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.

Treatments of Infertility

Thyroid disorders are associated with the thyroid gland. A thyroid gland is a butterfly-shaped gland situated right at the base of one s neck. The role of the thyroid gland is to carry out numerous metabolic processes within the body. The brain regulates the functioning of the thyroid gland through a feedback mechanism. There are a number of disorders, both severe and trivial, which could affect the thyroid gland.

Main symptoms of thyroid disorders:

Weight loss and weight gain

Changes in heart rate (arrhythmia)

Hair loss

Frequent mood swings

Swollen neck

Sudden bouts of moderate to high fever

Other symptoms include:

Numbness or a tingling sensation in the hands

Constipation

Abnormalities or irregularities in menstruation

Brittle nails and dry skin

Blurred vision

Weakened muscle tone and frequent tremors in the body

Treatment Options:

Intake of thyroid hormone pills may prove beneficial. Once you start with the treatment, you may notice significant improvement within the first two or three weeks. Generally, once affected by thyroid disorders, one might have to be on these medications his/her entire life. Over time, this treatment procedure should result in lowering of the cholesterol levels, increased energy; but in certain cases, might throw up side effects in the form of sudden and unexplained weight loss.

Anti-thyroid medications help reduce and regulate the secretion of the thyroid hormone, thus treating certain thyroid disorders (such as hyperthyroidism).

Beta blockers are drugs help in reducing high blood pressure, heart palpitations and controlling heart rate.

In severe cases, such as enlargement of the thyroid gland, surgery is advised by the doctor, in which the thyroid gland is removed. Tumors or thyroid nodules are also treated by this surgical process.

In cases of thyroid cancer, besides the surgical procedure, radioactive iodine therapy (radioiodine) is recommended. This therapy helps destroy the thyroid gland and other thyroid (malignant) cells which may be taking up iodine. However, the side effects of this technique are minimal. This procedure helps to destroy those tissues which may not have been removed by the surgery. If the thyroid cancer has spread to the lymph nodes or to other parts within the body, this particular mode of treatment can be very effective.

Types of Thyroid Disorders:

Hypothyroidism: This is a condition characterized by an underactive thyroid gland. In this case, sufficient thyroid hormone is not secreted in the body.

Hyperthyroidism: This is characterized by an overactive thyroid gland, that results in overproduction of the thyroid hormone.

Thyroid cancer: It is a type of cancer of the thyroid gland.

Goiter: This is a disorder wherein the thyroid gland gets abnormally enlarged.

Thyroid nodules: This is marked by swelling of the thyroid gland.

Thyroid Disorders - Signs & Symptoms To Watch Out For!

Can you imagine your life without your cell phone? Difficult isn t it, but did you know that these devices could be harming your sexual health? Most people keep their cell phones in their jeans or trouser pockets or clipped to a belt on their waist. While this does make the phone easily accessible, it also affects male fertility.

There are two main aspects to male fertility; the motility and viability of sperm cells. Motility refers to the sperm cell s ability to swim through body fluids and fertilise the egg. Viability refers to the number of living vs non-living sperm cells and sperm cell abnormalities.

Cell phones are constantly working even when we re not talking into them. They constantly send out and receive electromagnetic frequency radiation to keep your social media accounts updated. Given the close proximity of the cell phone and your body, this energy may be absorbed by your genitals. As a result, the sperm cells may change shape and lose their ability to attach themselves to an egg. The structural abnormality may impede the sperm s ability to swim and thus reduce motility. Semen exposed to this type of radiation also has a high level of free radicals.

In order to produce sperm, the testicles maintain a specific temperature that is ideal for sperm health. Smartphones typically also have a higher temperature than that of the room you are in. Thus, when you keep your cell phone in your pant pockets, they increase your skin temperature in the groin by approximately 2 degrees as well as the temperature within your testicles. This slows down the production of sperm cells and can even kill them thus, reducing sperm cell viability.

In the ideal world, a cell phone should only be carried in a bag, but almost all men may cringe at the thought of carrying a bag. Hence, take your phone out of your pocket whenever possible, for example while driving, at a restaurant etc. The use of Ayurvedic aphrodisiacs can also lower the harmful effects of cell phones. The dried roots of asparagus or safed musli can help increase sperm count and rejuvenate a man s libido. Ashwagandha, shilajit and kawach are also very effective Ayurvedic herbs to treat male infertility. Increasing your intake of food rich in vitamin C and E can also help deal with the stress in sperm caused by phone radiation. The use of these herbs has negligible side effects and hence can be safely used by men of all ages.

https://www.lybrate.com/health-package/127921944?lpt=PS-PPV

Cell Phone in Pocket - Did You Know It Can Reduce Male Fertility?

'Do men encounter a comparable physiological stage to what women encounter amid menopause? Alluded to as 'andropause', 'male menopause', 'man-opause', and all the more as of late, 'low T', is called as Andropause or male menopause. In any case, while all women experience menopause, not all men encounter andropause.

