Preeclampsia is a complication of pregnancy. With preeclampsia, you may have high blood pressure, high levels of protein in your urine that indicate kidney damage (proteinuria), or other signs of organ damage. Preeclampsia usually starts after 20 weeks of pregnancy in women whose blood pressure was in the normal range before. In addition to high blood pressure, signs and symptoms of preeclampsia can include: Increased protein in the urine (proteinuria), or other signs of kidney problems.
Low levels of platelets in the blood (thrombocytopenia) Elevated liver enzymes, which indicates liver problems severe headache Vision changes, including temporary vision loss, blurred vision, or sensitivity to light Shortness of breath due to fluid in the lungs Pain in the upper abdomen, usually below the ribs on the right side Nausea or vomiting Weight gain and swelling (edema) are common symptoms during a healthy pregnancy. However, sudden weight gain or sudden swelling, especially of the face and hands, may be a sign of preeclampsia. When should you see a doctor? Be sure to attend antenatal visits so the doctor can keep track of your blood pressure. If you have a severe headache, blurred vision or other visual disturbances, severe abdominal pain or shortness of breath, call your doctor immediately or go to the emergency department. Since headaches, nausea, and aches and pains are common complaints during pregnancy, it is difficult to know when new symptoms are just part of the pregnancy symptoms and when they are an indication of a serious problem. Especially if this is your first pregnancy. If you are concerned about your symptoms, contact your doctor
Dr Moataz Tawfik
GYNECOLOGIST AND OBSTETRICIAN
What are the signs and symptoms of depression during pregnancy? Excessive anxiety about your newborn Decreased self-confidence, such as feeling inadequate as a mother Inability to feel pleasure from activities you normally find enjoyable Poor response to reassurance Poor adherence to care during pregnancy Smoking, drinking alcohol, or taking illegal drugs Poor weight gain due to a deficient or improper diet Thinking of suicide Some research indicates that depressive episodes occur more frequently during the first and third trimesters. If you had depression before pregnancy that was not treated
you may not seek optimal pregnancy care, eat the healthy foods your baby needs, or provide the energy to take care of yourself. You are also at increased risk of developing postpartum depression and having difficulty In creating your connection with your child)) What are the recommendations for screening for depression during pregnancy? The American College of Obstetricians and Gynecologists recommends that the observing doctor check for depression, anxiety, or a loss of interest in doing things. If you think you may be suffering from depression during pregnancy, don't wait to get tested. Talk to your health care provider about how you feel and work with them to determine next steps. Pregnancy depression
Dr Moataz Tawfik
GYNECOLOGIST AND OBSTETRICIAN
Do you know the early symptoms of pregnancy? Find out what to expect during pregnancy, from nausea to exhaustion. Less common signs and symptoms that you may experience during the first trimester of pregnancy include: Mood swings The surge of hormones in your body in the early stages of pregnancy can make you irritable and tearful. Mood swings are also common. bloating Hormonal changes in early pregnancy can cause you to experience bloating similar to what you feel at the start of your period. Mild vaginal bleeding (spotting). Slight spotting may be one of the first signs of pregnancy. Commonly known as implantation bleeding, it occurs when a fertilized egg attaches to the lining of the uterus about 10 to 14 days after conception. Implantation bleeding occurs just before the expected date of your menstrual cycle. But this does not happen to all people
Painful contractions. Some women experience mild uterine cramps in the early stages of pregnancy. constipation. Hormonal changes cause the digestive system to slow down. Which leads to constipation. Refusal to eat. When you become pregnant, you may become sensitive to certain smells and your sense of taste may change. As with most other symptoms of pregnancy, these nutritional choices may be due to hormonal changes. Nasal congestion. Changes in hormone levels and blood production can cause the nasal mucous membranes to swell, dry, and bleed easily. This may lead to a stuffy or runny nose. Are you really pregnant? Many of these signs and symptoms are not unique to pregnancy. Some of them may indicate that you have a certain disease or that your period is approaching. However, you may become pregnant without experiencing many of these symptoms. However, if you miss your period and notice some of the above signs and symptoms, you should take a home pregnancy test or see your healthcare provider. If the result of the home pregnancy test is confirmed, make an appointment with your health care provider. Once your pregnancy is confirmed, you can start getting prenatal care. If you are planning to become pregnant or find out you are pregnant, you should start taking a pregnancy multivitamin. Pregnancy vitamins usually contain the most important vitamins and minerals, such as folic acid and iron, in order to promote your baby's growth and development.
