The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improve the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, the infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

Endometriosis - How It Results in Infertility?

Ringworm is a type of fungal infection occurring on the skin of a person. Ringworm does not involve the presence of any kind of actual worms whatsoever. It is so named because of the circular scaly infection on the skin, which almost appears as if a worm is present beneath the skin. 

Why the fungi arise on the skin is unclear. However, these skin infections are highly contagious, so people coming in contact with those already having the disease could naturally develop the ringworm lesions. The fungi also require warm and moist conditions to thrive in. People working in waterlogged conditions or those walking barefoot on wet floors near swimming pools; public washrooms etc could all develop ringworm based on their immunity levels.

Symptoms of Ringworm:

Reddish, scaly or white patches on the skin.

The lesions may appear raised and blistered.

The circular lesion might have a clearing in the center.

Hair loss is a common side effect of this disease. Ringworm of scalp especially is characterized by patchy hair loss where the hair might be bent and broken at an odd angle. Dandruff might also be present. Thankfully, there are many effective homeopathic remedies for ringworm on scalp.

Though mostly ringworm is treated with conventional medicines and allopathic treatment, there are certain recurring ringworms on which traditional medicines slowly lose effect. Such infections can be controlled and cured with the help of homeopathic medicines.

Homeopathy is based on the principle of  like curing like . This means, the homeopath takes a bit of the plant material, deactivates it and just like a vaccine, infuses the patient s body with small quantities of it. Popular homeopathic remedies for treating ringworm are:

Sepia: It is obtained from the ink of a squid. It has been found that contact with the squid causes symptoms similar to the ones caused by ringworms. Thus, it is a remarkable cure for this disease. However, before actually administering this medicine, the homeopath doctor would ask several questions to understand the nature of the disease occurring to you. Such questions would include your sensitivity to heat and cold or how many times in the past has ringworm infected you. Only when the practitioner is sure of the fact that sepia is the correct treatment, would he prescribe it to you. This is a great cure for ringworms occurring in children as well.

Sulphur: Ringworms not only affect a person on the skin of his/her body, it might also occur on the scalp. These ringworms can cause a lot of itching, irritation, hair loss, pus in the scalp etc. For treating such types of ringworm, one can apply sulphur-based creams or ointments on the affected area on the scalp. Sulphur is seen to help in fighting the ringworms and thus providing relief from all the itching and irritation on the scalp.

Rhus Toxicodendron: This medicine is obtained when leaves of the poison ivy plants are distilled overnight. Contact with poison ivy leaves also causes similar symptoms as ringworms and thus, it is known to be a good cure for the disease.

Ringworms on Animals-

At times, even animals like cats and dogs can be affected by ringworms. Symptoms would include loss of hair in patches, itchy hair, white or blackish patches on the body and others. A specialised vet should be referred to for a medicated shampoo besides a homeopath. Medicines like Sepia or Chrysarobinum are administered to treat ringworms in animals.

Thus, ringworm is a very common form of a disease and is easily treatable whether in humans or animals. One would need to follow the course of their medicine and take to patience for getting it cured as soon as possible.  

Homeopathic Treatment For Ringworm Fungal Infection

Top 10 Everyday Skin Care Hacks

You skin needs just a little care daily. There are some very simple ways in which we can provide that much needed affection and get back radiance and softness. And all this without any extra effort!

Try these everyday regimes for the glow.

1. Adopt Hydration - The first thing your skin needs to stay beautiful is adequate 'hydration,' or what they call in plain terms as plenty of water. So bottoms up to at least two liters of water daily.

2. Avoid Dehydration  - While you are busy hydrating your skin, remember to be careful and not dehydrate by staying out under the harsh sun for longer than 10-15 mins at a stretch. Ditch the caffeine habit (Soda, coffee, tea) as it dehydrates your body on the cellular level, inviting the onset of those dreaded wrinkles early than anticipated. 

3. Apply Lesser Layers - Your skin is your body's largest organ and it needs to breathe. So try and not swathe it under layers of heavy makeup and pore clogging chemical body butters on a regular basis.

4. Give It Fresh Air - To get your skin breathing truly fresh, put on your exercise gear and head outdoors to spend some quality time with Mother Nature at the nearest park or maybe you can take that long pending weekend trip out of the city!

5. Don’t Stress - Do not be stressed all the time unnecessarily. Learning how to manage stress effectively can take away years from your skin. 

6. Exercise - Run. Jump. Dance. Get moving, in short. The more your skin sweats, the better will it look and the elasticity would improve dramatically too. 

7. Get Nutrition - Get in the habit of starting the day with plenty of fruits and a healthy breakfast with the right amount of protein, carbs and essential fats. Fats are required by your skin to lubricate and moisturize from the inside. But make sure you stick to good fats found in olive oil, eggs, yogurt (the ones without any additives or artificial sugars), and whole grain breads etc.

8. Go Smoke-free - Just stop smoking and you would see a dramatic improvement in your skin tone within a few weeks (yes, it takes time to reverse that kind of damage) 

9. Wear Sunscreen - Slather on the sunscreen before you leave the house but make sure it's SPF index must be 30 and above for it to be effective under the harsh Indian sun.

10. Exfoliate & Detox - Scrub-rub-a dub every week. NOT every day though.. Make sure you use organic scrubs made with rice granules or sugar grains instead. Use a natural face mask such as Banana mash or a Tomato-Cucumber-Honey paste every alternate day to detoxify, cleanse and moisturize your face and body. 

