There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.

There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:

Abdominal Adhesions and Infertility
Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body.
Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.

Secretions from implants
Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.

Prostaglandins
Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy. This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.

Just like the endometrium, the implants also secrete these hormones. And, the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.

A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.

How Endometriosis Leads to Infertility and Miscarriages?

When endometrial tissue that usually grows inside the uterus, starts growing outside uterus, it is called Endometriosis. Pain during or before periods, pain during intercourse, pain while urinating or bowel movements, heavy bleeding, infertility are some of the symptoms of endometriosis.

Treatment of endometriosis usually depends on the following factors:

Age of female
Severity of symptoms
Duration of the symptoms
Future plans for children/ fertility
Associated pathologies
Accordingly the doctor might choose any of the treatment options like:

Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain  relieving medications like Nonsteroidal anti-inflammatory drugs (e.g. Diclofenac) or anti-spasmodics(e.g.drotaverine)
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may recur. Some of the hormone therapies include: 
Hormonal Contraceptive pills: Useful in controlling the hormones that are responsible for endometrial tissue growing outside the uterine cavity.
Medroxyprogesterone: This helps to counter effect estrogen hormone which is responsible for endometrial tissue growth.
Gonadotropin-releasing hormone (GnRH) agonists: Gonadotropin hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence symptoms. It can cause absence of menstruation in some females which is reversible.
Danazol: It is synthetic androgen, suppresses growth of endometrial tissue temporarily.  However, Danazol may not be a favourable option because of its side effects. Females should avoid pregnancy while on this drug.
Dienogest: This newer progesterone molecule, which does not have major side effects and is apporved for use in endometriosis.
Other medications like selective progesterone receptor modulators, immunomodulators, anti angiogenic factors are being evaluated.
Conservative surgery: If you are trying to conceive, then surgical excision or ablation of endometrial tissue is one treatment option.Suboptimal surgery with conservation of maximum ovarian tissue is considered suitable in such cases.
Hysterectomy: In severe endometriosis cases where female has completed her family, hysterectomy is offered wherein the uterus, cervix & if required ovaries can be removed.

Endometriosis - Ways To Manage It Well!

Psoriasis is a disorder which is characterized by rapid multiplication of skin cells on the skin s surface. These extra skin cells develop into silvery scales, which are often dry and itchy. It may also lead to formation of painful red patches on the skin. This disorder might produce symptoms, which flare up and reduce periodically. There is no cure for psoriasis; treatments however can make the symptoms manageable. 


Symptoms
The symptoms of psoriasis include red patches on the skin and scaly and dry skin. The red patches might be itchy and one might often experience a burning sensation around the area. The joints in your body may also become stiff and swollen. 


Causes
The exact cause of psoriasis has not been ascertained. The accepted theory is that psoriasis occurs when the immune system attacks the healthy skin cells. There is a type of white blood cell called the  T cell , whose function is to combat harmful virus or bacteria in the body. With Psoriasis or any other autoimmune disorder, these T cells start attacking the healthy (skin) cells. 


Overactive  T Cells  may trigger other responses in the body, thus, leading to excess production of skin cells and white blood cells. The excess cells move to the skin surface and end up causing the red painful patches.


Treatment options to manage psoriasis
Although there s no cure for psoriasis as such, the symptoms can be controlled. The treatment options for psoriasis are:
1. Topical treatments: Topical treatments involve application of creams and lotions. They have been mentioned below:
I. Corticosteroids: Corticosteroid creams or lotions reduce the excess skin cell production, thus, reducing inflammation. They are generally not used as a long term treatment as they cause skin thinning.
II. Vitamin D analogues: A synthetic form of Vitamin D, it helps in slowing down skin cell growth. 
III. Salicylic acid: This treatment is used to reduce scaling on the skin, caused due to psoriasis. It is usually administered along with other medications.


2. Light therapy: Light therapy involves using sunlight or artificial light to reduce inflammation and scaling. It helps in reducing the activity of T cells in the body. 


3. Oral medications
In case of severe symptoms, oral medications are prescribed. Medications such methotrexate helps in reducing the excess production of skin cells. Cyclosporine is a drug that is used to suppress the erroneous immune system response. 

Psoriasis - 3 Easy Ways You Can Get them Treated

Ringworm of the scalp usually affects children. This is a common type of a fungal infection of the scalp and has nothing to do with the worms as the name suggests. This is treated with antifungal medications and though the antifungal shampo-is not to-effective, it might be advised along with medication.

Causes of scalp ringworm:

 Most of the times a ringworm infection is transfered from person to person through sharing towels and touching. The fungi and its spores can remain alive on brushes, combs, sheets, furniture and unwashed towels for long. Some people are only carriers of fungi, meaning that they carry the fungi and its spores in their hair and skin but do not have any infection and symptoms. But they might pass the fungi to others who may develop the symptoms.
 It spreads from pets like cats and dogs who are very prone to fungal infection of the skin. They easily pass their infection to children and other family members. Farm animals are also a source of fungal infection and if the farm gate is touched from where the infected cattle passes, it is enough to cause infection.
 Also at times there is no reason and fungi infection can just happen out of the blue. Like for example, the fungi spores can get transmitted through air, they might get into the air by an infected person and land on someone else's head. This can develop into fungi and can cause infection.

Symptoms of scalp ringworm:

 The infection looks more like dandruff, a severe form of dandruff in different parts of the scalp. This is often mistaken to be psoriasis.
 In some infection there is loss of hair leading to bald patches. These patches become scaly and inflamed. The patches might have broken off small hair.
 Several painful pustules and boils occur on the scalp
 In severe infection there is boggy swelling on some part of the scalp, which is known as kerion. This might be tender and oozing and if not treated can lead to hair loss and permanent scarring.
 In severe infections like with pustules and kerion, one might develop high fever and the glands of the neck might swell. 

Treatment of scalp ringworm:
The treatment of the fungal infection of the scalp involves the following:

 Antifungal medicines: these are usually taken in the form of tablets and following are advised:
 Griseofulvin: this is often the first choice and a course of 8-12 weeks is required. The tablet can be crushed and taken with water.
 Terbinafine: the course for this is four weeks and is important to complete the course in order to get rid of the infection.

Fungal Infection on Scalp: How to Treat It?

5 Unexpected Triggers of Hair Fall

Your genes may be the most common triggers of hair fall, but in certain cases hair fall can be triggered by a host of other reasons you wouldn t have thought about. Sometimes these reasons can range from being simple and temporary (lack of essential nutrients in your diet for example) to something more complex and indicative of an underlying health problem. Read on...

1. Brushing wet hair

Detangling wet hair (easy at it may seem) is probably one of the most common triggers of hair fall. Wet hair is extremely delicate, and brushing wet hair causes the strands to break, leading to excessive hair fall. Repeatedly doing so can cause your hair to become thinner over time, which may result in visibly less hair on your scalp.

2. Food poisoning

Food poisoning can cause an abnormality in your blood circulation, which, as a result, can lead your hair to prematurely enter into a shedding phase. The hair loss that takes place due to this reason is known as  diffuse hair loss.  This type of hair loss usually lasts for a period of 3 months, after which, the hair follicles are replaced by new ones. Hair fall caused by food poisoning is only temporary, and is corrected on its own with time.

3. Car crashes or any other traumatic events

When you go through a car crash or any other traumatic incidence for that matter (divorce, death in the family etc), you may experience an extreme form of shock. This can lead to the development of small bald patches on your head, which is known as Telogen Effluvium. Usually, trauma triggers an autoimmune reaction, because of which the white blood cells attack the hair bulb. This causes the hair bulb to enter into the resting phase, which leads to mildly painful hair loss in particular patches. This type of hair fall is reversible.

4. Food allergies

Different foods (such as dairy, wheat, soy etc) can cause allergies in different people. Such an allergic reaction can cause your immune system to react violently, consequently making your immune system send signals throughout your body to ward off attacks. This, in very rare cases, can give rise to the condition of Alopecia Areata, as your immune system detects the growth of your hair as foreign attack and sends off signals to destroy hair follicles. This type of hair fall ceases once you stop consuming food(s) you re allergic to.

5. General Anaesthesia and Surgery

Hair fall triggered by general anaesthesia and a major surgery usually shows up 3 months after the surgery has taken place. The combination of general anaesthesia and a major surgery can put your body under heavy physical stress, which can cause alterations in the life cycles of the hairs on your scalp, consequently leading to excessive hair fall. Hair fall caused by this reason is temporary too, and usually your hair will grow back over time.
Now that you know about the possible triggers of hair fall, you may be in a better position to control your condition and prevent your hair from falling out. 



5 Unexpected Reasons Why You Might Be Losing Your Hair!

5 common myths on dandruff you?ve probably fallen for

Dandruff is not only an embarrassing condition but also a major cause for hairfall and hair weakening. It is estimated to affect as many as one in five individuals in india. Even though this is such a common issue, there?s still heaps of misleading conceptions about dandruff.

Myth1: ?all flakes in your hair is dandruff?

Fact: sometimes flakes are only a consequence of dry skin on your scalp. While the difference between dryness and dandruff might be unclear to the common individual, medical experts do make a distinction between the two. If your flakes are relatively small and white, chances are you?re dealing with a dry scalp - dandruff flakes tend to be larger and yellowish in colour.

Myth 2: ?dandruff is contagious?

Fact: dandruff is not something that you can catch from someone else. The fungal bacteria that can lead to the appearance of dandruff are present on everybody?s scalp, which means all our scalps are naturally predisposed to the condition.

Myth 3: ?dandruff results from bad hygiene?

Fact: while regular shampooing can help keep dandruff under control, this condition does not stem from a lack of hygiene?even the most diligent hair washers can find themselves suffering from it. This is because dandruff is caused by various components, which include a characteristic overproduction of hair oil or an excess of parasitic microorganisms that live normally on our scalps.

Myth 4: ?dandruff only occurs on the scalp?

Fact: it's true that your scalp is the most widely recognised spot to experience dandruff, yet it's by all account not the only possibility. A few individuals additionally observe that areas such as the eyebrows, ears, and around the nose are inclined to flaking too.

Myth 5: ?dandruff can cause hair fall?

Fact: hair fall is at some point connected with dandruff and an irritated scalp; however, these conditions are not mutually exclusive. Hair fall is not brought about by dandruff, but rather might be prompted by the incessant need to scratch a bothersome scalp. When we scratch our heads, the activity causes breakage in the hair. The root cause of hair fall includes anxiety, diet and the overall health of your scalp.

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5 Common Myths about DANDRUFF Busted!

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