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London Pregnancy Clinic Doctor explaining Polycystic Ovary Syndrome (PCOS) ultrasound results to a patient in a clinic, displaying ovaries with visible follicles, a characteristic symptom of PCOS, in a minimalist and calming medical setting

PCOS Awareness Month

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London Pregnancy Clinic Doctor explaining Polycystic Ovary Syndrome (PCOS) ultrasound results to a patient in a clinic, displaying ovaries with visible follicles, a characteristic symptom of PCOS, in a minimalist and calming medical setting

PCOS Awareness Month 2024

Polycystic Ovary Syndrome (PCOS): Understanding, Symptoms, and Care

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Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder affecting 1 in 10 women in the UK, often leading to fertility challenges and other health risks such as diabetes and cardiovascular disease. This blog explores PCOS symptoms, including irregular periods, weight gain, and excess hair growth, and outlines management options like lifestyle changes, medication, and fertility treatments. 

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that can have a significant impact on women of reproductive age. Affecting around 1 in 10 women in the UK, PCOS is characterised by a range of symptoms and can lead to complications, including difficulties with fertility. At London Pregnancy Clinic, we are committed to raising awareness about PCOS, its implications, and the support available for managing this condition.

What is Polycystic Ovary Syndrome?

PCOS is a condition that affects the normal functioning of the ovaries due to hormonal imbalances. Typically, it results in irregular or absent periods, and in some cases, multiple small cysts form on the ovaries. The condition often begins during adolescence but can develop at any stage of a woman’s reproductive life. It is important to note that not all women with PCOS will have cysts, despite the name.

It occurs when a woman produces higher-than-normal levels of androgens, or “male hormones,” which disrupt ovulation and other hormonal processes. This imbalance can lead to a variety of symptoms and health challenges, making early detection and management essential.

Polycystic Ovary Syndrome Statistics

PCOS is one of the most common causes of infertility in women, but it often goes undiagnosed. According to the NHS, more than half of women with PCOS do not have any noticeable symptoms, which can delay diagnosis and treatment. In the UK alone, PCOS affects about 10% of women, with its prevalence varying worldwide. The condition not only affects fertility but can also lead to other health issues such as type 2 diabetes, cardiovascular diseases, and mental health problems if left untreated.

Polycystic Ovary Syndrome Symptoms

The symptoms can vary in severity and may develop gradually over time. The most common symptoms include:

  • Irregular or absent periods: Due to disrupted ovulation, women with PCOS may experience infrequent or prolonged menstrual cycles.
  • Excess hair growth (hirsutism): Elevated levels of androgen hormones can lead to excessive facial and body hair growth.
  • Weight gain: Unexplained weight gain or difficulty losing weight is a common symptom, and excess weight can exacerbate the condition.
  • Acne and oily skin: The hormonal imbalance often leads to acne, particularly on the face, chest, and back.
  • Thinning hair or male-pattern baldness: Hair loss can occur on the scalp due to high androgen levels.
  • Ovarian cysts: Although not always present, some women may develop multiple cysts on their ovaries, which can be detected via an ultrasound.
  • Difficulty conceiving: As PCOS interferes with ovulation, it is one of the leading causes of infertility in women.

PCOS and Fertility

One of the primary concerns for women with PCOS is infertility. The hormonal imbalance associated with the condition can prevent ovulation, making it difficult for women to conceive. In fact, it is one of the most common causes of infertility worldwide. However, with appropriate medical treatment, many women with PCOS can conceive and have healthy pregnancies.

At London Pregnancy Clinic, we offer a range of fertility treatments, including ovulation induction, hormonal therapy, and assisted reproductive technologies like IVF, to help women with PCOS conceive. Early diagnosis and intervention are key to improving fertility outcomes.

Long-term Health Risks

In addition to reproductive health concerns, PCOS can lead to several long-term health issues. These include:

  • Type 2 diabetes: Women are at a higher risk of developing insulin resistance, which can lead to type 2 diabetes.
  • Cardiovascular disease: PCOS is associated with an increased risk of high blood pressure, high cholesterol, and heart disease.
  • Endometrial cancer: Women may have an increased risk of developing endometrial cancer due to irregular periods and prolonged exposure to oestrogen.
  • Mental health issues: Depression, anxiety, and poor body image are common, particularly those struggling with symptoms like infertility and unwanted hair growth.

