While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term. 

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
Tests for women: 
Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
Tests for men
Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.
Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing.

Complete Infertility Investigation - Why is It Important?

Individuals who stood for an extra two hours daily had about 2% lower blood glucose levels and 11% lower average triglycerides, compared to those who spent more time sitting. More time spent standing rather than sitting could improve your blood sugar, fats in the blood and cholesterol levels, while replacing time spent sitting with time walking could have additional benefits for your waistline and body mass index.




Wellness in Diabetes - Avoid Sitting Too Long To Stay Healthy

For people who need to keep an eye on their blood sugar level, a glucose meter is a handy thing to keep around. There are many different types of glucose meters available with continuous glucose monitor being one of them. Unlike other glucose monitoring devices that merely detect the amount of glucose present in your system, a continuous glucose monitoring device also detects trends and patterns thus, gives your doctor a more comprehensive picture of your condition.

A continuous glucose monitor is not available over the counter and will need to be prescribed by your doctor. It uses a tiny sensor that is placed under the skin of your abdomen to measure the glucose level in the fluid within your body. This insertion is quick and quite painless. The sensor has a transmitter that sends the information about your glucose levels to a small pager like device. The data collected can be seen in the form of readings every 1,5 or 10 minutes. If your sugar levels drop to an extremely low level to go up to a very high level, the monitor will sound and alarm to notify you.

The data collected by a continuous glucose monitor can also be downloaded to your smartphone, laptop or tablet. By looking at the readings over a period of time, you will be able to notice trends and patterns in your sugar levels. This data helps diabetic patients and their doctors to decide on a number of things such as:

How much insulin is needed?
What is the optimum dosage of medication required for you?
What is the optimum number of meals needed per day?
How much should you eat in every meal?
What is the right exercise plan for you?
Diabetics who use an insulin pump can also link this to the continuous glucose monitor so that they do not need to manually program the pump. This is known as a sensor augmented pump. This device can also help record blood sugar levels as you sleep thus, detecting spikes and lows that would otherwise go undetected. It also helps understand the relationship between your diet as well as exercise and your blood sugar levels.

A continuous glucose monitor needs to be changed every 3 to 7 days. Also, it cannot be used to replace finger sticks or traditional home monitors. You may also need a little training on how to use the device correctly.

Continuous Glucose Monitoring - How It is Helpful?

In simple terms, hyperglycemia is the medical term for abnormally high levels of sugar in the blood stream. The blood sugar level range is 65-110 mg/dl and can extend up to 120-140 mg/dl a few hours after eating. However, when a person has eaten no food, but has a blood sugar level of more than 126 mg/dl, that may be a symptom of diabetes mellitus.


Reasons Behind it
A person who is hyperglycemic is most likely to be diagnosed with diabetes, which may be type 1 or type 2.


Type 1 diabetes is caused when the immune system destroys the insulin secreting cells in the pancreas. The insulin production in the body stops, thereby, causing an enormous increase in the sugar levels. In such a situation, nothing, but external dose of insulin will be required to survive.
Type 2 diabetes is caused when the body stops responding to the insulin produced by the body and in a desperate attempt to maintain blood sugar level, the pancreas produce excess insulin. In this case, changing lifestyle, food-habits and taking proper medication can be the only way out for a healthy life.


Therefore, the major causes leading to increase in blood sugar level might be:
Inadequate supply of insulin
Slow or no reaction of the body to the insulin produced by the body


Tips to manage hyperglycemia
Here are some important tips that could help individuals regulate their blood sugar levels:
As we know, the carbohydrates break down into glucose, which is absorbed by the body cells with the help of insulin. So, in case of hyperglycemia, individuals should manage or better, cut off, carbohydrate intake in their meals.
Another important element to be highly monitored is the blood cholesterol level. For this, you must curb eating oily and spicy food.
It is very important that individuals limit their alcohol intake because alcohol contains huge amount of calories and carbs, which might lead to sky-rocketing blood-sugar levels.
The diet should contain adequate portions of nuts and olive oil.
Eating fatty milk products and fatty food should be strictly avoided.
Each and every food should be inspected for sugar because even a slight bit of sugar can mess up the entire process of managing the sugar level.
Individuals should try stress-free mild work out, as heavy work out could cause the blood-sugar level to rise in case of type 2 diabetes.
Anxiety, tension and stress would not help the process in anyway.