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

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


10 Only Skin Care Hacks You Will Ever Need

Itchy skin is a very common skin condition, which is a potential source of discomfort by forcing you to scratch your skin and cause irritation. Itchy skin is a very common condition, which happens very often among individuals. But, it can also be one of the symptoms of a larger disease. Itchiness of the skin may vary in intensity from mild to severe and it is mostly treated by anti-irritant measures that can be done by anybody at home.

Key identifiers
Itchy skin condition is mostly limited to certain areas on the skin, but it may also affect all body parts with an uncontrollable urge to scratch. Some of the additional key identifiers of the medical condition are listed below: 

- Skin redness
- Bumps or patches on the skin
- Swelling or inflammation of the skin
- Cracking of the skin
- Leathery or scaly texture of the skin

Causes
Skin itching can happen due to a variety of reasons, some of the most common ones being:

Common skin conditions: The most common kinds of skin disorders like acne, eczema, etc. often lead to skin itching. Itching is mostly accompanied by other skin conditions like redness, breakouts, inflammation, and such others.

Internal diseases: Diseases related to the kidney and liver often lead to skin related disorders among which the most common one is skin itching. Additionally, itching may also happen due to serious diseases like cancer.

Nerve related disorders: Diseases that affect the nervous system, either directly or indirectly also act as a catalyst to the skin itching process. Examples of such diseases would be diabetes mellitus, pinched nerves, sclerosis and shingles.

Pregnancy: Pregnant women often experience itching on body parts like abdomen, thighs, breasts and arms.

Drugs: If you are regularly taking antibiotics or antifungal medicines, then these might have some unwanted effects of the skin among which skin itching is the most common one.

What Causes Itchy Skin? + How To Trace The Causes?

If sunburn is taking the mickey out of your fun time in the sun or your summer vacation, then you may want to read this article or pin it up where you can see it every day. Sunburn is something that does not show up immediately. It can happen when you have been in the sun for too long a time, and without the protection of proper clothing, hats, glares and sunscreen lotions. So what can you do when you feel that first sting of sunburn? here's our list!

Swift action: you will need to act fast towards cooling down the onset of a sunburn. Taking a quick dip in a pool or a lake if you are near one can help in soothing the area so that the sunburn is not too bad. Also, you can then cover yourself up and step indoors immediately, where you will be properly shaded from the sun. You can continue with the cool treatment by using a cold or ice compress to press around the area that is burning or has been most affected. Remember to stay away from the exact spot as it may lead to inflammation.

Avoid drying: do not let the area become too dry. Take frequent showers but stay away from harsh soaps as they may make the area dry which leads to chapping and pain.

Breathe: allow the skin to breathe. Do not obstruct the area with too many items of clothing and wear cotton fabric or other light weight clothing that will protect the area and let the skin breathe. Stay away from tight clothes as this may lead to chafing of the skin and the sunburns.

Moisturise: one good way of getting rid of sunburns quickly is to moisturise as soon as you have had a bath or a shower. This will help in locking in moisture which is not really possible when you moisturise the surface later. Use a gentle lotion or cream based moisturiser and stay away from products that contain petroleum gel as this may irritate the skin further and clog the area instead of getting absorbed into the skin.

Inflammation: tackle inflammation by taking corticosteroids or other anti inflammatory drugs. These should be prescribed by a doctor. Aloe vera can also be used to soothe the inflammation.

Hydrate: drink plenty of fluids for fast regeneration of the skin cells and so that the burns do not draw the fluid from the surface if the skin.

Take all the necessary precautions before you step out for some fun in the sun with proper sunscreen and protective clothing as well!

Feeling the Sting of Sunburn? These Tips Can Help!

Have you tried one product after another during the dry weather and are still left with dry and itchy skin. Then your skin care product is to be blamed. Creams, lotions and oils all essentially perform the same job of moisturizing your skin. The difference lies in just how they do it. There is a wide range of choices available in the market for all three products with individual variants in ingredients, including types of oils like coconut, lavender, jojoba etc., types of value proposition like 24-hour moisture lock, or intense hydrating care and flavours like rose, strawberry and even chocolate that leave you smelling great.

The main difference between cream and lotion: 

The main difference between the two, besides additives, is their oil to liquid ratio. Lotions and creams both contain oils and water. In lotions the proportion of water is more compared to oil. So it is more liquid in nature and easier to spread on the skin. Creams on the other hand are thicker because of their higher oil content. They can typically be lot greasy in nature because of their consistency.

Choosing between the two: 

Lotions and creams will both do the trick, but it will depend on what you need and when you use it. Give a good thought to your skin. Is it always dry or only during certain times of the year? If you skin dries easily and you can see a white line if you scratch the skin with your nail, you'll need a cream that absorbs more slowly and the benefits stay longer. Applying cream then creates a layer of oil that locks the moisture in your skin. The water does not evaporate, and your skin stays hydrated. Lotions are easy to spread on skin. If your skin is already soft and supple and you simply need a layer to keep the dryness at bay, a lotion is a good choice for you.

Use both lotion and cream:
 
Morning, before bed, after baths or repeatedly throughout the day? The time you plan on using a moisturizing product will play an important part in determining which type you choose. Creams are great to use right after a bath when the skin is soft after absorbing moisture. The cream then creates a protective layer of oil which allows the skin to stay hydrated for longer. Creams are also great to use during bed time when you don't have to worry about getting an oily look on your face or body. Lotions are best if you need to reapply during the day after, say, you wash your hands and face and need to dab on some quick moisturizer.

Should I Use a Lotion or a Cream for Dry Skin?

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