One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

Specialists for men

Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.

Specialists for women

Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

When Should a Couple See a Fertility Specialist?

Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your adam's apple. Hormones produced by the thyroid gland do everything from maintaining your heart rate to regulating your body temperature to controlling your body weight. 
Millions of people worldwide suffer from thyroid dysfunction and several don't know about it. This is primarily because people don't tend to link the common symptoms first with a thyroid disease. Some people suffer from mood swings, trouble with memory, weight gain or fatigue, all of which they look upon individually as a problem and hence not piecing together the puzzle of their real medical condition. Here are a few insights that'll help you cope:
How does the thyroid gland work?
About 85% of the hormone produced by our thyroid gland is t4, which is an inactive form of the hormone. After t4 is made, a small amount of is converted into t3, which is the active form of thyroid hormone. T3 is then converted to free t3 or reverse t3. It is the free t3 that forms the base of thyroid functions. 
What is hypothyroidism?
Hypothyroidism, or an underactive thyroid, accounts for 90% of all thyroid imbalances. The signs and symptoms of hypothyroidism develop slowly, often over a number of years, which is why it is often missed from regular treatment charts. For instance, fatigue and weight gain are often attributed to stress, lifestyle changes and natural ageing process. But as time goes by, some of the symptoms show a higher level of manifestation like muscle weakness, elevated blood cholesterol, thinning hair, puffy face, hoarse voice and slowed heart rate. 
If left untreated, hypothyroidism may lead to goiter (enlarged thyroid), increased memory problems, low blood pressure, decreased breathing and in extreme cases, unresponsiveness and coma. 
This disease may also occur in newborns, infants and children. Symptoms include excessive sleepiness, poor muscle tone and constipation. It is important to diagnose and treat it early, as in severe cases it may lead to mental and / or physical retardation. In children and teens, it can result in stunted growth, and delayed puberty.
What is hyperthyroidism?
It's the opposite of hypothyroidism, which means in this case the thyroid overproduces hormones. Common symptoms include lack of sleep, weakness, irregular heartbeat, elevated blood pressure and hand tremors. While genetics are partially responsible for it, it is also triggered by autoimmune disorder. Hyperthyroidism can be treated with medication, radioactive iodine (not the first or best choice as it harms white cells too) and surgery. Keeping a focus on your calcium and sodium intake is crucial to curb the disorder.
Treatments: 
Conventional treatments rely mainly on drugs and surgery. Alternative treatments involve diet and lifestyle changes. Taking multivitamins, going gluten free, getting a good night sleep, and reducing stress is all said to help heal your thyroid gradually.

Thyroid Dysfunction and Treatment

Beetroots are packed with nutrients and can be eaten raw, pickled or cooked. Beetroots can even be juiced. It has been used in a number of sweet and savoury recipes. When it comes to beetroots, the root as well as the leaf can be eaten. Here are a few great reasons why you should eat beetroot.

    It's good for the heart: Beetroots are rich in nitrates. This helps relax the arteries and reduces blood pressure. Being rich in fiber and antioxidants enables beetroots to prevent plaque formation in arteries. The antioxidants in beetroots also prevent bad cholesterol from being deposited on the artery walls. Thus it protects against heart attacks and strokes.
    It helps fight diseases: Beetroots are said to boost immunity and fight a number of diseases including cancer, Alzheimer's and liver disorders. Beetroot is rich in betanin that expels cancer triggering agents and prevents the development of tumours on both the skin and liver. It is also said to protect a person from breast cancer. It also helps detoxify the body.
    It helps build strong bones and teeth: Beetroots are rich in silica. This silica is a crucial component required for healthy bones and teeth. Along with silica, beetroots are also rich in magnesium, vitamin C and folate. Beetroots also help prevent osteoporosis.
    It helps control blood sugar: Beetroots are naturally sweet, but can help control blood sugar and help fight diabetes. Beetroots are also rich in soluble fibers that can help regulate blood sugar levels. Drinking beetroot juice thrice a week is the best way to use beetroots to stabilize glucose levels in the body.
    It aids in weight management: Beetroots have a very low calorific value and are rich in fiber. This makes it an effective tool in weight loss. It also helps rid the body of toxins and excess water.
    It slows the aging process: Beetroot adds a glow to your skin. It helps cleanse the blood of toxins and thus makes skin healthier. The anti oxidants in beetroot reduce free radicals and thus slow down the aging process. This pink vegetable also has anti septic and anti inflammatory properties that help heal skin.
    It makes hair healthier: Carotenoids in beetroot give hair a lustrous shine and help fight hair fall. Beetroots are also rich in protein, phosphorus and a number of other vitamin and minerals essential to healthy hair. It helps improve blood circulation in the scalp and helps remove dead skin and excessive oil from the scalp.

Beet Root: Chukandar - How and Why You Should Eat It?

Pregnancy is a time when women need to be in the best of their health. Yet, there are various kinds of conditions and ailments that a pregnant woman can suffer from. One of them is gestational diabetes mellitus. Gestational diabetes is a type of diabetes mellitus that usually afflicts pregnant women who are suffering from high glucose levels in their blood. Let us get to know more about this condition.

Timing: gestational diabetes strikes an expecting mother around the third trimester. This is usually the time when pregnant women exhibit levels that are higher than normal. This may be due to the fact that the placental lactogen can block the action of the insulin receptors, leading to a spike in blood sugar levels.&nbsp;

Past history of diabetes: women who have not previously witnessed a rise in their blood sugar levels or any previous diagnosis of diabetes can also end up contracting gestational diabetes during their pregnancy due to an ineffective insulin response of the body and its chemicals. Also, after suffering from gestational diabetes, women are at a higher risk of suffering from type 2 diabetes mellitus, thereafter.&nbsp;

Untreated gestational diabetes: the children born to mothers, who were not treated properly for gestational diabetes, are usually at risk of various other ailments. These children may be prone to complications during delivery. After birth, they are prone to various issues like low blood sugar levels as well as jaundice. These children may not be able to enjoy a normal delivery, and may have to be delivered via caesarean section, and even face premature delivery.&nbsp;

Food: it is important to monitor the blood sugar levels in gestational diabetes. One of the best ways to do this is to follow a proper diet plan. The food in the diet of these expecting mothers should include dietary fibres, carbohydrates and other nutrients like protein, calcium and iron. It is important to break the meals down into smaller portions or mini meals so that the insulin inhibitors can do their work more effectively, even as the body and the baby remain nourished.&nbsp;

Exercise: while most forms of exercise are discouraged during pregnancy, it is always a good idea to remain fit by doing your chores and walking. Pre-natal yoga can also help by introducing certain yogic poses that are good for expecting mothers. Gestational diabetes can also be tackled with the help of exercises like walking.&nbsp;
Gestational diabetes must be treated on time, and properly, so as to avoid complications for the baby and mother during and after birth.


Things To Know About Gestational Diabestes

In simple terms, hyperglycemia is the medical term for abnormally high levels of sugar in the blood stream. The blood sugar level range is 65-110 mg/dl and can extend up to 120-140 mg/dl a few hours after eating. However, when a person has eaten no food, but has a blood sugar level of more than 126 mg/dl, that may be a symptom of diabetes mellitus.


Reasons Behind it
A person who is hyperglycemic is most likely to be diagnosed with diabetes, which may be type 1 or type 2.


Type 1 diabetes is caused when the immune system destroys the insulin secreting cells in the pancreas. The insulin production in the body stops, thereby, causing an enormous increase in the sugar levels. In such a situation, nothing, but external dose of insulin will be required to survive.
Type 2 diabetes is caused when the body stops responding to the insulin produced by the body and in a desperate attempt to maintain blood sugar level, the pancreas produce excess insulin. In this case, changing lifestyle, food-habits and taking proper medication can be the only way out for a healthy life.


Therefore, the major causes leading to increase in blood sugar level might be:
Inadequate supply of insulin
Slow or no reaction of the body to the insulin produced by the body


Tips to manage hyperglycemia
Here are some important tips that could help individuals regulate their blood sugar levels:
As we know, the carbohydrates break down into glucose, which is absorbed by the body cells with the help of insulin. So, in case of hyperglycemia, individuals should manage or better, cut off, carbohydrate intake in their meals.
Another important element to be highly monitored is the blood cholesterol level. For this, you must curb eating oily and spicy food.
It is very important that individuals limit their alcohol intake because alcohol contains huge amount of calories and carbs, which might lead to sky-rocketing blood-sugar levels.
The diet should contain adequate portions of nuts and olive oil.
Eating fatty milk products and fatty food should be strictly avoided.
Each and every food should be inspected for sugar because even a slight bit of sugar can mess up the entire process of managing the sugar level.
Individuals should try stress-free mild work out, as heavy work out could cause the blood-sugar level to rise in case of type 2 diabetes.
Anxiety, tension and stress would not help the process in anyway.


Proper medication and check-ups are necessary. It is important to be fit and healthy.

Hyperglycemia - 10 Tips to Manage it

How to prevent Diabetes

Prevention is better than cure, and this is the absolute truth when it comes to battling Diabetes

If you want to prevent Diabetes from occurring within in your family and friends than you should understand and remember the basics of it.

Diabetes mellitus is neither a singular nor isolated form of occurrence. It a group of diseases, marked by high blood sugar levels which occurs when our body is unable to produce and utilize insulin optimally. Insulin is a hormone produced by the pancreas and it is important to maintain blood sugar. 

Common symptoms of Diabetes include 

1. Increased thirst and Urination

2. Increased Hunger

3. Weight loss

4. Fatigue

5. Blurred Vision

6. Extreme craving (for fatty and sugary food items)

Uncontrolled Diabetes can lead to complications such as Blindness, Loss of Memory, Kidney malfunction, Fatty Liver, Heart Disease, Nerve Damage leading to Amputations.

Type 2 Diabetes is most common variety. it develops when the body fails to utilize the insulin properly and is most commonly now found in overweight children. 

Here are 5 ways you can prevent it 

1. Curb it young: Forget the myth that children cannot get diabetes. Today, children as young as 12 years of age are suffering from Type 2 Diabetes. Introduce a healthy diet routine for the children as well as for adults in the family. Children are known to emulate what they learn from their elders and thus it is imperative that inculcate healthy eating habits in them right from childhood.

2. Stay Stress-free:  Reduce stress in daily life. Stress causes sudden surges in insulin levels.

3. Workout: Exercising regularly helps to keep diabetes at bay.

4. Say No to junk food: Keep Junk Foods restricted to once or maybe twice a month. These days almost all restaurants offer healthy but tasty options to choose from and therefore family or business outings can no longer be an excuse to indulge in heavy, calorific food that is devoid of any real nutrition.

5. Mind your weight: If you are more than 5 Kgs overweight, then please consider going on a diet immediately to reduce sugar levels in your body. Not only would you feel more energetic but also more ‘alive!’

If you would like to consult with me privately, please click on 'Consult'.

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