What Is Andropause?
Andropause is a slow, enduring disease in the male hormones testosterone and dehydroepiandrosterone. Testosterone naturally diminishes as men age, yet in andropause (therapeutically characterized as 'hypogonadism'), levels of the hormone drop below the ordinary range for a given age, commonly in moderately aged men.

Symptoms of Low T
Do low levels of testosterone deliver symptoms in moderately aged men? Actually, the exemplary symptoms were initially perceived over 70 years prior when two American physicians, Carl Heller, MD, and Gordon Myers, MD, demonstrated the adequacy of testosterone treatment for symptoms of weakness, discouragement, fractiousness, low sex drive, erectile brokenness, night sweats and hot flashes in men.

Why Do Hormones Drop?
There are various elements that can prompt to low testosterone:

Obesity, diabetes and insulin resistance: The level of aggregate and free testosterone is decreased in large men in extent to the level of heftiness. Weight reduction alone has been appeared to build testosterone levels by 50 percent.
Chronic aggravation: Insulin resistance is the key figure creating quiet irritation and lifted levels of high-affectability C-responsive protein (hs-CRP), a marker of aggravation that can be measured by a blood test.
Increased introduction to xenoestrogens: Certain mixes found in nourishment and the environment can increase the impacts of estrogen in men, in this manner decreasing testosterone creation. These "xenoestrogens" incorporate pesticides, phthalates from plastics, tobacco smoke side effects, substantial metals, and solvents.
Lack of physical movement: Participating in consistent episodes of short, extreme work out, particularly weight lifting, is one of the speediest approaches to support testosterone.
Stress: It negatively affects testosterone levels by expanding the arrival of the adrenal hormone cortisol.
Homeopathic Medicines for Andropause: (Medicines should be taken on proper prescription of Doctor.

Ashwagandha
Suma
Avena sativa
Maca
Catuaba
Tongkat ali
Muira puama

Male Menopause - Can Homeopathic Remedies Help Treat it?

Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre-pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with the pregnancy if you happen to have diabetes.

Complications: Pregnancy with diabetes can cause severe complications if blood sugar levels are not controlled properly before pregnancy. This can cause diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.

Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life-threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.



Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.

Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Diabetes in Pregnancy - How to Tackle it?

Often, a medical crisis does not happen suddenly, and your body shows a few symptoms well before it reaches the critical phase. However, there are conditions when the symptoms occur quite suddenly, and one such is the Addisonian crisis.

Addison's disease is a condition that occurs when the body fails to produce sufficient levels of certain hormones that are secreted by the adrenal glands. In this disease, the adrenal glands produce too little cortisol and even low amounts of aldosterone at times. Often referred to as adrenal insufficiency, it may occur at any age, and both sexes are affected by it. The worst part is that the disease can be life-threatening.

The symptoms of Addisonian crisis-
While severe fatigue, hyperpigmentation, severe fatigue, lightheadedness, salt cravings, and muscle and joint pains are the common symptoms of Addison s disease, pain in your lower back, severe vomiting and diarrhea, low blood pressure, and high potassium and low sodium are the symptoms of acute adrenal failure (Addisonian crisis).

The low levels of cortisol associated with the Addisonian crisis are life-threatening; hence, when you experience one or more of these symptoms you must seek professional care immediately.

Treatment options that are available for Addison's disease-
Nearly all treatments for Addison's disease involve hormone replacement therapies for correcting the steroid levels that the body is not sufficiently producing. Some of the most effective treatment options for Addison's disease include:

Oral corticosteroid medicines- Prednisone, Hydrocortisone and Cortisone acetate may be used in the pill form for replacing cortisol. Sometimes, doctors also prescribe fludrocortisone for the replacement of aldosterone.
Corticosteroid injections- This is given to people who cannot take oral pills.
People diagnosed with Addison s disease are at risk of developing Addisonian crisis. Such people must be well-aware of how to tackle the condition if they are to face it. Some people have a home kit which includes hydrocortisone injection. One should not wait too long or wait to feel very weak before taking the injection. Also, it is important to call the emergency after taking the injection to get further treatment.

What should you do to prevent and manage the Addisonian crisis?

If you indulge in heavy workout sessions, you should take ample amount of sodium. This is also recommended when you are experiencing a stressful situation, including any infection, operation or some minor illness.
You should not skip your meals or indulge in binge eating, but focus on having a well-balanced diet. You should also take plenty of healthy fluids throughout the day. Avoid exercising or doing any physically strenuous job in hot and humid weather. Also, you need to balance your active stretch of time with adequate rest.

Taking the prescribed medications on time, and carrying a hydrocortisone kit is crucial. Also, you may carry a card stating the condition that can help during an emergency.

Addison s disease, in most cases, cannot be cured; so, it is vital to be aware of the symptoms and the ways to manage them to avoid an emergency.

Addison Disease - Treatment Options, Management and Prevention

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