There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas, surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance
It is advisable to seek medical help if you have the following symptoms post abortion:
1. Persistent pain in the lower abdomen, which lingers even after taking medication
2. Excessive bleeding
3. A high temperature

Possible effects of surgical abortion on fertility
1. Infection after abortion: infections post abortion like pelvic inflammatory disease (pid), if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.

2. Damage to the cervix during abortion: damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.

3. Damage to the womb during abortion: there are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.

Apart from the above mentioned complications there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth rate, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check up with your gynaecologist.

Can Abortion Affect Fertility?

While cold and cough are common, diseases like Addison s disease are rare. It is also known as chronic adrenal insufficiency or hypocortisolism as it is a result of insufficient production of hormones like cortisol and aldosterone by the adrenal glands. This disease can affect men and women of any age.

There are two types of Addison s disease. These are:

    Primary adrenal insufficiency: In this case, the adrenal glands themselves have a problem.
    Secondary adrenal insufficiency: If the hormone production in the adrenal glands is restricted by a problem that has started somewhere else like the pituitary gland, for example, it is known as secondary adrenal insufficiency.

Primary adrenal insufficiency is more common of the two. This could be triggered as a result of autoimmune diseases or a long lasting infection such as HIV, tuberculosis and some fungal infections. Cancer can also cause this type of Addison s disease.

Secondary adrenal insufficiency is usually caused by a problem with the pituitary gland or the hypothalamus as they are responsible for the production of hormones that stimulate the adrenal glands. Damage caused to the pituitary gland by tumors or radiation and surgery can also interfere with hormone production. Prolonged and improper use of steroid hormones can also trigger this condition.

Addison s disease has a very slow progression and its symptoms develop gradually over time. Some of these symptoms are:

    Weight loss and loss of appetite
    Extreme fatigue
    Hyperpigmentation
    Low blood pressure
    Craving for salt
    Nausea and diarrhea
    Pain in the abdomen and joint pains
    Irritability
    Depression
    Loss of body hair and sexual dysfunction in women

Treatment for Addison s disease involves hormone replacement therapy. This aims at correcting the hormone levels in the body. Hormone replacement therapy includes oral corticosteroids and corticosteroid injections. The dosage of these steroids could vary depending on the situation. For example, the doctor may suggest a temporary high dosage when the patient is in a stressful condition. Along with this, sodium is also recommended especially during the summer months and while exercising. This medication must be taken regularly as skipping a single dose can be dangerous.

In some cases this condition can become life threatening. An addisonian crisis causes a drop in blood pressure, sugar and a spike in potassium levels in the body. This requires immediate medical attention and can be treated with intravenous injections of hydrocortisone, saline solution and sugar.

Addison's Disease - What You Should Know About it

Hormones are chemicals produced by the body for optimal functioning of the various body systems. The thyroid produces thyroxin which controls body metabolism, and reduced levels affect metabolism. Deficiency of Iodine is the cause behind it as it is required by the body to produce thyroxin. Hashimoto s thyroiditis which is an autoimmune disorder is another cause.

Some common signs of it are extreme fatigue, intolerance to cold, constipation, puffy face, hoarseness of voice, increased cholesterol level, weight gain, muscle and joint pains and aches, altered menstruation and depression are some of the common symptoms. 

Homeopathy has some very good remedies that are aimed at managing the person as a whole and not just the symptoms of hypothyroidism.

Calcarea Carbonica: The most common and popular homeopathic medicine, it is useful in patients who present with the following symptoms.
Intolerance to cold
Fat, flabby, fair person
Excessive sweating on the head
Peculiar food habits including craving for eggs, chalk, pencils, lime,
Aversion to fatty food substances
Constipation i.e. first part of stool is hard followed by softer stools
Excessive menstruation, prolonged and occurs earlier than the regular date, almost always associated with cold feet
Sepia Officinalis: Another significant remedy, Sepia is used when the patient has the following symptoms.
Weak, pale yellow, tend to faint easily in cold temperatures
Extreme intolerance to cold, even in a warm room
Irritable, indifferent
Significant hair loss
Excessive menstruation, occurs earlier than schedule, along with a bearing down feeling that the pelvic organs will pop out through the vagina, and so she always prefers to sit cross-legged
Constipation i.e. stool is passed out as small balls that is painful to pass
Craving for pickles and acidic food stuffs
Lycopodium Clavatum: Symptoms of patients in whom Lycopodium will be used are as follows:
Emotionally irritable and physically weak
Yellow face with blue circles around eyes
Excessive hair fall
Craving for hot foods and sweets
Gastric troubles with excessive flatulence
Acidity that worsens after eating starchy foods, especially in the evenings
Constipation with hard, painful, incomplete stooling
Graphites: Presenting symptoms where Graphites is mainly used include:
Obesity
Intolerance to cold
Depressed emotionally, timid, indecisive, weeps listening to music
Bloated, gassy abdomen
Chronic constipation with hard, painful stooling process
Nux Vomica: The patient in whom Nux Vomica can produce wonderful results presents with the following symptoms:
Cold to the touch
Extremely temperamental, gets offended easily, extremely sensitive
Chronic constipation with scanty stools and a chronic urge to pass stools
Gassy, bloated feeling in the stomach
Desire for alcohol, caffeine, and other stimulations; fatty and spicy foods
Prolonged excessive menstruation
These are commonly used remedies; however, a detailed discussion with your homeopath is essential to zero in on the remedy that will work best for you.