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Managing Polycystic Ovary Syndrome

Although there is no cure for PCOS, the symptoms can be managed effectively through lifestyle changes and medical treatments. At London Pregnancy Clinic, we provide comprehensive care for women with PCOS, focusing on both short-term symptom relief and long-term health management.

  • Lifestyle changes: Maintaining a healthy weight through diet and regular exercise can significantly reduce PCOS symptoms. Even a small amount of weight loss can help regulate menstrual cycles and improve insulin sensitivity.
  • Medication: Hormonal contraceptives are often prescribed to regulate periods and reduce androgen levels. For women trying to conceive, medications such as Clomiphene can help induce ovulation. Metformin, a medication typically used for type 2 diabetes, can also improve insulin resistance and lower androgen levels.
  • Fertility treatments: For women with PCOS struggling to conceive, fertility treatments like IVF may be recommended. Our specialists work closely with patients to develop tailored treatment plans that maximise the chances of a successful pregnancy.
  • Cosmetic treatments: Treatments such as laser hair removal or prescription acne medications can help manage the physical symptoms of PCOS, such as excess hair growth and acne.

Raising Awareness About PCOS

The emotional toll of PCOS should not be underestimated. Many women with PCOS struggle with self-esteem, body image issues, and mental health challenges due to symptoms like infertility, weight gain, and hirsutism. At LPC, we offer support for the psychological aspects of PCOS, ensuring women have access to both physical and emotional care.

We are dedicated to raising awareness about PCOS and the importance of early diagnosis and management. PCOS is often underdiagnosed, but with the right care, women can lead healthy lives and achieve their fertility goals. We encourage women who suspect they may have PCOS to seek medical advice and take proactive steps towards managing the condition.

Diagnosing PCOS involves a combination of clinical assessments, blood tests, and imaging studies. During your consultation at London Pregnancy Clinic, your female GP doctor will assess your medical history, perform a physical examination, and conduct blood tests to measure hormone levels. An ultrasound may also be recommended to examine your ovaries for cysts and assess ovulation.

Final Thoughts

Ectopic pregnancy is a serious condition that requires prompt medical attention. Recognising the symptoms early and seeking immediate care can prevent life-threatening complications and preserve future fertility. London Pregnancy Clinic offers advanced early ultrasound services and expert care to detect and manage ectopic pregnancies effectively. If you have concerns about your pregnancy or are experiencing any symptoms of an ectopic pregnancy, contact LPC right away to schedule an early ultrasound and ensure your pregnancy is developing safely.

If you’re concerned about your pregnancy or have experienced any symptoms of an ectopic pregnancy, don’t hesitate to reach out to London Pregnancy Clinic. Early detection is key to managing extrauterine pregnancy effectively. Visit London Pregnancy Clinic for expert advice and care tailored to your needs.

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Ectopic Pregnancy

Written by London Pregnancy Clinic on . Posted in Blog, Gynaecology, Scans, Ultrasound, Women's health. No Comments on Ectopic Pregnancy

Specialised gynaecological ultrasound services and comprehensive women's health care at London Pregnancy Clinic.

What is an Ectopic Pregnancy?

Understanding Ectopic Pregnancy: Causes, Symptoms, and Treatment

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Ectopic pregnancy is a serious and life-threatening condition where a fertilised egg implants outside the uterus. Unlike normal pregnancies, where the embryo develops within the uterine lining, ectopic pregnancies often occur in the fallopian tubes, leading to potentially severe complications. Understanding the signs, causes, and treatment options for extrauterine pregnancy is crucial for early detection and management, which can significantly improve outcomes for women.

In a typical pregnancy, the fertilised egg travels down the fallopian tube and implants itself in the uterus. However, in an ectopic pregnancy, the egg implants outside the uterus, most commonly in the fallopian tube, leading to what is often referred to as a “tubal pregnancy.” Although less common, ectopic pregnancies can also occur in the ovary, abdomen, or cervix. These locations are not equipped to support a growing pregnancy, and as the embryo develops, it can cause severe damage to the surrounding tissues, potentially leading to life-threatening bleeding.

