Often most couples face difficulty in trying to conceive and are distraught by the fact that they cannot have a child of their own by natural methods. Nowadays, there are countless alternative options for trying couples to find a solution to this pressing issue.

In vitro Fertilization or IVF is a procedure in which the doctor combines the sperm from the man and egg from the woman to develop an embryo in a laboratory. This step is carried out in a test tube and is therefore referred to as a test tube baby.

Afterwards, the embryo will be transferred back into the woman s womb. The in vitro fertilization procedure was advanced in order to help women suffering from dysfunctional fallopian tubes. In a situation where IVF fails to provide help to the concerned couple, surrogacy is suggested.

Procedure of IVF:

The IVF procedure begins with hormone therapy on the female candidate s body. This is done in order to promote the development of eggs within her ovary. The eggs are then collected and put in a test tube for fertilization. This facilitates the production of a number of embryos. After four days in the incubator, one of the embryos will be transferred within the mother s womb for implantation.

What is Surrogacy and How is it Different?

Surrogacy comes as the next obvious step in light of an IVF procedure failing to make the mother pregnant. In this procedure, the eggs are implanted within the womb of another woman who is referred to as the surrogate. The surrogate keeps the baby within her womb for nine months and gives birth to the child.

Compared to an IVF procedure surrogacy is a very complex process where there are a number of legal, emotional and financial factors involved.

Often couples might take the route to surrogacy as the first option after the woman experiences repeated miscarriages when both the partners have been trying for a number of years and have not met with any success. Other reasons for considering surrogacy include Hysterectomy and frail health condition of the woman that makes her prone to further complications and risks.

Basic Difference:

The basic difference between IVF and surrogacy is that in IVF the egg is fertilized outside the body of the woman whereas in surrogacy, the egg is implanted in another woman s womb and she carries the child for nine months.

The Major Differences Between IVF & Surrogacy!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.
Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in   Acute radicular pain due to irritation or inflammation.

Symptomatic herniated disc with failed conservative therapy
Acute exacerbation of discogenic pain or pain of spinal stenosis
Neoplastic infiltration of roots
Epidural fibrosis
Chronic LBP with acute radicular symptoms
Epidural- lumbar injection
ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

There is minimal or no radiological finding.
Multilevel imaging abnormalities
Equivocal neurological examination finding or discrepancy between clinical & radiological signs
Postop patient with unexplainable or recurrent pain
Combined canal & lateral recess stenosis.
To find out the pathological dermatome for more invasive procedures, if needed
Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

Procedures That Can Help Treat Slip Disc & Sciatica!

There is hardly any person who does not want to enjoy a healthy and satisfying sex life. As per Ayurveda, a healthy sex life is very much a reality provided one diligently follows the golden sex rules as mentioned in various Ayurvedic books and journals:

Ayurveda believes that a couple should refrain from having sex when the female partner is having her periods. Some health experts are of the belief that sex during periods may give rise to a condition termed as Endometriosis (the endometrial cells grow outside the uterus, often in the ovary or the fallopian tubes).
According to Ayurveda, an ideal sex position is one where the woman is lying with her face directed in an upward position.
Ayurveda also believes very overweight or obese people should avoid having sex.
Have sex only when your private parts are clean and healthy (as this helps to prevent infections and associated complications).
According to Ayurveda, loyalty and faithfulness are what gets a relationship going. Infidelity, adultery, or cheating on your wife is a crime that will only spell doom.
Ayurveda is against a couple having sex during pregnancy or immediately after delivery. One should have control over their urges. It further states that a 5-months time in the case of a C-section and 2-3 months interval in the case of a normal delivery will go a long way in ensuring a healthy sex life (will help the woman to recover well).
Ayurveda is vehemently opposes violent sex. Making love is suppose to soothe your soul rather than scar it. Violence during sex is not healthy at all.
Ayurveda believes in having sex using sexual organs. Thus, oral sex and other similar pleasures are a big No as per Ayurveda.
Ayurveda does not advocate the practice of having sex on days of prime significance such as festivals, various eclipses, on a full moon or new moon nights, to name a few.
Sex on empty stomach or after a heavy meal can trigger a plethora of health problems by causing a Vata and Pitta imbalance. The imbalance may give rise to digestive problems, headache, gastritis.
Ayurveda is strictly against the idea of having sex with aged women or with children.
Always have sex when both the partners are in a comfortable position. This is to ensure that you enjoy the intercourse sans any injury.
Never have sex if you are sick or physically and mentally not fit.
Having sex with animals (bestiality) is considered unhealthy as per Ayurveda.
Sex is not a wise idea when you have to lighten yourself (defecate or urinate).
According to Ayurveda, your sex life is governed by the four seasons during which your body strength changes.
The body strength is the lowest during the monsoon and summer, hence have less sex during that time (once in fifteen days).
With moderate body strength, sex once in three days is advisable during spring and summer.
During winter the body strength is at its peak, hence one can have sex daily.

Golden Sex Rules Of Ayurveda!

Concentration problems and trouble in focusing on one task at a time can be termed as Attention Deficit Hyperactivity Disorder or ADHD, in rare and severe cases. While most of the cases are identified in one's childhood, it has been seen that many cases persist into adulthood while still others go completely undiagnosed. This mental health disorder comes with a number of symptoms and management methods. Read on to know more.

