Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 33 years of experience on Lybrate.com. You can find Endocrinologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Suresh
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
Submit a review for Dr. SureshYour feedback matters!
Glucose is the primary ingredient within the body which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, your body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.
Symptoms of type 2 diabetes
- Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this, tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
- Frequent infections and slow healing - If you are afflicted with Type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
- Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally.
- Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
- Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is a darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds on skin in areas such as the neck and armpits and is a direct result of insulin resistance.
Causes of Type 2 diabetes
Some of the most common causes of Type 2 diabetes could be:
- Being overweight
- Lack of physical activity
- Genetic predisposition or family history
- If you are more than 45 years of age
- Hormonal problems such as Polycystic ovarian syndrome
Treatment or management of type 2 diabetes
In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although in certain cases medications may also be required. Some of the steps necessary are as follows:
- Change in diet and healthy eating
- Physical activity and exercising
- Regular blood sugar monitoring and
- Blood sugar medication along with insulin therapy if necessary
If you wish to discuss about any specific problem, you can consult a doctor.
My friend is around 60 yrs old and has been diagnosed for diabetes mellitus and TB. He has reduced 12 kg of wt. He is taking treatment for both. Frequently there is dryness in his mouth and less saliva is produced which hampers uptake of food. What should he do?
For a diabetic for ten years and following LCHF diet since last 4 months, is it o.k. To eat on daily basis 50 grams of Amul paneer & 100 grams of button mushrooms? Secondly in addition to maintaining triglycerides to HDL ratio below 2.50, what can be upper limit to aim for total cholesterol? Kindly advise.
I am 21 yes male. I have only 49 kg wat. Xray tsh and other test are normal. I take protinex and milk with bananas. But my what is same. I feel very weakness. What can I do.
Almost all the metabolic processes in a person's body are influenced by the hormones produced by the thyroid gland. The most common types of thyroid diseases caused due to dysfunctional thyroid glands are Thyroid nodules, Hypothyroidism, Hyperthyroidism, Goiter, Thyroiditis, and Thyroid Cancer.
Hypothyroidism is when the thyroid gland is underactive and the amount of hormones produced is insufficient. Hypothyroidism can be caused due to multiple reasons such as iodine deficiency, radiation or surgery on the thyroid gland, and drugs such as lithium and phenylbutazone. You should note that treating thyroid is not a speedy process and a reoccurrence of symptoms might also take place. However with the appropriate remedies and proper diet control, one can make sure that these symptoms are less pronounced.
Ayurveda: According to Ayurveda, imbalance or disequilibrium in the doshas is the main cause of hypothyroidism. The Kapha dosha i.e. the dosha responsible for body fluids and lubrication and Pitta dosha i.e. the dosha responsible for fire and water body humors, are vitiated. Lifestyle and diet discrepancies further promote imbalances in the doshas. Hypothyroidism is categorized under the Yapya diseases which recur once you cease to take the treatment.
- It is essential to consume adequate quantities of milk.
- Apart from that, coconut oil is one of the best remedies for a hypothyroid patient, since it increases slow and sluggish metabolism. Coconut contains MCFAs i.e. medium chain fatty acids and MTCs i.e. Medium chain triglycerides in abundance which help the metabolism be revved up.
- Ayurvedic herbs useful for treating hypothyroidism are kanchnar, Bauhinia variegata i.e. purple mountain ebony, Jatamansi, brahmi, guggulu, shilajit, gokshura, and punarnava.
- Consume a mixture of Indian gooseberry i.e. amla churna with honey, daily before breakfast.
- One of the main causes of Hypothyroidism is insufficient amount of iodine. Drinking the juice acquired from jalakumbhi i.e. Pistia Stratiotes everyday in doses amounting from 11gm to 22gm increases the iodine content and helps treat hypothyroidism. In case you have a concern or query you can always consult an expert & get answers to your questions!
IVF or In vitro fertilization is a form of fertility treatment where the sperm and egg is combined, in a laboratory. IVF is one of the most common fertility treatment procedures, which involves high technology and are undertaken by many couples all over the world. If you have ovulation problems or problems with the quality of egg and blocked fallopian tubes or in case your male partner has low sperm count or high mortality, you can undertake IVF to become pregnant.
The process of IVF involves the following steps and methods:
- Ovarian stimulation: Before your menstrual cycle begins, you should take a gonadotrophin. This is a fertility drug which will stimulate your ovaries for development of multiple, mature eggs for fertilization process. Taking synthetic hormones like cetrorelix and leuprolide also help in ovaries stimulation.
- Development of follicle: You must visit your doctor frequently while having the medicines for a checkup of your blood hormone levels. Getting an ultrasound done for regularly measuring your ovaries is also very important. This will allow your doctor to monitor the development of follicles.
- Trigger shot: You will be given a trigger shot injection after the follicles are ready. This injection causes full maturation of the eggs and makes them ready to get fertilized. The eggs can be triggered after 36 hours of trigger shots.
