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We've all been there: You're newly single, still reeling from the sting of being dumped by your ex -- and desperately trying to avoid texting him or her.
But let the texts in the slideshow below be a warning to you -- though it's tempting to text, those post-split conversations never go as planned. In the fourth grade, Wyatt grew longer hair and started wearing more girly clothes and by fifth grade had her name legally changed to Nicole. The transgender portion of the population has been largely ignored and vastly under-serviced for many years.
The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. If the placenta, which nourishes the baby, is coming away from its attachment to the inside of the wall of the womb (a condition called placental abruption), bleeding will occur. Abdominal pains and a tense, sore uterus are other symptoms of this problem.The bleeding may originate from a low placenta that is actually blocking the opening to the cervix (a condition known as placenta praevia). If bleeding starts suddenly, the woman should lie down and arrange to be taken to hospital immediately. DILATION & CURETTAGECurettage of the uterus (womb) is the scraping of the lining of the uterus (the endometrium). After, or sometimes during, a miscarriage, the gynaecologist will examine you to see if there is any tissue from the pregnancy remaining in the womb. Gynaecological curettage is often an outpatient investigation that is performed in hospital by a gynaecologist. After a curettage, it is a good idea to relax for the rest of the day, but recovery is quick. An ectopic pregnancy occurs when the fertilised egg attaches itself outside the cavity of the uterus (womb). At first an ectopic pregnancy develops like a normal pregnancy and the same symptoms such as nausea and tender breasts will be present. The vaginal bleeding can vary from being slight or brown vaginal discharge to being like a normal period. If you are pregnant and have a long-lasting throbbing in one side of your lower abdomen or if you experience sudden pain you should contact your doctor.
In a normal pregnancy, the egg is fertilised by the man's sperm in the Fallopian tube and is then transported into the cavity of the womb where it attaches itself.
Risk factors may be present that increase the likelihood of a woman experiencing an ectopic pregnancy. However, many women experiencing an ectopic pregnancy do not have any of these risk factors. A urine test for pregnancy will nearly always be positive but it might be only weakly positive. In the case of ectopic pregnancy, the uterus will often be smaller than expected for the number of weeks since the woman's last period and this can be checked by an internal pelvic examination.
An ultrasound scan will help the doctor differentiate between a possible miscarriage, a continuing pregnancy inside the womb and an ectopic pregnancy.
Further investigation depends on the woman's symptoms, the scan findings and the level of pregnancy hormone (HCG) in the woman's blood.
If an ectopic pregnancy is strongly suspected then the gynaecologist will perform a laparoscopy to confirm the diagnosis. Laparoscopy is performed through small incisions on the abdomen and the ectopic pregnancy can usually be removed in this manner.
The Fallopian tube in which the ectopic pregnancy occurred is often, but not always, removed at the same time. An alternative treatment to surgery is a medicine called methotrexate (Maxtrex), which decreases the growth of cells in the ectopic pregnancy (unlicensed use).
The outlook for future pregnancies depends on several factors, especially whether the other Fallopian tube appeared normal or not. As a general guide, after one ectopic pregnancy, 20 per cent of women will experience another ectopic pregnancy, 30 per cent will not become pregnant again and 50 per cent will have a successful pregnancy inside the womb.
A miscarriage is the loss of a pregnancy before 24 weeks, with most miscarriages actually occurring during the first 12 weeks of pregnancy. Certain maternal illnesses are associated with an increased risk of miscarriage, although these are very uncommon. It is important to remember that an ordinary lifestyle that includes exercise, going to work, minor falls or taking the Pill before pregnancy does not increase the risk of miscarriage. If the woman is bleeding at such a rate that she needs more than one sanitary towel per hour. If the woman experiences severe stomach pain, this may be a symptom of an ectopic pregnancy. If the woman experiences fever, shivering or a smelly vaginal discharge, this can be a sign of an infection or inflammation.
Provided the bleeding is not too heavy and the pain is controlled by simple painkillers, then you can go home. Again, depending on the amount of bleeding and discomfort you may be admitted to the hospital or allowed home. Many women feel anger and sadness after a miscarriage, while many others experience a strong sense of guilt, even though it is not their fault.
