Women with low or diminished ovarian reserve often have to hear that becoming pregnant with their own eggs may not be possible and they may have to rely on a donor s eggs. Poor or low ovarian reserve has always been considered to be an alarming ovarian condition among women. To have a better understanding regarding the seriousness of this particular condition, keep on reading the article.

What is a low ovarian reserve?
The term ovarian reserve refers to the pool of eggs that is present at any time in the ovaries of a woman. When a physiological decrease in the number of the eggs present there is observed, it is termed as poor or low ovarian reserve. The lower quantity of the eggs the lower gets the chance of conceiving or becoming pregnant. However, it doesn t hamper the normal function of the ovaries in any way.

What causes low ovarian reserve?
The low ovarian reserve can happen due to various reasons. Some of the most common causes are the presence of genetic abnormalities, undergoing ovarian surgery, having aggressive treatments such as radiation or chemotherapy for cancer, leading life in an unhealthy way such as smoking or constantly worrying or suffering from anxiety.

However, one must remember that this physical condition is very common in women who are in their 30s or 40s. But those who have children already, the low ovarian reserve may not be a problem for them at all which is not so in case of others.

Symptoms to look for-
There are no specific visible symptoms for women who suffer from the low ovarian reserve. However, with the progress of this issue, women may find their menstrual rhythm to become shorter. For example, the cycle of 28 days may become a cycle of 24 days. Women who are near their menopause can experience signs of low estrogen, vaginal dryness, trouble in sleeping and missing out on their period dates as symptoms of low ovarian reserve.

Are there any treatment options?
It's true that there's no particular cure or treatment solution has been invented yet, but early diagnosis of low ovarian reserve helps women in having a better chance of conceiving with their own eggs. Once diagnosed with it, such treatments are offered that works towards making the conception time a faster one or cryopreserve the woman's embryos or eggs for future use. As long as the ovary responds to the stimulation, maximizing the number of harvested eggs is possible. Once the ovary fails to respond to stimulation, opting for the eggs of young women to get pregnant becomes the only option.

With more and more young couples now running into problems regarding conceiving naturally, the low ovarian reserve has become a serious threat to having children with a woman s own eggs. However, by being aware and well-informed about this particular condition and its symptoms, women can better deal with the problem.


Not Able To Conceive? Low Ovarian Reserve May Be The Reason

Breast examination is a way of detecting early changes that help in detecting lumps or other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.

Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage.
Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same.

How Frequently Should a Breast Examination Be Done?

The year 2014 has seen a massive increase in the number of patients affected by Gonorrhoea. The most infected age group is between 15 and 24. This is mainly due to lack of knowledge in this age group about the disease. Here are some facts about Gonorrhoea that one must know.

Gonorrhoea Transmission
Gonorrhoea, also known as drip, is transmitted when a normal person comes in contact sexually with an infected person. Infected fluid of a mother can also pass to her newborn infant during delivery. The disease can affect both the genders.

Cause of Gonorrhoea
Neisseria gonorrhoeae bacteria cause the disease. The bacteria grow in mucus membranes and usually grow in the warm and moist areas of humans' reproductive tracts such as uterus and fallopian tube of women. These can also grow in anus, mouth as well as throat. As a matter of fact, the infection can be passed even via oral or anal sex.

Symptoms of Gonorrhoea
An infected person will develop symptoms of the disease in 2 to 14 days. Men may feel burning or painful sensation while urinating. Other symptoms are as follows:

1. Swollen and painful testicles
2. Swollen or redness at the tip of the penis
3. Penis may have a drip or discharge
4. Frequent urination
5. Recurrent soreness of throat

Females have milder symptoms of the infection. This makes it difficult to diagnose, and is sometimes misinterpreted as common vaginal yeast or other bacterial infection.

Following are a few symptoms of the disease in women:

1. Burning or painful urination
2. Frequent urination
3. Vaginal discharge
4. Soreness in throat
5. Fever
6. Lower abdominal pain
7. Pain while sexual intercourse

If the disease is not treated, infection spreads in blood stream leading to rashes, fever and even pain in the joints. Such unnoticeable symptoms make it difficult to treat.

Testing Methods of Gonorrhoea
One method is that penile or vaginal discharge samples are taken from patients and examined under a microscope by adding reactive stain. However, this is not an accurate assessment.
Another test is conducted where exposing samples are incubated. In case of infection, colony of gonorrhoea shows growth. Preliminary test may take 24 hours. Final assessment may take around three days. Samples can be from the patient's anus, joint fluid, blood, throat, vagina or tip of the penis.

Treatment
The disease is treatable under proper medical supervision. However, the bacterial resistance to Azithromycin drug has made it more difficult for treatment.

Protection
It is highly recommended to have a protected intercourse. Women of age group less than 25 need to have STI evaluation once a year.

Know All About Gonorrhoea

PMS is often treated as a joke but for many women, it is a monthly nightmare. Muscle cramps, headaches, bloating, breast tenderness, anxiety and depression are common symptoms of PMS. Though there is no set cure for PMS here are a few tips that will help you deal with it. 

Set yourself an exercise routine

Exercising not only helps you maintain weight but also helps dealing with PMS. You only need to set aside 30 minutes a day for a brisk walk, jog, swim or even dance. Aerobic exercises improve blood circulation, ease stress and help the brain release happy hormones. 

Change your diet

If you are feeling bloated and depressed, cut back on simple carbohydrates like sugar and fat and increase your consumption of complex carbohydrates like fruits, vegetables and whole grains. Do not attempt a low carb diet to lose weight if you suffer from PMS. Reducing the simple carbohydrates in the body and increasing the complex carbohydrates keeps you body feeling full for longer and increases the serotonin levels in the body.
 
