Physical intimacy between couples can be something that can never be judged based on their relation. Many factors can hamper the satisfaction of the people involved, and you would have said that at least one point of time in your life that the zest has fiddled out. Do not fret as you are not alone. You are voicing something which billions of couples would have expressed at some point in time in their life. In a long-term relationship, the partners can almost complain about the same things which they believe is needed to make their physical intimacy to work out even more.

There are enough diseases and infections related to sex that can physically veer a couple from having a healthy intimacy. Add to that; there are many psychological parts too that can hamper a robust and active sexual life. Thanks to the times we live in almost all the sexual diseases and infections can be treated and kept at bay. However, the psychological imbalances have to be adequately addressed and channeled using the right medium. It can be very beneficial to consult a sex therapist for the underlying problems and more often it can be better if the sessions are had as a couple. Let us look at a few of the symptoms that can lead to issues in bed:

Laziness: The intimacy cannot have the desired result if you find that if you or partner is lagging in the enthusiasm. Boredom can easily set in, and this can easily have an effect on how physical you are. Talk this out with a therapist and try to look for ways in which the laziness and the routine can be reduced.
Body Image: It is true that a body image can be one of the factors for a good sex life, but as we age we tend to get loose and do not make an effort to keep our body fit. This, in turn, can affect the intimacy has the partners can lose interest in each other as a couple. Have a healthy lifestyle and stay away from foods that can hamper your wellbeing. Exercise regularly and keep surprising each other.
Exhaustion and Stress: Needless to say this one factor and the modern times have been the main culprit for making you have issues in bed. Our work nature has forced to work 24/7 sometimes leaving us little time for other crucial intricacies of life. This has left us with a void and has made a dent in our space and the way we react to a sexual urge. The only way by which this can be minimized is by having a good work life balance and by giving the needed importance to the relationship. Remember that your work is not important than your physical well-being, and if your nature of the work is the cause of your ailments, then it is high time you think about changing it.
Communicate: More importantly, talk to a counselor about the problem you face and about your anxiety levels. Try having an open communication between you and your spouse and know your interest quotients. It is not wrong to appraise each other as far as physical intimacy s concerned. Remember that an open mind is always the fostering channel for dissolving the issues in bed.

Are You Having Issues In Sex Life? Know The Possible Reasons Behind It!

With the progress of her pregnancy, her body keeps changing. One such change is the expansion of her abdomen to accommodate the growing foetus in her uterus. Skin is elastic and hence it keeps extending until the baby is ready to be born. Once the mother delivers her child, her abdomen returns to its original size. But since it shrinks rapidly from its expanded dimension, it leaves stretch marks along her tummy.

What are Stretch Marks?

Stretchmarks are minuscule tears in the tissue layer right underneath your skin. The tears are caused because this supporting layer is stretched all the way to its limit. This manifests as fine white lines running along the length of the abdomen.

How can Stretch Marks be removed? 

Carboxy Therapy -

Carbon dioxide is administered to you just beneath your skin through an injection. This gas has the capacity to dilate and enlarge the blood vessels surrounding the site of the injection. Since the passage has been enlarged, more blood will flow through your vessels. That boosts collagen production. Increased blood flow and improved collagen production help make the stretch marks disappear.

Mesotherapy -

This is yet another therapy that aims to eliminate stretch marks caused by pregnancy. Mesotherapy promotes the production of collagen, elastin and fibroblast. The serum is injected into your bloodstream at the zone of the stretch marks. It also gives your cells micronutrients and amps up your blood supply, all of which make your marks less visible.

You might need 2 to 3 sessions every week to notice visible differences.

Plasma Rich Platelet Therapy

PRP therapy is a very favoured mode of banishing pregnancy-generated stretch marks. A doctor will draw blood from you and this blood will be treated until only very rich growth inducing proteins are left in a concentrated form. Then this plasma will be injected into your skin.

Plasma will help regenerate and develop new cells and tissues and help mend the damaged ones ensuring the stretch marks fade away.