Any woman who finds it too difficult to deal with her grief, or who continues to feel depressed, should consult her doctor for further help. If a woman has three miscarriages in a row, this is known as a recurrent spontaneous miscarriage (RSM) and a referral to a gynaecologist for special investigation is recommended. Following one miscarriage, the risk of the next pregnancy being a miscarriage is not increased beyond the overall risk of one in eight.


Remember to keep taking folic acid to reduce the risk of the baby being affected with spina bifida. Up to 1 in 10 pregnant women develop raised blood pressure accompanied by the appearance of protein in the urine (proteinuria) and retention of excessive amounts of fluid in the body (oedema).
This is detected by your doctor or midwife by using a special stick to dip into a clean sample of urine. Some swelling is normal in pregnancy but it should prompt a woman to have her blood pressure and urine checked. May indicate involvement of the liver, which in severe cases can be complicated by an imbalance of the coagulation system that causes an increased or decreased ability of the blood to clot. Pre-eclampsia is often subdivided into mild, moderate and severe depending on the level of blood pressure and the involvement of other organs in the disease process.
All the symptoms will disappear after the delivery and normally the blood pressure and protein level in the urine will be back to normal after a maximum of two weeks.
If the woman's condition deteriorates and the foetus is at risk, the only solution is to deliver the baby either by induction of labour or by performing a Caesarean section. Giving women a small dose of aspirin (eg Nu-seals 75mg) throughout their pregnancy has been proposed as a preventive measure, but current research does not support this practice. Calcium supplementation is of uncertain benefit but may be of use for women with a high risk of pre-eclampsia.
The most recent development is in using antioxidants such as vitamin C and vitamin E to prevent pre-eclampsia. All too often transgender individuals are at greater risk of social rejection, sexual and physical violence.
Jonas is 5ft 6 inches and weighs 115 pounds, is going through puberty and has developed facial hair. If a woman bleeds at any time during pregnancy she should tell her doctor or midwife straight away.
If she is close to the expected date of birth the doctors will decide whether it is best for her and the baby if the baby is delivered immediately.If the placenta is breaking away, the doctor or midwife, will break the baby's waters and induce the labour. The gynaecologist opens (dilates) the cervix with instruments called dilators, and then inserts a hollow tube through the cervix.
Most women experience psychological effects after a miscarriage, because the pregnancy might have been anticipated with much joy. Or there may be breakthrough bleeding or spotting in between periods or during sexual intercourse. This tissue is usually passed without complication, but increased bleeding or infection may require a repeat procedure. In rare cases, the egg attaches itself in one of the ovaries, the cervix (neck of the womb) or another organ within the pelvis. However, some women do not have these symptoms and do not suspect that they might be pregnant. This is important because an ectopic pregnancy can be life-threatening if it ruptures and causes internal bleeding.
Because the lining of the Fallopian tubes is so delicate, inflammation or trauma can cause the cilia to beat in an abnormal fashion so that the fertilized egg implants in the wrong place. If you have previously had an ectopic pregnancy, the chances of another one in the same Fallopian tube and in the other tube are increased. When using the test-tube method to overcome infertility one or more eggs are inserted into the woman's uterus. In cases of doubt, a blood pregnancy test may be performed, which is always positive in ectopic pregnancy. If there is uncertainty about the diagnosis then waiting 48 hours and measuring the level of HCG again is often appropriate. However, in some instances, open surgery becomes necessary in which the pregnancy is removed through a larger incision above the pubic hair line.
Studies inform us that approximately 50 per cent of lost pregnancies have failed to develop normally, either due to chromosome or genetic problems or because of structural (bodily) problems.
In this way, it is possible to determine if the bleeding is a sign of a pregnancy that is destined to miscarry or one that may continue. If the scan shows that there is no blood clot or tissue in the womb then nothing further needs to be done.
It will help if the woman has someone she trusts with her, so that she can talk openly about her feelings. Provided the investigations are negative, a woman's next pregnancy still has a 70 per cent chance of being successful. The right time to try for children again will vary from one couple to another: some will want to start a couple of weeks or months after the bleeding has stopped, others will want to wait longer. It is not usually seen before the sixth month of pregnancy and most women develop the condition at the end of their pregnancy.
There are other causes of proteinuria but pre-eclampsia is the cause with most significance for the mother and foetus. In the worst cases, pre-eclampsia can develop into eclampsia, a situation where the mother has a convulsion. If hypertension is developing, it is vital to measure the blood pressure and test urine for protein regularly.
