It is easy to suspect pregnancy when there is a delay in people who have regular menstrual periods every month. In this case, the most reliable test is the beta HCG test performed on blood. In fact, the sensitivity of the blood test is so high that an answer can be obtained even after a suspicious intercourse, in periods close to menstruation. A positive test result proves pregnancy 99%, but a negative result does not mean there is no pregnancy. The test should be repeated in 10 days. Sometimes it happens that in women with delayed ovulation, days pass after menstruation, and the test that is always negative may turn positive within a few days. Therefore, negative results should not be relied on if menstruation has not occurred.
In cases with negative results and menstruation has not started yet and then becomes positive, the test should be repeated numerically at regular intervals. In a pregnancy that is going well, the beta HCG test should increase by 60% of its previous value within 48 hours. If this increase does not occur, it is either a pregnancy that is not developing well or it may be an ectopic pregnancy. The most valuable key we have is the beta hCG test made from blood.
In those whose test is positive and regular Beta HCG elevation is detected, when the value reaches around 1500, the gestational sac should become visible in the ultrasound performed from below.
Sometimes, the woman is pregnant. She has no doubt, regular menstrual bleeding continues, but she is pregnant. We call this over-the-top vision. Although it is not a situation we encounter very often, those who show signs of pregnancy such as nausea, odor sensitivity, and breast tenderness should also take this situation into consideration.
What should and should not be done when you find out that you are pregnant?
After you get tested and find out that you are pregnant, contact your doctor who will follow you for 40 weeks. Your last menstrual period is important data for us doctors. Accordingly and according to the ultrasound finding, we calculate the estimated date of birth. Sometimes the last menstrual period and ultrasound findings may not coincide, this may be due to late ovulation or additional menstruation. Ultimately, it will be the ultrasound that determines the date of birth in the early stages of pregnancy.
Your blood type, your partner's blood type, your general health condition, whether you have thyroid, sugar or blood pressure problems are extremely important. If you have had a pregnancy where you have had misfortunes before, consult your doctor. known by If there is an explainable reason, research will need to be done for a new pregnancy. Blood clotting problems, genetic screening, and infection investigation can be counted among these.
You should start using folic acid immediately. In the future, blood pills, multivitamins and omega 3 will be added. You will need to avoid stress and excessive fatigue.
When you find out that you are pregnant, you will need to stay away from any harmful factors, remembering that especially the first 3 months are a very important period for the healthy development of the baby.
Proper nutrition is very important. and one should pay special attention to this issue during pregnancy. In fact, if it is a planned pregnancy, purifying the body 3 months in advance is a functional medicine approach.
Alcohol and cigarettes should definitely not be used. X-rays should not be taken. All kinds of chemical products should be avoided. You should not go to places that increase body temperature, such as spas or saunas. She should be away from contagious diseases and all kinds of infections.
What tests should be done before getting pregnant?
Even if women have no complaints They should have a gynecological examination at least once a year. In such an examination, especially before a planned pregnancy, ultrasound is used to investigate whether there is a harmful condition in the uterus and ovaries (myoma, ovarian cyst, etc.). The health of the cervix is also very important. The answer to this question is given by the smear test to be taken.
The general health condition of the expectant mother, thyroid functions, whether she has a sugar problem, and breast health are very important. Likewise, the expectant mother's childhood illnesses should be questioned and relevant blood tests should be performed. It is important to question the hepatitis status of the expectant mother and to determine whether she has been vaccinated.
Genetic problems from the family should be questioned, and the expectant mother should be questioned about the health problems she has experienced in the past, such as stillbirth, miscarriage, and previous pregnancies. When necessary, the expectant mother's blood clotting problem should be investigated with blood tests.
For a healthy pregnancy, it is important for the expectant mother to be mentally and physically healthy.
Ovulation How do we know the ovulation time?
Ovulation time may occur at different times for everyone. It may even vary from month to month within the individual.
For a woman who has a regular menstrual cycle every 28 days, it can be said that 14 days before is the time for ovulation. For example, for a woman who has her period on December 30th and has a regular menstrual cycle every 28 days, the possible ovulation date is around December 16th. Likewise, for those who have menstrual periods every 31-32 days, the date can be determined by going back 14 days. Because the 14 days after ovulation are generally fixed. The volatile part is the time until ovulation.
It is possible to follow ovulation at home, although it is not very practical and can be misleading. Body temperature is measured every morning before getting out of bed, that is, without doing any activity. After ovulation, body temperature increases by 1 degree due to the effect of the progesterone hormone. However, in those who have a fever for another reason, there will be a large margin of error in measurements taken after activity.
Another way to monitor at home is ovulation kits, which are sold in pharmacies. Follow-up can be done with kits produced based on the increase in LH hormone during the ovulation period.
The most precise and accurate follow-up is with vaginal ultrasound (underlying ultrasound) performed by the doctor. In this, the growth of the egg is monitored by performing an ultrasound on the patient at regular intervals.
What is the ideal gestational age?
The ideal gestational age for women is in their 20s-30s. There are many precursor follicles (fluid-filled sacs that contain eggs) in the ovaries of a newborn girl. By puberty, the number decreases tenfold. While candidate follicles for ovulation develop each month and only a single egg will be released, a large number of precursor eggs are spent. By the age of 37, the number decreases noticeably.
As the number of eggs decreases, their quality deteriorates, their mitochondria age, and their genetic material, that is, their DNA, begins to deteriorate. There is no similar aging in the uterus that will carry the fetus. This is the reason why older women give birth to healthy babies with donor eggs. Either there are no eggs left or the embryo may not be able to form because its DNA is too damaged. In this case, the embryo formed with the donor egg and the husband's sperm When the iodine is transferred to the mother, if there is no other problem in the uterus, the pregnancy continues successfully. The conclusion that follows from this is that the quality and number of eggs are very related to age, but there will be no problem for the uterus to maintain the pregnancy. In older pregnant women, the risk of giving birth to a baby with chromosomal abnormalities increases due to the partial genetic deterioration of the egg.
During pregnancy at older ages, the general health of the mother must also be good. There may be high blood pressure, diabetes or other health problems that may arise at this age.
Based on all these facts, getting pregnant at an early age is recommended for the health of both the mother and the baby. For those who have low egg reserves or who postpone pregnancy to older ages, the problem can be solved by egg freezing.
Sperm is always produced in men, so there are many couples who can become fathers at very old ages. Of course, sperm quality may deteriorate slightly due to aging, but this is much more positive than the woman's situation.
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