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?

As per the American Osteopathic College of Dermatology, an estimated 10 percent of individuals encounter keloid scarring every year. While women and men are equally prone to have keloid scars, people with darker skin tone are more likely to experience keloids.

What are keloids and why do they occur?
Keloid is widely recognized as keloid scar or keloid disorder. It is caused when the fibrous tissues also known as scar tissues are injured. In specific instances, the scar tissues grow in excess, and they form a hard and smooth growth, which is known as keloid, which could be bigger than the actual wound. They are customarily found in areas like the chest, cheeks, shoulder, and earlobes. Nonetheless, any part of the body could be affected by keloids. Though they do not pose a threat to health, they can be a cause of significant cosmetic concerns. Another factor why they occur is in the case of overgrowth of the scar tissue that develops over the period of weeks.

Are keloids a cause for concern?
Keloids are often itchy and discomforting. Keloids often cause a major cosmetic concern as they are large and easily spotted. Due to this, several patients encounter stress as they become conscious. Exposure to sun must be avoided in case of keloids as the tanning of the affected area may darken the keloid scar and become more prominent. The response of the treatment for keloids depends majorly upon the anatomical location of the scar. An extremely itchy keloid can be quite distracting. Many patients are skeptical of getting treatment as it may leave a permanent scar.

Common Treatment options for Keloids

Laser: The pulsed-dye laser can be helpful in flattening keloids and making them appear less red and intense. The treatment is considered as safe and is almost painless, but many treatment sessions may be required. These may be expensive, as insurance plans do not usually cover laser treatments.
Cryotherapy: This is a method in which the keloid is frozen with the help of liquid nitrogen to flatten the keloid. However, it may result in lightening or darkening of the affected area.
Radiation: Radiation is considered as a safe and effective option by several doctors for the treatment of keloids.
Silicone gel or sheeting: In this method, a sheet of silicone gel has to be worn continuously for months in order to treat the affected area. The outcomes of this treatment may vary. Some doctors claim relative success with compression dressings composed of materials that are not silicone.
Surgery: Treating keloids by surgery may prove to be risky as it may activate the development of a more prominent keloid. Some operations have been successful by applying compression or injecting steroids to the wound after the keloid has been treated. Superficial radiation treatment post-surgical procedure has also been considered to be helpful.
A condition that poses no threat to your health, and is purely of cosmetic concern, Keloids do have several treatment options providing the expected results.

Keloid - 5 Ways It Can Be Treated!

Homeopathy for hair loss

We suffer from hair loss because of multiple reasons. While for some it is genetic, for others it is the quality of water used to wash hair, and for some others it is side effects of medicines/ailments. Hair growth on the other hand will either happen naturally, or with particular treatments. Homeopathy has certain very effective medicines which assist hair growth in individuals. The process is slow but the result is extremely satisfactory. These medicines are mixed and matched and dosage is given according to your hair and scalp condition. 

Know about these medicines and when are these most relevant:

1. Lycopodium: this medicine is prescribed to those who are suffering from premature balding, including pregnant women and new mothers. The medicine is made from the spores of plants like club moss and is effective on both men and women.

2. Silicea: this is made from sandstones and human tissues and happens to be one of the most prescribed homeopathic medicines. It aids in making the hair stronger and nourishing the hair, thus taking its dryness away.

3. Natrum muriaticum: made from table salt, this medicine helps in hair growth for cases hair loss results from dry scalp and dandruff, skin and menstrual problems. Women suffering from menstrual problems also suffer from hair loss. This medicine is prescribed to them too.

4. Kalium cabonicum: this is prescribed a lot, specifically to stop thinning of hair, aiding growth of hair in this process. It also cures brittle hair condition. Kalium cabonicum is made from the compounds which are used to make glass in egypt.

5. Phosphorus: scalp disorders at times result in loss of hair in clumps. Phosphorus is prescribed for such situations.

6. Kali sulphuricum: as the name suggest, parts of this medicine is sulphur. It is available in liquid form and tablets as well. It should not be taken more than twice a day and should be discontinued after taking for a couple of weeks.

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.


Homeopathy Offers Permanent Solution for Hair Loss

A skin tag is a diminutive, harmless, extension of skin that is usually attached from beneath the skin by a tiny support stalk. These skin tags are seen in places which are exposed to frequent friction with clothes or areas that have more skin to skin friction. They hang out from the skin surface. They commonly occur in the neck, underarms, groin, and upper chest. Medically a skin tag is termed as an acrochordon. Often skin tags are also identified as soft warts, fibroma pendulum, pedunculated fibroma, or soft fibromas. 

