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I am on thyrox75 +calcium, took fomoterol fumarate inhaler earlier. Is there a connection between hypothyrodism and asthma? calcilytics?
There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.
There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:
- Abdominal Adhesions and Infertility: Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body. Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.
- Secretions from Implants: Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.
- Prostaglandins: Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy. This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.
Just like the endometrium, the implants also secrete these hormones. And, the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.
A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.
The A1C test throws light on a person’s average blood glucose level for a stretch of 3 months. It goes by the name of HbA1C, glycohemoglobin or haemoglobin A1c test. This is the only test that is used for research and effective diabetes management.
How does it work?
The A1C measures the attachment of glucose to the haemoglobin. The latter is a protein that carries oxygen to all parts of the body. The RBC in the body keeps dying and regenerating. But, on an average, stays in the body for 3 months. Hence the A1C test tries to measure the count of glucose for 3 months to get a right count of the glucose. This is measured in terms of percentage, normal being less than 5.7 percent.
Can A1C measure type 2 pre-diabetes and diabetes?
In the year 2009, a group of scientists from the International Expert Committee suggested that it is entirely possible to detect type 2 pre-diabetes and diabetes. Earlier, only the blood glucose test could detect the pre-diabetes and diabetes. Since A1C test does not require fasting and can be undertaken at any time of the day, more and more people can undertake this test and refrain from the risk of undetected diabetes.
Why is testing required?
Testing is particularly essential since diabetes doesn’t show any early signs or symptoms. Testing ensures that diabetes is detected on time and unnecessary complications can be avoided. With right medicines, type 2 diabetes can even be prevented from occurring.
Has the test improved?
The A1C test has improved over the years. It has now been standardised. The accuracy of this test has been further increased by the National glycohemoglobin Standardisation Program. The major goal of the latter is to block the risk of getting complicated diseases such as blindness and diseases related to blood vessels.
A1C test be performed during pregnancy?
The A1C test can be performed during pregnancy to understand if a person had diabetes before becoming pregnant. Post the confirmation, OGTT is used to find out if a woman is suffering from gestational diabetes. Post the delivery, a woman should be tested to find out if the diabetes is persistent. The A1C test can be performed post 12 weeks of delivery rather than a blood glucose test to find out the persistence of diabetes in a pregnant woman.
A1C comes into play after detection of Diabetes?
The A1C test is used to monitor the glucose levels and detect the type 1 or type 2 diabetes to start with. Health care providers may ask a patient to undergo this test thrice to four times in a year. Based on the results of this test, medications of a patient is adjusted by a doctor.