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?

Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.

With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.

The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
Babies born to diabetic mothers are often bigger. The baby s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
Most diabetic women reach full term if the sugar levels have been under good control.
Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. 

How Can High Diabetes Affect Your Pregnancy?


Many overweight and obese people have darkened and a rather flaky texture behind neck, darkening in armpits and other parts of body with creases and folds like elbows, knees or knuckles. This is commonly mistaken as smudge of dirt, uncleanliness or lack of hygiene. Some people think that it is due to repeated friction caused by necklace or chains etc. In fact it is a sign of'diabetes' which is already developed or might develop in future.

This darkening is due to excessive cell growth and differentiation of fibroblasts caused by excess of insulin in the body especially in obese individuals and type 2 diabetes patients.

In obese individuals and type 2 diabetes patients excess amount of fat especially abdominal fat (tummy fat) causes resistance to action of insulin secreted by pancreas and tends to hamper its action. In return, body produces more and more insulin from pancreas to keep blood sugar under control. This excess amount of insulin secreted by body promotes this skin cell growth leading to the visible condition called'acanthosis nigricans' in medical terms.

After producing excess amount of insulin pancreas start exhausting, this converts into diabetes. At this stage diabetes can be prevented by simple lifestyle modifications &amp; focussed weight loss.

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Are Dark Cracks Behind Neck A Sign Of Diabetes?

Sugar is an all pervasive substance that is found in most food items although specific ones such as candies, colas and sweet delicacies tend to have more of it. While it may taste great on the tongue, it may not be so good for your body as well as your teeth. Teeth are especially affected by sugar as an ingredient in all items of food. Some of the ways it affects your dental health are discussed below  

Sugar from colas, sodas and other carbonated beverages: Sugar that gets into your body in the form of carbonated beverages are the worst in terms of the nooks and crannies that it gets into. As it is in liquid form, it can swirl around the toughest corner and deposit sugar there. This will encourage the growth of harmful bacteria, causing a host of problems.

Dissolving tooth enamel: Tooth enamel is the topmost layer of teeth. This is the layer which is visible to the naked eye and is white in color. Foods such as chewy candies can leave a hard lump of sugar lodged in your teeth which the saliva in your mouth will not be able to dissolve away. This will keep producing acids and result in the dissolving of the enamel. Enamel protects the nerves of the teeth and thus will result in extreme pain and even tooth decay.

Encourages the growth of plaque: Plaque is an obstructive and sticky substance that forms on many parts of your body, including the teeth. Plaque is an ideal breeding ground for bacteria and these bacteria feed and grow on the sugar from the foods that you eat. These bacteria can cause cavities, gum infections, bad breath, destroy the enamel among causing other dental problems as well.

Some of the other related problems that can be caused by sugar on your dental health are:-

Reduction in the size of your back teeth due to erosion from acids formed from sugar.

Gum infections of various kinds which may end up requiring surgery.

Changes in the bite of a person i.e. the way upper and lower teeth come together.

Sugar may also affect the growth of bacteria in the mouth, which in turn may also cause digestion problems.

Causes bad breath due to buildup of bacteria.

Sugar - How It Affects Your Teeth?

It's normal to be concerned with your fertility after early miscarriage. Many couples want to try to conceive again right away, while others need time to heal. Ultimately, though, fertility following a miscarriage is an issue of concern for most couples.

Once you are ready to start trying for a child again, there are a number of things you can do to increase your chances of having a successful pregnancy.

Rest and Recuperate- Many women want to hurry and start trying to get pregnant again right away after their miscarriage. This is a perfectly normal response, but may not be the best way to guarantee a healthy pregnancy. Give your body a chance to rest so your menstrual cycle can get back to normal. You also want to give yourself plenty of time for your mental balance to return so you are ready to take on the trials of trying to become pregnant. Be gentle and give yourself time to rest and focus on taking care of your physical and emotional needs until you are ready to try again.
Change Lifestyle- Eliminating unhealthy habits can help increase your chances of conceiving later. Eliminate drug or alcohol use and quit smoking before you start trying for pregnancy. Cutting down or eliminating caffeine can also help you conceive a healthy pregnancy.
Eliminate Stress- Eliminating stress can also make conceiving easier. Stress can reduce fertility levels, making it harder to get pregnant. Practicing meditation, yoga or taking time to relax after dealing with tough issues in your life can make it much easier to conceive.
Eat Healthy- Eating a healthy diet is also essential to having a healthy pregnancy. This can also help women manage the depression caused by their miscarriage. Getting a variety of vitamins and minerals and cutting down on saturated fats and processed foods can help you get pregnant and maintain a healthy pregnancy.
Take Fertility Drugs or Therapies- There are various fertility drugs and therapies on the market today. Your doctor will prescribe different medications based on your overall health and age.
Use an Ovulation Predictor- An ovulation predictor can help you map out your cycle. This will allow you to determine which days in your cycle will be the most likely for you to conceive. 
Support the Uterus and Liver- Performing a fertility cleanse after your period has stopped can help support the uterus and liver, promoting overall fertility health. Sometimes stagnant blood can get left behind after your period which can cause discomfort or health issues. Following a fertility diet to help rid your body of the excess blood and hormones in your system can help your conceive more easily.
Massage the Uterus- When you have stopped bleeding after your miscarriage, performing a uterus massage can help your body relax. This massage will help bring fresh blood to the area and soothe the body so you can relax. 
If you have been having trouble conceiving it may be time to talk to a fertility expert. Your doctor can perform fertility tests on you and your partner to determine if there are any underlying issues present. Then you can work together to determine if any additional medical treatment is necessary to help you get pregnant.

Ways to Increase Fertility after Miscarriage

Diabetes is probably one of the worst enemies of human health. Why? That is because unlike many other diseases which make you aware of their presence in your body instantly, diabetes is a silent attacker. So, you may continue to be unaware of the disease for a very long time, before you suddenly realize that something is wrong with your body one day. And then tests reveal that you are afflicted with diabetes.

In order to make sure that this doesn't happen to you, you have to keep an eye on the symptoms of diabetes because prevention, no matter how tedious it is, is always better than the cure. Here is a look at the usual but often ignored signs which indicate that you might be suffering from diabetes.

If you are taking more bathroom breaks than usual, and if the rate of going to the loo is increasing gradually with time, it can well be a sign of diabetes. When you are suffering from diabetes, your body becomes less efficient in breaking down the consumed food into sugars and utilising it. Therefore, a lot of sugar gets saturated in your bloodstream and your body gets rid of it by flushing it out through urination.
If you urinate a lot, it is self-evident that you would also feel very thirsty all the time. In some cases, the patients don't realize their problem and drink chocolate milk or aerated drinks which have sweet flavours. This leads to excess sugar in your body again, and the problem continues. So all in all, if you feel very thirsty all the time, get yourself checked.
You might lose weight, and it may really seem like a great thing in the beginning but it is not. When a person has diabetes, he is likely to lose his weight because of the decreasing water level in his body as well as the inability of the body to break down food into more suitable forms.
If you are tired all the time, and by all the time we mean even after getting up from a long and good night's sleep, you may have diabetes. The reason for this is that fatigue comes to you when your body cannot produce enough energy from the food you consume, and this happens only when you have diabetes.
If your cuts and bruises heal slower than ever, you definitely are a victim of diabetes. This is because the immunity and clotting system of your body don't work well when there is a saturation of sugars in your body.

5 Signs That You're Suffering from Diabetes

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