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?

Vaginitis also known as vaginal infection or vulvovaginitis, it is a situation in which the vagina gets sore and irritated. It is a common occurrence in females. Though it is not a very serious disorder yet it can be a cause of severe discomfort and irritation. Common side effects that are prevalent in the case of vaginitis include either abnormal discharge or vulvovaginal irritation or both. The discharge may also tend to have an unpleasant odor. In ayurveda, vaginitis is often seen as an amalgamation of yoni dahan and yoni kandu, the two different disorders that affects vagina.

The most common causes of vaginitis include: 
1.Infections
2. Deficiency of estrogen
3. Skin irritants like perfumed soaps and vaginal sprays
4. Allergies 
5. Sexual activity, etc.

Diabetes, usage of steroids or tight clothing is also among some of the causes of vaginitis. Ayurveda aims to treat vaginitis naturally, by using precise combinations of certain herbs in addition to a paste for local application.The following are some ayurvedic home remedies that can be used to treat vaginitis:

1. To relieve the burning sensation: Add water to triphala herb powder; mix the ingredients. Wash your vagina with this solution to lessen the burning sensation.
2. To eliminate toxins from the body: Make a beverage of dried cartilaginous tube herb in boiling water and consume it. The herb is known to aid the body in eliminating harmful toxins.
3. To cure inflammation: Garlic and turmeric are known to cure inflammation. You can use this treatment to cure infection. Turmeric can also be consumed to fight away internal infections.
4. To cure infection: Margosa also known as neem is an effective natural remedy for curing inflammation. It destroys microorganisms effectively. You can use neem powder to cure the infected area.
5. To combat the growth of harmful bacterium: Citrus juices are known to aid the canal to regain its acidity and prevent the multiplication of unhealthy bacteria
6. To avoid infection: Yogurt is one amongst the foremost common home remedies for duct infection. If you apply yogurt on the inflamed areas and additionally eat a bowl of yoghurt on a regular basis your infections will disappear.
7. To reduce swelling and redness: Soak a clean cloth in cool water and place it on the inflamed space. The cool sensation will compress the blood vessels and reduce the burning sensation, redness, swelling and irritation.

Ayurveda Way to Treat Vaginitis Infection 

Natural child birth is a process of giving birth to a child with no or little medical interference. In spite of the severe labor pain, many women decide to go for natural child birth because they find the experience beneficial. One of the best advantages that you can expect from a natural child birth is being in full control of your body.

Utmost care: From the time you conceive until your delivery, hospitals are expected to take the best care of both the mother and the child. At the best child care hospitals, paediatrics should be able to put themselves in your place and aspire to take care of your child. Reliable child care hospitals should have the ability to ensure smooth and safe delivery of the child.
Expertise: Child care hospitals must provide best paediatric services. Paediatrics deal with child care and that requires a high level of expertise. A child's health and well-being should be of paramount importance for any best child care hospital. The team of doctors should possess wide - ranging knowledge because they have been entrusted with the responsibility of taking care of your child's health. Besides these the hospital's team should include trained nurses; highly qualified and experienced medical workers.
Work Dedicatedly: Doctors from the best child care hospitals should be able to listen to you carefully and should attend to your child. They must be able to assist you with the queries related to your child's development. The child care services should be able to take care of the child from birth and assist them throughout their developing years.
Best child care hospitals should also provide reasonable treatment offers with the use of the latest, state-of-the-art technology.

Natural Childbirth - What to Expect From Best Child Care Hospitals?

Leucorrhoea or vaginitis is a problem that many women face. When there is a discharge from the female genitals which has a foul smell and dirty white or greenish pallor, this condition is called leucorrhoea. The other symptoms of this condition include inflammation and irritation in the area. While this condition may last many weeks and even months, in some cases, it can also start affecting the reproductive organs of the female patient. This problem mostly crops up during puberty and can lead to long term damage if it does not get timely and proper treatment. One of the best ways of dealing with this condition is with the help of ayurveda, which is an ancient science that combines herbs, lifestyle tweaks, yoga and massages for treatment of various kinds of ailments. Let us find out more about the ayurvedic treatment available for leucorrhoea.

