The presence of blood in urine is known as Haematuria. It is categorized under 2 types:

    Macroscopic haematuria, which means the patient has seen blood.
    Microscopic dipstick haematuria, which means blood is identified by urine microscopy or by dipstick testing either in association with other urological symptoms (symptomatic microscopic haematuria) or during a routine medical examination. It has been variably defined as 3 or more , 5 or more or 10 or more Red Blood Cells (RBCs) per high - power field.

Urological and other Causes of Hematuria

    Cancer: Bladder, Kidney and Prostate Cancer
    Stones: Kidney, Ureteric
    Bladder Infections: Bacterial tuberculosis, infective urethritis Inflammation
    Interstitial Cystitis Trauma : Kidney, bladder, urethra, pelvic fracture causing urethral rupture
    Renal cystic disease: (e.g. medullary sponge kidney)
    Other urological causes: Benign prostatic hyperplasia, vascular malformations
    Other medical causes of haematuria: anticoagulation therapy (e.g. asprin, anti platelet therapy) Nephrological Causes: more likely in children and young adults, proteinuria; red blood cell casts.
    Urological investigations: Urine culture, urine cytology, cystoscopy, renal ultrasonography and intravenous Urography and CT Urography.

Management of haematuria depends on the cause as determined by the urologist.

Causes and Treatment for Hematuria

Though pregnancy is one of the most cherished phases in a woman s life, there are times when it is not desired. This can be due to various reasons ranging from premarital sex to the couple not being ready yet. Whatever the reason, emergency contraceptive measures are available, and I-Pill has become synonymous with that.

Since its introduction, it is widely used to prevent unwanted pregnancies. The easy availability (no prescription required) and low cost have added to its popularity. However, not many realize it has some side-effects and the need to be aware of certain facts when using the I-pill.

It is an emergency contraceptive pill, should be used between 24 to 72 hours after unprotected sex
It is effective in 95% of the women when taking during this time frame
It prevents pregnancy by stopping fertilisation or preventing implantation of the fertilising egg
It stops pregnancy; however, if you conceive before the pill it was taken, it will not have any effect. It is therefore not an abortion pill
So, if you miss the period the next month, test for pregnancy
It does not offer protection against sexually transmitted disease including HIV/AIDS
It is not to be used on a regular basis
If you are on long-term medication, please consult with the doctor before taking the I-pill
It has no long-term consequence. However, there could be some minor symptoms including breast tenderness, nausea, vomiting, headache, and lower abdominal pain (pelvic area),
The next menstrual cycle could be delayed by a couple of days
There could also be spotting before the actual period starts
Women who are allergic to levonorgestrel should not take I-pill.
It can cause skin allergies and reduce libido.
When used repeatedly, it can cause delayed and irregular menstruation
It is ideal for use between the age of 25 and 45. Teenagers should not use it regularly. This needs to be made aware through sex education, as the prevalence of teenage sex and pregnancy is on the rise in India
Repeated usage can cause ovarian damage and severe menstrual issues, so occasional use is the only recommended usage
It is safe to take the pill during lactation. There is no effect on the quality of milk or any other adverse effect on the baby
I-Pill was introduced as an emergency contraceptive method, and not for regular contraceptive purpose. Its correct usage and avoiding complications is largely dependent on sex education which needs to start early and talk about other safe sex measures and avoid using it on a regular basis.


Side-effects of i-Pill Tablets - Every Woman Must Know!! 

A dysfunction or health problem which affects your physical relation with your partner is an issue that may occur at any period of the intercourse cycle. These issues affect both, men and women.

Sexual dysfunction in men can be a consequence of a physical or mental issues, including stress.

The problems men may encounter include:

    Erectile dysfunction (ED): ED can be a cause of medications, for example, diabetes or hypertension, or by anxiety about engaging in sexual relations. Dejection, weariness, and anxiety can add to it.
    Ejaculation issues: These include untimely (discharge that happens too soon during intercourse) and the powerlessness to discharge by any means. The causes include medicines, like antidepressants, nervousness about sex, a past filled with sexual injury and trauma, (for example, an accomplice being unfaithful), and guilt.
    Low libido: Mental issues like anxiety and tension about engaging in sexual relations can prompt a diminished or no sexual craving. Diminished hormone levels (especially if testosterone is low), physical ailments, and pharmaceutical symptoms can lessen the testosterone.

