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!

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!

Surrogacy is a boon for couples who cannot conceive naturally or give birth to a child. Surrogacy is a process in which a woman's unfertilized eggs are implanted into the uterus of another woman who is called the surrogate mother. The egg is fertilized in the surrogate mother's uterus with the biological father's sperm. The surrogate mother lets the child develop in her womb and gives birth. Although, there are various medical treatments available, but not all of them have a high success rate.

The two primary methods of surrogacy are:
1. Traditional surrogacy: In this process, the surrogate mother is artificially inseminated with the sperm, which belongs to the biological father of the baby. The sperm gets implanted into the surrogate mother's uterus and the child develops in her womb.

2. Gestational surrogacy: For women who want to have a biological child in spite of being incapable of pregnancy, the gestational surrogacy method is used. During the process, in-vitro fertilization is undertaken and the eggs from the woman who wants to become a biological mother are harvested. The eggs, along with the sperm from the biological father are implanted into the uterus of a surrogate mother, who will carry the embryo and will give birth to the child.

Process involved in surrogacy
Here are the several processes and procedures, which need to be undertaken, after you have chosen a surrogate mother for carrying your child.

1. Medical testing: After a surrogate mother is chosen, the woman goes through several health checkups, medical and psychological tests to ensure that she gives birth to a healthy child.

2. Legal agreements: There are several legal considerations that have to be addressed for a surrogacy. All the legal requirements regarding the surrogacy should be written down. Some issues include both the surrogate mother and the biological parents. A financial contract must be presented as well, which will reimburse the medical expenses and requirements of the surrogate mother.

3. Medical process: The medical processes required for surrogacy include in-vitro fertilization and the transfer of the eggs, which are done in a clinic under the supervision of a reproductive endocrinologist. The eggs are transferred to the uterus of the surrogate, where fertilization takes place after combining it with the sperms of the biological father.

4. Pregnancy and birth: After successful fertilization, the surrogate mother gets pregnant. Proper care and precautions should be taken by her to ensure a successful birth. Finally, the surrogate mother gives birth to a child, who belongs to the biological parents.

This method of having a child has become very popular in the recent times. It is a great blessing for people who cannot conceive due to medical conditions or otherwise.

All You Need to Know About the Surrogacy Process

There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance
It is advisable to seek medical help if you have the following symptoms post abortion:

Persistent pain in the lower abdomen, which lingers even after taking medication
Excessive bleeding
A high temperature
Possible effects of surgical abortion on fertility

Infection After Abortion: Infections post abortion like Pelvic Inflammatory Disease (PID) if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.
Damage to the cervix during abortion: Damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.
Damage to the womb during abortion: There are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.
Apart from the above-mentioned complications, there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth weight, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check-ups with your gynaecologist.

Abortion And Infertility - Know More About it!

Polycystic ovarian syndrome or PCOS is a condition in which a woman experiences fluctuation of hormone levels, estrogen, and progesterone which causes cysts in her ovaries, dysfunctional menstrual cycle, cardiac problem, fertility and changes in appearance. Hormones are chemical messengers that can trigger a number of issues in the body. Long term problems due to PCOS can be avoided with an early diagnosis and a proper treatment.

Causes
- Genetics and hormonal imbalance have been identified as the main causes of PCOS although the exact reason has not been discovered.
- Overproduction of androgen, a male hormone in a woman can cause small lumps in the ovaries, irregular development of eggs and abnormal insulin level.

Symptoms
The severity of the symptoms depends on the constitution of the person but the most common one is irregular periods. PCOS occurs when there is a decrease in sex hormones which can lead to the development of certain male features like:

- Deeper voice
- Growth of hair on face, toes, stomach, chest and back
- Reduction in breast size
- Loss and thinning of hair

There are other symptoms as well which can help one to determine the syndrome including:
- Oily skin leading to acne
- Irregular egg formation causing fertility problems and miscarriages
- Depression, anxiety and mood swings
- Hyperinsulinemia, that refers to the presence of too much insulin in the body which can cause obesity
- Difficulty in breathing while sleeping

The severity of the symptoms varies but if you are experiencing any of these problems, it is advisable to seek a professional consultation. A healthy lifestyle, regular exercise, nutritious diets are some of the preventive measures you can take. There are hormone regulating medicines and treatments that attempt to curb the condition but there is no permanent cure.

What is Polycystic Ovarian Syndrome?

Emergency is helpful in preventing pregnancies post unprotected sexual activity. It can be used in case of contraceptive failure, in case of sexual assault, incorrect use of contraceptives and unprotected sex.

Emergency contraception can be done by three methods. These are emergency contraceptive pills, combined oral contraceptive pills and copper intrauterine devices.



The copper IUD is considered to be one of the most effective forms of emergency contraception, when it is inserted within 5 days of unprotected sexual activity.

However, the emergency contraceptive pill regimen as per WHO is:

1 dose of levonorgestrel 1.5 mg, or 1 dose of ulipristal 30 mg, taken within 5 days (120 hours) of unprotected intercourse

The Yuzpe regimen which consists of 2 doses of combined oral contraceptive pills

What is Emergency Contraception?

Emergency contraception is usually referred to as the contraception which is used to prevent a pregnancy within the first 5 days after an unprotected sexual activity. It is used post failures of contraception, coerced unprotected sex, rape or misuse of contraception.

Emergency contraception is only effective in the first few days after an intercourse and before the egg has released from the ovary, and before there is fertilization between the egg and the sperm. The emergency contraception can do no harm to an interrupted pregnancy and a developing embryo.

Who needs emergency contraception?

Any girl or woman who is at her reproductive age might need an emergency contraception in case of an unprotected sexual intercourse.

Uses
1 Breakage , slippage or displacement of barrier methods 
2. Three or more missed OCPills for more than 12 hours 
3. Missed Mini pill for more than 3 hours 
4. Missed Desoestrel pills for more than 12 hours 
5. DMPA injections taken more than 2 weeks late 
6. Miscalculated dates of last period and present ovulation side effects 
These are meant only for emergency contraception and NOT AS A REGULAR CONTRACEPTIVE. It involves pumping of a hormone inside your body at levels which are 5 times higher than normal. hence excessive and unnecessary use may cause irregularity in the period cycles and an adverse effect on the menstrual health over a period of time. Ideally it should be taken under guided medical supervision.


In what situations should emergency contraception be used?

Emergency contraception can be used after a sexual intercourse. These include:

In case of no use of contraceptives

If it is a case of rape or coerced sex, where the woman was not protected

When there is a contraceptive failure, like

breakage

incorrect use or slippage

OCPILLS,

mini pills

DMPA

3 or more missed combined oral contraceptives, progestogen-only pill (minipill) taken more than 3 hours late, desogestrel-containing pill 12 hours or more, norethisterone enanthate (NET-EN) progestogen-only injection taken more than 2 weeks late

Delay in placing or dislodgement or early removal of the skin patch or the hormonal ring

Breaking, dislodgement, tearing or early removal of cervical cap or diaphragm

Failure of withdrawal that is ejaculation the external genitalia or vagina

The spermicide tablet failure

Miscalculating the periods, failure from using a barrier on the fertile days

Expulsion of an intrauterine contraceptive device (IUD)

Methods of Emergency Contraception:

There are three emergency contraception methods:

Copper-bearing intrauterine devices (IUDs)

Emergency contraception pills (ECPs)

Combined oral contraceptive pills or the Yuzpe method



Safety of Emergency Contraception

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