Surgery can be a scary concept. But to get rid of those annoying stretch marks, you don t have to go under the knife. A few non-surgical simple session are all it takes to give you clean and taut skin.

Know How To Treat Post Pregnancy Stretchmarks Without Surgery!

If you lose a baby before 24 weeks of pregnancy, it is called a miscarriage. If this happens in the first 3 months of pregnancy, it is known as an early miscarriage. Unfortunately, early miscarriages are common, with 10 20 in 100 (10 20%) pregnancies ending this way. Late miscarriages, after 3 months of pregnancy but before 24 weeks, are less common: 1 2 in 100 (1 2%) pregnancies end in a late miscarriage. When a miscarriage happens three or more times in a row, it is called recurrent miscarriage. Recurrent miscarriage affects 1 in 100 (1%) couples trying to have a baby.

Why does recurrent miscarriage and late miscarriage happen?

Sometimes there is a reason found for recurrent and late miscarriage. In other cases, no underlying problem can be found. Most couples are likely to have a successful pregnancy in the future, particularly if test results are normal.

There are a number of factors that may play a part in causing recurrent and late miscarriage:

Age, the older you are, the greater your risk of having a miscarriage. If the woman is aged over 40, more than 1 in 2 pregnancies end in a miscarriage. Miscarriages may also be more common if the father is older.
Antiphospholipid syndrome (APS- a syndrome that makes your blood more likely to clot) is uncommon but is a cause of recurrent miscarriage and late miscarriage.
Thrombophilia (an inherited condition that means that your blood may be more likely to clot) may cause recurrent miscarriage and in particular late miscarriages.
Genetic factors, about 2 5 in 100 couples (2 5%) with recurrent miscarriage, one partner will have an abnormality on one of their chromosomes (the genetic structures within our cells that contain our DNA and the features we inherit from our parents). Although this may not affect the parent, it can sometimes cause a miscarriage
Weak cervix is known to be a cause of miscarriage from 14 to 23 weeks of pregnancy. This can be difficult to diagnose when you are not pregnant. It may be suspected if in a previous pregnancy your waters broke early, or if the neck of the womb opened without any pain.
Developmental problems of the baby may lead to a miscarriage but are unlikely to be the cause of recurrent miscarriage.
Infection that makes you very unwell can cause a miscarriage. Milder infections that affect the baby can also cause a miscarriage. The role of infections in recurrent miscarriage is unclear.
An abnormally shaped uterus may contributes to recurrent miscarriage or late miscarriages. However, minor variations do not appear to cause miscarriage.
Diabetes and thyroid problems can be factors in miscarriages. They do not cause recurrent miscarriage, as long as they are treated and kept under control.
It has been suggested that some women miscarry because their immune system does not respond to the baby in the usual way. This is known as an alloimmune reaction. There is no clear evidence to support this theory at present. Further research is needed.
Are there any other risk factors?

Being overweight increases the risk of miscarriage. Smoking and too much caffeine may also increase the risk. Excessive alcohol is known to be harmful to a developing baby and drinking five or more units a week may increase the risk of miscarriage.

The chance of a further miscarriage increases slightly with each miscarriage. Women with three miscarriages in a row have a 4 in 10 chance of having another one. This means that 6 out of 10 women (60%) in this situation will go on to have a baby next time. 

Why are investigations helpful?

Finding out whether there is a cause for your recurrent miscarriage or late miscarriage is important as your doctor will be able to give you an idea about your likelihood of having a successful pregnancy. In a small number of cases there may be treatment available to help you.

What investigations might be offered?

Blood tests:

For APS- APS is diagnosed if you test positive on two occasions 12 weeks apart, before you become pregnant again.
For thrombophilia- If you have had a late miscarriage you should be offered blood tests for certain inherited thrombophilias.
To check you and your partner s chromosomes for abnormalities. You may be offered this test if your baby has been shown to have abnormal chromosome
Tests for abnormalities in the baby You should be offered tests to check for abnormalities in your baby s chromosomes. This is not always possible but may help to determine your chance of miscarrying again. If you have had a late miscarriage you may also be offered a postmortem examination of your baby. This will not happen without your consent and you will have the opportunity to discuss this with your health team beforehand.