Causes of Ectopic Pregnancy

Several factors can contribute to the likelihood of such a pregnancy. The primary cause is usually damage to the fallopian tubes, which may prevent the fertilised egg from reaching the uterus. Conditions such as pelvic inflammatory disease (PID), often caused by sexually transmitted infections, can inflame and scar the fallopian tubes. Other causes include endometriosis, which leads to abnormal tissue growth outside the uterus, and prior surgeries on the fallopian tubes, which can leave scar tissue that obstructs the egg’s journey. Additionally, hormonal imbalances and certain congenital abnormalities in the fallopian tubes can also increase the risk.

Symptoms of Ectopic Pregnancy

Recognising the symptoms of an ectopic pregnancy is vital for timely intervention. Early symptoms often mimic those of a normal pregnancy, including missed periods, breast tenderness, and nausea. However, the first warning signs of an extrauterine pregnancy are usually pain and vaginal bleeding. Pain can be felt in the pelvis, abdomen, or even the shoulder and neck if the bleeding irritates the diaphragm. This pain can vary from mild and dull to severe and sharp. Other symptoms might include dizziness, fainting, low blood pressure due to blood loss, and lower back pain. If an ectopic pregnancy is not detected early, it can lead to the rupture of the fallopian tube, which is a medical emergency.

Diagnosis of Ectopic Pregnancy

Diagnosing an ectopic pregnancy can be challenging, especially in the early stages when symptoms are similar to a normal pregnancy. If a woman presents with symptoms indicative of an ectopic pregnancy, doctors will typically conduct an ultrasound to determine the location of the pregnancy. However, an ultrasound may not always be able to detect an ectopic pregnancy early on, particularly if it is too small to be seen. In such cases, repeated testing may be necessary. Blood tests for pregnancy that measure human chorionic gonadotropin (hCG) levels are also used, as abnormal levels can indicate a non-intrauterine pregnancy.

Women’s Health Services Beyond Ultrasounds

The treatment for an ectopic pregnancy depends on its size and location, as well as the patient’s overall health. In some cases, if the extrauterine pregnancy is detected early and is small, doctors may use medication such as methotrexate to stop the growth of the embryo. The body then absorbs the tissue naturally. This non-surgical approach is less invasive but requires close monitoring of hCG levels until they return to zero. This can be done with a blood test which London Pregnancy Clinic offers.

For more advanced ectopic pregnancies, surgery is often required. Laparoscopic surgery is the most common method, where the surgeon removes the ectopic pregnancy and repairs any damage to the fallopian tube. In severe cases, where the fallopian tube has ruptured, emergency surgery may be necessary, and the affected fallopian tube might need to be removed. Following treatment, regular follow-up with healthcare providers is essential to ensure complete recovery and monitor future fertility.

Impact on Future Pregnancies

Having an ectopic pregnancy can affect future pregnancies, although many women go on to have normal pregnancies afterward. The risk of a subsequent non-intrauterine pregnancy is higher, especially if the woman has a history of conditions like PID or previous tubal surgeries. However, with proper medical care and monitoring, many women can conceive successfully. It’s important for women who have had an ectopic pregnancy to consult with their doctor before trying to conceive again to discuss the best timing and necessary precautions.

Preventing Ectopic Pregnancy

While it is not always possible to prevent an ectopic pregnancy, certain lifestyle choices can reduce the risk. Quitting smoking is one of the most effective preventive measures, as smoking is linked to damage in the fallopian tubes. Practicing safe sex by using condoms can help prevent sexually transmitted infections, which are a leading cause of PID and, subsequently, ectopic pregnancies. Regular gynecological exams and prompt treatment of infections can also lower the risk.

Emotional Support and Recovery

Experiencing an ectopic pregnancy can be emotionally challenging. It is not uncommon for women to feel a profound sense of loss, similar to that experienced after a miscarriage. Emotional recovery can take time, and many women find it helpful to seek support from counseling services or support groups. It’s important to acknowledge the grief and allow time for healing. Partners and families should also be supportive, understanding that the emotional impact can be significant.

