were as common in the labor wards as they are now, so I'm not sure how much to believe either. But then there is the situation of one birth injury that could lead to the next round of birth injuries. It's safe to say your risk of a second injury is at least doubled with the next birth. We apparently cannot just rub it out, Labreique studied over 1500 Canadian women and found that massage during the last days of pregnancy of the perineal area did not have pain, or sexual dysfunction down the line, although they were less likely to tear. Something more complex that just the tear or not the tear must be working there. I'm thinking it has to do with what happens in later life. And this is of interest as well as whether women tear, and that's where you and your gyno can make significant progress together with regular check ups and monitoring your pelvic floor muscles and ligaments.

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Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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