- Gathering of the eggs: You will be given an anesthetic by the doctor and an ultrasound probe will be inserted through your vagina for observing the ovaries and follicles. A thin needle is inserted through the vaginal wall and the eggs are removed from the follicles.
- Fertilization: Your eggs will be observed once more before being combined with your partner's sperm and being incubated overnight. Fertilization occurs during this time and abnormal eggs are not fertilized. Three days after the eggs are retrieved, some of the successfully fertilized eggs turn into embryos made up of six to ten cells. After five days, some of these embryos become blastocysts made of fluid-filled cavities and tissue, which begin to develop and separate into the baby and the placenta.
- The most viable embryos are selected to be placed in your uterus. The doctor places one to five embryos in your uterus by the insertion of a thin tube or catheter through the cervix. The embryo implants in the walls of the uterus and slowly develops into a baby. The chances of pregnancy are higher in case of multiple embryos.
IVF is a successful and quite a common fertilization process. It is an old procedure used and has been in use for a very long time. The track record of IVF is impressive and more improved techniques are being developed every day. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
Sir meri mom ki age 53 hai unka fasting sugar report 103 hai or khana khane ke baad 191 hai toh sir pls aap batayenge ki sugar blood mein aa chuka hai or ye control ki ja sakta hai or kitni tension ki baat hai sir.
My mother aged 45 just couple of days back fell sick n sugar rose to 270 and after the tests the results showed that she has got diabetes. Ever since the news she has been feeling stressed and tensed about her health and so am I worried. What should be done since its the initial stage can something be done to prevent it from increasing. What measures must be taken to prevent it from spreading. Request you all for a proper guidance.
What causes hashimoto's thyroiditis, and what is the best method of treatment? can iodine help this condition?
- Chances are you've never heard of vaginismus (or, as it is now known, genito pelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects - women. Vaginismus is musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
- Among the male factor infertility, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation 12.01%, Lack of sexual desire 3.92%, homosexual orientation 2.79%, sexual aversion disorder 1.31% and disorders of sexual preference 0.61%.
- Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration and/or organic pathology. Women with vaginismus have also been noted to have a lack of sex education. Vaginismus was the 63.9% , ed 11.9% , PME 8.3% , low male sexual desire 2.7%, low sexual desire in female 13.9% dysfunctional underlying non consummation of marriage is largely treatable. Adaptation to the situation usually occurs and associated factors add to the primary cause. Treatment of the underlying dysfunction can challenge the relationship.
- Sexual dysfunction is a common problem which leads to inter-personal problems and marital discord. defined as recurrent or persistent involuntary spasm of the with coitus and causes distress and interpersonal difficulty.
Treating vaginismus merits a two-front approach which includes behavioral sex therapy techniques and relational intervention. When appropriate, the behavioral intervention consists of prescribing dilators (from smallest to largest) that the wife is to use in the privacy of her own home to gradually desensitize herself to penetration (the fourth and usually largest dilator is roughly the size of a penis). While the husband may be called upon to help his wife insert the dilators (depending on his wife's comfort level), for the most part his job is to ease off the pressure for her to perform, be supportive, and try to understand his role in the marital dynamic (usually an enabling one) and the associated symptom.
Ascribing to a psychodynamic model of treatment, is helpful for a couple to understand where their symptom came from, but I'll admit this is not always necessary for them to achieve a positive outcome. Nevertheless, employing the psychodynamic systems approach to uncover any conflicts that might be behind or exacerbating the vaginismus. These underlying causes may include prior sexual abuse, chronic control struggles experienced in the family of origin, negative messages or beliefs about sex emanating from the family of origin, religious values that conflict with sexual pleasure, to name a few. I also pay close attention to the couple's interactional style in order to assess whether it, too, is a contributing factor.
What causes it?
- "Both [primary and secondary conditions] are psychologically based. "It's a physical condition, but it's a psychological condition as well.
- "To treat it correctly, you need to treat both the physical and psychological aspects."
- while there are many hypotheses on possible causes, its actual etiology is unknown, probably in part due to the fact sufferers are so reluctant to come forward.
- "It's a really complex thing, And while it is influenced by many things -- there are lots of hypotheses -- the big link, for primary vaginismus anyway, seems to be strong correlation between being raised in a religious environment.
- "This may be due to several factors including lack of information, insufficient premarital education, a cultural context strongly proscribing sexual behavior, and the expectation that intercourse take place immediately after the wedding, necessitating a radical shift from sexual abstinence to sexual intercourse.
- Often the anxiety resulting from repeated attempts at intercourse contributes to the sexual dysfunction. One or both partners may be anxious that penetration will be painful, that there will be bleeding, or that the woman will get pregnant. While a certain amount of anxiety surrounding sexual activity is normal, when one or both partners are overly anxious, sexual function can be affected in the following ways: The male partner may have difficulty maintaining an erection strong enough to allow penetration or he may lose his erection just prior to intercourse. Anxiety may contribute to premature ejaculation, also just prior to reaching penetration. Anxiety may prevent the woman from relaxing enough to allow penetration. She may close her legs or contract her vaginal muscles. This presentation is referred to as vaginismus, defined as the persistent or recurrent difficulty of a woman to allow vaginal entry of a penis, a finger, and/or any object, despite her expressed wish to do so. While anxiety may indeed be a factor contributing to and perpetuating many sexual problems, there are many components to sexual problems, including physiological ones. Therefore, each partner in a couple presenting with an unconsummated marriage should undergo a physical exam.