The Importance of Early Ultrasound

Early detection is crucial when it comes to managing ectopic pregnancy effectively. At London Pregnancy Clinic (LPC), we understand the importance of early and accurate diagnosis. Our clinic offers advanced early pregnancy scans that can detect ectopic pregnancies as soon as they develop, often before symptoms become severe. These ultrasounds are essential in confirming the location of the pregnancy, whether it is intrauterine or ectopic. You can read on what to expect at an ultrasound scan on our blog, or watch our youtube video on this.

Ultrasound scans are a crucial part of early pregnancy care and can help ensure that your pregnancy is progressing normally. Here are the key points about when you should consider doing an ultrasound scan, especially in the context of monitoring for ectopic pregnancies:

When to Do an Ultrasound Scan

  1. Confirmation of Pregnancy (6-8 Weeks): The first ultrasound is typically done around 6 to 8 weeks of pregnancy. This early scan confirms the pregnancy and helps determine whether the embryo has implanted in the uterus or if there’s a risk of ectopic pregnancy. It also provides information about the viability of the pregnancy, the gestational age, and the number of embryos (in the case of multiple pregnancies).

  2. Early Signs of Ectopic Pregnancy: If you experience symptoms that may suggest an ectopic pregnancy, such as pelvic pain, abnormal vaginal bleeding, or shoulder pain, you should have an ultrasound as soon as possible. These symptoms can appear between 4 and 12 weeks of pregnancy. Early detection through ultrasound is crucial in managing ectopic pregnancy before it leads to more serious complications, such as the rupture of the fallopian tube.

  3. Uncertain Pregnancy Dates: If your menstrual cycle is irregular or you’re unsure about the date of your last period, an ultrasound scan can help establish the gestational age of the pregnancy. This is important for ensuring that the pregnancy is developing as expected and for scheduling further scans and tests.

  4. High-Risk Pregnancies: Women who have a history of ectopic pregnancies, pelvic inflammatory disease (PID), previous tubal surgery, or other risk factors should consider an early ultrasound. This is particularly important if there are any concerning symptoms or if the pregnancy is achieved through fertility treatments, which can increase the risk of ectopic pregnancy.

How LPC Can Help

By scheduling an early ultrasound at LPC, you can ensure that your pregnancy is progressing normally and reduce the risk of complications associated with ectopic pregnancies. Our team of experienced specialists uses the latest ultrasound technology to provide precise and reliable results, giving you peace of mind and the information you need to make informed decisions about your care.

If an ectopic pregnancy is detected, our clinic offers comprehensive support and care, including personalised treatment plans and close monitoring to ensure your safety and well-being. We are committed to providing compassionate care and expert guidance throughout your pregnancy journey.

Final Thoughts

Ectopic pregnancy is a serious condition that requires prompt medical attention. Recognising the symptoms early and seeking immediate care can prevent life-threatening complications and preserve future fertility. London Pregnancy Clinic offers advanced early ultrasound services and expert care to detect and manage ectopic pregnancies effectively. If you have concerns about your pregnancy or are experiencing any symptoms of an ectopic pregnancy, contact LPC right away to schedule an early ultrasound and ensure your pregnancy is developing safely.

If you’re concerned about your pregnancy or have experienced any symptoms of an ectopic pregnancy, don’t hesitate to reach out to London Pregnancy Clinic. Early detection is key to managing extrauterine pregnancy effectively. Visit London Pregnancy Clinic for expert advice and care tailored to your needs.

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Blood Tests During Pregnancy

Written by London Pregnancy Clinic on . Posted in Blog, Fertility, Gynaecology, Prenatal Care, Women's health. No Comments on Blood Tests During Pregnancy

Modern minimalist illustration of a hand holding a syringe, in soft light orange and baby pink tones, symbolising blood tests during pregnancy at London Pregnancy Clinic.

Blood Tests During Pregnancy:

Ensuring the Health of You and Your Baby.

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At London Pregnancy Clinic, we understand the importance of precise blood tests for monitoring health and diagnosing conditions during pregnancy. Explore the essential tests that help ensure the well-being of both mother and child.