There may still be very a small group of women at high risk of developing the disease who may benefit from aspirin.
From a young age, Wyatt did not identify with the gender he was born into and with the help of incredibly supportive parents, Kelly and Wayne, began to live life as a girl. She always knew who she was.'There were very few problems with classmates or their parents until one boy called Nicole a 'faggot' and objected to her using the female bathroom.


The bleeding can be caused by quite harmless changes in the cervix (neck of the womb) called an ectropion. If, on the other hand, the placenta is blocking the opening to the vagina, the mother will probably need delivery by Caesarean section. An evacuation is usually advised to avoid heavy bleeding and prevent a possible infection of the uterus. It is helpful to talk through thoughts and feelings with friends and relatives or with your midwife or doctor. Such changes can be caused by hormonal disturbances or may be due to a disease of the cervix or uterus. Contact your doctor if heavy bleeding occurs (similar to a heavy period) or if you have severe lower abdominal pain or a high temperature. An ectopic pregnancy is not usually capable of surviving and in most instances an embryo is not developed. This transportation is made possible by the tiny cilia (finger-like projections) in the delicate inner lining of the Fallopian tubes that push the fertilised egg along.
Despite being placed within the womb, the fertilised egg may still attach itself to the wrong area outside the cavity of the uterus. This option is usually chosen if technical problems occur during the laparoscopy or if the internal bleeding in the abdominal cavity is difficult to control. The advantage of methotrexate is that it avoids the need for surgery but success rates with methotrexate tend to be slightly lower than with surgery. Some women have no symptoms at all and the miscarriage is only diagnosed when they are given an ultrasound scan at their antenatal clinic. Bed rest is not essential and does not influence whether the bleeding will continue and result in a miscarriage or not. If there is more than just a little tissue or a blood clot then a small operation called a uterine evacuation may be recommended. It is, of course, advisable to recover from the worst of the emotional upset before starting another pregnancy. Fortunately, eclampsia is rare, but this is largely because women with pre-eclampsia are usually detected and treated before eclampsia can develop.
Pre-eclampsia can, in severe cases, influence the placental function and diminish the flow of nourishment and oxygen to the foetus, which will slow its growth. The boy's grandfather complained to the school board backed by the Christian Civic League of Maine. If the symptoms are less severe or the expected date of birth is a long way off, doing nothing other than monitoring the mother and baby's condition may be more appropriate. An alternative to surgery is a medical evacuation that uses tablets to cause the womb to contract and empty itself.
Older women, especially those who experience postmenopausal bleeding, receive a gynaecological D&C.
This is referred to as a 'silent miscarriage', and can be very distressing for the woman and her partner. This is performed through the abdomen or through the vagina and gives precise information about whether the pregnancy is continuing or not. If a pregnancy is destined to miscarry, there is, unfortunately, nothing effective that you or your doctor can do.
The superintendent of schools then decided Nicole should use a staff bathroom causing the Maines to bring a discrimination case against the school. It can also be the type of bleeding that occurs immediately before labour and looks like bloody mucus (a 'show'). This will enable the pregnancy to continue and allow the development of the baby to proceed further.Bleeding should never be ignored. The success rate of a medical evacuation in completely emptying the uterus is slightly less than the surgical approach, but is an option for some women.
A gynaecologist will scrape (curette) the lining of the womb to make a diagnosis and find out which treatment is best. A woman usually experiences discomfort similar to a painful period, but this passes within seconds.
But bleeding in the late stages of pregnancy can also be caused by one of two potentially serious complications.
If in doubt please contact a doctor - or the maternity ward at your local hospital immediately.
If you miscarried at an early stage in pregnancy, or if the amount of remaining tissue is small, a D&C may not be necessary since the remaining tissue will be passed as part of the next period. Few women under the age of 40 require this procedure because disease in the uterus is rarely seen in young women. The people they choose to talk to must be prepared to listen to what they have experienced and deal with the strong emotions involved.
After several incidents of prejudice and bullying the Maines moved to a more diverse community in the state with more liberal schools.
A woman bleeding in the late stages of pregnancy should never have a vaginal examination outside a hospital as such an examination may cause further brisk bleeding. Most gynaecologists recommend a hysteroscopy (telescopic examination of the inside of the womb) as well as the biopsy procedure. However a D&C is usually used to make a diagnosis, and is not used as part of treating the bleeding problem.



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