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
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Hi Doctor, Could you suggest which homeopathy medicine I shall take for gout. My Uric Acid level is 8.2.
For women, less than thirty five years of age, infertility is characterised as the powerlessness to conceive a child after one year of unprotected sex. For women matured thirty five to forty years, it is characterised as a failure to conceive after six months of unprotected sex. For women beyond forty years of age, it is the failure to conceive after three months of unprotected sex. Infertility is also, the powerlessness to conceive a pregnancy to term, for example, in cases of unfortunate miscarriage.
The reason for infertility is the problem on both genders; thirty percent is male related barrenness and 30 thirty percent is female related barrenness. However, it is not just a physical problem. Infertility can affect a woman’s mental health. This is how that is possible:
- Medicine reactions: Medications and hormones used to treat infertility may bring about many types of mental reactions. For instance, the engineered oestrogen clomiphene citrate (Clomid, Serophene), most of the time recommended because it enhances ovulation and increases the sperm creation. However, it may bring about nervousness, rest intrusions, mood swings, and crankiness women. These reactions have not yet been recorded in men. Other fertility medicines may bring about sorrow, madness, and irritation and concentration issues.
- Cash stress: Only a very few states and countries provide insurance for infertility treatment. Expenses of infertility medications are very high. For patients who do not have insurance, the scope or the way to pay for treatment, not having the capacity to acquire treatment may add to the feeling of helplessness and misery. Indeed, even patients with the insurance plan may find that copayments or restrictions on the plan mean they should pay huge sums out of their own pockets.
- Decisions and results: Overall, infertility medications help only some of the patients and they get to be parents. The mental health of those who cannot deteriorate because of their thought of getting older day by day. Patients who learn they are to end up being parents might be excited, additionally should figure out how to change in accordance with new patterns and ways, both during pregnancy and after pregnancy. Women who have endured various premature deliveries, for instance, are probably going to feel restless about whether they will have the capacity to convey to full term or not. More established couples might argue about whether to experience pre-birth testing, for example, amniocentesis.
- Sexual desires: Infertility can also influence a person’s sexual self-esteem, learning, and execution. Many couples have intercourse as an approach to relax. At the point when sex is interrupted with disappointment and dissatisfaction, couples may lose their passionate association. The weight to perform or to have sex because of infertility medications can disengage partners and separate couples. Fertility medicines additionally make sex less stressful, as it gets to be distinctly centred around fertility instead of entertainment.
I had hypothyroidism since few years so was taking 100 mg tablet since my pregnancy and did not get tested after delivery. So got my thyroid test done. T3=1.18 T4=10.4 and TSH is 0.03. I recently lost 13 kilos thru diet and exercise. Also my tsh levels were 6.4 before my pregnancy. Do I need to adjust my dosage?
Have got blood sugar examined. Fasting 98 and pp 176. Does it mean I have diabetes? Medicines required? If yes please prescribe.
For a married couple, having a child is the next step to completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep-rooted causes for this issue, and homeopathy aims in treating the root cause and not just infertility. A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc., and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member’s recommendation is best avoided.
Infertility in females is often caused by the following reasons:
- Irregular menstruation
- Hormonal imbalance
- Advancing age
- Emotional stress
- Excessive smoking
- Alcohol consumption
- Sexually transmitted diseases (Chlamydia, gonorrhoea)
- Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
- Polycystic Ovarian Syndrome (PCOS)
- Pelvic Inflammatory disease
- Thyroid disorders
With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with your doctor to identify what would work best for you. Self-medication is best avoided.
- In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
- In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
- In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
- In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
- In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.
These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms.
My age is 32 years and have son of 3 years. I have done HbA1C test. Score is 10.2 and random sugar is 292. My height is 5'4" and weight is 67 kg. Please guide.
My mother was suffering from pain in the left leg since 1 year. She is a diabetic. She suffered a massive heart attack and collapsed in the hospital after a day of admission. She was 88 years old. Angioplasty was suggested but due to her age it was deferred. Please let me know if the leg pain would have been a pad or dvt which caused the acute MI. Her lipids were within normal a month back before her death. If pci was done would she be saved.
Hello sir, I am 31 years old man. BP, Sugar & urine R/M are normal. Before 3 months I had got creatinine @1.22 (0.7-1.17) but after taking NEERI KFT @1 month by guide of ayurveda doctors, I got 0.98 (0.7-1.17). Now I have check serum email@example.com (0.7-1.4). Is it any big problem in future & whats the reason of increase creatinine again to again? Please Suggest me for my safely life.
Pre-diabetes is a serious medical condition which puts you at higher risk for getting type 2 diabetes. But, there are a number of things that you can do, changes that you can make like avoiding certain foods, controlling the portions of your meal and the number of hours you exercise in a week that will help you prevent type 2 diabetes.
Without pulling any punches, let us say this very clearly that any healthy changes that you make during pre-diabetes will save you from an extremely serious disease called diabetes which kills due to various complications.
Type 2 Diabetes and Pre-Diabetes
- What happens when you have type 2 diabetes is that your body does not produce enough insulin, the hormone that metabolizes sugar or is not able to use it properly. Your blood sugar therefore, shoots up alarmingly causing all the diabetes symptoms we already know of.
- Pre-diabetes is a condition when your fasting blood sugar level is above normal. It is diagnosed through a blood test after you have fasted overnight.
- Normal fasting sugar is 60 to 99 milligrams per deciliter and in pre-diabetes, it is 100 to 125 mg/dl, whereas diabetes sugar is 126 mg/dl or higher on 2 occasions.
- If you have pre-diabetes, your doctor will counsel you about developing a lifestyle plan to reduce your risk of getting type 2 diabetes.
- Most recommendations hover around losing 5-10 percent of your body weight if you are obese, more exercise and control of your portion size.
Portion size control for pre-diabetics
- You will be advised to cut your calorie intake by 250 to 500 hundred calories per day if you are overweight.
- Certain foods which are basically carbohydrates will go off your plate forever. Carbohydrates are high glycemic index foods as they convert to sugar very fast in the body and trigger insulin.
- This means sweets, rice, cookies, pasta, chips, desserts, tortillas and even a few fruits which are high in sugar like Litchis and mangoes have to be excised from your pre-diabetes diet plan.
- And, so should sodas, cold drinks, smoothies, fruit juices alcohol, tea and coffee with sugar…
- Remember, proper serving size is crucial to preventing full-blown diabetes.
- Let’s take a look at how you can do this as a pre-diabetic-
Essentially, portion control for pre-diabetics is geared towards managing
- Calorie intake, especially important for those carrying extra body weight
- Carbohydrate intake
Managing calorie intake
- Pre-diabetics should keep the calories from carbs to the minimum. They should get their maximum calories from proteins and fats.
- Which means their plates should have more lean meats and eggs, less fats and minimum amounts of carbs, like wheat.
- This has a number of benefits for blood glucose control. Eating more fat and protein-based foods will limit the uptake of sugar from your bloodstream. Fat is insulin-neutral and so are proteins. This means they don’t trigger insulin.
- Since an increased waist size is associated with decreased sensitivity to insulin, keeping your calories down by eating moderate portions of food is the best way to stop progression to full-blown diabetes.
Managing carbohydrate intake
- Pre-diabetes means that your body doesn’t tolerate carbohydrates. Think of it like this, in a meal, having half a banana is all your body can tolerate in terms of carbs.
- Use can also use the plate method which involves dividing up your plate into sections for different food groups. It helps you to keep control of portion sizes as well as helping you to enjoy a well balanced diet.
I'm pregnant of 1 month 20 days. I've done Thyroid test and it shows my thyroid levels TSH as 4.42. Should I use thyroid tablets or its normal please let me know,
Sir, I am a 26 years old person from Assam and I am a High BP Patient and taking OMEN CT20 since 1 year. Recently on 14 Sept/17, I have been prescribed for Rosuvastatin Tab 10 mg for increasing my TRIGLYCERIDES as 186 H. And my Cholesterol Total is 131 and LDL is 84 and HDL is 37.2 mg/dl. Sir my question to you are 1.I should take the medicine or not? 2.If I take the medicine now then whether I should be continued for long term or can I stop after coming in normal position. 3. I have read from Google that Rosuvastatin may increase Sugar level in blood. Is it True? As of now my Sugar is 107. Please reply me Please Sir.
Hi I'm 37 years old I hv hypothyroidism for which I tke eltroxin (Mon to Thurs) 100 mcg & (Fri to Sun )125 mcg & my Tsh levels 1.15, T3 1.03, T4 15.90 these days I always fell like spinning in my head so I checked my Bp level it keep fluctuating sometimes 130/90,125/85 120/88 like so on please can you give me any suggestions bcoz we r planning for ivf treatment as we don't hv kids.
- 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.