While blood tests during pregnancy aren’t essential, they can significantly enhance your preparedness. Your healthcare provider may recommend a tailored series to monitor your health and your baby’s growth. These tests are invaluable for early detection of potential health issues, enabling prompt and effective interventions. At London Pregnancy we offer a wide variety of tests, which in this blog, we will dive into.

Why Consider Blood Tests During Pregnancy?

Blood tests during pregnancy offer invaluable insights into both maternal and fetal health, enabling better preparedness and care. Here are several compelling reasons to consider these tests:

Monitor Maternal Health: Blood tests, such as the complete blood count (CBC) and liver function tests, assess the mother’s overall health. They check for conditions like anaemia, infections, and gestational diabetes that may require close monitoring or specific treatments.

Assess Fetal Health and Development: Genetic screening tests can detect chromosomal conditions such as Down syndrome, Edwards syndrome, and Patau syndrome. These tests, often paired with ultrasounds, help evaluate the risk of certain genetic disorders, guiding further prenatal care. We offer Non-Invasive Prenatal Testing (NIPT) from 10 weeks of pregnancy and can help you choose the right NIPT for you!

Identify Rh Incompatibility: Determining the mother’s blood type and Rh factor is crucial. Rh incompatibility can lead to serious complications, necessitating special treatment to safeguard the baby’s health. At LPC we currently don’t offer Rh factor blood test (at the time of writing April 2024). However, during your NHS antenatal checks you will be able to get it. Read more on Rhesus Disease RhD on the NHS website.

Screening for Infectious Diseases: Screening for infectious diseases like hepatitis B, HIV, and syphilis is critical. Identifying these infections early allows for steps to be taken to prevent transmission to the baby, ensuring a safer delivery.

Provide Baseline Information: The results from initial blood tests create a baseline that helps monitor the pregnancy’s progression. Any significant changes can be quickly identified, allowing for timely interventions.

Overall, considering blood tests during pregnancy is vital for early detection of potential issues. These tests enable timely and effective interventions, ensuring the health and wellbeing of both mother and baby.

Why Consider Blood Tests for Pregnancy Confirmation?

Pregnancy tests, including urine and blood tests, are designed to confirm if you are pregnant. Urine tests are widely used due to their convenience and availability over-the-counter. However, blood tests, particularly the Beta HCG (Human Chorionic Gonadotropin) test, provide more comprehensive insights.

The Beta HCG test detects the hormone produced by the placenta shortly after implantation, appearing in the blood about 11 days post-conception, which is slightly earlier than in urine. It is essential for confirming early pregnancy and is available in two types: the Qualitative HCG Test, which simply indicates pregnancy with a ‘yes’ or ‘no’, and the Quantitative HCG Test, which measures exact HCG levels in the blood for high accuracy.

Unlike urine tests, the Beta HCG test requires a blood sample taken in a healthcare setting and is more sensitive, offering early detection and additional information such as the approximate age of the fetus and potential complications. This makes blood tests a vital tool for early and accurate pregnancy confirmation.

What is the AMH Blood Test?

The AMH blood test measures the levels of AMH in a woman’s blood, a hormone produced by ovarian follicles. It serves as a reliable marker of ovarian reserve, indicating a woman’s potential fertility. This test is instrumental for clinicians and fertility specialists to predict a woman’s response to fertility treatments, like in vitro fertilisation (IVF).

AMH levels provide a reliable measure of a woman’s ovarian reserve, although they do not directly correlate with egg quality. Low AMH levels might suggest a diminished ovarian reserve, posing concerns for natural conception or IVF. Conversely, high AMH levels might indicate conditions like Polycystic Ovary Syndrome (PCOS).

AMH testing is crucial in assisted reproductive technology, aiding in the development of personalised IVF treatment strategies. Women with low AMH may respond less to ovarian stimulation, affecting egg retrieval numbers and IVF success rates. High AMH levels can increase the risk of Ovarian Hyperstimulation Syndrome (OHSS), especially under strong fertility medication effects.