Reasons why they happen
Skin tags comprise of blood vessels surrounded by skin and loose fibers of collagen. Collagen is a kind of protein located all through the body. Anybody can develop a skin tag irrespective of gender and age, but elder people are prone to skin tags especially those who have type 2 diabetes. 
Skin tags tend to evolve in the layers of the skin folds, where the skin rubs against itself as mentioned earlier, but it is also observed that few individuals get skin tags without any such reason. This is also a reason why skin tags occur more in overweight people as they have more skin folds that are susceptible to chafing. 

Why should you get them removed? 
Most skin tags don't need treatment as they are harmless, but at times people do tend to discard them for cosmetic purpose or may be out of discomfort when they rub against skin or clothing. Checking with your physician in case you doubt the shape of the skin tag and suspect a cancerous element. In such scenario, you will be recommended biopsy for further proceedings if any. 

How is a skin tag removed?
A skin tag is removed through few procedures. Your doctor can consider any of the procedures mentioned below: 

 Cryotherapy: Cryotherapy requires chilling the skin tag with nitrogen fluid. Your physician may spray or swab a little amount of liquid nitrogen onto the skin tag. After the treatment, you may have a small blister which will heal by itself. 
Surgical removal: In the case of surgical removal, the skin tag is cut with a scalpel or scissors. The cut might sometimes be deeper in which case the cut will require stitches. Surgical removal has the advantage of obliterating the skin tag, but there is a risk of minor bleeding. Removal of skin tags doesn't require a full anesthesia. Local anesthesia is sufficient. 
Electro Surgery: Electro Surgery is another remedy where the skin tag is burned with electrical energy in high-frequency. The heat is applied through the narrow stem that holds the skin tag to the skin. 
Ligation: Ligation is yet another method where a surgical thread is tied up to remove the tag. 
There are also natural remedies, such as using lotions or essential oils over a period or also over the counter medicines but then a doctor s advice is always essential to prevent the scope of any scarring, to bleed or other such side effects.

Skin Tags - Get Rid Of Unwanted Extensions

Pregnancy is a life-changing phase in a woman s life. In addition to a baby (or babies!), there are a lot of physical and emotional changes also that come with it. The more evident are the physical ones, and in addition to weight changes, the stretch marks are the most obvious.

The uterus or the womb grows to its full extent to accommodate the developing baby, and so there is stretching of the connective tissue in these areas. After delivery, the tension is lost, and these marks become evident.

What are stretch marks?

These marks appear as lines on the skin and are most commonly found in areas such as the buttocks, arms, breasts, thighs and stomach. They are different in appearance in comparison to the normal skin. It may appear pinkish or purplish initially and then it takes a shiny appearance later. When you feel the stretch marks, you may feel a certain indentation or ridge on the skin. It may feel sore or itchy as well sometimes.

They most commonly appear during adolescence when there is rapid growth and stretching of the skin. It is also seen in women pre and post pregnancy. Stretch marks can also appear when there is a sudden change in weight.

How To Treat Them?

Use Moisturisers: People who use moisturisers show an increased elasticity of the skin, which reduces the appearance of stretch marks on the skin. Keeping the skin hydrated stops the skin from tearing and creating stretch marks. Moisturising is not entirely effective on older marks, but it can help with newly formed stretch marks. You can also use it on areas that are prone to stretch marks.

Retin-A: Retin- A is known to boost collagen production that helps the skin to stretch out with ease and not cause tears. When Retin-A is used, it is recommended to limit the sun exposure as the skin becomes more susceptible to sun damage and burning.

Glycolic Acid: This chemical compound falls under the category of an alpha-hydroxy acid which is commonly found as a major ingredient in chemical peels. It is known to amplify the production of collagen and increase the tensile strength of the skin. Go to your dermatologist for a stronger dose for more effective results.

A Combination of Retin-A and Glycolic Acid: A combination of these two potentiates the action of each other and gives better results.

Vitamin E Oil: You can find Vitamin E oil capsules in medical shops that are known as the miracle medication when it comes to curing stretch marks.

Essential Oils: Certain essential oils like rose oil, lavender oil, or geranium oil are known to reduce stretch marks.