Symptoms: While many patients suffering from this disorder may not display any obvious symptoms at a young age as children are supposed to be brimming with energy, the symptoms for adult ADHD, start to show up in a more obvious fashion. Wavering concentration and low levels of focus along with disorganised living with impulsiveness are the first signs of adult ADHD. Such adults also have trouble when it comes to finishing one task at a time, or even focusing on a task for a prolonged period of time. Bouts of impatience and excessive activity can also show up as symptoms, while restlessness is a quality that most of these patients seem to possess.

Diagnosis: The diagnosis of this condition is slightly difficult because most adults may complain of some or the other symptoms related to this condition at some point in their lives. Anxiety and mood swing related symptoms can help in diagnosing the condition in a better manner. If the condition ends up disrupting your normal life, work, socialising and behaviour in general, then you may want to see a doctor regarding the same, so that proper diagnosis may take place.

Causes: While genetic predisposition is said to be the foremost cause of this condition, especially when it continues well into adulthood, there are various environmental factors that may also have a significant bearing on the onset of the condition. Exposure as a child increases the risk of falling prey to this condition. Also, when there are problems with the central nervous system during the developing years, the patient may start to develop symptoms connected with this disorder later on.

Treatment: Stimulants and other medication like anti-depressants, nonstimulant amphetamine are also used for treating this condition along with therapy and psychological counselling for better organisation in life.

ADHD in Adults

Common cold, as the name suggests, is one of the most common diseases in the world. It is a communicable disease, mainly occurring during seasonal change, even though it is not chronic in nature. And homeopathy has the most effective medicines which treat common cold without the side effects offered by allopathic medicines, such as drowsiness.
Read on to know which are those:

1. Aconite
This homeopathic medicine is recommended when the most preliminary signs of common cold appear, such as getting thirsty frequently and being overly-anxious.

2. Belladonna
Belladonna is for more severe signs of cold, such as high fever and persistence of a throbbing headache.

3. Natrum mur
This medicine is effective for a runny nose, with initially clear snot thickening after a period of 24-48 hours.

4. Nux vomica
Nux vomica is effective for constant sensation of chill, with warmth not felt even in the comfort of the bed. It is also effective for headaches, blocked nose, body-aches, and nausea as results of the cold.

5. Gelsemium
Gelsemium is advisable for the known symptoms of common cold such as headache, fever, fatigue, drowsiness, shivers, etc.

6. Eupatorium perf
This medicine is effective in case of recurring thirst, sore muscles and bones, and immense headache that get worse on any kind of movement.

7. Arsenicum iod
If you are experiencing continuous sneezing with burning sensation and a nasal discharge, this is the medicine you should take.

8. Ferrum Phos
This medicine is also given at the preliminary stage, when the onset is slow, with mild fever, which gets worse especially with the approach of night.

9. Pulsatilla
When you have a nose with dense discharge and blocked ears, remember that these symptoms may worsen at night. This is the medicine best suited to your cold in such a situation.

10. Influenzinum
It is a homeopathic remedy for flu. The medicine, which is diluted and potentized, strengthens the immune system to fight against flu viruses. It does not suppress the symptoms but makes your immune system strong to not allow foreign viruses affect your health.

Homeopathy and Common Cold

Almost everyone experiences a skin infection at some point of time or the other. A skin infection can be defined as any change to the skin that affects its look, colour or texture. It may or may not be accompanied by pain and itchiness. While some skin infections clear up on their own, others need medication. Homeopathy is a holistic form of treatment that addresses the root cause of the infection instead of only the symptoms presented. Thus it cures the disease instead of merely subduing the symptoms. Additionally, homeopathic medication has negligible side effects. Here are a few homeopathic remedies that can be used to treat skin infections.

1. Rhus toxicodendron: this can be used to treat cases of eczema where the skin is covered in small blisters. It can also soothe the itchiness, pain and swelling that accompanies this rash. Such rashes are aggravated by cold and damp weather and can turn into herpes or uriticaria is left untreated.

2. Graphites: graphites can be used to treat a number of skin infections. It is most commonly used for dry or itchy skin, cracked corners of the mouth or eyes, blisters on the scalp and hair that breaks easily. It can also be used to treat eruptions between fingers and at joint bends.

3. Pulsatilla: pulsatilla is used primarily to treat acne and nettle rash. It can also be used to treat rashes that accompany menstruation in women and rashes due to indigestion or uterine problems.

4. Sepia: sepia is a useful homeopathic medicine for herpes and psoriasis. It can also be used to treat eczema on the hands and dry, chapped skin.

5. Arsenicum: any skin problem that results in the thickening of skin along with itchiness and a burning sensation can be treated with arnicum. Some such skin ailments are chronic uriticaria, psoriasis and chronic eczema. This homeopathic medicine is also used to treat pimples and nettle rash.

6. Sulpher: sulpher is a very good way to treat acne, psoriasis and eczema. It is best known for its centrifugal properties that bring symptoms up to the surface of the skin. Sulpher can also be used to treat rough skin and burning sensations caused by aggravated washing.

7. Thuja: thuja is the most effective way of treating warts and ensures that they do not recur. Its antibacterial properties make it also useful in treatments of acne, black heads, age spots, scaly skin, freckles and carbuncles.

Treating Skin Problems in Homeopathy

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