Hypothyroidism - Symptoms + Homeopathic Remedies 

For people who need to keep an eye on their blood sugar level, a glucose meter is a handy thing to keep around. There are many different types of glucose meters available with continuous glucose monitor being one of them. Unlike other glucose monitoring devices that merely detect the amount of glucose present in your system, a continuous glucose monitoring device also detects trends and patterns thus, gives your doctor a more comprehensive picture of your condition.

A continuous glucose monitor is not available over the counter and will need to be prescribed by your doctor. It uses a tiny sensor that is placed under the skin of your abdomen to measure the glucose level in the fluid within your body. This insertion is quick and quite painless. The sensor has a transmitter that sends the information about your glucose levels to a small pager like device. The data collected can be seen in the form of readings every 1,5 or 10 minutes. If your sugar levels drop to an extremely low level to go up to a very high level, the monitor will sound and alarm to notify you.

The data collected by a continuous glucose monitor can also be downloaded to your smartphone, laptop or tablet. By looking at the readings over a period of time, you will be able to notice trends and patterns in your sugar levels. This data helps diabetic patients and their doctors to decide on a number of things such as:

How much insulin is needed?
What is the optimum dosage of medication required for you?
What is the optimum number of meals needed per day?
How much should you eat in every meal?
What is the right exercise plan for you?
Diabetics who use an insulin pump can also link this to the continuous glucose monitor so that they do not need to manually program the pump. This is known as a sensor augmented pump. This device can also help record blood sugar levels as you sleep thus, detecting spikes and lows that would otherwise go undetected. It also helps understand the relationship between your diet as well as exercise and your blood sugar levels.

A continuous glucose monitor needs to be changed every 3 to 7 days. Also, it cannot be used to replace finger sticks or traditional home monitors. You may also need a little training on how to use the device correctly.

Continuous Glucose Monitoring - How It is Helpful?

13 Wonder Foods to Fight Diabetes

Nutritious and healthy food is capable of arresting or even reversing diabetes. Here is a list of 13 such wondrous foods that, if eaten consistently, will ward off diabetes -

1. Sweet potatoes: Unlike regular potatoes, sweet potatoes are rich in fiber and Vitamin A along with a low Glycemic index.

2. Tomatoes: Tomatoes offset diabetes with its nutrients like Vitamin C, E, and iron. They can be eaten raw as well as cooked.

3. Fish: Consume fish like salmon, mackerel, tuna, and halibut etc that are rich in omega 3 fatty acids. Cook them in a simple way rather than deep-frying.

4. Apples: Apples are full of fiber and low in calories. Thus, they are able to effectively fight bad cholesterol and diabetes. It is best to eat them with their skin.

5. Avocado: This fruit comes packed with monounsaturated fats and balances blood sugar level. It also contains good fat that is capable of reversing insulin resistance.

6. Berries: Almost all kinds of berries are rich in antioxidants and fiber. They boost the production of insulin and lower down blood sugar.

7. Broccoli: Broccoli contains chromium that stabilizes levels of blood sugar.

8. Carrots: Carrots are extremely rich in beta-carotene that is known to lower the chances of diabetes.

9. Flaxseed: These are rich in fiber, protein, magnesium and good fats. They are known to helps cells in absorbing insulin.

10. Yogurt and Skim Milk: These dairy products are rich in calcium and protein for fighting against insulin resistance that leads to diabetes.

11. Oatmeal: Oatmeal comes loaded with soluble fiber that helps in delayed conversion of consumed carbohydrate into blood sugar.

12. Almonds: Regular intake of 4-5 almonds daily reduces the risk of diabetes as well as cardiovascular disease.

13. Garlic: Garlic is known to elevate the insulin level in the blood. It is rich in Allicin and vitamin B thiamine that activates pancreas for the production of insulin.

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

13 Wonder Foods to Fight Diabetes

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Gestational Diabetes - How It Can Be Treated?

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