Doctor in Iswarya Women Care and Fertility Centre
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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Infertility is the failure to conceive (regardless of cause) after 1 year of unprotected intercourse.
Types of Infertility
- Primary infertility: Infertility in a couple who never had a child
- Secondary infertility: Failure to conceive following a previous pregnancy
Epidemiology, Incidence, and Prevalence
Female factors that affect fertility include the following categories:
- Cervical: Stenosis or abnormalities of the mucus-sperm interaction
- Uterine: Congenital or acquired defects; may affect endometrium or myometrium; may be associated with primary infertility or with pregnancy wastage and premature delivery
- Ovarian: Alteration in the frequency and duration of the menstrual cycle—Failure to ovulate is the most common infertility problem
- Tubal: Abnormalities or damage to the fallopian tube; may be congenital or acquired.
Male factors that affect fertility include the following categories:
- Pretesticular: Congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis
- Testicular: Genetic or nongenetic
- Post-testicular: Congenital or acquired factors that disrupt normal transport of sperm through the ductal system
Laboratory, Imaging, and/or Surgical Evaluation Laboratory, radiologic, and/or surgical assessment of the female:
- Ovarian: Progesterone levels, follicle-stimulating hormone and estradiol levels and Anti-Mullerian hormone levels
Laboratory evaluation of the male:
- Semen analysis: Volume, pH level, concentration, motility, morphology, and WBC count
- Sperm function tests:
- The acrosome reaction test with fluorescent lectins or antibodies
- Computer assessment of the sperm head
- Computer motility assessment
The Scope of Ayurvedic Treatment in the Management of Infertility
The main ayurvedic treatment goals are purification and functional optimization of the “reproductive tissues” (arthava- and shukra-dhatu) of both sexes. According to Ayurveda, reproductive health is primarily determined by the health of tissue metabolism and nutrition, both being ultimate requirements for conception.Therefore, general panchakarma purification measures usually initiate the treatment sequence. While purgation is almost always recommended, other cleansing measures are optional and may include medicated enema, emesis, and blood purification.
Based on the Ayurvedic diagnosis vandhyatva and considering constitutional factors, various tailored treatment protocols are carried out during an individual 90-min session and discussed with the patient. These factors usually involve a combination of constitution- and disease-based dietary (ahara) and lifestyle (vihara) advice, including daily intranasal self-massage, gargling, and self-body massage with sesame oil; regular administration of herbs (aushadhi: combination of the fine powders of Withania somnifera, Bacopa monnieri, Asparagus racemosus, and Tinospora cordifolia); nutritional supplements (Chyavanaprasha linctus); abdominal massage with Dhanvantara oil; and local oil applications on the lower back (kati-basti), and nasal applications of medicated fats (nasya with brahmi-ghrta).
What is High Blood Pressure?
High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.
What is Diabetes?
Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.
According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.
In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.
Depending on their overall health, some people may need more than one medication to reduce their risk.
Almost every woman wants to lead a healthy life with their loved ones and experience the joy of motherhood when the right time comes. However, as much as you detest it, the last decade or two has seen a steady rise in gynecological problems. While some of the gynecological conditions are minor and can be easily treated and taken care of, others may give you a hard time. From PCOS to Endometriosis, left untreated, some of these problems may trigger infertility, complicating things further.
Open surgeries have long been the only surgical option to deal with such critical problems. However, the advent of Laparoscopy has brought about a much-needed relief benefitting millions of women with gynecological problems worldwide. Based on latest technology and being minimally invasive, laparoscopy comes with a lot of benefits. In addition to surgically treating a condition, laparoscopy also ensures an accurate and better diagnosis. In this article, we will discuss the laparoscopic surgeries to deal with infertility and other related gynecological issues.
Infertility and Laparoscopic surgery
Identifying the underlying factor(s) responsible for infertility can go a long way to treat the condition successfully. Some of the factors that contribute towards infertility include
- PCOS: Polycystic Ovarian Syndrome is a medical condition whereby formation of a cyst(s) take place in one or both the ovaries. These cysts affect the ovulation process as the eggs either do not mature or the ovary fails to release the mature eggs. To deal with this situation, a surgeon often performs the Laparoscopic Ovarian Drilling or Ovarian Diathermy.
- Here, the surgeon makes small cuts in the abdomen (belly button).
- To inflate the abdomen, the surgeon inserts carbon dioxide gas inside the stomach.
