Dexamethasone may be administered during pregnancy only for health reasons or if a large number of male sex hormones in the blood interferes with a woman to bear a child. Method of use of dexamethasone for the purpose of correction of hormone use is not the first decade.

Why is a woman's blood can be raised maintenance of male sex hormones

Male sex hormones (androgens) in women are produced in the adrenal cortex and ovaries. Increased secretion of androgens (hyperandrogenism) can only be in one of the bodies or both at once. Male sex hormones compete with women, and if they are too many, this leads to disruption of the menstrual cycle, infertility in women, and the emergence of external features, typical for men - the broad shoulders, narrow pelvis, male pattern body hair, deep voice, and so on. Typically, such women can not get pregnant.

With little hyperandrogenism pregnancy can occur, but the woman bear a child is difficult, because it is the female sex hormones such as progesterone and Progesterone - norm and pathology   help maintain pregnancy, but in this case their effect is inhibited by androgens.

Adrenal hyperandrogenism often congenital in nature and developed in congenital hyperplasia (overgrowth) of the adrenal cortex. Similar changes can occur in tumors of the adrenal cortex. These disorders are called adrenogenital syndrome (AGS). Ovarian hyperandrogenism generally occurs on the background of polycystic ovaries. Often there are also mixed forms of hyperandrogenism.

Identify which body was the cause of hyperandrogenism is very important for the proper management of pregnancy, as this will depend on the tactics of treatment.

How to identify hyperandrogenism

Characteristic signs of hyperandrogenism in time cause a woman to seek medical care. In this case, it has enough chances to give birth to a healthy baby. To reveal hyperandrogenism explores woman's blood for the presence of androgens and biologically active substances - their predecessors. The urine is determined by the number of decay products of androgens - 17-ketosteroids. Simultaneously, ultrasound examination of the adrenal glands and genitals of the woman.

On the basis of these data revealed not only the presence of hyperandrogenism, and its origin.

Women with hyperandrogenism has no pronounced signs are often faced with the problem of miscarriage Miscarriage - why you lose the most precious thing? So today recommended a planned pregnancy with prior complete examination of both spouses and their treatment when necessary.

Treatment with dexamethasone hyperandrogenism

Dexamethasone is used in all kinds of hyperandrogenism, but for different schemes. Treatment of adrenal hyperandrogenism before pregnancy is carried out over a sufficiently long period of time, up to three months under the supervision of laboratory tests. Typically, during this time it may be an unwanted pregnancy.

When ovarian hyperandrogenism to suppress the effects of androgens are appointed usually synthetic versions of progesterone (progestin) that do not have androgenic activity. When mixed types of hyperandrogenism prescribed stages progestins and dexamethasone Dexamethasone - one of the most effective glucocorticosteroids . The treatment also lasts for three months.

With early detection and treatment of hyperandrogenism it before pregnancy in women is completely restored menstrual cycle, which contributes to normal fertility. In most cases, women receive hormonal support in the form of dexamethasone and during pregnancy. When adrenal hyperandrogenism appointed dexamethasone throughout pregnancy, ovarian - up to 16-18 weeks, with mixed - up to 35-36 weeks.

If hyperandrogenism revealed already during pregnancy, it is also treated with dexamethasone, but less successfully. At the same time than in the earlier stages of pregnancy, she was identified and treatment is started, the more likely women are to inform pregnant.

The most common complication in the first trimester of pregnancy when androgen is a spontaneous miscarriage in the second - placental insufficiency, and in the third - the lag in the development of the fetus.

Regarding side effects of dexamethasone, the dosages are given to pregnant women are small and normally not cause complications. Much more harm to the fetus brings an increased content of androgens in the blood of the mother.

Women with hyperandrogenism Hyperandrogenism - if the female body behaves as a male They are at high risk for complications during pregnancy, so they need special preparatory treatment before pregnancy and continuing it after pregnancy.

Galina Romanenko

Pregnancy - a wonderful period in every woman's life, which, however, is not only connected with the expectation of a child of joy and hope, but also with a number of small but nasty problems. One of these problems - gas and bloating, which affect the majority of women during pregnancy.

Gases in pregnancy: Causes

• The body of a pregnant woman produces more progesterone Progesterone - norm and pathology   - The hormone responsible for relaxation of the muscles. As a result, the gastrointestinal tract is relaxed and the digestive processes slow down, which causes excess gas.
• In addition to hormonal changes, one of the most common causes of accumulation of gases considered swallowing air.
• When not completely split food moves down the gastrointestinal tract, beneficial bacteria perform incomplete bowel movements, splitting food. During this process off gas - a by-product, which usually leads to flatulence Flatulence - when you need to worry about? .
• Of great importance in the formation of a gas and the food consumed by pregnant women. Cause excess gas may be dairy products, some vegetables, foods rich in fiber.
• In the last months of pregnancy, rapidly growing in size fruit puts additional pressure on the intestinal tract, slowing digestion and leading to bloating.

Whatever the reason, flatulence causes pain, discomfort and leaves a pregnant woman with an unpleasant feeling of bloating.

How to solve the problem of gas during pregnancy?

• First of all, are excluded from the daily diet of foods that contribute to the formation of excess gas and bloating Bloating - if you are bursting inside . Certain types of vegetables - such as beans, Brussels sprouts, broccoli, cauliflower - contain raffinose, promotes accumulation of gases. Such products should be avoided.
• A variety of drinks with artificial sweeteners - another reason gas: any fizzy drinks cause bloating and gas accumulation.
• Dairy products are also able to cause a problem with gases - in particular, if a pregnant woman is suffering from lactose intolerance. Therefore, during pregnancy should reduce the consumption of milk, cream and other dairy products, replacing them with milk without lactose or soy milk.
• Foods high in starch - such as potatoes, pasta - as well as certain types of foods rich in fiber, can cause increased gas production.

List of products, potentially contributing to accumulation of gases can be very long - so it's best not to give up the whole time GRT usual food, and to exclude from the daily diet of foods that really affect the digestive process in the individual case.

How to prevent the accumulation of gases?

• Divide food intake into several smaller portions.
• Avoid fluid at meal - this facilitates swallowing air, which results in increased gassing.
• The food should be carefully and slowly chewed; In addition, the table is better to abandon the talks.
• Maintain good posture Posture - a few helpful tips for those who want to walk straight   - Straightened his back during the meal will help prevent the accumulation of gases.
• Avoid carbonated beverages.
• Daily walks will not only prevent the problem with gas, but also to maintain overall body tone.
• Light diet - one of the most effective ways to prevent the accumulation of gases.
• If the standard measures do not help, see your doctor, who may prescribe antacids to solve gases.