Dr Moataz Tawfik
GYNECOLOGIST AND OBSTETRICIAN
Chronic pelvic pain is pain in the area below the belly button and between the hips that lasts for six months or longer. There are many causes of chronic pelvic pain. Pain may be a symptom of another disease or it may be a standalone condition. If it turns out that chronic pelvic pain is caused by another health problem, treating that problem may be enough to relieve the pain. However, in many cases, the single underlying cause of chronic pelvic pain cannot be identified. In this case, the goal of treatment is to reduce pain and improve the quality of life.
Symptoms
Severe, constant pain Pain that comes on and off (intermittent) Sharp aches or cramps Pressure or heaviness deep in your pelvis
You may also feel: Pain during sexual intercourse Pain during defecation or urination Pain when you sit for long periods Your discomfort may increase after standing for long periods and may go away when you lie down. The pain may be mild and annoying, or it can be so severe that you miss work, sleep, or exercise.
Some causes of chronic pelvic pain include :
Endometriosis is a condition in which tissue from the lining of the uterus grows outside the uterus. These deposits of tissue respond to the menstrual cycle, as does the lining of the uterus — thickening, flaking and bleeding each month as hormone levels rise and fall. Because it occurs outside the uterus, blood and tissue cannot exit the body through the vagina. Instead, blood and tissue remain inside the abdomen, which can lead to painful cysts and fibrous bundles of scar tissue (adhesions).
Musculoskeletal problems. Conditions affecting bones, joints and connective tissues (musculoskeletal system) — such as fibromyalgia, pelvic floor muscle tension, pubic symphysis or hernias — may lead to recurring pelvic pain.
This disease can develop if a long-term infection, often sexually transmitted, causes scarring of the ovarian remnants of the pelvic organs. After surgical removal of the uterus, ovaries, and fallopian tubes, a small portion of the ovary may be inadvertently left inside, leading to painful cysts later on.
Fibroids. These non-cancerous uterine growths may cause a feeling of pressure or heaviness in the lower abdomen. They rarely cause acute pain unless their blood supply is cut off and they begin to die (decay). Irritable bowel syndrome. Symptoms associated with irritable bowel syndrome — flatulence, constipation or diarrhea — may be a source of pelvic pain and pressure.
Painful bladder syndrome (interstitial cystitis). This condition is associated with recurrent pain in the bladder and the need to urinate frequently. You may feel pelvic pain when your bladder is full, and this pain temporarily improves after you empty your bladder.
Pelvic congestion syndrome . Some doctors believe that enlarged varicose veins around the uterus and ovaries may lead to pelvic pain. However, other doctors are highly unlikely that pelvic congestion syndrome is a cause of pelvic pain because most women with enlarged veins in the pelvic area do not feel pain associated with it.
Psychological factors . Exposure to depression, chronic stress, or a history of sexual and physical abuse may increase your chances of developing chronic pelvic pain. Emotional stress increases the intensity of pain, and living with chronic pain causes emotional stress. These two factors often create a vicious circle
Dr Moataz Tawfik
GYNECOLOGIST AND OBSTETRICIAN
Uterine fibroids are non-cancerous growths of the uterus that most often appear during the childbearing years. Uterine fibroids, also called leiomyomas or myomas, aren't associated with an increased risk of uterine cancer and almost never become cancer. Fibroids range in size from the size of a seed, which cannot be seen with the human eye, to huge masses that can distort and enlarge the uterus. You could have a single fibroid or multiple fibroids. In extreme cases, multiple fibroids can enlarge the uterus so much that it reaches into the rib cage, causing weight gain. Many women develop uterine fibroids at some time during their lives. But you may not know you have uterine fibroids because they often don't cause any symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or ultrasound during pregnancy. Symptoms Most people with fibroids do not have any symptoms. If symptoms do occur, they are affected by the location, size and number of fibroids. In women with fibroids who develop symptoms, the most common signs and symptoms include: Heavy bleeding during menstruation Menstruation lasts more than a week Pelvic pressure or pain Frequent urination Difficult emptying of the bladder Constipation Pain in the back or legs Rarely, a fibroid Sharp pain if it grows faster than its own blood supply and begins to atrophy. Fibroids are generally classified according to their location. Intrauterine tumors grow within the muscular wall of the uterus. Submucosal uterine polyps bulge into the uterine cavity. Subserosal uterine tumors protrude outside the uterus. Heavy bleeding during menstruation Menstruation lasts for more than a week Pelvic pressure or pain Frequent urination Difficult emptying of the bladder Constipation Pain in the back or legs A fibroid rarely causes severe pain if it grows faster than its own blood supply and begins to atrophy. Fibroids are generally classified according to their location. Intrauterine tumors grow within the muscular wall of the uterus. Submucosal uterine polyps bulge into the uterine cavity. Subserosal uterine tumors protrude outside the uterus. Heavy bleeding during menstruation Menstruation lasts for more than a week Pelvic pressure or pain Frequent urination Difficult emptying of the bladder Constipation Pain in the back or legs A fibroid rarely causes severe pain if it grows faster than its own blood supply and begins to atrophy. Fibroids are generally classified according to their location. Intrauterine tumors grow within the muscular wall of the uterus. Submucosal uterine polyps bulge into the uterine cavity. Subserosal uterine tumors protrude outside the uterus.