Preparing for Your Blood Test

Our blood tests at London Pregnancy Clinic are perfect for accurately confirming pregnancy, monitoring early viability, and following up post-IVF. We offer convenient same-day appointments that fit your schedule. To ensure accurate results, follow the specific instructions provided by your healthcare professional. These may include:

  • Fasting Requirements: You might need to avoid all food and drinks, except water, for up to 12 hours before certain tests.
  • Medication Guidelines: It may be necessary to pause specific medications temporarily. This will prevent any interference with your test results.

Adhering to these guidelines is crucial. Incorrect preparation can affect your results, possibly requiring a repeat of the test. Check-in with your care provider about what you should do! At London Pregnancy Clinic you can call our reception and our team will gladly help with any queries!

Please note, that these tests require a referral from an existing provider. We will send the results to both you and your nominated healthcare provider upon request. 

Get to Know Your Phlebotomist

Molly, one of our skilled phlebotomists, ensures that your blood tests are conducted smoothly, providing a comforting presence during the process.

Final Thoughts

The results from these tests provide a snapshot of your health and that of your baby, allowing your healthcare provider to tailor your prenatal care effectively. Remember, it’s crucial to discuss any concerns with your healthcare provider.

Our selection of blood tests is available exclusively to patients holding a referral from their healthcare provider, ensuring you receive the highest standard of care. We send samples to a partnered laboratory for precise analysis. If you need a referral or interpretation of blood test results, our friendly reception team is ready to help you book an appointment with the appropriate consultant. Please remember, if you’re coming for a pregnancy scan, our sonographer cannot refer you for a blood test. Referrals for blood tests are only possible through an appointment with our Consultant Obstetricians or Gynaecologists. At the LPC, we’re here to support you from the very first step.

Want to book a blood test with us? Visit our Blood Tests page or give us a call! If you already had your pregnancy confirmed, we recommend booking an early pregnancy scan to check for the baby’s development.

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What Is Cryptic Pregnancy?

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London Pregnancy Clinic - minimalist, and contemporary design that visually represents the theme of cryptic pregnancy in early pregnancy.

What Is Cryptic Pregnancy?

Understanding the Phenomenon of Silent Pregnancy

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Cryptic pregnancy is a fascinating phenomenon that has puzzled both medical professionals and expecting mothers alike. In this blog post, we will delve into hidden pregnancy, exploring its definition, signs and symptoms, causes, emotional impact, and more. Whether you’re an expecting mother or simply curious about pregnancy-related topics, join us on this enlightening journey.

It’s estimated that approximately 1 in 475 women will experience a cryptic pregnancy until 20 weeks of gestation. Hidden pregnancy is a condition where a woman remains unaware of her pregnancy until very late in the gestation period or even until delivery. While it sounds like something out of a movie, cryptic pregnancy is a real and relatively rare phenomenon. Despite its rarity, the impact on those who go through it can be significant.

What is Cryptic Pregnancy?

Cryptic pregnancy, also known as stealth pregnancy or denial of pregnancy, refers to a pregnancy that goes undetected by the woman herself and often by healthcare professionals as well. The reasons behind this lack of awareness vary, but it’s important to understand that it’s not a conscious decision to deny or ignore the pregnancy. It is characterised by irregular or absent menstrual periods, minimal or no pregnancy symptoms, and negative pregnancy tests.

Signs and Symptoms of Cryptic Pregnancy

One of the most intriguing aspects of cryptic pregnancy is the absence of typical pregnancy symptoms. While some women may experience certain symptoms such as weight gain, abdominal distension, or intermittent bleeding, many others will have no noticeable signs of pregnancy. The lack of these symptoms, combined with irregular menstrual cycles, can contribute to the confusion and disbelief surrounding this type of pregnancy.