In many cases, sexual dysfunction in women might include:

    Vaginal dryness: This can lead to issues with excitement and craving, as sex can be painful when the vagina is not lubricated. Vaginal dryness can come about because of hormonal changes that happen during and after menopause or while breastfeeding, for instance. Mental issues, similar to tension about sex, can also cause vaginal dryness.
    Low drive: Absence of sexual yearning can be created by lower levels of the hormone estrogen. Exhaustion, misery, and tension prompts low charisma.
    Trouble achieving orgasm: Failure to have an orgasm can influence both men and women. Once more, some stimulant drugs can likewise bring about a solution for these issues.
    Pain during sex: Known as vulvodynia or vulvar vestibulitis, and even vaginismus, these conditions can bring about spasms that lead to pain during intercourse.

If you are encountering sexual health problems, raise your worries with your specialist. You can regularly redress your issue by:

     Getting the best possible treatment of any hidden therapeutic condition
    Speaking with your partner transparently about your sexual relationship
    Keeping away from liquor, smoking, and medication use
    Overseeing anxiety, uneasiness, and gloom
    If you think you are suffering from any other ailment, discuss with your specialist about therapy that can help you in such a case.
    Restorative treatment: This includes treatment of any physical issue that might add to a man's sexual problems.
    Drugs: Medications, for example, Cialis, Levitra, Staxyn, Stendra, or Viagra may enhance erectile capacity in men by improving the blood stream to the penis.
    Mental treatment: Therapy with a prepared advisor can help address sentiments of uneasiness, apprehension, or blame.
    Education about sex and sexual practices and reactions may also help.

Common Sexual Health Problems and Ways to Treat Them

How to know if you're pregnant

There are two main ways of finding out if you are pregnant - getting your blood tested, and doing home pregnancy urine test. In order for these tests to give you a clear picture, you need to wait until the right time i.e. until you've missed your period. However, there are several early signs of pregnancy that can give you an indication that you might be expecting.

1. Shortness of breath - Do you find yourself losing your breath on the stairs or when you walk for a long period of time, more than you usually do? This could be a sign of pregnancy since the fetus needs oxygen, leaving you feeling a little breathless even when you mildly exert yourself.

2. Sore breasts - If your breasts suddenly start feeling a little heavy or you feel like they have grown and your areolas seem slightly darker, it could be one of the first signs that you are pregnant.

3. Fatigue - The increase in hormones in your body during a pregnancy could lead to you feeling a lot more tired. If you end up exhausted after a normal day this could be because women tend to feel extreme tiredness during their first trimester of pregnancy.

4. Nausea - Around 6 weeks into a pregnancy (sometimes earlier), women tend to feel nauseous. This usually subsides as you enter into your second trimester. Feeling nauseous could be a sign of pregnancy. You can treat it by eating things that help settle your stomach like crackers and soda.

5. Frequent Urination - If you notice yourself needing to urinate more than usual, it could be a sign of pregnancy. This happens because your body is now producing extra fluids that cause your bladder to work extra.

6. Headaches - An early sign of pregnancy is experiencing frequent headaches. This happens because your body is now suddenly dealing with a lot of excessive hormones. To deal with the headaches make sure you take a pregnancy safe painkiller instead of a normal one.

Everybody has a way of expressing itself if only we take the time out to listen. If we really pay attention to these tiny reactions, detecting a pregnancy early, that is even before you skip that period is possible



How to know if you're pregnant

Herpes is caused due to the presence of the herpes simplex virus in your body. Herpes can appear on multiple areas of your body, but more commonly manifests in the genitals as well as the mouth. The two types of herpes are HSV-1 (oral herpes) and HSV-2 (responsible primarily for the outbreak of genital herpes). 

