Pregnancy is the period from the formation of an embryo in a female womb till childbirth. It is also called gestation period, and it usually lasts for 40 weeks from the last menstrual period. The symptoms of pregnancy include missed periods, nausea, vomiting, implantation bleeding, and breast tenderness.

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Among Depo-Provera and non-hormonal coil, which can cause menstural abnormality?

Query: Hello doctor, I have been using Depo-Provera for the last three years. And I am having issues with on and off bleeding. So, I decided to put the non-hormonal coil, which I have been using already. I removed the coil as I wanted to conceive. Since then, nothing has happened. I have been having long ...  Read Full »

Dr. Radha Peruvemba Hariharan

Answer: Hello, Welcome to Your irregular cycles are due to hormonal imbalance. I suggest you undergo blood tests and an ultrasound scan of your abdomen and pelvis to rule out the anemia, thyroid hormone problem, and PCOS (polycystic ovarian syndrome). The blood test to be done are CB...  Read Full »

Can I trust a mobile application to track my menstrual cycle?

Query: Hello doctor,My query is regarding my menstruation cycle length. I have a mobile application to track my menstruation, and it says that my previous cycle length is abnormal since it lasted for 38 days. My cycle length variation is 30 to 51 days. I am concerned about my uterus and also about getting ...  Read Full »

Dr. Radha Peruvemba Hariharan

Answer: Hello, Welcome to Many girls have irregular cycles, which cannot be considered abnormal. Even with irregular cycles, they get normal pregnancy. But some do have some hormonal problems which delay pregnancy. Do not worry; it can be treated and corrected. I suggest you do CBC (com...  Read Full »

Is decreased hCG levels indicative of a problem in pregnancy?

Query: Hi doctor, I am five weeks and one day pregnant (not confirmed yet with ultrasound). My hCG levels have gone from 34 on last month twenty-first to 227 on last month twenty-sixth, then 514 on last month twenty-eighth. My GP is worried that this is not a normal progression. And my levels with my daug...  Read Full »

Dr. Radha Peruvemba Hariharan

Answer: Hi, Welcome to As you have said, hCG (human chorionic gonadotropin) levels vary from woman to woman. If you usually have mild irregular periods, then hCG levels may not correspond to the level of what we expect. Your levels are a bit less, but certain pregnancies have lower levels, bu...  Read Full »

What are the chances of having a C-section for the second pregnancy after first being a C-section?

Query: Hi doctor, I want to know what are the tests to diagnose CPD or determine pelvis type accurately. I recently had a C-section and was told I was unlikely to ever have a vaginal birth in the future. My baby was 6 lbs 12 ounces. During labor, I was 6 cm dilated and fully effaced when my midwife met m...  Read Full »

Dr. Radha Peruvemba Hariharan

Answer: Hi, Welcome to Your baby is a full-grown healthy baby. Had it come in the normal presentation, which we call occipito-anterior, then maybe the C-section (cesarean) would have been avoided. As such, when it comes to occipito-posterior, it had to rotate a long way to get into its positi...  Read Full »

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