Indicators to look out for

  • Missed period: While most individuals recognise pregnancy due to a missed period, this is not always the case. If your periods are irregular, you may not notice a missed period as a sign of pregnancy. However, people may experience spotting or light bleeding, which can be mistaken for a period.
  • Fetal movement: Most individuals do not feel the fetus move until about halfway through pregnancy, so around the middle of the second trimester. If you have an anterior placenta (located at the front of your belly), it may be more challenging to perceive kicks. In the case of cryptic pregnancy, this could be why you are unaware of being pregnant.
  • False negative pregnancy test result: This occurs when someone is actually pregnant, but the test indicates otherwise. If you do not use an at-home pregnancy test correctly, you may receive an inaccurate result. To be certain, it is always best to consult a healthcare provider to confirm pregnancy. Another way you can check whether you’re pregnant or not is by doing one of the pregnancy blood tests.
  • Weight gain or swollen belly: Some individuals may not realise they have gained weight due to pregnancy, or they may attribute an unusually bloated belly to a particular food.

Please note that this response does not constitute medical advice. If you have concerns or questions about pregnancy, consult a qualified healthcare professional.

Factors Contributing to Cryptic Pregnancy

Various factors, both physiological and psychological, can influence cryptic pregnancy. Hormonal imbalances or irregularities can disrupt the usual hormonal markers of pregnancy and lead to false-negative pregnancy tests. Certain medical conditions, such as polycystic ovary syndrome (PCOS) or uterine abnormalities, can also affect the accuracy of pregnancy tests. Additionally, psychological factors, such as subconscious denial or a lack of awareness about pregnancy symptoms, can contribute to a woman’s unknowingness. 

Potential complications of a cryptic pregnancy?

Complications arising from a cryptic pregnancy stem from the lack of awareness about one’s condition. These complications may include:

  • Absence of prenatal care: Unaware of the pregnancy, individuals do not receive the necessary prenatal care, such as vital bloodwork, nutritional guidance, ultrasounds, and other essential support required for a healthy pregnancy. Furthermore, not knowing about the pregnancy could result in unassisted labour without the aid of skilled healthcare professionals.
  • Necessity for lifestyle adjustments: Smoking and consuming alcohol have detrimental effects on pregnancy. In the case of a cryptic pregnancy, individuals may unknowingly engage in these harmful practices or use medications and supplements that are generally unsafe for expectant mothers.
  • Elevated risk of medical conditions: Without proper care or diagnostic tests, conditions like gestational diabetes or preeclampsia may go undetected.
  • Heightened risk of congenital conditions: The fetus is at a higher risk of developing congenital conditions due to the lack of genetic tests, like NIPT, or other evaluations that aid in diagnosing the health of the baby.

It is crucial to highlight the potential risks associated with a hidden pregnancy to promote awareness and encourage individuals to seek appropriate medical support. This fact has been highlighted in studies saying that infants born from cryptic pregnancies are more likely to be born prematurely, placing them at risk of poor growth and respiratory issues.

Emotional Journey of Cryptic Pregnancy

The emotional journey of hidden pregnancy is complex and can vary greatly from woman to woman. Discovering that you are pregnant after an extended period of unknowingness can evoke a range of emotions, including shock, confusion, and even joy. It’s crucial for women experiencing cryptic pregnancy to seek emotional support from their partners, family, and healthcare professionals. Counselling and therapy can also be beneficial in navigating the emotional challenges that may arise.

Cryptic Pregnancy FAQs

  • Can stealth pregnancy be prevented?

    Cryptic pregnancy, also known as hidden pregnancy, cannot be prevented as it is often caused by physiological or psychological factors that are beyond an individual’s control.

  • Can cryptic pregnancy occur in women who have regular periods?

    Yes, cryptic pregnancy can occur in women with irregular or regular menstrual cycles. Irregular periods do not necessarily indicate cryptic pregnancy, and regular periods do not guarantee the absence of pregnancy.

    It’s important to consult with a healthcare professional, such as a gynaecologist, for accurate information and personalised insights into cryptic pregnancy.

Expert Opinion: For professional insights into the medical aspects of cryptic pregnancy, including causes, symptoms, and diagnosis, you can talk to our in-house gynaecologist Dr. Prashant Purohit. Alongside LPC, he is a Consultant in Obstetrics, Gynaecology, and Reproductive Medicine based at Kings College Hospital NHS Foundation Trust and Kings Fertility, London. He specialises in the management of infertile couples, fertility preservation, fibroids, endometriosis, miscarriage, polycystic ovaries, menopause, menstrual bleeding disorders, and pelvic pain. His special interests include minimally invasive surgery like (key-hole) laparoscopic/ hysteroscopic surgery, Gynecological and early pregnancy ultrasound, and reproductive medicine.

