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

Nosebleed is a condition wherein blood vessels burst in the nasal lining. Nosebleeds are fairly common and it is rarely a serious condition.
I. Anterior nosebleed:It is caused by the eruption of a blood vessel at the tip of the nose. Anterior nosebleeds are generally easy to control by yourself or by a doctor.
II. Posterior nosebleed: It is a rare type of nosebleed. Posterior nosebleed mostly occurs in older people. It occurs when an artery bursts behind the nose, which causes the blood to flow down the throat. Posterior nosebleeds are, thus, dangerous, and they need immediate medical attention.

Causes
1. There are numerous causes of nosebleeds. The most common cause of nosebleeds is dry air. Dry climates dehydrate the nasal membranes (internal nasal tissues). This dryness leads to crusting which can cause irritation or itching.
2. Also, if you pick or scratch your nose too much, it can start to bleed.
3. Decongestants for allergies, sinus infection or cold and antihistamines can make the nasal membranes dry and cause nosebleeds as well.

Some other causes of nosebleeds include
1. Some sort of foreign object stuck in the nasal cavity
2. Allergic reactions
3. Repeated sneezing
4. Nose injuries (For example, car accidents, a punch to the face, etc.)
5. Chemical irritants
6. Cold air
7. Respiratory infection
8. Consuming high doses of aspirin-high dosage thins the blood down, thus triggering nosebleeds

There are other rarer causes as well, such as:
1. High blood pressure
2. Bleeding disorder
3. Blood clotting problems
4. Cancer

Treatment
A nosebleed can easily be treated at home. While in a sitting position, close your nostril by squeezing the soft part of your nose. Hold your nose for ten minutes, then lean slightly forward. Inhale and exhale slowly using your mouth.
Never lie down when you are trying to stop a nosebleed, as you will end up swallowing the blood which can upset your stomach. Remove your hand from your nose after 10 minutes and check if the bleeding has stopped. If it has not, repeat the steps all over again.
However, consult a doctor if the bleeding does not stop or if there is a foreign object stuck in your nose.

All About Nosebleeds

Hair health is not isolated from your overall health. If you are not very healthy overall, it will show on your hair as well. However, there are many lifestyle mistakes that also result in the damage of hair. If you are losing hair very fast and don t know why it is happening, watch out for the following mistakes you might be unknowingly doing-

1) Hot Water Shower:  Hot water damages your hair. It strips your scalp of the natural oils and dehydrates your hair, making them brittle. Use mildly warm or regular water for head showers.

2) Combing Wet Hair: Your hair is highly prone to breakage when it is wet. Combing or brushing wet hair weakens the roots and causes hair fall. To maintain healthy texture, it is safe to leave the hair to dry naturally. Also, don't brush your hair harshly.

3) Tight Tie-ups: Tightly fastened hair braids or ponytails cause tension to the roots and follicles. Pulling the hair too tight causes damage and must  be avoided, esp. at night.

4) Heat Treatment: Every time you blow dry your hair or use other heated styling tools, the scalp is subjected to undue heat. Such intense heat weakens the roots instantly. Switch to cool drying or stick to natural drying.

5) Using Styling Products: Hair styling gels and sprays make your hair stiff and sticky. A prolonged use of such products may cause major damage to the hair because the moisture has been drained out and there is friction every time you comb or brush the hair.

6) Not Oiling: Oiling your hair might be very unglamorous to look at but oils of coconut, mustard, olive, amla or sesame deeply nourish the hair follicles. Massaging your scalp with oil twice a week helps improve circulation thus contributing to overall hair health.

7) Bad Eating Habits: Skipping meals or taking improper nutrition has a direct impact on hair health. Healthy hair demand good consumption of proteins and other vitamins. Make salads, fish, lentils, beans, eggs, etc. a part of your daily diet.

Have any further questions on hair loss or hair care? Click on consult privately to ask me.

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Stop Making These 7 Mistakes To Prevent Hair Loss

Multiple sclerosis refers to disabling disease of the central nervous system, where the body s immune system eats away the protective layer sheathing the nerve fibres and disrupts communication between the brain and the rest of your body. 

Often, multiple sclerosis is associated with impaired cognitive functioning. Cognitive changes have direct functional consequences on your quality of life, ranging from occupational activities to professional career and personal life. In addition to it, a complex interplay between cognitive impairment and mental disorders like anxiety and depression, which negatively affect the normal course of life.

Rehabilitation Psychology works through various techniques and aims to ease the impact of cognitive changes on everyday life rather than simply defining their severity and nature.

Rehabilitation Psychology Approach to Multiple Sclerosis

The goal of Psychological Rehabilitation programs is to improve and preserve mental and physical abilities, as well as help patients adapt to changes in functioning. 

