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I have a very very bad leg pain from past three days and a bit of stomach ache and back pain since yesterday evening. What should I do?
Hello, I am Dr Shobha Gupta. I am a director at Mothers Life IVF centre and here at Mothers Life IVF centre, we are treating the infertile couples.
So, first of all, we want to tell you, what is infertility?
Of the couple is unable to conceive after one year of unprotected sex and they are unable to conceive and pregnancy is not happening you must go to a specialist and infertility specialist basically an IVF centre, where all the facilities are available.
What are the causes of infertility in females?
It might be a tubal blockage and the tubes are not working and they are blocked, irregular menstrual cycle. Ovulation is not happening at the proper time and the couple is unaware about the fertile period and certain myths are there. In males, the basic problem is in the sperms either the decreased sperm count or the decreased motility is there. Lifestyle plays a vital role in causing infertility these days and stress is the main problem and also the diet and us after seeing lot many cases of PCOS i.e, Polycystic ovarian Syndrome, where the cycles are very irregular and the females are getting obese. There is hirsutism, that is unwanted facial hair and unwanted hair on the body and irregular menstrual cycle and they are not ovulating at the proper time. So these are lifestyle disorders. So you have to manage your weight. You have to improve your lifestyle. You have to manage your stress and then you have to consult an infertility specialist and go to an IVF centre so that all the tests are being done at the single time and where the problem is diagnosed and you are treated properly.
What are the treatment options available?
Suppose, the lady is not ovulating at the proper time so we do certain medications so that you can ovulate and then we do the follicular monitoring and then we tell you the fertile period. If the sperm count is less and the ovulation is not proper, then we can give you certain injections so that the egg ruptures and we can do IUI i.e, Intra Uterine Insemination . The Intra- cytoplasmic sperm injection is second option if the tubes are blocked and if the infertility is more than 3 to 4 years of duration. You can go to an infertility centre like an IVF centre we can do an IVF i.e, In vitro Fertilization, where we extract your eggs, match with your husband’s sperm and create an embryo and transfer in the uterus of the patient and they can conceive.
These days the success rate of IVF is very good and especially at our centre, it is brilliant because we treat you. Basically, we modify your lifestyle also we modify your stress level and then we treat you and the success rate is very good. In cases of male infertility, the Intra- cytoplasmic sperm injection is a very good technique to be opted for. In this, we inject the sperm directly and then we create embryos into the wife’s womb and they conceive very easily. So Intra- cytoplasmic sperm injection is the basic technique which should be used in like olygospermia where the counts are decreased and motility is decreased.
So, I am also available at Lybrate . If you want more information and any help our center is having all the facilities available.
You can consult me at lybrate , you can take appointment. You can consult me online; you can give a phone call.
All the best and stay healthy.
Sexual response cycles in males
Sexual Response cycle:
Men and woman, with some sexually arousing stimulus, proceed through orgasm and end with a return of the body to a sexually unstimulated state. This is described in four stages: Excitement, Plateau, Orgasm, and Resolution. There are no sharply defined moments when one stage ends and the next begins. Each phase merges with the next phase.
Men: Erection of penis, marked increase in its size, and a rise in its angle. Erection may be triggered by penis itself or by sexually stimulating sight, smell or thought. It occurs in 3 to 8 seconds.
A small penis may double in length while in a large penis lengthening is less marked.
Partial elevation and increase in the size of testes.
Men and Women: Muscle tension rises. Heart rate increases. Blood pressure rises.
Men: Full erection of the penis. The increase in size and full elevation of testes. Little secretion from Cowper's glands appears at the Urethral meatus.
If effective sexual stimulation continues in the Plateau phase, a point may be reached where the body suddenly discharges its accumulated sexual tension in a peak of sexual arousal called 'Orgasm'. It is also called as 'climax' or 'coming'. Orgasm is the shortest phase of sexual response usually lasting for only a few seconds during which rhythmic muscular contractions produce intense pleasurable sensation followed by rapid relaxation. Orgasm occurs in both the sexes.
Orgasm occurs in two distinct stages. In the first stage the Vas deferens, the prostate and Seminal vesicles begin a series of contractions that forces semen into the bulb of the urethra. The man experiences a sensation of 'Ejaculatory inevitability-the feeling of having reached brink of control. At this point ejaculation cannot be stopped. In the second stage of orgasm contraction of urethra and penis combined with contraction in the prostate to cause ejaculation (spurting of semen out of tip of penis). During ejaculation the neck of the urinary bladder is tightly shut to avoid any mixture of semen and urine. The rhythmic contractions of prostate, the perineal muscles and the penis occur initially at 0.8 seconds intervals.
Male orgasm and ejaculation are not one and the same process. Although the two occur simultaneously, orgasm refers to muscular contraction and release of sexual tension, while ejaculation refers to the release of semen. Orgasm without ejaculation is common in the boy before puberty.
Men and women: High myotonia. The whole body may become rigid for some time. Grimace or frown may be seen. Breathing up to 40 per minute. Heartbeat up to 110-180 p.m. blood pressure is raised. Anal sphincter contracts.
Men: Man is not able to have multiple orgasms. Immediately after the ejaculation man enters a 'refractory period' during which further orgasm or ejaculation is impossible. Usually the erection subsides quickly. There is great variability in the duration of refractory period. It may last from few minutes to many hours. This period gets longer with each repeated ejaculation. As the man gets older, the refractory period gets longer. The period of return to the unaroused state is called the 'resolution phase'. The anatomical and physiological changes that occurred during excitement and the plateau phase reverse.
Blood is pumped out of the penis and therefore loss of erection. The testes decrease in size and descend into scrotum.
Men and Women: Mutual orgasm of both is not possible. It is better to allow woman to have orgasm prior to man's by manual stimulation of clitoris, or 'woman in top' position. There is no distinction among sexual responses by masturbation, by sexual intercourse or by artificial coitus.
Orgasm is always clitoral in origin. The vaginal orgasm is a myth. Women are capable of responding to the point of orgasm as quickly as males by clitoral stimulation (but not through intercourse).
I am 42 years old male with no genetic diabetes history. Recently after blood testing found fasting sugar 139 mg/dL and cholesterol (HDL 25, LDL 167 and Triglyceride 355 ). I am doing 4 test in a day with help of gluco check meter. I am finding lots of variation. From day 1 to day 5 - fasting sugar varies from 115 to 160. Whereas after food 2 hrs varies from 95 to 190. I used to drink less water about 500 ml per day and now trying drink 2 to 3ltrs per day. Also to add above I was consuming anti depression medicines depsonil 25 mg x1 and nexito 10 mg x2 once a day for more than year. For last 2 years I have stopped taking those. During those medicine time I use to feel very hungry in morning where I use to eat 8-9 roti's. During that time my skin became very sensitive which use to give little scratches on penis which I think were diabetes symptoms. My BMI is in normal range with height 170 cm and weight 68. 5 kg.
I wanna ask what is bad effect of hand practice by man on body. I am doing from last some years. N how I can leave it.
If I do sex one time thats mean, I not ready for the next shot of sex. erection is not coming again. Next day its come again. I want more stamina and erection for sex.
I am 22 years old. I am daily hand practice or hand job of my penis from previous two years continuously. So I want to ask that what is the advantage and disadvantage of this activity. I can't control it.
Hello Doctors Plzzz Help Today I surfing Heart Problem approx 9 Months so plzz advice through Email.
Sir I am 20 years old I have get an accident on my age of 15 years. Some injuries got on my head at that I checked in reports there nothing damage he said but now a days I getting more headache while studying what should I do now?
I am in my first trimester of pregnancy. For the last 10 days I have been experiencing total dry mouth and throat during sleep. Be it my afternoon nap or night sleep. After I wake up I feel so dry. This is so new to me. Is this normal.
I am having Gerd and polyp problem due to gastritis. So, please advice me what to do I am very much depress coz I can't any tasty things also.
HII. Sir I am 17 year old boy. Read in cls 12. I am very tress. Pls help me. I am doing masturbate one a day 2 or 3 times or a week every day. Thats will it effect me in my body. Pls ask.
I am 33 years old male. Married since 2.5 years. I've been diagnosed with RR Multiple Sclerosis last year and have been on medication since then (Tecfidera 200 Mg). My wife and I are planning to have a baby. I've got mixed responses from various sources on the question if my offspring will inherit Ms. Some say, there's only a minute chance while others say theres a very good possibility. Would really appreciate it if any Neurologist who is well versed and an expert in Multiple Sclerosis, would give the right answer, so that we could make an informed decision on having a baby or not. I would not want my baby to suffer with Ms. like me, because there is no cure for it.
The question is for my mother, she is 61 years old. She is a diabetic patient and also suffering from fatty liver. She regularly take medicine but the sgpt is not in normal range. It is to high. What is the reason that sgpt and sgot is high. Is there any serious liver problem. Kindly suggest what to do.
Is it necessary that to enjoy sex your foreskin has to be cut if it does not retreat while having sex.
When I wake up in morning, my mind is full of thoughts. My head is at unease and my eyes are tired and little swollen I have burning sensation when I close my eyes. I feel fatigued throughout the morning. Even reading newspaper lead to stress of mind. It feels that my mind does not have any energy. However in the morning I feel quite better. What is d reason. Please help.
Many overweight and obese people have darkened and a rather flaky texture behind neck, darkening in armpits and other parts of body with creases and folds like elbows, knees or knuckles. This is commonly mistaken as smudge of dirt, uncleanliness or lack of hygiene. Some people think that it is due to repeated friction caused by necklace or chains etc. In fact it is a sign of'diabetes' which is already developed or might develop in future.
This darkening is due to excessive cell growth and differentiation of fibroblasts caused by excess of insulin in the body especially in obese individuals and type 2 diabetes patients.
In obese individuals and type 2 diabetes patients excess amount of fat especially abdominal fat (tummy fat) causes resistance to action of insulin secreted by pancreas and tends to hamper its action. In return, body produces more and more insulin from pancreas to keep blood sugar under control. This excess amount of insulin secreted by body promotes this skin cell growth leading to the visible condition called'acanthosis nigricans' in medical terms.
After producing excess amount of insulin pancreas start exhausting, this converts into diabetes. At this stage diabetes can be prevented by simple lifestyle modifications & focussed weight loss.