Conclusion

Cryptic pregnancy is a unique and captivating phenomenon that challenges our understanding of pregnancy and the human body. While it may be rare, it’s important to acknowledge and support individuals who experience cryptic pregnancy, as their journey can be filled with confusion, uncertainty, and emotional complexity. By raising awareness and fostering understanding, we can create a more inclusive and supportive environment for all women navigating the intricacies of pregnancy.

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A Comprehensive Guide to AMH Blood Test: Its Significance and Connection to IVF

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Ever wondered how a simple blood test could offer a glimpse into your fertility? In this blog post, we’ll delve into one of the most crucial hormones affecting fertility—the Anti-Mullerian Hormone (AMH). If you’ve heard of this hormone and wondered what role it plays in fertility or IVF treatments, you’re in the right place.

What is the AMH Blood Test?

An AMH (Anti-Mullerian Hormone) blood test measures the levels of AMH in a woman’s blood. Produced by the cells of the ovarian follicles, AMH serves as a reliable marker of ovarian reserve, effectively indicating a woman’s fertility potential. This test aids clinicians and fertility specialists in predicting a woman’s response to fertility treatments, particularly in vitro fertilisation (IVF).

What is the Anti-Mullerian Hormone (AMH)?

The Anti-Mullerian Hormone, first discovered by Alfred Jost in the 1940s, plays a crucial role in the sexual development of foetuses. AMH was initially known for its role in male sexual development, but subsequent research has unearthed its pivotal part in female fertility. In women, the hormone is released by the antral follicles, the small sacs in the ovaries that hold the eggs.

Why is the AMH Blood Test Important?

As AMH levels correspond to the number of remaining eggs in the ovaries, the AMH blood test offers a reliable gauge of a woman’s ovarian reserve. However, it’s essential to understand that AMH levels do not directly correlate with the quality of eggs.

Low AMH levels might indicate a diminished ovarian reserve, which could be a concern for women attempting to conceive naturally or through IVF. In contrast, higher AMH levels may suggest conditions like Polycystic Ovary Syndrome (PCOS).

When is an AMH Blood Test Required?

The AMH test may be recommended in several circumstances:

  1. Evaluating Ovarian Reserve: AMH levels help assess the number of eggs remaining in the ovaries. The test may be suggested for women approaching their mid-30s, those with a family history of early menopause, or those who’ve previously undergone chemotherapy or pelvic surgery.
  2. Diagnosing PCOS: Elevated AMH levels may be indicative of PCOS, a common condition affecting a woman’s ovaries and ovulation.
  3. Determining IVF Success: Before starting IVF treatment, clinicians may order an AMH test to better predict how the ovaries will respond to the fertility drugs used to stimulate egg production.

Connection between AMH Levels and IVF

The AMH blood test holds significant value in the field of assisted reproductive technology, especially IVF. It helps clinicians devise personalised treatment strategies for their patients.

For women with low AMH levels, special considerations may be needed during the stimulation phase of IVF. These women often respond less to ovarian stimulation, leading to a smaller number of eggs retrieved, which can affect the success rate of IVF. Conversely, women with high AMH levels might be at risk for Ovarian Hyperstimulation Syndrome (OHSS), a condition that can occur when the ovaries are overly stimulated by fertility drugs.

When is the Best Time to Have an AMH Blood Test?

An AMH blood test can be performed at any time during a woman’s menstrual cycle, as AMH levels remain relatively constant throughout. However, many fertility clinics might suggest the test as a part of an initial fertility assessment or prior to beginning fertility treatments like IVF.

In Conclusion

The AMH blood test serves as a potent tool in assessing a woman’s ovarian reserve and planning personalised fertility treatments. Whether you’re attempting to conceive naturally, preparing for IVF, or just wish to know more about your fertility, an AMH test could offer invaluable insights. Always consult with a fertility specialist to discuss your options and understand what’s best for your individual circumstances.

Discover more about the Blood Tests we offer at London Pregnancy Clinic. Book your AMH Test today for £80.