A team of specialists   consisting of a psychologist, physician, physiotherapist, speech-language pathologist, and an occupational therapist   works together in order to offer you well-rounded support and care. These specialists have years of experience and expertise in the management of symptoms of multiple sclerosis.

The rehabilitation program helps you address the following problems related to multiple sclerosis  

Spasticity

Fatigue

Sleep disorders

Chronic pain

Walking difficulties

Bladder and bowel issues

Changes in movement

Difficulty swallowing food

Mood disorders, like depression

Speech problems

Cognitive changes

Anxiety and uncertainty about the disorder

How Rehabilitation Programs Can be Helpful?

Since multiple sclerosis affects each person differently, Rehabilitation Psychology provides tailor-made treatment to patients.

The team of specialists work closely with the patients to evaluate their health needs, track progress, address pain, and teach them strategies essential to cope with the chronic disease.

Occupational therapy is directed toward patients with mobility problems. The therapy helps you with daily tasks, such as dressing, cooking, and learning ways to manage personal hygiene. 

Rehabilitation strategies for speech-language problems help maximize your abilities to cope with cognitive functions.

Multiple sclerosis is a lifelong condition and can be challenging as it progresses. Many people require constant support, care and motivation to get through the tough phase. Rehabilitation Psychology is just the way to combat the psychological effects of multiple sclerosis. You should communicate your concerns to a doctor, and learn all you can about the disease. 



 Rehabilitation Psychology In Management Of Multiple Sclerosis!

Neck cancer refers to the formation of cancer cells in the throat or neck region of your body. Neck cancer is commonly seen in people above sixty years of age. But people above forty can also have the chances of getting neck cancer. Though the symptoms of neck cancer can vary from one person to the other, 

Some of the common symptoms are stated as follows:

 Neck cancer affects the voice box, so a change in your voice can be noticed.
 Weight loss is also a symptom for neck cancer.
 A person suffering from neck cancer can also suffer from dysphagia or difficulty in swallowing.
 Sore throat in some cases can be considered as a symptom of neck cancer
 Bleeding from mouth or through your nose is also a common symptom for neck cancer.
 Ear pain in some cases is a symptom of neck cancer.
 Coughing persistently is also regarded as a symptom of neck cancer.
 Sometimes a lump in the neck is also noticed and it is usually painless.
 Some people also encounter breathing problem.
 In some cases a swelling of the neck, jaw or eyes can also be noticed.

Neck cancer involves certain risk factors too. Neck cancer can be treated in many ways. The following are few treatments available for neck cancer:

 Surgery: your doctor can conduct a surgery for removing the tumors from your neck region. The doctor may decide to do either a microsurgery or laser treatment or endoscopy.
 Chemotherapy: if the tumor spreads to other regions or is large in size, then your doctor may recommend chemotherapy. 
 Radiation: it is used to destroy the malignant cells. It is usually conducted after removing the tumor.

These three are the common treatments followed by doctors. Your doctor may also take help of other treatments like administering drugs to control the growth of cancer cells. But, sometimes treatments fail to work if the process of metastasis starts. So you should not ignore it, as soon as you encounter any of the symptoms stated above, visiting an oncologist is highly recommended.


Neck Cancer Symptoms and Treatment

 Head lice  are insects that feed on the blood of your scalp. This condition usually affects children and is moderately contagious. Contrary to popular belief, head lice does not occur due to poor personal hygiene. 


The symptoms of head lice are:
1. Presence of lice on scalp: Lice are small insects that are usually hard to spot. But their infestation can be felt because you experience intense itching on the scalp. 


2. Itching: There will be intense itching on the scalp and the neck. This itching occurs due to the saliva secretion by the lice that the skin is allergic to. Usually, the itching starts after 3 to 6 weeks of infestation. 


3. Lice eggs: The lice eggs stick to the shafts of the hair. They are very hard to spot as they are small and well camouflaged. 


What can be the reasons behind their infestation
This condition is contagious; apart from direct contact with the scalp of an infected person, this condition can also spread if you happen to share the below mentioned items with an infected person:
1. Brushes 
2. Hats
3. Headphones
4. Towels
5. Pillows
6. Accessories for the hair


The treatments for hair lice are:
1. Over- the counter (OTC) products: OTC products are made from  pyrethrin , a compound extracted from the  chrysanthemum  flower.  Pyrethrin  works as an insecticidal compound and it is advised to use these medications only after washing your hair with a shampoo. Vinegar may also be used to loosen the nits from the hair shafts. 


2. Prescription medications: Certain medications can also be prescribed by the doctor, such as benzyl alcohol and lindane.


Certain home remedies for head lice include:
1. Essential oils: Apply oils such as Anise oil or tea tree on the scalp; these oils act as toxins for the lice.
2. Wet combing: This is a method wherein the wet hair is combed using a fine toothed comb to remove the nits and the lice. Repeat the procedure for 3-4 days every week.

Head Lice - How You can Treat Them?

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