The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories. 

 Blocked fallopian tubes
 One blocked and one open fallopian tube
 Tubal scarring

The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

 Stds such as chlamydia trachomatis and neisseria gonorrhea
 Adhesions caused by ruptured ovarian cysts
 Appendicitis
 Peritonitis
 A history of ectopic pregnancies

Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

 Hysterosalpingogram: this is a type of x-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
 Laparoscopy: a small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

Treatment for infertility caused by tubal scarring is of two types:

 Surgery: this is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
 In vitro fertilization (ivf): women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, ivf is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to ivf to prevent the tubes from filling with fluid.

Tubal Scarring and Infertility

Diabetes refers to a medical condition where the glucose level in your blood increases. It usually happens if there is an excess amount of glucose in your body and your body is unable to utilize it efficiently. In this condition your pancreas either stops producing insulin or fails to produce the requisite amount and hence prevents glucose from entering the cells of your body. This in turn affects your blood glucose level. Millions of people around the globe are affected by diabetes irrespective of their gender or age. For most people diabetes is generally a lifelong medical condition and can affect your health seriously if it gets severe. There are many stages and types of diabetes, such as Type 1 diabetes, Type 2 diabetes, Gestational diabetes, Pre-diabetes, Diabetes Mellitus and Diabetes Insipidus. Not all diabetes can be prevented but some of the above mentioned ones can be prevented with proper care. Below mentioned are eight tips to prevent diabetes

1. Eating the right portion: The primary key for preventing diabetes is choosing the right amount of food. Eating the right portions can help you to stay away from diabetes. Consider seeking advice from a nutritionist or dietician for knowing the exact portion size you should eat according to your age.

2. Exercise on a regular basis: Exercising regularly for at least half an hour a day can help you to prevent diabetes. You may consider walking or running exercises.

3. Choose the right food: Opt for whole grains as this can help you to maintain your blood sugar level and keep diabetes at bay. Also, try and avoid red meat as it contains high levels of iron which can affect insulin production and increase your chances of developing diabetes.

4. Get rid of obesity: If your BMI is more than thirty then you are suffering from obesity. Obesity increases your chances of developing diabetes. So in order to prevent diabetes you should work at maintaining a balanced weight.

5. Avoid carbonated drinks: Carbonated drinks contain high levels of sugar. This can increase your chances of developing diabetes. So you should try and avoid drinks like colas.
Following the above mentioned tips can help you to avert diabetes.

Five Tips to Help You Prevent Diabetes

Menopause is the loss of a woman's natural ability to conceive as she approaches the age of 50. The levels of the female sex hormones estrogen and progesterone begin to drop disrupting the ovulation and menstruation cycles. There are also associated symptoms of menopause, such as weigh gain, low sex drive and hot flashes. 

Here are 5 other problems you may experience after menopause:

Increased level of cholesterol: The human body comprises two types of cholesterol primarily: High Density Lipoprotein (HDL) and Low Density Lipoprotein (LDL). The former is known as "good cholesterol". Estrogen helps to keep your HDL high and LDL low. After menopause, the levels of LDL or "bad cholesterol" naturally go up even if HDL levels remain unaltered. Regular physical exercise can prevent the rise in the levels of LDL.
Dry skin: Estrogen is responsible for controlling the production of oil in your body. As estrogen levels fall, the oil secretion falls too. This leads to dry and scaly skin, especially skin of the face and arms. You can use moisturizers and creams to prevent flaking of the skin.
Hair fall: This is also a result of dry skin. The skin of the scalp dries up and cannot provide nourishment to the hair. This causes hair fall. The variability in the levels of the hormones also causes deficiency of certain proteins that are essential for the nails and hair. Use mild herbal shampoos to deal with the problem. Chemical treatment procedures often do more harm than good.
Unsocial tendencies: The irregularities in the production of the female hormones have an impact on your emotional and social behavior. You may want to spend more and more time by yourself instead of socializing with friends and relatives. These are not symptoms of depression or any other psychological condition. It is simply an emotional transference period.
Drowsiness: While insomnia is one of the most symptoms of menopause, the situation somewhat reverses after some time. Menopause causes changes in the body weight, hormone cycles and metabolism. All of these, in turn, affect your energy levels. You feel extremely sleepy during the day, especially in the afternoon. However, sleeping during the day can cause sleeping problems at night. So, do not take a nap for more than half an hour during the day.

5 Things You Would Experience After Menopause

There are two methods by which abortion can be done:

Medical Abortion - Non-surgical abortion in which medicines are used to induce abortion

Surgical Abortion - Use of transcervical procedures for terminating a pregnancy, including vacuum aspiration, and dilatation and evacuation (D and E).

Surgical or Medical Abortion for Unwanted Pregnancy

If pregnancy is lesser than = 7 weeks; medical method with Mifepristone with Misoprostol is favorable as the success rate is as high as 97%.

If pregnancy is between 7-12 weeks; surgical abortion is the only option.

If pregnancy is beyond 12 weeks - 20 weeks, then the woman needs to be hospitalized and will be given either Mifepristone followed by Misoprostol tablet or only Misoprostol tablets and woman will then abort like a miscarriage in the hospital. If any products are remaining, then it will be evacuated surgically.

Surgical abortion is preferred if patient desires concurrent tubal ligation or IUCD (CuT) insertion.

If a woman fulfills the criteria for selecting either method i.e. before 7 weeks, final choice has to be given to the woman.

Summary of choice between Surgical or Medical abortion in India

lesser than = 7 weeks - Medical method or surgical method

7-12 weeks - Surgical abortion

12 - 20 weeks - Medicines with or without surgical procedure in hospital

Advantages of Medical Abortion

Avoid surgery

Controlled by the woman and may take place at home

No need for admission to the hospital

Usually, well tolerated by women, if properly counselled and motivated

No need to take leave from work, as bleeding can be managed with menstrual pads even while in the office or at work.

Disadvantages of medical abortion

Takes time (hours to days) to complete abortion, and the timing may not be predictable. Women experience bleeding and cramping, and potentially some other side-effects (nausea, vomiting, fever, and shivering). May require more clinic visits than surgical abortion.

Advantages of Surgical Abortion

Quick procedure

Complete abortion easily verified by evaluation of aspirated products of conception

Takes place in a hospital so Sterilization or placement of an intrauterine device (IUD) may be performed at the same time as the procedure. It can be performed under local anaesthesia if woman is properly motivated and counselled

Disadvantages of surgical abortion

Requires instrumentation of the uterus

Small risk of uterine or cervical injury

Timing of abortion controlled by the doctor and hospital

Anaesthesia needs to be administered. Most doctors perform this procedure under short general anaesthesia. A woman needs to be in the hospital for at least 6 hours. Effect of sedation will be there throughout the day.

Methods of Abortion for Unwanted Pregnancy

PCOS (Polycystic Ovary Syndrome) is a common disease of the endocrine system among women who have attained the reproductive age. Women with this condition generally have ovaries larger in size than the usual, containing small pockets of fluids, also termed follicles. These 'follicles' develop in each of the ovaries as diagnosed with the help of an ultrasound exam. Abnormal or extended menstrual cycles, unusual growth of hair and obesity are some of the common accompanying conditions associated with PCOS. This disorder can interfere with a woman's menstrual cycles, thus making pregnancy difficult. More so, this condition can also impact the way you look and if left untreated for long, can lead to underlying disorders such as diabetes and other cardio vascular diseases.

Causes of PCOS
1. Excessive Insulin secretion: Insulin is a hormone secreted by the pancreas, which allows the body cells to utilize the sugar; the most important energy store of your body. If you suffer from insulin resistance, your body's ability to utilize the insulin gets affected adversely. This forces the pancreas to secrete more insulin in order to keep up with the body's energy supply. This excess insulin might result in an increase in the production of androgen, which in turn, might interfere with the ovulation ability of the ovaries.
2. Low- level inflammation: Inflammation is the process by which your body's white blood cells fight infections. Studies reveal that women suffering from PCOS have a low level inflammation which acts as a catalyst in the production of androgens.
3. Can be hereditary: If you have someone in your family suffering from this syndrome, you might automatically be at a higher risk of developing this disorder.

Symptoms accompanying PCOS
1. Abnormal menstrual is the most commonly observed symptom. Women suffering from PCOS may have less than nine periods in an entire year and in some cases, even none. 
2. Excess secretion of male hormone, which is related to excess androgen production may result in symptoms, such as abnormal body and facial hair, acne and baldness, which is identical to that in men.
3. Unexplained increase in weight and difficulty losing it as well.
4. Another fairly noticeable symptom is depression.
5. Infertility

PCOS- Causes and Symptoms

Exercise after pregnancy can make a woman feel at her best. It can help her to lose extra pounds specifically when it is combined with reduced intake of calories. It will also boost her level of energy and relieve stress along with strengthening and toning abdominal muscles. Exercising regularly will also set a positive example for your baby so that he or she can imbibe the same and include it in their regime from an early childhood.
Workout and Breast-feeding: are they related?
Exercise is not deemed to have any negative effects on either breast milk composition or volume. It also doesn t affect the growth and development of a nursing baby. Though some researchers report that high-intensity weight loss training may cause accumulation of lactic acid in the breast milk causing a sour taste, but such instances are very rare and don t happen with regular free hand to moderate exercise.
If you are willing to indulge in vigorous exercise during the first few months of feeding your baby, you can feed him or her before exercising or pumping the milk before workout and feed it afterwards. Alternatively, you can take a shower after the workout and express a few drops of milk before feeding your baby.
When is the right time to start a workout?
If you had experienced an uncomplicated normal delivery, it is particularly safe to start exercising after a few days of giving birth or as soon as your body feels ready. If you had a complicated birth, or a C-section or an extensive vaginal repair, you should seek advice from a gynaecologist about the ideal time to start a workout program.
Activities that you may start with-
For the majority of healthy women, the Department of Health and Human Services suggests at least 150 minutes of moderate exercises or aerobic activity spanning through a week. You may start with a simple and low impact exercise such as a plain walk. You can even look for a post-partum workout class at a local fitness club, gym or community centre. Then you can proceed towards starting pelvic tilt and kegel exercises.
When you are nursing a newborn, getting enough time for routine exercises can be very challenging. Hormonal imbalance would bring about mood swings and some days you may feel too tired for a full-time work workout. out. However, you must never give up; speak with a health care specialist and seek the support of your partner and friends to stay motivated right through.


When Can You Resume Exercising Post-Delivery?

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