Vascular Laser: Pulsed dye laser that is kept at the wavelength of 585 nm is used to remove the stretch marks that are red and newly formed. It may not be effective on the older ones that have turned silver. This process is highly expensive and needs about 6 sittings. The efficacy of this procedure also depends on the complexion of the skin. Much like laser hair removal, vascular laser does not work on darker skin. The colour difference between the marks and the actual skin tone should be prominent.

Fractional Laser Treatment or Laser Resurfacing: This is used to get rid of the older stretch marks that have turned light and are no longer red. This procedure is more expensive than the previous one and is prone to leave scars on the site of application.

Abdominoplasty or Tummy Tuck: The only permanent solution to get rid of stretch marks is to cut them out entirely. If you are tired of the stubborn tiger stripes, then this could be your only way out.

RF Micro-Needling Device: This is a more cost effective alternative to CO2 Laser Resurfacing that could be used on any stretch mark types  new and old . The micro needles are driven directly into the skin to a certain depth (0.2mm-3.0mm) and radiofrequency (RF) energy is then released inside the skin. Minimally invasive RF thermal energy creates fractional electrocoagulation in the dermis which facilitates a natural wound healing process promoting the remodelling of collagen.

10 Tips To Treat Stretch Marks Effectively

Microdermabrasion is a quick and painless treatment that accelerates the rate at which dead skin is exfoliated, and jump-starts the proliferation of new skin cells. Your dermatologist may recommend a series of microdermabrasion treatments, which can treat hyperpigmentation, sun-damaged spots, dryness, fine lines and wrinkles and even minor acne scars. Microdermabrasion can be coupled with just about any other type of skin treatment and is usually recommended to be done every few weeks to every two or three months.

Suitable for all but the most sensitive skins, microdermabrasion combines vacuum suction with tiny abrasive crystals to polish away the uppermost layer of skin, eliminating roughness as well as fine lines and wrinkles. It is a quick and virtually pain-free procedure that uses tiny, rough aluminum crystals to vigorously exfoliate the top layer of the skin, removing dead skin cells. 

How is a microdermabrasion procedure performed?

Most often, your microdermabrasion treatment will be performed by a licensed skincare professional in your plastic surgeon's office or medical spa.

There are two general methods for microdermabrasion:

Crystal Microdermabrasion: For this type of microdermabrasion, a handpiece emits crystals onto the surface of the skin, resulting in a gentle abrasion or "polishing" process. Then the dead skin cells along with the crystals are suctioned off either instantaneously (in the same handpiece) or in a secondary process.

Diamond-Tip Microdermabrasion: This type of microdermabrasion works with a diamond-tip handpiece that gently abrades and exfoliates dead skin cells. Like the crystal microdermabrasion, the dead skin is either suctioned off right away in the same handpiece or in a secondary process. The diamond-tip microdermabrasion is safer to perform closer to the eyes and has more flexibility in sensitive areas or on more sensitive skin.?

Ideal Candidates:

Microdermabrasion works best for anyone looking to revitalize their skin. If you have any of these conditions, you are a candidate for microdermabrasion:

 Fine lines and wrinkles
 Hyperpigmentation or sun spots
 Dry skin
 Minor acne scars
 Blemishes or large pores
Acne:

Acne is a skin condition that leads to the outbreak of pimples and sores as well as whiteheads and blackheads. These have a reddish appearance and make the skin look less than ideal. With the help of microdermabrasion, one can gradually reduce the appearance of light scarring and make the skin look even toned.

Rosacea:

This is an inflammation-based skin condition which leads to the appearance of prominent blood vessels as well as other kinds of skin eruptions. Microdermabrasion can come to the rescue of the patient who is suffering from severe symptoms of this condition.

When to Avoid Microdermabrasion:

This procedure should be avoided by people who have sustained deep scars. Also, anyone who has active keloids and lesions that are yet to be diagnosed should avoid this treatment as it may lead to an aggravation. Further, anyone who is suffering from an immune system disorder or diabetes should also avoid this kind of treatment as it may lead to complications. If you have had a chemical peel recently, you should also steer clear of this kind of treatment as it may lead to inflammation, swelling and bleeding on the skin which is already tender from the previous treatment.

All About Microdermabrasion

Don't wait any longer, manage your Dermatopathologist online with a Lybrate doctor today

Consult for Dermatopathologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES