What is Endometrium?

The uterus is where the fetus grows and develops. It has three linings- the outermost lining, the middle layer and the innermost lining. The innermost layer is called Endometrium. The endometrium is made of mucosal tissues.

How the endometrium changes and what is its function?

Before ovulation, when an egg is released, the functional layer of the endometrium undergoes a change. Vascularization takes place i.e. a buildup of blood vessels and tissues that thickens the endometrium in anticipation of implantation of a fertilized egg. If conception does not take place, the tissues and cells are shed from the endometrium lining. This is when a woman gets her period.

When conception does take place, the fertilized egg attaches itself to the endometrium. The endometrium also supports the placenta, which provides the fetus with oxygen and nutrition.

What is the ideal thickness of the endometrium?

In pre-menopausal women, the thickness of the endometrium should be-

  Between 2-4 millimetres during menstruation,
  5-7 millimetres at the onset of the early proliferative phase
  Around 11 millimetres during the late proliferative phase
  16 millimetres during the secretory phase



What is a poor/thin endometrium?

If the endometrium lining does not meet standard thickness and is not conducive to implantation, it is called a poor endometrium.

Causes behind thin endometrium

There could be many reasons that can lead to a poor endometrial layer-

  Inadequate secretion of estrogen
  Insufficient blood flow
  Prolonged use of birth control pills
  Substandard quality of endometrial tissues
  Presence of fibroids (small uterine tumours)
  Amenorrhea (unnatural periods/ excess bleeding or too little bleeding)
  Intrauterine adhesions (scar tissues form between the layers of the uterus and glue them together)
  Pelvic inflammatory disease
  Use of clomiphene

What are the symptoms of poor endometrium?

  Infertility (inability to conceive)
  miscarriage
  Irregular menstruation
  Painful periods
  Inadequate bleeding during menstruation

Treatment for poor endometrium

  Since the most common cause of poor endometrium is insufficient estrogen, doctors prescribe estrogen pills that can raise estrogen levels.
  If poor endometrium is the result of poor blood flow, an Ultrasonography Test will reveal that. Then doctors prescribe Vitamin E pills and L-arginine amino acid pills to thicken the endometrium layer.
  Regular exercising increases blood flow to the uterus
  Acupuncture is a very effective stress buster. Chronic stress could lead to a shrunk uterine wall. Acupuncture can allay the stress and promote the health of the uterus.
  Intrauterine adhesions can be extracted through surgery.
  Natural remedy (through natural therapy) includes asparagus, royal jelly, cover and they help in thickening the endometrium layer.
  Granulocyte Colony Stimulating Factor if injected into the body raises endometrial thickness and combats infertility.

Only an endometrium of normal thickness can support a pregnancy. If the lining is not thick enough medical intervention may be necessary.

Poor Endometrium - Can It Be Treated?

Urticaria, also known as Hives and Nettle Rash. It is an allergic disorder. It is similar to the rashes that are caused due to touching a nettle plant. This allergic reaction can be caused due to a variety of reasons, thus increasing the difficulty in identifying the exact cause of the allergy. Homeopathic medication has proved to be very efficient in treating urticaria. Some of the best homeopathic remedies include:

1. Apis Mellifica: Described as one of the best solutions to urticaria, this medication is commonly prescribed with regard to treatment. The characterising symptoms of this medication is eruptions accompanied by inflammation and sting. It is similar to the sting of a bee where there is redness and swelling. Exposure to heat in any form is intolerable as the eruption are aggravated. The slightest of touch can cause burning or itching and the patient usually remains thirsty.

2. Dulcamara: This is a medication that is usually prescribed for Urticaria, caused due to cold air or wet weather or dampness. Consumption of sour food or indefinite diet can cause the eruptions. Even though the skin is often dry, there is redness and itching.

3. Natrum Mur: One of the frequently used medicines for urticaria, this medicine is prepared from common salt. It is used in cases where the eruptions are triggered by exposure to the sun, thereby resulting in intense itching. The skin has an oily or greasy feel. Most likely locations of occurrence include margins of hair or bends of joints.

4. Ledum Pal: This medication focuses on the eruptions that occur on the legs and feet. There is a possibility of the infection spreading from the lower to the upper regions at a later stage. Increase in itching can result from the warmth of bed or on scratching. Colder conditions provide a soothing sensation

5. Astacus Fluviatilis: This is an effective medication that be used to treat, both acute and chronic urticarial forms. Rashes are visible on the entire body and are at an increased sensitiveness to air. It is recommended for liver diseases and liver-related symptoms that are accompanied by urticaria.

Best Homeopathic Remedies for Urticaria

Foot problems can occur due to a number of causes that, in most cases, are easily diagnosed. An orthopedic is a specialized doctor whose advice you should seek if you have any kind of discomfort in one or both of your feet. Discomfort may include chronic or regular pain, difficulty in movement and/or disfigurement. These are generally a result of arthritis, physical injury or a genetic or hereditary condition. In some of the cases, the pain and discomfort can be treated without any surgery, by using medications. However, in extreme cases, where medication, physical therapy, and other such non-surgical methods fail to have any impact, surgery is the only way to go.

These surgeries are less invasive and require a limited recovery time. They are also one of the most successful types of surgery. The surgical procedure is successful in dealing with the main complaints of a foot problem. It successfully treats a foot by,

Relieving pain: The pain in your feet interferes with your work, making it difficult to carry on with your daily life, affecting your personal and social relationships. Pain often indicates an underlying problem, and it is easier and effective to treat the problem with a surgery, as it relieves you from the chronic pain.
Restoring function: If your feet do not function properly, it will be impossible for you to move, as they are necessary for mobility. When a simple stride becomes a problem, your whole lifestyle is affected. Accepting defeat is not an option. A good orthopedic can help you to get back to your normal daily life by surgically treating your feet thus ensuring they function properly.
Improving appearances: Foot deformity, due to a number of reasons such as polio or bone spurs, can lead to a restricted lifestyle. Movement is hampered and so is freedom. Surgically it can be treated and the appearance of your feet can be improved.
Arthritis is also a cause of a number of foot problems. In more cases than not, surgery becomes a necessity to treat your foot. Here are some of the surgeries that cater to arthritis-related foot problems:

Repairing Fracture: If the fracture is beyond repair by non-surgical methods, surgery is the last refuge for an orthopedic surgeon. Surgery will include repositioning of the bone and the use of supports to keep them in position.
Arthroscopic debridement: This surgical procedure helps to remove inflamed tissues or spurs from the joint.
Arthrodesis: Also known as joint fusion, it involves the removal of the ends of the bones at the joint and replacing them with metal pins or screws.
Osteotomy: The surgical procedure involves realignment of a joint by cutting the bone.

Foot Problems - Can They Be Treated By Surgery?

All ayurvedic treatments have their roots in hundreds of years of research and thus are extensive. The philosophy followed by these treatments is that every human being in governed by three doshas of forces - vata (air), pitta (fire) and kapha (earth). Depending on the force that is in highest proportion in an individual, all his psychological and physical attributes are determined. Hair loss is attributed to the pitta dosha which is concentrates on metabolism and digestion. The various methods to treat premature loss of hair, according to ayurvedic principles are:


	Balancing the pitta dosha:&nbsp;pitta dosha can be managed by eating less salty, fried and spicy food, consuming limited amount of alcohol, coffee and meat and reducing smoking habits. Certain herbs can curb excess pitta like shatavari or asparagus and bitter vegetables.
	Ayurvedic oil and shampoo: an effective remedy is oil made by boiling a cup of neem (margosa) leaves in 4 cups of water. The mixture is then strained and stored. If applied at night and rinsed off in the morning, hair loss can be prevented and your hair gets healthier. An ayurvedic shampoo can be made at home by preparing a mixture of methi (fenugreek), green bean (mung dal), soapberries, lemon juice and curry leaves which need to grinded well together before applying on the scalp.
	Ayurvedic diet plan:&nbsp;ayurveda believes that a well-balanced diet is the preventive measure to most ailments, including hair loss. Consuming vegetables with high protein and iron content like cauliflower, kale, pumpkin leaves, spinach, salsify, lentils, beet greens, string beans, dandelion greens, raisins, soybeans etc. Proves to be helpful in this regard. This diet can also help to combat systemic diseases like alopecia which may causes loss of hair and sizeable bald spots.
	Ayurvedic medicines:&nbsp;four ayurvedic medicines are used extensively for the purpose of combatting hair loss. These are thikthakam kashayam, thikthakam grisham (regulates metabolism), chyavana prasam and narasimha rasayanam, which improves the strength and quality of hair).
	Combating other problems that cause hair loss:&nbsp;using herbs like brahmi (to manage stress), shilajita and jatamansi (for thyroid imbalance), cardamom (for chronic problems) and ashwagandha (for immune system disorders) can indirectly help when hair loss is a symptom or side effect of another disease.



Combating Hair Loss And Ayurveda

Is Hair Transplant Surgery a Lasting Option?

Hair transplant surgery is the technique wherein hair is taken out from other parts of your body and grafted on the scalp to treat baldness. Basically, these are such hair follicles that are genetically resistant to balding; therefore, they serve as a permanent treatment for hair loss. Experts believe that in most cases, hair transplant surgery is a lasting option.

How long does the transplant last?

If you are worried about the length of time for which your hair transplant will last, you can be assured that it may even last a lifetime. Only a few among the transplanted hair are lost with time but this loss is not very noticeable.

Reason why hair transplant surgery can be considered as a lasting option

Hair transplant surgery is naturally a lasting and safe treatment for hair loss, as the chances for your body to reject the intervention in the form of implanted hair is minimal. This is because the technique that is used involves taking your own hair out from the follicle roots, (mostly from areas like the neck or the back and sides of your head) where they are not needed so much and place them in specially designed holes in the bald areas. Since no external factors are involved, the body does not tend to reject the transplant.

Supplementary Treatment

Hair transplant surgery is anyway a lasting option but just as everything else, it may require a little care over time. Hair may still be lost from those parts of your head that have not been subject to the implantation, so those areas do require little efforts in order for you to maintain the overall results. Occasional touch-up sessions along with easy, non-surgical treatments such as laser therapy, rogaine, and Propecia would ensure a permanent and lasting solution to all your problems related to hair loss and baldness. Such supplementary treatment solidifies the hair follicles that have been transplanted and also decreases the chances of hair loss from hair follicles that were not treated during transplantation.



Is Hair Transplant Surgery a Lasting Option?

4 plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause. 

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:

- restriction of mobility

- aesthetic disfigurement and scarring

- loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Quick and Handy Remedies To Treat Burns

4 Surgical Alternatives for Burns and Wounds

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