Lifestyle and hygiene: poor hygiene and bad eating habits remain some of the most common causes of leucorrhoea, as per medical science. Accordingly, ayurveda purports a number of lifestyle changes that include a proper balanced diet where fried, fatty and other junk food will be eliminated. Also, routinely cleaning your private parts and creating better living conditions in terms of hygiene will help in treating this ailment.
Lady's finger or okra: this healthy green vegetable has many minerals that can help in treating this condition. One must boil a few pieces for at least twenty minutes before straining, sweetening and drinking it as a tonic.&nbsp;
Mango seeds: one can dry these mango seeds and grind them to make a powder. This powder can be added to water to make a fine paste for application in the vaginal tract.
Amaranth root: the antibacterial properties of this herb make it ideal for flushing out the toxins that cause leucorrhoea as well as other bacterial infections and conditions. The compounds in this element also help in treating a number of vaginal disorders. You can grind the root and add this powder to water before having it. The leaves and branches can also be added to boiling water before being strained so that one can have it as a tonic at least twice a day.
Walnut leaves: walnut leaves are said to have astringent properties that can heal infections. One can infuse boiling water with these leaves for twenty minutes or so. Strain and let it cool before using it on the vaginal areas. One can do this at least three to four times a day for rapid relief.
There are many other elements as per ayurveda which can be used for treating this issue including betel leaves, guava leaves, cranberry juice and sandalwood oil.

Ayurvedic Treatment for Leucorrhoea

A miscarriage is generally characterized by the loss of a fetus before the passage of around one forty days of pregnancy. In medical terminology, a miscarriage is usually referred to as a spontaneous abortion, precisely because it happens spontaneously. According to studies, about 50% of all pregnancies end up in miscarriages and around 80% of miscarriages occur within the first three months of pregnancy. If they happen to occur after the passage of twenty weeks of gestation, they are normally termed as late miscarriages.


Causes
The most common cause of miscarriages is primarily due to the presence of some fatal or critical genetic problem in the unborn baby, which may or may not be in any way related to the mother. Apart from this, there is a host of other causes which are held responsible for miscarriages. These may include:
1. Cervical insufficiency (weakness of the cervix)
2. Infection
3. Hormonal imbalances
4.  Physical problems in the mother
5. Medical problems in the mother
6. Immune system responses
7. Uterine abnormalities


Symptoms
Here are a few indicators of a miscarriage:
1. Bleeding (which can vary from light to heavy bleeding)
2. Abdominal pain
3. Weakness
4. Severe cramps
5. Fever
6. Back pain


Treatment
1. Treatment of miscarriages normally involves three steps - a pelvic exam, an ultrasound test and blood tests to confirm whether or not it is a miscarriage.
2. If the miscarriage is complete and yet the uterus is still not emptied of its contents, then it may be necessary for you to undergo a dilation and curettage operation.
3. If you have gone through multiple miscarriages in the past, then the treatment will probably involve a pelvic ultrasound, a hysterosalpingogram or a hysteroscopy.


Causes, Symptoms and Treatment of Miscarriage

Miscarriage is termed as the loss of the fetus in or before 20th week of pregnancy. Medically, miscarriage is known as spontaneous abortion, though the word spontaneous is more of a keyword as it is not an abortion.

Symptoms of Miscarriage 
Miscarriage happens due to weakness, back pain, fever, abdominal pain along with severe cramps and bleeding, which starts from slow to heavy.

Cause of Miscarriage 
Common cause of miscarriage is when the fetus is known to have fatal genetic problems and these are not related with the mother. The other causes are infection, medical problems like thyroid and diabetes, immune system rejection, hormonal imbalance, abnormalities of the uterus, and physical problems of the mother. If a woman is over 35 years of age, has thyroid and diabetes and had an miscarriage earlier then that woman is at a high risk of getting a miscarriage.

Sometimes a miscarriage might take place due to the cervical insufficiency. This is due to the weak cervix, also known as the incompetent cervix, which is unable to hold the pregnancy. A miscarriage in this condition usually occurs in the second trimester. Though there are a very few symptoms in this, but there might be a feeling of sudden pressure that the water is going to break and tissues from the placenta and fetus are released without any pain. This can however, be treated by a stitch in the cervix at 12 weeks. This stitch helps to hold the cervix until the full term is completed. If it is first pregnancy and cervical insufficiency is diagnosed, then also a stitch can be applied, thus resulting in full term and avoiding miscarriage.

Diagnosis of Miscarriage: 
-   The doctor does a pelvic test, an ultrasound and blood tests to confirm a miscarriage
-   Blood tests are done to analyze the pregnancy hormone hCG. This is monitored regularly if miscarriage is suspected
-   Genetic tests, blood tests and medication are important in women who have a history of prior miscarriages
-   Pelvic ultrasound and hysterosalpingography are tests, which are done when there are repeated miscarriages
-   Test like hysteroscopy is also done. In this the doctor observes the inside of the uterus with a device, which is thin telescope like device. This is inserted in the vagina and cervix.
-   If the cervix is dilated, then the woman might be diagnosed with an incompetent cervix and this can be corrected by cerclage, a procedure done to close the cervix.
-   If the blood type of the pregnant woman is Rh negative, she is prescribed a blood product called Rh immune globulin (Rhogam). This prevents from forming, antibodies which could turn to be harmful for the baby.

Bleeding in Early Pregnancy: Diagnosing Miscarriage

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