Proper medication and check-ups are necessary. It is important to be fit and healthy.

Hyperglycemia - 10 Tips to Manage it

There are some commonest misconceptions about infertility and these misconceptions should be eliminated as soon as possible so that the actual facts can be known. There are many online sites where you can find detailed information on the scientific explanations regarding infertility and you can follow them.

List of myths and facts regarding infertility

1. Myth: The menstrual cycle of a woman is for 28 days.
Fact: Normal cycle ranges between 21 to 36 days.

2. Myth: A woman can have pregnancy on the day one of menstrual cycle.
Fact: The released eggs remain viable for almost 12-14 hours and a woman can get pregnant after an intercourse done two days after ovulation and five days before ovulation.

3. Myth: Infertility occurs due to stress.
Fact: Ovulation can surely get delayed due to hormone suppression, but infertility does not occur due to stress.

4. Myth: Sperms stay active for few hours.
Fact: Sperms stay alive at least for five days.

5. Myth: Men with a higher sexual drive will have a normal sperm count.
Fact: There is no relation in between fertility and virility. Sometimes, it has been found that men having a higher sex drive do not produce sperms.

6. Myth: Women have to wait for three months to conceive after stopping the usage of contraceptive pills.
Fact: As soon as a woman stops pill usage, hormonal levels go back to normal condition, as a result of which ovulation begins immediately.

7. Myth: Only females have infertility troubles.
Fact: Both women and men suffer from infertility troubles as per the current scientific studies.

8. Myth: Ovulation occurs in a woman on the 14th day of menstrual cycle.
Fact: Ovulation can be calculated by counting 14 days backwards from the past menstrual cycle's last day.

9. Myth: Daily sex can increase conceiving chances.
Fact: During ovulation, having sex each day, especially in between 12 to 16th day of the cycle can be the best timing.

10. Myth: Fertility troubles occur at 35.
Fact: Peak fertility timing in a woman's life is 20 and this might continue until late 30s. Fertility troubles might even arrive at a younger age. With age, conception chances get declined, especially after 35.

Myths & Facts About Infertility

The average blood sugar rises gradually and as it rises there is damage occurring throughout the body. Out of control blood sugar levels can lead to serious short term problems such as hypoglycemia, hyperglycemia, or diabetic ketoacidosis.

In the long run, uncontrolled blood sugar can also damage the vessels that supply blood to important organs, like the heart, kidneys, eyes, and nerves. This can occur even when you feel OK. That's why it's so important to take action as soon as you're diagnosed with diabetes. Our bodies are amazing, but unfortunately once you have a heart attack or stroke, or your kidneys fail, or you become blind, the damage cant be undone.

The good news is that paying attention to blood sugar control can help keep you healthy and prevent health problems from happening later. Some tips - 

1) Keep your blood glucose within your goal range as much as possible. Work with your diabetes team to develop and maintain a plan.

2) Take your diabetes medication as prescribed. If you're on insulin, ask to see a diabetes educator to learn how to adjust your dose.

3) Increase physical activity. If you aren't physically active, talk to your health care provider about suitable activities. If you haven't exercised in a while, consider beginning with five to ten minutes of daily physical activity and gradually increase your activity to at least 30 minutes of physical activity most days of the week.

4) Achieve and maintain a healthy weight. Even a 5 percent to 7 percent weight loss will help you better manage your blood glucose.

The quality of your future life depends on the decisions and actions that you take today.

Click on consult privately to ask me any follow-up questions on this.

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.


Why Managing Blood Sugar Levels Is Extremely Important

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

Consult for Endocrinologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES