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

The menopause can take three very different routes for women. There are those who sail through it with very few symptoms or problems and don't even notice that their ovaries have stopped producing the hormone. Then there are those for whom it is a matter of a few hot flushes and a couple of night sweats, doesn't last long and not really a bother. This usually marks a relief from the periods. But for some it is abject misery accompanied with crippling fatigue, absolute exhaustion, hot flushes, vaginal drying, mood swings along with low desire or lack of sexual feelings. These symptoms might persist for more than 7 years.
Hormone Replacement Therapy (HRT) is considered to be an effective treatment for menopausal symptoms. The other problems linked with menopause can also be influenced by HRT in a positive manner.

HRT is indicated in:
1. Treatment of symptoms of menopause and the risk benefit ratio is apt for the women and they have been informed about the same
2. For women who are around 51 years and are reaching menopause even though they are asymptomatic
3. In women who are at the risk of osteoporotic fractures and are under 60 years and the non-estrogen treatments cannot be given
4. HRT is not recommended in women who are above 60 years

Benefits of HRT:
The benefits of HRT usually are more than the risk if done in a woman who is under 60 years of age. 
These include:
1. Improvement in quality of life by relieving muscle pains and improving sleep
2. The mood swings are controlled and low moods are usually alleviated by HRT. Low moods usually arise due to menopause.
3. It reduces the vasomotor symptoms, usually within four months of the treatment with maximum benefit in three months
4. HRT improves the urogenital symptoms by lowering the vaginal dryness, vaginal atrophy, urinary frequency and symptoms. 
5. HRT reduces the risk of osteoporosis. HRT is believed to preserve the bone mass density of the skeletal sites thus reducing the chances of vertebral and nonvertebral fractures.
6. HRT also reduces the risk of colorectal cancer and cardiovascular diseases

Risks of HRT
The main risks of HRT are stroke, endometrial and breast cancer, thromboembolic disease, pulmonary embolism and gallbladder disease. Though other risks are:
1. It increases the risk of ischemic stroke
2. There is a small risk associated with breast cancer and the risk increases more, if the woman is underweight or overweight, alcohol user, smoker and stops HRT suddenly
3. Estrogen only HRTs can increase the risk of endometrial cancer. If cyclical progestogen is used for 10 days for 28 cycles then the risk is eliminated.

The Efficacy of Hormone Therapy in Early Menopause

Polycystic ovary disease or PCOD is a variant of hormonal disorder which is known to affect 1 out of 10 women. PCOD is a condition in which a woman has numerous small cysts in the ovaries. It can lead to unregulated hormonal cycle and may also trigger high blood pressure, diabetes, acne, infertility and growth of hair on the cheek, chin and chest.

How may PCOD be helped with diet?
Though there is no way to reverse the effects of PCOD, it can be managed with adequate exercise and well-regulated diet. So, if you are disturbed by the effects of PCOD, you can try these tips to help your situation.
Eat more fruits and vegetables: Many health experts are of the opinion that fruits and vegetables can eliminate toxins from the body. You should also avoid dairy-based products as they can trigger insulin levels aggravating acne and other skin problems.

Eat lean meat but stay away from red meat: In 2013, a study reported that consuming red meat can increase the risk of infertility and therefore, you must try to avoid it. You must also limit the consumption of sugary foods and drinks.
Stay away from saturated and hydrogenated fats: Saturated fats are available naturally in some foods such as pork, lamb, beef, cheese etc. and they can cause a hike in your cholesterol and blood sugar levels. It is therefore suggested to check the labels of food products to make sure that the baked foods you are consuming are free from saturated and hydrogenated fats.
Pick a food with low glycemic index: Women who are suffering from PCOD suffer from insulin resistance and as a result, should consume the foods that are meant for diabetics. So your foods should be rich in fibre content with a limited amount of carbohydrates and processed foods. Foods made of whole wheat and whole grain should be avoided. You can eat brown rice, wheat pasta and poha made of brown rice.
Drink lots of water: Women suffering from PCOD can experience water retention. So, you should eat small and frequent meals along with a lot of water all through the day.
Besides following all these tips, it is crucial to workout for about 30 to 60 minutes in a day for reducing your insulin resistance, which may make you overweight and even obese. This, in turn, would cause irregularity of hormonal levels and host a lot of other problems.

Suffering from PCOD? What Diet Should You Follow?

Let's start with an interesting fact: all types of tea, be it green or black, comes from the same plant, Camellia sinensis. The difference only lies in processing and oxidation. So how can one be better than the other you ask? Let's find out.

1. Fluoride content

When it comes to fluoride content both green and black teas score high, while milk tea sadly loses out. Green and black teas are good for your teeth and bones, although black tea has higher fluoride content (0.2-0.5mg as compared to 0.3-0.4mg in green tea). It is best to have your black tea with tap water as it increases the fluoride content up to 0.9mg.

2. Antioxidant content

Yet again green tea and black both have high antioxidant content that helps in preventing cancer, but green is the clear winner over. Milk tea loses again as the milk in it effects the absorption of these antioxidants by your body. Green tea is enriched with a particular type of catechin (flavonoid) called EGCG, which regulates gene activity in cancer cells, and may even prevent cancer growth.

3. Caffeine Content

Both black and green teas have different amounts of caffeine in them. Green tea has lesser caffeine content than black tea- 9-50mg/cup in comparison to 42-17mg/cup. So if you want to have an energetic morning then black tea is the one for you, but if you want to relax your blood vessels and just enjoy a soothing drink, choose green tea. Milk tea, unfortunately, does not have a calming or an energising effect.

Benefits for your heart:

Black tea is probably a healthier option if you want to derive cardiovascular benefits from your daily cuppa. While green tea has abundant EGCG which creates a lining along your blood vessels to reduce stress, black tea offers more benefits. Black tea can improve the function of your blood vessels if you suffer from coronary artery disease. Apart from that, both can lower the levels of harmful cholesterol. There's no evidence that supports that milk tea can be beneficial for your heart.

So, in the end, it's your call to choose black or green tea, whichever works best for you. Try avoiding milk tea as the milk steals away the essential health benefits of tea. Just remember to have no more than 10 cups of green tea a day, and no more than 4 cups of black.

Related Content: Try Auric skin radiance health drinks as an alternative for tea or coffee for glowing skin.

Milk Tea Vs Black Tea Vs Green Tea - Is Your Choice the Best?

Contraceptive methods of birth control are usually quite successful. By these methods, you can enjoy your life without the worry of pregnancy. Modern technology has led to the formulation of avid techniques of contraception; some are temporary and the others permanent. However, no matter how well these methods work, almost all of them have got a variety of side effects on your body and health.

Here is a list of different modes of contraception and the side effects they may cause:

 Hormonal implants
This long term method of birth control is an effective one. The side effects are:
- a surgery is required where rods are inserted under your skin. This might be risky surgery
- if you want to remove it, again another surgery has to be carried out
- an infection may develop in the area where the thin rods are inserted

Intra uterine device
A device is fitted into the uterus, which does not cause pregnancy. An effective method with the following side effects:
- there is a risk of the device falling off
- this causes puncture in the uterus
- the device made of copper may lead to menstrual cramps and spotting

Depo provera hormonal injection
This mode of contraception involves taking an injection, which restricts pregnancy for a period of three months. The side effects are:
- gaining of extra weight, fatigue
- decrease of bone density
- menstrual bleeding along with spotting takes place

Birth control pills
Birth control pills are one of the most common and most effective ways of birth control or contraception. However, several side effects may be observed.
- causes nausea, headaches and also blood clots in rare cases
- in case you use other prescribed medicines along with birth control pills, severe damage may be inflicted

Vaginal ring
This mode of contraception is very effective. It also helps in making menstrual periods of women much lighter and in continuity. The side effects are:
- may cause nausea and headache
- there is a vast increase in appetite
- there is a risk of blood clot formation.

Diaphragm
A very successful mode of contraception where a diaphragm is inserted and fitted into the vagina. The negatives of this mode are:
- it may get out of place during sex and is likely to cause damage
- the process can be a mess
- causes urinary infections

All modes of contraception irrespective of their effectiveness have got some side effects on your health. Hence, you must choose them wisely.

Comparison of Side Effects of Different Contraceptive Methods

Women who have recently given birth and are aiming to shed the extra pounds gained during pregnancy are in for quite a struggle. You not only have to adjust your life to a new schedule but also need to recover physically from the stressful effects of pregnancy.

The ideal time for losing weight-

According to health experts, you should ideally aim to come back to your original weight in at least, 6-12 months after the delivery. Women, who are careful about their fitness levels, try to regain their original weight by the end of 6 weeks time.

As is normal in the case of losing weight, all you need to do is incorporate a healthy diet as part of your daily meal plan coupled with regular exercise. Breastfeeding also aids in losing weight post-pregnancy.

Do not rush!

During pregnancy, a woman's body goes through a lot, not just physically but mentally as well. Therefore, you need to give yourself ample time to recover. In order to do this, you should wait until your 6-week check-up to find out if you are healthy once again. Many doctors recommend waiting for a period of two months if you are planning to breastfeed your baby. This period helps to normalize the milk supply. On receiving the thumbs up from your doctor, you should concentrate on cutting down your calories.

What if you are breastfeeding? 

Women who are breastfeeding their baby, or are planning to do so should aim to lose weight slowly and gradually. Losing weight drastically will make you produce a lower quantity of milk that might hamper the growth of your baby. According to doctors as well as dieticians, breastfeeding helps the body to burn calories.

Meal plan for weight loss-

Follow a few healthy tips to lose weight slowly and safely without putting either your life or the life of your baby in jeopardy.

  Oftentimes new mothers now frazzled with the responsibility of a baby forget to eat or consume their meals very late. This should not happen. If you do not give time to yourself for meals or intend on crash dieting by not eating, you will not have enough energy, and may even fall sick.

  Try to eat smaller meals from time to time to harness more energy rather than having three big meals.
  Eating a healthy and nutritious breakfast is very important as it gives you the necessary energy that you need to perform physical activities throughout the day.
  Eat slowly with your entire focus on your meal. This way you will be able to avoid overeating.
  Avoid consuming dairy products or try to consume those, which are low in fat.
  Consume foods such as lean protein or those that are rich in fibre. You should also ensure to have them either boiled or broiled.

The only way you can become a healthier and happier version of your previous self is when you accept the fact that often it is not possible to return completely to your former self. Pregnancy is likely to leave lasting changes on your body. So, be accepting of yourself as well as realistic.

Postnatal Weight Loss - All You Should Know!

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