- The Laparoscope along with the surgical instruments are next inserted inside through the incisions.
- Parts of the ovary that are being affected are destroyed using Electrocautery.
- Ovarian Diathermy plays a significant role in normalizing the ovulation process, which was affected by PCOS.
- A blocked fallopian tube can also trigger infertility. In this case, Laparoscopic Fimbrioplasty (performed when there is a scar or a blockage in the part of the fallopian tube that is adjacent to the ovary) comes in handy. It is a laparoscopic reconstructive procedure that helps to open the tubal blockage, thereby restoring the fimbriae (finger-like projections located at the tube ends that aids in the transportation of the matured eggs from the ovary into the uterus).
- Endometriosis: This is a medical term used to define a condition whereby the endometrial cells grow outside the uterus, often in the ovary or the fallopian tube resulting in pain and infertility. Here also, laparoscopy comes as a savior, getting rid of any scarred tissues, endometrial implants or endometrioma (endometriosis cyst that forms in the ovary), thereby improving the condition.
- Laparoscopy can also be used to treat ovarian cancer, removal of fibroids (uterine myomas or uterine tumors), hysterectomy (uterus removal).
- Laparoscopy plays a significant role in reversing the tubal ligation (closure of the fallopian tube to prevent pregnancy).
When you’re ready to take the plunge into parenthood, there’s no way to predict exactly how soon you’ll see a positive pregnancy test. If you’re in pretty good health, and having regular sex without birth control, you should expect to conceive in your first year of trying. In general, about half of couples will get pregnant within 6 months, and about 70%-80% will get pregnant within 1 year. But you and your partner can boost your odds of being parents-to-be by knowing the dos and don’ts of fertility. Set yourself up for success with these guidelines.
Him: Keep Tabs on Your Health
There’s a big connection between your overall health and your reproductive health, so making time for a quick health check can go a long way for your fertility.
Good diet, regular exercise, a healthy body weight, better sleep patterns, less stress -- all those things have been correlated with semen quality. Your doctor can help you make any changes you might need to be your healthiest self, as well as address any issues that might be a barrier to baby-making. Avoid hot baths and saunas- The testicles are a few degrees cooler than the rest of the body, because that's a better temperature for sperm production, so anything that warms them up can potentially be an issue. It takes your body 2-3 months to make new, mature sperm. Another heat source to watch out for: laptops.
Her: Learn How to Read the Signs
All pregnancies start when egg meets sperm. So they need to be in the same place at the same time. To help that happen, you can keep track of when your ovaries release an egg, called ovulation, and have sex during that time frame.
If your cycle is regular (with periods coming 26 to 32 days apart), that may just mean having sex on days 8-19 after your period. If you have irregular periods, you may not be able to rely on the calendar alone to know when you’re ovulating. However, there are other ways your body tells you it’s go-time.
To start, take note of your daily discharge. Cervical mucus increases and becomes very thin, stretchy, and clear as you approach ovulation. Watch for a consistency like egg whites.
You can also track your basal body temperature (BBT), which is your body’s temperature when it’s fully at rest. A rise of 0.6 degrees or more for over 10 days is a sign that you’ve ovulated. But your most fertile time is 2-3 days before that boost. When you track it for a few months, you’ll get an idea of when you might ovulate on your next cycle. For a more precise measure of those pre-ovulation days, you can buy an ovulation predictor kit from the drugstore. It tests your urine for hormone levels that spike a few days before ovulation.
Watch your weight: extra pounds make you more likely to have irregular menstrual cycles, or to not ovulate at all. Losing even a small percentage of body weight can increase fertility and decrease health risks during pregnancy.
Being too thin impacts fertility, too. Not only are you more likely to have irregular periods if you’re underweight, you’re also at risk for preterm birth once you do get pregnant, and your baby is more likely to be born at a low birth weight.
It's fine to get in some moderate activity. But engaging in strenuous, vigorous and extreme exercise might impact your menstrual cycle, leading to infertility. So, pass on the marathon when you're trying to get pregnant.
Both: Timing of intercourse
Once you’ve got a handle on your fertile window, set a good schedule for sex. We recommend couples have sex about every other day from a few days prior to ovulation until a few days after. Doing it more often doesn’t hurt your odds, but there are some studies that show it may lower a man's sperm count.
Before trying to concieve, review your medications with your doctor to be sure they don’t affect your fertility -- or won’t cause harm to a future baby.
