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?

13 Wonder Foods to Fight Diabetes

Nutritious and healthy food is capable of arresting or even reversing diabetes. Here is a list of 13 such wondrous foods that, if eaten consistently, will ward off diabetes -

1. Sweet potatoes: Unlike regular potatoes, sweet potatoes are rich in fiber and Vitamin A along with a low Glycemic index.

2. Tomatoes: Tomatoes offset diabetes with its nutrients like Vitamin C, E, and iron. They can be eaten raw as well as cooked.

3. Fish: Consume fish like salmon, mackerel, tuna, and halibut etc that are rich in omega 3 fatty acids. Cook them in a simple way rather than deep-frying.

4. Apples: Apples are full of fiber and low in calories. Thus, they are able to effectively fight bad cholesterol and diabetes. It is best to eat them with their skin.

5. Avocado: This fruit comes packed with monounsaturated fats and balances blood sugar level. It also contains good fat that is capable of reversing insulin resistance.

6. Berries: Almost all kinds of berries are rich in antioxidants and fiber. They boost the production of insulin and lower down blood sugar.

7. Broccoli: Broccoli contains chromium that stabilizes levels of blood sugar.

8. Carrots: Carrots are extremely rich in beta-carotene that is known to lower the chances of diabetes.

9. Flaxseed: These are rich in fiber, protein, magnesium and good fats. They are known to helps cells in absorbing insulin.

10. Yogurt and Skim Milk: These dairy products are rich in calcium and protein for fighting against insulin resistance that leads to diabetes.

11. Oatmeal: Oatmeal comes loaded with soluble fiber that helps in delayed conversion of consumed carbohydrate into blood sugar.

12. Almonds: Regular intake of 4-5 almonds daily reduces the risk of diabetes as well as cardiovascular disease.

13. Garlic: Garlic is known to elevate the insulin level in the blood. It is rich in Allicin and vitamin B thiamine that activates pancreas for the production of insulin.

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

13 Wonder Foods to Fight Diabetes

Gestational diabetes, as the name suggests, occurs during gestation or pregnancy when the blood sugar levels exceed the normal level. Gestational diabetes, like other form of diabetes, affects how your body cells use glucose or sugar during pregnancy, and usually disappears after you ve given birth.

Causes and symptoms to look out for!
During gestation, the placenta produces hormones that lead to the accumulation of blood glucose. Under normal condition, the pancreas forms enough insulin to counter the buildup of blood glucose. The level of blood sugar rises when the pancreas fails to produce adequate insulin to manage your blood sugar.

Usually, women with gestational diabetes do not show symptoms. So, the presence of the condition can go unnoticed if they are not diagnosed during routine checkups and screening tests. Nevertheless, if the condition goes out of control, you may feel tired, feel thirsty or hungry, or feel the urge to urinate more often.

What are the risk factors?
About 2-10% of pregnant women are affected by gestational diabetes every year. The following factors are likely to put you at risk of developing gestational diabetes-

Excess body weight- You may develop gestational diabetes if you were overweight or had gained excess weight (BMI equal to or greater than 30) before getting pregnant
Family history- Women who have a family history of diabetes are likely to have gestational diabetes.
Age- Women aged more than 25 years are at a greater risk of developing this condition.
Diabetic history- A slightly raised blood sugar level may act as the precursor to Type-2 diabetes, which in turn increases your chance of getting affected by gestational diabetes.
Previous pregnancy- Women who ve previously given birth to a child weighing more than 4.1 Kg (9 pounds), or have delivered a stillborn child are likely to have gestational diabetes.
What is the treatment for gestational diabetes?
Urine tests are performed to check for ketones. In a non-diabetic person, glucagon, insulin and other hormones avert ketone levels in your blood from soaring up too high. Once you re diagnosed with gestational diabetes, it s important that you consult your doctor for treatment. Uncontrolled blood sugar level can affect you and your baby s health after birth. This condition can be treated in the following ways-

Keep a check on your blood sugar- During pregnancy, your doctor will have you tested for gestational diabetes 4-5times a day to keep a tab on your blood glucose level. For this, a small drop of blood is first drawn from the finger using a needle. The sample of blood is then placed on the test strip inserted into a device called the blood glucose meter to measure and monitor the level of blood sugar in your body.
Medication- Anti-diabetic medications and insulin are prescribed to control the amount of glucose or sugar in the bloodstream. Your doctor may also suggest oral medications like Diabeta and Glynase to manage your blood glucose level.
Healthy diet- Diabetic diet- one that helps control blood sugar levels- is highly prescribed by doctors during pregnancy. Cut down on carbohydrates and sugar, and switch to food items that provide your body sufficient nutrients and calories.
Post treatment the blood sugar levels usually come down to normal within 4-6 weeks of giving birth.

Gestational Diabetes - Know The Risk Factors!

Simple sugar is also known as monosaccharide, is the basic unit of carbohydrates. The simplest forms of sugar are usually colourless and crystalline and exist in forms of glucose, fructose and galactose. Simple sugar is deemed to be a major concern according to all health nutritionists.

Here are five reasons why you should avoid them:

Sugar is the biggest cause of obesity: Sugar present in all kinds of junk food is considered to be the biggest cause of obesity as fructose easily converts into fat inside your body. Consuming too much sugar can put too much pressure on your liver as it is responsible for converting fructose into fat. Large amounts of sugar are directly converted into fat, thus, putting you at a very high risk of becoming obese.
Increases risks of contracting heart diseases: Consuming too much sugar throughout the day causes a hike in your insulin levels which can further affect your nervous system. An excess of sugar in your blood stream also causes your blood pressure to rise which makes you more likely to get a heart stroke. Thus, to avoid cardiac problems at a young age, you must cut down your sugar intake.
Weakens immune system: Sugar is a major reason for inflammation which affects the central immune system adversely. With an excess intake of sugar, the body becomes less effective in dealing with infection and common cold because phagocytes (white blood cells) cannot do their job properly of engulfing dangerous bacteria. Thus, you should aim at boosting your immune system by cutting down on sugar completely.
Sugar can make you age faster: The sugar content in your body creates molecules known as AGEs (Advanced glycation end products) which attack the fibres in elastin and collagen (the building blocks of the cells on your skin). A study also proved that consuming too much sugar can result in acne as the collagen in your skin weakens. Thus, to maintain youthful looking skin for longer, you should remove sugar from your diet completely.
Sugar can be addictive: Most people who consume too much sugar get addicted to it. According to a study, the addiction to sugar is very similar to addiction to tobacco and drugs. You might start craving sugar and depending on it to change your mood more often than required.

Sugar - 5 Reasons to Avoid It

10 symptoms that signal hypothyroidism

When your thyroid malfunctions, you may face difficult health issues. Hypothyroidism leads to excessive weight gain and a lot of other medical ailments. It can be identified by a bunch of symptoms which if present, should not be taken lightly.

1) weight gain - if there is sudden and unexpected weight gain, this is the earliest and definite sign of an underactive thyroid gland. This means that there are strong chances of lowered levels of t3 and t4 hormones in the body, leading to slow metabolism in the body. People suffering from hypothyroidism face increased body weight which becomes difficult to lose despite maintaining healthy diet and exercising rigorously.

2) constant fatigue - if you have slept well the night before, yet you are tired and if this is a regular feature, then chances are that your thyroid gland is underactive. Being low in energy, it gets difficult to complete daily chores or exercise.

3) swelling in the neck - another telltale sign would be goiter - an abnormal swelling in the neck. The thyroid gland mainly concentrates iodine from the blood to create both the thyroid hormones. If there is iodine deficiency in the body, this process gets disrupted resulting in hypothyroidism.

4) hair loss - hypothyroidism causes hormonal imbalance which in turn causes hair loss. If there is sudden, unexplainable hair loss, chances of hypothyroidism are high.

5) imbalance in body temperature - if you are suddenly feeling too cold, it is advised to get your thyroid tests done.

6) brittle nails - if your nails have become brittle, get chipped very easily and look weak, this could be an indication of hypothyroidism.

7) mood changes - the weight gained and the excessive fatigue, both trigger massive mood swings which at times, the person has no control over.

8) constipation - the contractions of the digestive tract get weakened due to low levels of thyroid hormones resulting in constipation. Chronic constipation without any apparent reason could be an indicator of hypothyroidism.

9) irregular menses - if your periods are irregular, do not take it lightly. This could be most likely because of hormonal imbalances which are caused by hypothyroidism.

10) slower heart rate - if your heart beats at less than 60 times per minute, it could be because of the interference by thyroid hormones.

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10 Symptoms That Signal Hypothyroidism. Do You Have Any Of These?

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?

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