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?

High blood sugar occurs when the insulin in the body fails to metabolize the sugar from the food, which raises the amount of glucose in your blood. It is a metabolic disorder which can be managed effectively with the help of lifestyle modifications such as exercise and food. This article is going to focus on the foods that you can eat to lower your blood sugar levels.

Here are 9 foods that you can use to reduce blood sugar levels:

Cinnamon: Cinnamon is a herb which is very effective in getting your blood sugar down to manageable levels. You can simply sprinkle cinnamon on your food before eating it.

Fenugreek (methi): Fenugreek is a common spice which is used in almost all Indian cuisines. It has a number of health benefits, one of which is reducing blood sugar levels. Soaking fenugreek in water and then drinking it the next day is a very effective remedy in combating sugar problems.

Garlic: Not just for sending away the vampires!, it is also very effective in blood sugar control. Extracts of garlic have been shown to increase insulin in the body which is required to metabolize the sugar in the body.

Heart Healthy Fats: Heart healthy fat based foods such as nuts and seeds are good for increasing the good cholesterol levels (HDL) in the body. Avocadoes contain nutrients which lower the risks of various diseases such as diabetes. In a nutshell, these fats make the cells of the body less resistant to insulin.

Blueberries: Blueberries contain anthocyanin (water soluble pigments) which is very good for your health. They also contain fiber in large amounts which make you feel fuller faster. This fruit has also been shown to improve insulin sensitivity in the body.

Vinegar: Vinegar is an age old remedy to control blood sugar levels; it contains acetic acid which causes a reduction in certain harmful enzymes in the stomach. Vinegar is also known to prevent blood sugar spikes when consumed with food.

Complex Carbohydrates: Complex carbohydrates raise your blood sugar but not like its cousin, simple carbohydrates. Simple carbohydrates cause an immediate spike in your blood sugar levels where as complex carbs provide a steady stream of energy. So drop that packet of refined flour and get that whole wheat variant.

Cherries: Cherries, especially tart cherries and dark sweet cherries, are full of anthrocyanins. Insulin resistance prevents insulin from working properly to control blood sugar in normal ranges. Eating a diet high in anthrocyanins can mean improved use of insulin and lower blood sugars.

Nuts: People who eat nuts regularly have lower rates of heart disease than people who don't eat them. Even among the healthiest eaters, the ones who also eat nuts boast the best health record.

9 Foods That Can Reduce Your Blood Sugar Level

Sugar addiction is basically a relentless sugar craving that is triggered in the brain due to mental hunger or an inherent sweet tooth. Yet, excessive sugar is not a good thing in the long run. It can lead to diabetes and various other issues like high cholesterol, hypertension, and obesity. Also, people whose grandparents have suffered from diabetes need to be especially careful of such sweet cravings as it may trigger the same problem in them too. So how can you cut sugar out of your life? Here's a list of tips.

- Detox or Gradual Scaling Down: While many people are in favour of gradually scaling down your sugar intake and slowly cutting it out of your life in a matter of weeks and months, there are experts who believe in stopping intake of it. A clean break from sugar is said to have a beneficial detox like effect on the brain and body. Many experts recommend cutting sugar out of your life in one clean swipe.
- Replacements: Using other substances like honey or even extracts from the Stevia plant are known to be a good replacement plan for cutting down your sugar addiction. You can start by introducing your system to these replacements in your daily beverages like tea, coffee or lemonade, before moving on to the use of organic honey for desserts and baking, as well as other sugar-free desserts and puddings.
- Fruits: The best way to get your sugar indulgence fixed is to have a good dose of fruit. This can help in giving you a good amount of dietary sugars which are natural and do not harm the body in the long run. Also, fruits are a healthy way of ingesting sugar even as you get valuable nutrients, vitamins and mineral - one arrow, many targets!
- Clean Up: Take a walk around your home and find all those secret candy stashes. Also, look for your dessert and pudding trays in the fridge. Now take all this out and give them away or trash them. Once you remove the option of snacking on sugary treats, you will be in a better place to avoid it altogether.
- Magnesium: Your chocolate craving might actually be a call for magnesium that your body is missing out on. Similarly, a mental hunger pang may actually be a need for water or some solid food. Avoid the sugary rush and take the healthy route instead, with the help of nuts and dairy.

Controlling your sugar addiction can save you from various ailments even as it gives you a healthier lifestyle.

How to Deal with Sugar Addiction

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

World Diabetes Day is celebrated on 14 November, each year. It is the primary global awareness campaign for diabetes as it is one of the major problem of today's time. With an upsurge in the number of people suffering from diabetes, the sole aim of celebrating this day is to create awareness about this disease and suggest preventive measures to those who have not acquired it and provide tips to manage it to those who are living with it. 

So, here are 15 health tips that will help you manage your diabete effectively: 

You should quit smoking as it is very bad for diabetes patients. Smoking leads to narrowing of the blood vessels, which reduces proper blood circulation.
You have to track your exercise patterns. Take actual notes about your exercise habits and make necessary changes based on the record.
Eliminate fast food from your diet. Avoid eating out at restaurants and avoid taking extra salt, sugar and calories. You should cook your meals at home with light ingredients and less salt and sugar.
Diabetes severely affects your vision and blindness is and blindness is a serious problem which may occur. Hence, get your vision checked regularly to prevent retinopathy.
Avoid having quick coffees. Fancy cups of coffee are full of sugar, which lead to glucose and insulin fluctuation in your body.
You must stay active and fit. This is the most important lifestyle choice for any diabetic patient. By exercising, you will maintain a good shape, your metabolism gets boosted and the insulin production increases as well.
You should use a pedometer to calculate how much you are moving each day while exercising.
Try to consume fruits and vegetables. By trying new vegetables and fruits, you will be able to keep your blood sugar under check and see how your body reacts.
You must increase your amount of fibre intake. Fibre is important for diabetic patients, which keeps the digestive processes to run smoothly. Your cholesterol level decreases and blood sugar levels may reduce if you take enough fibre.
You should chew gum as it keeps your mouth busy. It makes you crave for less food.
You should eat on smaller plates. This is a psychological trick which makes you consume less amount of food and your sugar and calorie levels are maintained.
Before taking any food item or eating out, gather information about them. Learn about diabetes friendly food options at restaurants and check which products you should avoid buying from the market.
You should get your blood sugar levels checked regularly. You should check it several times a day to learn how your body responds to food.
Circulation problems may cause issues with your feet, which may lead to a lack of sensation, cuts and scrapes. Check your feet regularly to notice changes.
Instead of having 2,3 large meals a day, you should take several small meals throughout the day. This will keep your body s digestive processes active thereby increasing insulin sensitivity.

World Diabetes Day Special - 15 Ways to Effectively Manage Your Diabetes

What complications are associated with diabetes?

Diabetes is a serious disorder which happens when your body has an unreasonably high level of blood sugar, which further leads to harmful effects. Diabetes has a wide variety of complications associated with it, and they start to build up slowly and gradually. Some of the common complications are:

Retinopathy

In simple words, diabetes leads to eye damage by making the eye exposed and prone to severe eye disorders like cataracts and glaucoma. If you have retinopathy, then you may also have face the consequence loss of vision or permanent blindness.

Skin conditions

During diabetes, your skin health is bound to degrade to a large extent. Your skin will become thin in texture and more prone to cuts and breakages due to internal skin cell damage. Thus, the skin gets more exposed to the bacterial and viral infections and its healing process also slows down as the cell division takes longer than usual.

Nephropathy

Nephropathy refers to kidney damage which is caused due to diabetes. The kidneys act as a filter system to the body and they filter out waste materials from the blood. Diabetes causes damage to the blood vessels of the kidneys which may further result in serious kidney disorders and may increase the risks of a sudden kidney failure.

Cardiovascular diseases

This means that if you are having excessive diabetes, then you are at a risk of having a major heart attack or a heart stroke. Additionally, increased blood sugar levels also lead to other heart-related diseases like chest pain, narrowing of arteries etc.

Neuropathy

It is a complication related to the nervous system of your body. The complication generally occurs in the legs as there is a numbness, burning or tingling sensation in the legs. This happens due to the extra sugar in the body, which damages the walls of the blood vessels. In the worst case scenario, you can lose sensation in the legs.

However, it is always desirable that you go and visit a doctor if the conditions persist for a longer time. Additionally, you can also depend upon some domestic care measures to bring your blood sugar levels under control.



What complications are associated with diabetes?

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