Birth control pills use these hormones to prevent pregnancy. But if you’ve recently stopped taking them, there’s no need to fret about a post-pill waiting period. Your body should be ready to conceive right away, even if you took them for years. The length of time you used any form of birth control doesn’t affect your ability to get pregnant. Taking a daily folic acid supplement not only helps prevent birth defects, it may increase fertility as well.
Diabetes is basically a disorder of the metabolism causing excessive thirst and the production of large amounts of urine. To further elaborate one need to understand the role of insulin in the body. While eating, the body turns food into sugar or glucose. At that time pancreas is supposed to produce the right amount of insulin to move the glucose from our blood into our cells. In diabetics, the pancreas either produces little or no insulin, or the body cells do not respond to the insulin that is produced. Due to this, glucose levels rise in the blood, floods into the urine and passes out of the body, making the body lose its main source of fuel. Diabetes is of many types, but the most common are Type 1 and Type 2.
How to treat Diabetes:
Controlling blood sugar level is the major goal of diabetes treatment, in order to prevent complications of the disease. Treatment may be in Allopathy or Homeopathy, conventional medicine often uses insulin itself in the treatment of diabetes. Since this is kind of replacement, so diabetes becomes a life-long disease. Homeopathy can be used effectively in the treatment. Let’s see how diabetes can be worked with Homeopathy.
Diabetes & Homeopathy
In homeopathy, the main focus is on functioning of the pancreas in efficient insulin production. There are specific medicines which are used effectively in the treatment of all the stages of the diseases.
Homeopathic treatment can help improve the general health of a person with diabetes:
- If a person with diabetes is in good health, his or her insulin requirements will be steady and the blood glucose well controlled at the same time.
- If the general health is poor, it can be very difficult to achieve good control.
Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar. The commonly used remedies are Uranium Nitricum, Phosphoric Acid etc. These are classical homeopathic remedies.
Depending on the level of the blood sugar and the requirement of the patient, doses are given with doctor’s consultation. It’s a holistic approach in medicine. This treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is affected with this state. In this, it is considered that the disease is a mere deviation in life force and hence all the efforts are to correct this disorder. The treatment will be to bring into balance the various systems involved in diabetes, for example, pancreas, hormones, and your immune system. Treatment will again be different if you have other ailments along with diabetes.
Homeopathy regards health as a state of balancing the equilibrium of the life force.
4 Dietary Changes that can Increase Your Chances of Getting Pregnant
At times being able to conceive becomes a challenge due to certain biological reasons. Feeling positive and eating healthy naturally takes you a step nearer to getting pregnant. In case of no medical condition acting as an obstruction, consuming the right food can increase your chances of getting pregnant.
Here’s a list of supplements you can include in your diet to maximise your chances of getting pregnant.
1. Choose whole grains over refined carbohydrates: Reducing the intake of refined carbohydrates (found in milk, potatoes, corn to name a few) can reduce inflammation of the genitals, which will help increase fertility. You can still continue to have your favourite foods, but ensure they are low GI (glycaemic index- a figure used to represent the ability of carbohydrate to increase glucose in blood) carbohydrates.
You can consume whole grains, which help in reducing insulin levels that in turn reduce the risk of heart diseases and diabetes and also help lower cholesterol levels. Try having whole grain bread instead of white bread and porridge instead of sugary processed cereals to reduce your GI ingestion.
2. Harness the power of Proteins: Proteins are an important part of your diet and the type of proteins you require careful consideration as they help make new hormones. Try having 25gms of vegetable protein like seeds, legumes and nuts instead of animal protein.
Add dairy foods to your diet as they are also a rich source of protein. They provide vital minerals and nutrients like magnesium, calcium and vitamin B12 to the body and at the same time are low in calories. Include milk, yoghurt and cottage cheese to your meals so that you have a minimum of three servings of dairy products a day, which is essential to meet your nutritional needs and increase your chances of having a baby.
3. Welcome Good Fats: Processed foods, fatty meats and takeaways are high in saturated fats including trans fats. These lead to inflammation and an increase of oxygen free radicals in the body, which decrease fertility. So, incorporate good fats in your diet in controlled quantities. Try having avocado and tomato on a whole grain toast, for instance.
4. Make folate an integral part of your diet: Folate is an essential nutrient that helps in decreasing the incidence of birth defects in babies, while ensuring a healthy conception. Along with the prescribed supplements, try to increase its intake in its natural form. The best way to do this is by having green leafy vegetables, which are a rich source of folate. You can also have veggie sticks and vegetable soup along or green vegetable dishes to increase your folate intake.
My mom has went through a gallbladder removal surgery. She is a diabetic patient but does not take any medicine. But after surgery surgeon ask her to consult a good physician for regular diabetic care, to overcome with the surgery effect as fast as possible. 2 days ago we checked her sugar level, it was 125 mg (fasting), today again we checked, it was 130 mg (fasting). Please suggest a better treatment for her.
The occurrence of diabetes is expanding step by step. Being a silent executioner, it is attacking the youthful generation subtly that builds the weight of exchequer on the general population. Individuals, who are taking cutting edge medicines for diabetes treatment, prompting to searching of option arrangement of medicine where Ayurveda has more prominent application and significance. Ayurveda treats diabetes through diet, drugs, exercise and panchakarma.
Reasons for diabetes
- Deficiency of exercise
- Diet expanding kapha dosha, for example, fats, sugar, rice, potatoes
- Mental stress and strain
- Over the top sleep
Straightforward Ayurvedic cure for diabetes
- Triphala: Triphala alongside different fixings are helpful in bringing down the sugar levels in blood. The decoction of a balance of base of Triphala, barberry, moth (20ml) and colocynth might be brought with turmeric powder (4gm) twice per day.
- Amla: The juice of Amla (Embelica officinalis) (20 ml) twice per day is useful for diabetic patient. The powder of Amla fruit may likewise be taken twice every day.
- Aloe Vera and ground sound leaf: The blend of turmeric (1/2 tbsp), ground sound leaf (1/2 tbsp), and aloe vera gel (1 tbsp) if taken twice every prior day lunch and supper, is useful to control sugar in blood along these lines successful for the issue.
- Cinnamon powder: This is one of the essential regular home remedies. Step by step instructions to plan: First take one liter of drinkable water. Include 3-4 tbsp of cinnamon powder and warmth it for 20 minutes. Strain the blend and made it cool. Drink it consistently.
- Diet: Use Varee, barly, Kulittha, Mung, old rice, Chickpeas, bitter gourd, dudhee gourd, Dodaka, in diet. Incorporate 'Tikta ras' things in diet.
Endocrinology deals with hormones, hormone systems and hormonal disorders. The organs that come under endocrinology are pituitary gland, adrenal glands, ovaries or testicles, thyroid gland and pancreas. These organs maintain the chemical balance of the body by secreting hormones which regulate all the body systems.
Relation between the endocrine system and diabetes:
The hormone insulin is secreted by the pancreatic beta cells called the islets of Langerhans. It is a peptide hormone that metabolizes carbohydrates, proteins and fats, stimulates the conversion of glycogen or stored protein to usable glucose and also helps the body cells to absorb the glucose. The movement of ionized or free calcium (Ca2+) is also somewhat dependent on insulin.
Insulin is secreted from the pancreas in two phases - the first phase occurs when blood sugar level is high and need to be absorbed into the cells while the second phase is associated with a slower production not influenced by blood sugar.
Types of diabetes and how they are affected by the endocrine system
- Type 1 diabetes mellitus: This condition is caused by underproduction of insulin by the pancreatic beta cells. It is called 'insulin dependent diabetes mellitus' (IDDM), since it is directly influenced by the hormone.
- Type 2 diabetes mellitus: This type of the disorder is not directly dependent on insulin. It is usually caused by obesity and lack of physical exercise. The cells develop resistance to insulin and because of that blood sugar is not absorbed properly. This eventually leads to under-secretion of insulin.
- Gestational diabetes mellitus: Pregnant women might develop high levels of blood sugar even if they did not have diabetes in the past. This occurs due the changes in the regular hormonal cycles and secretion of pregnancyhormones and can result is complications and miscarriage.
Sub-specialties of diabetic endocrinology
- Diabetic renal disease: The kidneys filter the blood. If there are chronically high levels of sugar in blood, hormones like erythropoietin (regulates production of red blood cells) and renin (regulates blood plasma and fluid content) are not produced. As a result, the kidneys' capacity is reduced and waste materials build up in blood.
- Diabetic vision problems: Insulin problems may cause the blood vessels supplying the retina (light sensitive eye tissue) to expand or contract. This causes blurry and distorted vision and pain in the eyes.