- Physical presentations of the female partner that might prevent intercourse can include sexual pain disorders such as localized vulvodynia, also known as vulvar vestibulitis syndrome. This fairly common condition is characterized by pain with touch at the entry to the vagina, which can prevent intercourse. A woman's hymen may be a barrier to intercourse. Some women have a very thick hymen, or a septate hymen, which is a thin piece of membrane running vertically which separates the vagina in to two sides. While most of these conditions can be addressed with sexual counseling and physical therapy, including use of vaginal dilators, in most cases a septate hymen needs to be repaired surgically.
- Frequently, lack of knowledge about sexual anatomy and physiology may contribute to a situation whereby attempting intercourse feels awkward and un-natural. Often all that is needed is some basic anatomical information and positioning advice. For example, a couple may report that the woman's vagina feels dry and excess friction prevents intercourse. In this case, the couple may be advised to ensure that intercourse take place when the woman is sufficiently aroused after plenty of exciting foreplay. Over the counter lubricants may be very helpful. While some people are physically active, very aware of their bodies, and comfortable with movement, other people are less so and may simply have not figured out how their bodies move in order to comfortably find a position for intercourse. One or both of the partners may have mobility problems or difficulty getting in to or maintaining a position. A woman may have difficulty keeping her legs open or a man may not be able to hold his weight up on his arms. In these cases as well, consultation with a physical therapist may be helpful in providing exercises and positioning advice.
- While behavioral solutions may be found for many couples, it is important to note that couples in unconsummated relationships, particularly of long standing duration, may benefit from couples therapy directed by a competent Sexologist. A doctor working with such a couple may wish to gain understanding in how the couple presents and organizes around the problem: How is the presenting problem perceived by each partner? Is there attribution of blame? What is the significance of the dysfunction itself and how is that perceived by the couple? Who is aware of this situation and in what way is outside intervention (community, parents, and religious leader) perceived in assisting or perpetuating this condition? Identifying the various factors contributing to the condition and dealing with them with physical, psychosexual, and couples therapy, may be the key to consummation and the commencement of a satisfying intimate life.
"So we are talking about people who are raised in conservative faith, who may not have looked at their anatomy in the mirror," Small continued. "They haven't touched themselves, they haven't looked at themselves -- they may view the entire thing as being dirty."
"In terms of the secondary form, this is a result of some kind of trauma or sexual issue, and can be triggered by something later on.
"Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children."
- Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children.
How to treat it
- Most women who experience vaginismus choose to live with it rather than come forward and have it treated. Even those in long-term relationships may try to conceal what is happening from their partner or forgo sexual relations all together.
- "If they don't do that, they cut that part of intimacy out of their relationship altogether and choose to shut down any intimate feelings they might have. They end up having a very different kind of relationship.
- "What is important to say is there is a cure and they can be helped. That's the message that needs to get out there. Treatment for vaginismus have included systematic desensitization along with insertion of graded dilators/fingers11, drugs like anxiolytics, botulinum toxin injection,12
- and sex therapy. An In the Indian scenario where the talk about sex is taboo and limited among partners it becomes very essential to first improve their communication so as to improve the sex related issues. eclectic approach involving education, graded insertion of fingers, Kegel's exercises and usage of anaesthesia with vaginal containment was tried.
- As Small previously mentioned, the best approach in terms of a cure is to seek both psychological and physical treatment.
- For the psychological side of things, she recommends seeking out a competent female sexologist.
- Physically, many women are taught how to use vaginal dilators in conjunction with relaxation techniques.
- "With vaginal dilators, basically how they work is you start off very very small, and then, using relaxation techniques, slowly work your way up in terms of size.
- "It's imperative these women have a gentle introduction and remember they are in control of the situation.
- "There is also something called saturation therapy which is often undertaken with their partner. Using dilators, they are able to discuss their mental state and what their thoughts are at any stage. There has actually been incredible results with that. Something like 90 percent of participants report sexual success afterward." there has been some preliminary research done into the effectiveness of Botox, but states at this stage, the research is still too new to offer any kind of conclusive evidence.
Steps to take
- If you think you or your partner might have vaginismus, it's extremely important to understand treatment is available, and, better yet, comes with a high level of success rates.
- "The first step is to see a competent female sexologist. "It is one of those things that, when it presents, it is pretty obvious it is on a psychological basis.
- "A sexologist may double-check everything is okay, but typically what they will find is anatomically they are fine and everything is in order and working -- the cause stems from a psychological basis.
- "The big thing about it is it's treatable, and it is possible to lead a really fulfilled life.