Tests for abnormalities in the shape of your uterus. You should be offered a pelvic ultrasound scan to check for any abnormalities in the shape of your uterus. If an abnormality is suspected, further investigations may include a hysteroscopy (a procedure to examine the uterus through a small telescope which is passed through the vagina and cervix) or a laparoscopy (a procedure in which a surgeon uses a fine telescope to look inside the abdomen and pelvis).

Tests for infection. If you have had a late miscarriage, tests such as blood samples and vaginal swabs may be taken at the time to look for any source of infection.




What are my treatment options?

Treatment for APS

If you have APS and have had recurrent miscarriage or a late miscarriage, treatment with low-dose aspirin tablets and heparin injections in pregnancy increases your chance of having a baby. Aspirin and heparin make your blood less likely to clot and are safe to take in pregnancy.

Having APS means you are at increased risk of complications during pregnancy such as pre-eclampsia, problems with your baby s growth and premature birth. You should be carefully monitored so that you can be offered treatment for any problems that arise.

Treatment for thrombophilia

If you have an inherited tendency to blood clotting (thrombophilia) and have had a miscarriage between 12 and 24 weeks of pregnancy, you should be offered treatment with heparin. At present there is not enough evidence to say whether heparin will reduce your chance of miscarriage if you have had early miscarriages (up to 12 weeks of pregnancy). However, you may be still offered the treatment to reduce the risk of a blood clot during pregnancy.

Your doctor will discuss what would be recommended in your particular case.

Referral for genetic counselling

If either you or your partner has a chromosome abnormality, you should be offered the chance to see a specialist called a clinical geneticist. They will discuss with you what your chances are for future pregnancies and will explain what your choices are. This is known as genetic counselling.

Monitoring and treatment for a weak cervix

If you have had a miscarriage between 14 and 24 weeks and have a diagnosis of a weak cervix, you may be offered an operation to put a stitch in your cervix. This is usually done through the vagina at 13 or 14 weeks of pregnancy under a general or spinal anaesthetic. Your doctor should discuss the surgery with you.

If it is unclear whether your late miscarriage was caused by a weak cervix, you may be offered vaginal ultrasound scans during your pregnancy to measure the length of your cervix. This may give information on how likely you are to miscarry. If your cervix is shorter than it should be before 24 weeks of pregnancy, you may be offered an operation to put a stitch in your cervix.

Surgery to the uterus

If an abnormality is found in your uterus, you may be offered an operation to correct this.

Hormone treatment

Taking progesterone or human chorionic gonadotrophin hormones early in pregnancy has been tried to prevent recurrent miscarriage. More evidence is needed to show whether this works.

Immunotherapy

Treatment to prevent or change the response of the immune system (known as immunotherapy) is not recommended for women with recurrent miscarriage. It has not been proven to work, does not improve the chances of a live birth and may carry serious risks (including transfusion reaction, allergic shock and hepatitis).

What if no cause is found?

Where there does not appear to be a cause for recurrent miscarriage or late miscarriage, there is currently no evidence that heparin and aspirin treatment reduces the chance of a further miscarriage. For that reason this treatment is not recommended in these circumstances.

What does this mean for us in the future?

You and your partner should be seen together by a specialist health professional. Your doctor will talk to you both about your particular situation and your likelihood of having a further miscarriage and a successful pregnancy. If a cause has been found, possible treatment options will be offered to you to improve your chance of a successful pregnancy.

For couples where no cause for recurrent miscarriage has been found, 75 in 100 (75%) will have a successful pregnancy with this care. It is worth remembering that the majority of couples will have a successful pregnancy the next time even after three miscarriages in a row.

Recurrent And Late Miscarriage - Tests & Treatment For Couples!

A birth control pill is commonly referred to as an oral contraceptive pill. A form of hormonal contraception and is a highly effective method of birth control. Only 1% of women experience unintended pregnancy when on the pill.

Birth control pills are of two types i.e combination pills and mini pills. Combination pills contain synthetic forms of the two hormones called oestrogen and progesterone. The mini pill only contains the hormone progesterone and is called progestin.

However, the pill does have some side effects to it. These include the following:

Intermenstrual spotting: Within the first three months of starting the pill, women experience vaginal bleeding between the two period cycles.
Nausea: Although the symptoms subside after some time, some women till experience nausea for a while after taking the pill. If one consumes the pill with food or before going to bed, this can help lower the likelihood of feeling nauseous.
Breast tenderness: The breasts might feel tender and enlarged after taking the pill. However, anyone who finds a lump in the breast or feels continuous pain needs to seek medical help.
Headaches: Migraines and headaches are a very common phenomenon of the birth control pill. Different types and doses of these pills may result in different headache symptoms.
Gaining weight: Experiencing certain fluid retention in the hip or breast area is very common. It also affects the fat cells of the body because of the oestrogen present in the pills.
Mood swings: Those with a history of stress or depression might start to feel the same again. If one has that kind of a history and starts to feel emotional changes, she should consult a doctor immediately.
Missing periods: It is a common side effect that after using the pill, one's period might get skipped. This is influenced by several factors including stress, depression or thyroid dysfunctions.
Decreased libido: The sex drive can be widely affected by the birth control pill. Although many other factors could result in a decreased libido, but if it remains after having the pill and is persistent, one should seek medical help or consult a specialist.
Vaginal discharge: There could be an increase or a decrease in the vaginal lubrication. Some people might experience vaginal discharge since it is very common. Changes in vaginal discharge never turn out to be harmful.
Changes in the vision: Fluid retention due to the birth control pill can result in the swelling of corneas. Because of this, even contact lenses do not fit comfortably. Contact lens wearers should consult an ophthalmologist if their vision or lens tolerance is disturbed.

Although there are certain side effects to taking birth control pills; however, one should not abstain from taking them in the fear that they might cause certain side effects. These pills are a precautionary measure along with other protection methods and should be taken in case someone wants to avoid pregnancy at the time being.

Birth Control Pills - 10 Common Side Effects of Them!

Syphilis is one of the most common STD and can affect both men and women. This bacterial infection can be easily treated, but if left unattended it can cause serious problems. Syphilis can be caught by mere skin to skin contact with an infected person s genitals or mouth. Hence even if you do not have intercourse with an infected person, you can still get infected from them. If a woman who is pregnant gets infected with this disease, she could pass it on to her unborn child as well.

A person suffering from syphilis may not always exhibit symptoms of the disease. This disease goes through active as well as dormant phases with symptoms being present only in the former. Even its dormant phase, this disease can be transmitted from one person to another.

There are four stages of syphilis and each of them have their own symptoms.

Primary stage: In its first stage, syphilis is marked by the presence of open sores called chancres. This can occur in the mouth, genitals are or around the anus. It can also be seen in other parts of the body where bacteria may have entered the body. These chancres are painless and may be accompanied by a swelling of the lymph nodes around it. This is the most contagious stage of the disease. Without treatment, these sores will resolve themselves in 3-6 weeks but the syphilis bacteria itself will remain in the body.
Secondary stage: Anywhere between 2 weeks to 12 weeks after coming in contact with the bacteria, this infection may move into its second phase or secondary stage. At this point, you will notice a rash on your skin. This rash can be seen as a collection of small, flat or raised skin sores along with small, open sores on mucous membranes. These sores may contain pus. Dark-skinned people may notice that these sores are lighter than the surrounding skin. Along with this, the patient may also have fever, a sore throat, headaches, weakness, irritability and suffer from weight loss.
Latent stage: Once the rash clears, this disease moves into its dormant or latent phase. This is also known as the hidden stage and can last anywhere from 1 to 20 years. It is very difficult to diagnose syphilis in this stage as there are no visible symptoms.
Late (tertiary) stage: If the disease is not diagnosed and treated by the time it reaches this stage, it can cause a number of serious health problems. This includes blindness, cardiovascular problems, mental disorders and even death.

Syphilis - Decoding the Stages and Their Symptoms

What are the factors that make a woman fertile? + The most effective way to address infertility

Infertility is the inability to get pregnant after a year of unprotected intercourse. Both men and women can be infertile.

In about one-third of cases, the cause of infertility involves only the male.

In about one-third of cases, the cause of infertility involves only the female.

In the remaining cases, the cause of infertility involves both the male and female or no cause can be identified.

Women are born with a finite number of eggs. Thus, as the reproductive years progress, the number and quality of the eggs diminish. The chances of having a baby decrease by 3% to 5% per year after the age of 30 and this reduction is noted to a much greater extent after age 40.

Female infertility can also be caused by a number of factors including:

1. Damage to fallopian tubes

Damage to the fallopian tubes can prevent contact between the egg and sperm. Pelvic infections, endometriosis, and pelvic surgeries can lead to fallopian tube damage.

2. Hormonal causes

This can lead to ovulation disorders which prevent the ovaries from releasing eggs such as in polycystic ovary syndrome ,  hyperprolactinemia or disorders of the thyroid gland - hyperthyroidism / hypothyroidism, can interrupt the menstrual cycle and cause infertility.

3. Cervical causes

A small group of women may have a problem in which the sperm cannot pass through the cervical canal. Whatever the reason is , this problem may be treated with intrauterine inseminations.

4. Uterine causes

Abnormal anatomy and distortion of the uterine cavity due to the presence of polyps and fibroids or problem with the endometrial lining can lead to failed implantation of the embryo.

Endometriosis occurs when endometrial tissue grows outside the uterus - often affecting the function of the ovaries, uterus, and fallopian tubes.

5. Primary Ovarian Insufficiency:

Also called as Premature Menopause, when the ovaries stop working prematurely before the age of 40. Certain conditions are associated with early menopause like immune system diseases, radiation or chemotherapy and smoking.

Causes of male infertility may include:

1. Abnormal sperm production or function due to various problems, such as undescended testicles, genetic defects, health problems including diabetes, prior infections such as mumps, trauma or prior surgeries on the testicles or inguinal region.

2. Problems with the delivery of sperm, due to sexual problems, such as premature or retrograde ejaculation, certain genetic diseases, such as cystic fibrosis, structural problems, such as blockage of the epididymis, or damage to the reproductive organs.

3. Overexposure to certain chemicals and toxins, such as pesticides, radiation, tobacco smoke, alcohol, frequent exposure to heat can elevate the testicular temperature, impairing sperm production.

4. Damage related to cancer and its treatment, including radiation or chemotherapy for which timely cryopreservation can be done for future use.

5. Unexplained infertility, In approximately 20% of couples the cause cannot be determined using the currently available methods of investigation.

Why is IVF the best way to treat infertility in women?

Conception is a complicated process that depends on upon many factors:

On the production of healthy sperm by the man and healthy eggs by the woman

The sperm's ability to fertilize the egg when they meet.

The ability of the fertilized egg (embryo) to become implanted in the woman's uterus

IVF (or in-vitro fertilization) is a lab procedure where the sperm and the egg are combined in a dish (where fertilization takes place) and is followed by transferring the embryo (the fertilized egg) into the uterus. It is increasingly being used as a method to conceive as it has been established as a safe procedure that helps bypass a number of complications women may face while conceiving such as ovulation problems and issues with the fallopian tube.

Even women who face issues such as PCOS, endometriosis, and premature ovarian failure can conceive through this process. Moreover, IVF has been in practice since 1978 and has a safe track record. The success rates of IVF are high as well, making it a preferred procedure for couples who suffer from fertility problems. Unexplained infertility can also be treated with the help of this procedure.



What factors that  make a woman fertile? + The most effective way to address infertility

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