Quit alcohol and caffeine

Drinking a glass of wine or a cup of coffee may give you temporary relief from PMS symptoms but in the long run they aggravate your PMS symptoms such as headaches, breast tenderness and mood swings. Alcohol may also contribute towards lowering the magnesium levels in your body and thereby make you feel bloated. 

Relax

One of the effects of PMS is to make you feel anxious and tense. The easiest way to address this is by learning to relax. Try meditation or yoga for half an hour every morning. This will improve your overall health as well as soothe muscle pains. 

Take a few supplements

Research says that certain fatty acids like Omega 3 and linoleic acid can lower irritability and body aches associated with PMS. Calcium is also known to help ease PMS symptoms. Getting these nutrients in the required levels may not be possible only through your daily meals. Hence, you can also consider supplements to ease your pains. 

Use Birth control pills

Birth control pills with the drospirenone hormone can help ease symptoms of severe PMS. Menstruation
is often accompanied by a drop in estrogen levels that can lead to migraines. Birth control pills also regulates your hormones and hence avoids these fluctuations. It also keeps your ovaries from releasing eggs every month and hence reduces the intensity of the associated cramps. 

Talk to people

You are not alone when it comes to PMS. Instead of keeping quiet about your discomfort, talk to people who may be experiencing something similar. Sharing your problems will introduce you to new ways of dealing with it. You could also get online support through various discussion groups.

7 Ways To Deal With PMS

4 Types of Contraception for Birth Control

There are a number of contraceptives available but which method of birth control suits you depends on your sexual life, preferences and your lifestyle as a whole. Professional medical help should be sought in order to understand what method of contraception sis ideal for you.

Here is a list of 4 types of contraceptives for birth control.

1. Barrier methods

Barrier methods are designed to prevent the sperm from entering the uterus. They constitute-

- Diaphragms: It is a shallow and flexible cup that is made of either latex or soft rubber. It is inserted into the vagina before the sexual intercourse where it prevents the sperm from entering the uterus.
- Cervical caps: It is a thin cup of silicone whose function is same as the diaphragm, only it is smaller in size, so less noticeable and more rigid as well.
- Contraceptive sponges: These are soft foam sponges that are filled with spermicide and are disposable. They are also inserted into the vagina before sexual intercourse in order to prevent pregnancy by killing the sperm cells or preventing them from entering the vagina.
- Spermicides: These are chemicals that can kill the sperm and hence assist in birth control.

Other methods include male condoms and female condoms.

2. Hormonal methods

Hormonal methods use hormones in order to either stop or regulate ovulation so as to prevent pregnancy. There are various methods through which hormones can be injected into the body. Some of them are-

- Contraceptive patch: It is a thin patch made of plastic that sticks to the skin and is responsible for releasing hormones into the bloodstream through the skin.
- Vaginal rings: A thin, flexible ring that is inserted into the vagina where it stays for 3 weeks and is removed after that, only to be re-inserted in the 5th week.
- Implantable rods: They are inserted under the skin of the upper arm of women where they release progestin.

Other methods include contraceptive pills and progestin-only pills.

3. Intrauterine methods of contraception

The intrauterine device is a small device, T-shaped that is inserted into the uterus in order to prevent pregnancy. The good thing about intrauterine devices is that they can remain functioning for many years at a stretch. IUDs are two types-

- Hormonal IUD(Intrauterine Device)
- Copper IUD

4. Sterilization

Sterilization is the most reliable contraceptive for birth control as it is permanent. It either prevents the release of sperm or the fertilization of the egg. Sterilization methods can either be surgical or non-surgical. Some of the sterilization techniques are-

- Tubal ligation: It is the surgical technique used in females.
- Vasectomy: It is the surgical technique of male contraception.

Other methods include sterilization implants.



4 Types of Contraception for Birth Control

There are certain changes that are noticed in the body post-pregnancy. One such change that might affect you is an overactive bladder. Usually, depending on the amount of liquid that goes into the body, an individual urinates eight to ten times a day. But post-pregnancy this statistic might increase to around ten to twelve times a day. While urinating helps the body to get rid of excessive body wastes, extreme urinating would also get rid of the necessary minerals and liquid that the body requires for its proper functioning. However, overactive bladders are quite common in women who have delivered and can be treated smoothly. Here are some of the top ways in which you can treat your overactive bladder post your pregnancy:

Losing Weight: A woman gains a lot of weight post pregnancy. This weight needs to be reduced through simple exercises and a proper balanced diet. Reduction of the post pregnancy weight helps in controlling the overactive bladder to a certain extent.

Avoiding Alcohol, Spicy and Acidic Food: Alcohol, spicy and acidic food actually creates havoc in the excretory system. Their compounds are such that these enable the body to get rid of water and necessary elements from the body. In fact, the power of urine itself is reduced, making discharging urine with high water content. This would make you more thirsty resulting in over-urinating at times. Similar conditions arise in the body when you consume coffee which contains caffeine and chocolate. Although, having a little bit of chocolate now and then does not really affect the system to quite an extent.

Exercises: Each exercise is carefully tuned to help a particular part of the body. For reducing the over activeness of your bladder, pelvic exercises are the best that you can carry out even for thirty minutes a day. Exercises would help you to remain active, shed the excess weight as well as manage your urination.

Avoid Smoking: Out of the many health hazards that arise out of smoking, one of them is the extreme urge to urinate often after pregnancy. Thus, to avoid over urination it is advised to refrain from smoking for some time.

Thus, these are some of the easiest ways to control the situation. In case you are embarrassed to go out in the public like this, you can always use incontinence pads. However, if the problem persists even after trying out all the said methods, then it would be in your best interest to take expert advice from the doctors.

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