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?

Cow Milk vs Buffalo milk - Which is healthier for you?

We can differentiate between the milk from a cow or a buffalo by looking at its color and thickness. While being different from one another in terms of composition and richness, both cow and buffalo milk possess properties that give them their unique nutritional value and health benefits. Including them in your daily diet can help you to stay fit and strong. Here's a look at what they offer, and which one can be the most appropriate for you:

1. Fat content - It's the fat content of these two milks that instantly make them different from one another. Of the two, buffalo milk has a higher percentage of fat content, which keeps your stomach fuller for a long time. On the other hand, cow's milk is easier to digest due to its low-fat content. When it comes to the fat percentage in buffalo milk, on an average it is two times more than that of cow milk. So, if the average fat content in cow milk is 3-4% that of buffalo milk is about 7-8%.

2. Protein content - Buffalo milk contains more protein in comparison to cow milk, which can make it more difficult to digest. It comes with a protein content that is in the range of 4.2%-4.5% and is 11% higher than that of cow milk.

3. Cholesterol content - Cholesterol levels differ in both the milk, with buffalo milk being significantly lower in cholesterol. While buffalo milk has a cholesterol content of 0.65 mg/g, cow milk records 3.14 mg/g of cholesterol.


4. Water content - Cow milk reports higher water content compared to buffalo milk. This is because it contains fewer solids with about 90% of the milk being composed of water. It's this high water percentage that gives cow milk its hydrating quality.

5. Calorie content - Since buffalo milk comes with more proteins and fat, it has more calories. For every 100ml of buffalo milk, you consume about 100Kcals. On the other hand, cow milk contains about 70 Kcals.

If you're on a diet to lose weight and improve your metabolic processes, cow milk would be the most appropriate option as it is low in fat, protein and calorie content. On the other hand, if you want to gain weight and strengthen weak bones, buffalo milk is what you should have daily.

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Cow Milk vs Buffalo Milk - Which is More Healthy?

Health Benefits of Banana Peel

Bananas have multiple health benefits and are commonly available fruit. They possess a wide variety of vitamins and minerals like vitamins B6, A and C, Manganese, Potassium, dietary fiber, protein, iron, magnesium etc. What many people don't know is the banana peel which is usually thrown away, has multiple health benefits too. It's interesting to know what they are:

1. Whitens Teeth: If you rub banana peel for a minute, every day, for a week on your teeth, you will have naturally white teeth without having to visit the dentist.

2. Removes Warts: The cheapest and simplest method to remove warts and stop them from reoccurring is rubbing the peel of a banana on the affected area, or sticking it there overnight.

3. Treats Acne: Getting rid of pimples is as easy as massaging banana peels on the face and body for five minutes a day until acne disappears.

4. Rids of wrinkles: Mash banana peel and add an egg yolk to it. This mixture works as a great anti-wrinkle face pack. Apply it on your face and wash it off after five minutes. Banana peels are known to keep the skin hydrated.

5. Gives pain relief: This might come as a surprise but the banana peel is known to provide relief from pain. Just place the peel directly on the part that is paining and you'll get relief in about half an hour. You can also make a mixture of banana peel and vegetable oil to apply on the pain affected area.

6. Heals psoriasis: Applying the peel on the psoriasis affected area moisturizes the place and reduces itchiness.

7. Relieves of bug bites: It is advised to massage banana peel on mosquito bites to get immediate relief from pain and itching.

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

You will be surprised to know of the many  benefits of a BANANA PEEL!

Health benefits: Red Chilli vs Green Chilli

Chilies have always been known as ingredients that add spice to indian food. Without chilies, any indian food cuisine is incomplete. Both have distinct tastes and also have different health benefits. Here's a comparison between the two:

Red Chilli: Red chilies are dried and then used in food a preparation. It is spicier or hotter than green chilies.

1. Source of iron absorption - Red chilies contain a good proportion of iron which is very good for blood health. They also have a lot of vitamin c that helps the body in absorbing iron
2. Burns calories - They produce heat in the body that directly burns down calories, just like heat generated due to exercise
3. Relieves from congestion - In india red chilies are provided to a person for consumption when he is suffering from cold. It relieves congestion and helps is better respiration
4. Reduces blockage in arteries - They are very powerful antioxidants that clear any blockages in the arteries or blood vessels.

Green Chilli: Green chilies are more subtle in taste and are used as fresh spices in various food preparations.

1. Manages blood sugar levels - Green chilies tackle high blood sugar levels and control it if consumed regularly
2. Promotes digestion - Owing to the various fibers found in them, they help in better digestion
3. Good for skin - Green chilies being rich in vitamin e is a very good spice for a clean and healthy skin
4. Very good for heart - Due to a considerable proportion of beta-carotene in green chilies the cardiovascular systems stays strong and the heart too stays healthy
Both chilies have great benefits and consuming both in permitted quantities is only good for health.

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Red Chili Vs Green Chili : What's Hot?

Pelvic inflammatory disease (PID) refers to the infection that occurs in the female reproductive organs. It happens when sexually transmitted bacteria infect the uterus, ovaries or fallopian tubes on spreading from the vagina. Generally, the cervix plays the role of preventing the bacteria from entering the vagina and infecting the reproductive organs. But when the cervix becomes exposed to an STD, it loses its power to put a stop to the spread of these microorganisms to the reproductive organs.

What causes this condition?
STDs like gonorrhea and chlamydia have been found to be responsible for about 90% of PID cases.

Some of the other causes include
- Abortion
- Childbirth
- Pelvic procedures

The condition is only detected later in life when you face difficulty in getting pregnant or have chronic pelvic pain complaints. If you experience symptoms like vomiting, high fever, pain in the lower abdomen and instances of fainting, you should immediately seek a doctor.

What puts you at risk for PID?
Certain factors may put you at a higher risk for PID and these are:

- Instances of sexually transmitted diseases like Chlamydia (an STD that can occur from anal, oral or vaginal sex) and gonorrhea (a condition that causes discharge from the vagina or urethra) can make you prone to developing PID.

- Douching on a regular basis can increase your risk of PID as it disrupts the equilibrium of good and bad bacteria in your vagina, and may hide the symptoms of the condition as well.

- Even a previous history of PID can increase your chances of having another episode of PID.

- Compared to older women, teenagers who are sexually active are more prone to developing PID.

- Having multiple sexual partners can also put you at a greater risk for PID and STDs.

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

Could you be at a risk of pelvic inflammatory disease (PID)?

Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.

As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc. 

Some of the most common causes of menstrual disorders are as follows:

Hormonal imbalance
Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.

Anatomic problems
One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.

Clotting irregularities
Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.

Medications and supplements
There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirin, ibuprofen, estrogen pills, Vitamin E supplements etc.

Miscellaneous factors
These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancer, ovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stress, obesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding.

5 Causes of Menstrual Disorders

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