When to see a doctor See a doctor if you have: Pelvic pain that does not go away Heavy, prolonged, or painful periods Spotting or bleeding between periods Difficulty emptying the bladder Unexplained low red blood cell count (anemia) Seek immediate medical attention If you suddenly develop severe vaginal bleeding or severe pelvic pain. Reasons Doctors don't know a reason for uterine fibroids, but research and clinical experiences indicate the following factors: Genetic changes. Many fibroids have changes in genes that differ from those found in normal uterine muscle cells. hormones. Studies show that estrogen and progesterone — the two hormones that stimulate the growth of the lining of the uterus during each menstrual cycle in preparation for pregnancy — increase the growth of fibroids. Fibroids have more receptors for estrogen and progesterone than normal uterine muscle cells, as fibroids tend to shrink after menopause, due to a decrease in hormone production. other growth factors. Substances that help the body maintain tissue, such as insulin-like growth factor, may affect fibroid growth. Extra cell material (ECM). Additional cell materials are the substances that hold the cells together like mortar between bricks. The extra cell material grows in the smooth muscle tumors and makes them fibrous. Additional cell materials also store growth factors and cause vital changes in the cells themselves. Doctors think uterine fibroids result from infection of stem cells in the smooth muscle tissue of the uterus (myometrium). A single cell divides repeatedly; This ultimately creates a hard, rubbery mass that is different from the nearby tissues. Growth patterns of uterine fibroids vary - some grow slowly, some grow quickly, or they may stay the same size. Some fibroids go through growth spurts, and some may shrink on their own. Many fibroids that were present during pregnancy shrink or disappear after pregnancy as the uterus returns to its normal size. Risk factors There are few known risk factors for uterine fibroids, other than being a woman of childbearing age. Factors that can have an effect on fibromyalgia include: Race. Although all women of childbearing age can develop fibroids, black women are more likely to develop fibroids than women of other ethnic groups. In addition, women of color who develop fibroids at an earlier age are more likely to develop fibroids at a higher rate or size, as well as experiencing more severe symptoms. heredity. If your mother or sister had fibroids, you're at increased risk of developing them. Other factors. Early menstruation, obesity, vitamin D deficiency, a diet high in red meat and low in green vegetables, fruits, milk and dairy products, and drinking alcohol, including beer, all increase the risk of fibroids. Complications Although uterine fibroids are usually not dangerous, they can cause discomfort and may lead to complications such as a low red blood cell count (anemia); Which causes a feeling of exhaustion due to heavy blood loss. Rarely, blood transfusions are required due to blood loss. Pregnancy and fibroids Usually, fibroids do not impede pregnancy. However, it's possible that fibroids — especially submucosal fibroids — can cause infertility or pregnancy loss. Fibroids may also increase the risk of certain pregnancy complications, such as placental abruption, fetal growth restriction and premature delivery. Prevention Although researchers continue to study the causes of fibroids, they have little scientific evidence on how to prevent them. Prevention of uterine fibroids may not be possible, but only a small percentage of them need treatment. But the risk of developing fibroids can be reduced by making healthy lifestyle choices, such as maintaining a healthy weight and eating fruits and vegetables. Some research also suggests that hormonal contraceptive use may be associated with a reduced risk of fibroids. However, it's possible that fibroids — especially submucosal fibroids — can cause infertility or pregnancy loss. Fibroids may also increase the risk of certain pregnancy complications, such as placental abruption, fetal growth restriction and premature delivery. Prevention Although researchers continue to study the causes of fibroids, they have little scientific evidence on how to prevent them. Prevention of uterine fibroids may not be possible, but only a small percentage of them need treatment. But the risk of developing fibroids can be reduced by making healthy lifestyle choices, such as maintaining a healthy weight and eating fruits and vegetables. Some research also suggests that hormonal contraceptive use may be associated with a reduced risk of fibroids. However, it's possible that fibroids — especially submucosal fibroids — can cause infertility or pregnancy loss. Fibroids may also increase the risk of certain pregnancy complications, such as placental abruption, fetal growth restriction and premature delivery. Prevention Although researchers continue to study the causes of fibroids, they have little scientific evidence on how to prevent them. Prevention of uterine fibroids may not be possible, but only a small percentage of them need treatment. But the risk of developing fibroids can be reduced by making healthy lifestyle choices, such as maintaining a healthy weight and eating fruits and vegetables. Some research also suggests that hormonal contraceptive use may be associated with a reduced risk of fibroids. Fibroids may also increase the risk of certain pregnancy complications, such as placental abruption, fetal growth restriction and premature delivery. Prevention Although researchers continue to study the causes of fibroids, they have little scientific evidence on how to prevent them. Prevention of uterine fibroids may not be possible, but only a small percentage of them need treatment. But the risk of developing fibroids can be reduced by making healthy lifestyle choices, such as maintaining a healthy weight and eating fruits and vegetables. Some research also suggests that hormonal contraceptive use may be associated with a reduced risk of fibroids. Fibroids may also increase the risk of certain pregnancy complications, such as placental abruption, fetal growth restriction and premature delivery. Prevention Although researchers continue to study the causes of fibroids, they have little scientific evidence on how to prevent them. Prevention of uterine fibroids may not be possible, but only a small percentage of them need treatment. But the risk of developing fibroids can be reduced by making healthy lifestyle choices, such as maintaining a healthy weight and eating fruits and vegetables. Some research also suggests that hormonal contraceptive use may be associated with a reduced risk of fibroids. But the risk of developing fibroids can be reduced by making healthy lifestyle choices, such as maintaining a healthy weight and eating fruits and vegetables. Some research also suggests that hormonal contraceptive use may be associated with a reduced risk of fibroids. But the risk of developing fibroids can be reduced by making healthy lifestyle choices, such as maintaining a healthy weight and eating fruits and vegetables. Some research also suggests that hormonal contraceptive use may be associated with a reduced risk of fibroids.
Dr Moataz Tawfik
GYNECOLOGIST AND OBSTETRICIAN
Intercourse can become painful for reasons ranging from physical problems to psychological concerns. And a large number of women feel pain when intercourse at some point in their lives. The medical term for painful intercourse is "dyspareunia," meaning persistent or recurring pain in the genitals immediately before, during, or after intercourse. Treatments will focus on the cause of the problem to work towards eliminating or mitigating this common problem. Symptoms In the event of painful intercourse, the patient may feel the following: Pain upon sexual penetration (penetration) Pain with each penetration, including the insertion of the vaginal suppository Pain with burning or aching pain A throbbing pain that lasts for hours after intercourse If you feel frequent pain during intercourse, Consult the doctor. Treating this problem may improve your sex life. the reasons The physical causes of painful intercourse vary according to whether the pain is experienced with insertion or deep penetration. Psychological factors can be linked to many types of painful intercourse: Inadequate lubrication . This is often the result of insufficient foreplay . It may also be caused by low estrogen levels after menopause or childbirth, or while breastfeeding. Certain medications are known to affect sexual desire or arousal, and they can reduce lubrication and make sexual intercourse painful. These include antidepressants , high blood pressure medications, sedatives, antihistamines , and certain types of birth control pills. Injury, trauma or irritation . This includes injury or irritation from an accident, pelvic surgery, female circumcision , or an incision during childbirth to widen the birth canal (episiotomy).
Inflammation, infection or disorder of the skin . An infection in the genital area or urethra can cause pain during sexual intercourse. The problem may also be eczema or skin problems in the genital area. vaginismus; These tics of the muscles of the vaginal wall may make penetration painful. Problems present from birth. Dyspareunia may result from incomplete formation of the vagina (vaginal agenesis) or the growth of tissue blocking the opening of the vagina (hymenorrhoea). Deep pain The feeling of deep pain usually occurs with deep penetration. It may get worse in some situations. Causes include: Certain diseases and health conditions. The list includes endometriosis pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor dysfunction, adenomyosis, hemorrhoids, and ovarian cysts. Medical treatments and surgeries. Scarring from pelvic surgery, including a hysterectomy, can also lead to pain during sexual intercourse. Medical treatments for cancer, such as radiation therapy and chemotherapy, can cause changes that make sex painful. Psychological factors Emotions are closely linked to sexual activity, so they may play a role in sexual pain. Emotional factors include: Psychological problems. Anxiety and depression can contributeConcerns about your physical appearance and fear of sexual or relationship problems with decreased arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tighten in response to stress in your life. This may cause pain during sexual intercourse. You have previously experienced sexual abuse . Not everyone who feels pain from intercourse has a history of sexual abuse, but if you did, that could play a role. It can be difficult to tell if emotional factors are associated with pain during intercourse. Initial pain can lead to fear of recurring pain; This makes it difficult to relax during the relationship, and this may lead to more pain. You can start avoiding sexual intercourse if it is painful
Dr Moataz Tawfik
GYNECOLOGIST AND OBSTETRICIAN