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Adult Diabetes Treatment
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Type 1 Diabetes Treatment
Treatment Of Childhood Diabetes
Diabetic Diet Counseling
Dilatation And Curettage (D C) Procedure
Egg Donation Procedure
Treatment Of Erectile Dysfunction
Treatment Of Female Sexual Problems
Food Plan Preparation
Thyroid issues can be difficult to spot at first since many of the symptoms are also indicative of other health conditions. The symptoms of thyroid dysfunction can also vary in severity from person to person. If you have other medical conditions, symptoms associated with those conditions may be more severe due to underlying thyroid issues. The cause of thyroid disease, severity of thyroid hormone deficiency and the length of time the body has been deprived of the correct levels of hormones all affect symptom severity.
Here are some signs to look for that might indicate a thyroid condition:
Feeling run down, exhausted, drowsy and/or fatigued, even with proper rest
Feelings of depression or lack of interest in things previously enjoyed/Increased and/or heavier menstrual periods, PMS, fertility/miscarriage issues
Constipation, even with adequate fiber intake
Forgetfulness, difficulty concentrating, difficulty learning or feeling like you are in a 'fog'
Unexplained weight gain beyond a few pounds, increased fluid retention and/or puffy face
Dry and/or itchy skin, even with regular moisturizer use.
Dry, brittle nails and hair (with or without thinning)
Hoarse voice and/or difficulty swallowingIntolerance to cold, especially in extremities such as fingers and toes
If you have been experiencing any of the above symptoms,feel free to consult me.
With the proper care, it's completely possible to lift the fog and feel like yourself again.
Dr surbhi agrawal
consultant physician, diabetologist and wellness expert
My age is 57. My fbs is 125, 2 hr ppbs is 308. I am on insulin once 25 unit of huminsilin 30/70 before breakfast, voglistar gm2 before lunch, tripride 2 before dinner. What is the reason of high ppbs count. What should I do for this abnormal ppbs. Kindly advice.
I go bathroom 4 5 times in night. My sugar label is 69. Feeling heavy head. Sleepy , Weakness.Please tell.
Hello Dr. I am a 33 year old female. My T3 is 85, T4 is 7.8 and TSH is 7.81. On the morning of the test I also registered low BP (which could be due to the 10 hours fast I was on for checking fasting blood sugar and was empty stomach for long) I began with a dosage of 75 mcg Thyroxine. First 2 days I experienced dizziness so on day 3 took a break .the dizziness did not come. On day 4 I took the Thyroxine again and felt very dizzy. Overall my health is good except that I feel tired easily and fatigued. I feel weak. My skin has recently began looking sallow. Kindly help with your expert advise if I need to continue with the 75 mcg or shift to a lower dose to begin with. Also, is the dizziness due to Low BP or side effect of Thyroxine 75 mcg? Kindly advise. Warm regards,
A recent health check-up has revealed tsh levels of 1.438 ulu/ml. Also vitamin b12 levels are 208 pg /ml. What implication does it have for me? I am a 26 year old single female.
I got to know that I'm diabetic and my age is 32 so is it normal in this age or it will effect my sex life. I'm a married man from 2 years ?
Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:
- Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
- Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.
The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:
- Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
- Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.
The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.
Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.
Fertility Restoration through medication
This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:
- Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
- Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
- Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
- Bromocriptine: Used when the infertility is caused due to excess prolactin production.
- Letrozole: This also induces ovulation
Fertility Restoration through surgery
Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:
- Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
- Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
- Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.
Assistance in Reproduction through techniques
The most common used techniques for reproduction assistance are:
- Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
- Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.
Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.