Causes of Herpes Simplex:

Herpes is contagious in nature and can be passed to you by having sexual intercourse with anyone who has been infected. HSV 2 is the primary form of the virus, which is transmitted in this manner. 
Herpes could be transmitted to an infant from their mother if she was infected while pregnant. 
It can also get passed through direct contact like using the same plates or spoons or even the sharing of lip balm. Even kissing can spread the virus if the infected person has cold sores.
Symptoms of Herpes Simplex:

The presence of blistering sores within the mouth or in the genital area is a telltale sign that you may have contracted genital herpes.
If you are having painful urination then you should check with your doctor for the herpes virus.
Continuous itching in certain areas such as the genitals.
Not wanting to eat, having a fever could also be symptoms of herpes simplex virus in your body.
Herpes can spread to your eyes and is known as herpes keratitis. It can cause pain in your eyes.
Diagnosis of Herpes Simplex:

The common way to diagnose herpes is with an actual physical exam. Doctors will generally look out for sores on your body and may also check for some similar symptoms which might indicate herpes simplex. 
HSV testing (alternately called herpes culture) is done to check the presence of a virus on the genitals. A fluid sample from the genitals is sent to laboratory for tests and will require a visit to the health center.
There are blood tests to look for antibodies for both forms of HSV to diagnose the infections. However, this test is done only when there is and absence of sores or visible symptoms.

Herpes - 5 Signs You are Suffering from it 

Herpes is known as Visarpa in Ayurveda. It is an infectious disease caused by Nita group (Herpes group) of viruses. It is an extreme form of the viral disease, which, if left untreated, can lead to the death of a person. 

Types of Herpesviruses

Herpes simplex
Herpes zoster
Varicella zoster
Cytomegalovirus 
Mode of transmission

Herpes spreads through the following routes:  

Via blood (raktha)  
Via skin (twacha) 
Through muscles (snayu) 
Through vaccination (lasika)
According to ayurveda, these viruses can enter the body by following modes:

Suppression of natural urges (emotions and physical symptoms) 
Due to wounds fractures
Crush injuries
Cutting of immature part 
All these factors speedily give rise to a sort of swelling and inflammation. This swelling can extend all over the body. 

Clinical features

Vatika Visarpa Fever, inflammation, twitching, pins and needles, tearing pain, giddiness, pricking pain, malaise, cramps, tremors, fever, bone and joint pain and their dislocation, shivering, anorexia, and indigestion
Paittika Visarpa Fever, malaise, red pustules, which are rapidly spreading and suppurating 
Kaphaja VisarpaNumbness, stiffness, heaviness, pain in the body, pustules with exudates, deep-seated ulcers over the pustules with a surrounded capillary network and covered with many skin scabs.
Sannipatika Visarpa
Granthi vispara
Glandular involvement along with all the symptoms of herpes

Agni Visarpa: Fever, vomiting, diarrhea, thirst, dizziness, splitting pain in regional glands, anorexia, pain all over the body, loss of consciousness, sleeplessness, dyspnoea, hiccough, mental confusion, and finally death
Kardama Visarpa: Red, yellow and pale yellow color eruptions with dull pain, edema, deep-seated suppuration, and eruptions that are free from exudations
Scope of Ayurveda

It is based on dosha dominance. Herpes from a single dosha involvement is curable. Involvement of double doshas can be alleviated by the habitual use of general therapeutic measures and involvement of triple doshas is incurable because it pervades all the tissue elements.

Management in ayurveda It includes:

Langhana therapy for improving immunity and to fight against the virus 
Herbs are used due to their antiviral, antibacterial, anti-inflammatory, antioxidant, and antitumor activity, such as Musta, Bala, Guduchi, Yashti, Chandana, Usheera
Tikta dravya which pacifies the vitiation of rakta and pitta, which are the main causative factor for herpes 
An induction of controlled vomiting for infection arising due to pitta dosha
Compounds with a bitter taste (tikta rasa pradana) administration to increase the flow of gastric juice and for the virus destruction
Administration of herbs (Sneha pana) for purgation
Rakta mokshana should be administered if the route of transmission is blood
Kasisadi ghruta for external application

Role Of Ayurveda In The Management Of Genital Herpes!

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