Spread of HIV infection from a woman who has transmits HIV to her child during pregnancy, childbirth (labor and delivery), or breastfeeding (breast milk) is called as  Mother to child  transmission (MTCT) of HIV. It is also termed as the perinatal transmission of the HIV infection or  vertical  transmission. In the absence of medical intervention, perinatal transmission rates are very high, between 20-45% in different parts of the world. In various regions of the African subcontinent a large number of HIV infected children are present. It is a major cause of deaths in teens and adolescents in that region. 

Almost 90% of all HIV infected children live in the sub-Saharan Africa. In some districts of AP, Karnataka, Maharashtra and TN that were highly HIV-prone, we have several HIV infected children and adolescents. The virus replicates in the body and affects the immune system. Due to decreased immunity, various opportunistic infections enter the body and cause AIDS related symptoms. Prevention of HIV infection in infants and young children is now a high priority and has been the rallying point for enhanced prevention efforts. MTCT HIV infection can be prevented with adequate measures by way of Anti-retroviral treatment (ART). All expecting mothers who are HIV infected should have access to the preventive medical services throughout the gestation period, during labor and also during breastfeeding. 



Proper provision of resources with skilled staff and awareness programs can help in avoiding new infection cases. Breastfeeding is the primary source of transmission of infection from mother to child. Basically, once ART is started in an HIV infected pregnant woman that should continue forever. With proper ART course, chances of MTCT are near Zero. At the Unison Medicare & Research Centre; which is India s first fully comprehensive clinic for HIV Care and infectious Diseases, during last decade, not a single MTCT has occurred after treating more than 160 such HIV infected mothers. Even prior to that MTCT rate was lower than 1%. Our motto has been making the mothers virally suppressed commensurate with the global principle of  Undetectable = Untransmittable ! In fact now more and more HIV infected couples have been coming forward for an elective pregnancy. Even HIV un-infected children orphaned by AIDS or living with sick caregivers are at the great risk of emotional and physical abuse, which in turn increases the child s vulnerability to HIV infection. 

Reduction of risks to these vulnerable children is of great importance and various programs are being implemented for the welfare of orphans and vulnerable children. Various risk factors that are implicated in the transmission of HIV infection from mother to child are as follows: 

Increased viral load 
Genital tract viral load 
Reduced CD4 cell count 
Unprotected sexual intercourse with infected partner 
Smoking, Substance and drug abuse 
Deficiency of Vitamin A and other essential nutrients 
Presence of other Sexually transmitted diseases (STDs) 
Pre-term delivery 
Placental disruption 
Invasive monitoring of the fetus 
Breast feeding In most cases, HIV will not cross through the placenta from mother to baby. 
In an otherwise healthy mother, risk of child getting infected is low. Prenatal visits shouldn t be increased until a complication arises. The physician should observe symptoms of AIDS and pregnancy-related complications on a regular basis. HIV may be the direct cause or a marker of a complex interaction of related medical and social conditions that affect pregnancy. Most HIV positive women are usually asymptomatic and have no major obstetrical problems during their gestation period. They should receive similar obstetric antenatal care as the HIV-negative women, unless indicated by the need to provide specific treatment for HIV related conditions. There is no evidence of a need to increase the number of antenatal visits, provided there are no complications of the HIV infection, although additional counseling sessions may be required to reassure the mother and family. 

Care of the HIV positive woman during pregnancy should include ongoing counseling and support as an integral part of the management. Invasive diagnostic procedures, such as chorionic villus sampling, amniocentesis or cordo-centesis should be avoided wherever possible, due to a possible risk of infection of the fetus. In case you have a concern or query you can always consult an expert & get answers to your questions!

How Can We Achieve HIV-Free Generation?

Did you know that Chlamydia is one of the most frequently occurring sexually transmitted bacterial infections across the world? Also, this disease is likely to spread fast since it doesn t have severe symptoms which can easily pass on to others. The disease can be quite tricky as there are no initial signs or symptoms that a person experiences in the early stages. The chlamydia bacterium infects the cervix and leads symptoms as noted below.

Chlamydia Symptoms In Men:
In about 50 percent of men, chlamydia doesn t lead to any symptoms. But in some cases, it causes an abnormal penile discharge resembling yellow-white and milk-like. It causes pain while urinating, rectal pain along with bleeding and eye inflammation. The least common symptoms of chlamydia are itchiness and burning sensation around the opening of the penis, pain in the testicles and sore throat. Sometimes, chlamydia symptoms cause pain and discharge from the anal cavity.

Chlamydia Symptoms In Women:
In about 75 percent of women affected with the disease, chlamydia leads to no signs. However, in some cases, it may cause abnormal vaginal discharge which may also have an odour, pain while urinating, eye inflammation, rectal pain and unexplained bleeding. In some rare cases, it causes bleeding in between menstrual cycles, pain in the lower belly and back portion, sore throat and pain while having intercourse. Chlamydia can also infect the eyes in the case of both sexes leading to redness, itchiness, and inflammation. Regardless of which part of the body is affected by the disease, the symptoms usually show up in the morning.

For all these reasons, men and women who are sexually active should go for chlamydia testing once in every year. Also, it is advised to seek medical attention when you are affected by chlamydia infection to fend off risk and complications since it can cause different sorts of severe consequences including ectopic pregnancy and infertility in women. Untreated chlamydia can infect a man and cause an infection of the epididymitis, non-gonococcal urethritis and epididymis.

How to understand whether you are infected with the disease?
It is not possible to be precise about whether you have a chlamydia infection. This is because the signs and symptoms are not quite apparent. But the symptoms after a week become quite noticeable. There are several tests available to test whether you have been affected by the infection and in most cases, the pathologist takes a swab sample from the urethra in men and cervix in women to be eventually tested in the laboratory.

Your doctor may also recommend you undergoing a urine test to check for the presence of chlamydia bacteria. In case you or your partner has been affected by the disease, it is essential to talk to a doctor without any delay.

Chlamydia: Symptoms That Indicate You Are Infected!

Natural ways to remove your blackheads and whiteheads
 
Blackheads and whiteheads not only make you look unattractive, but also are hard to cure and keep recurring. Fortunately, there are quite a few substances and food items available in every kitchen that can effectively and naturally treat them and can also prevent them from recurring! 

Some of the best natural treatments for whiteheads and blackheads are-

1. Use milk- milk is a natural cleanser. Add a hint of lemon juice to half a cup of milk and mix it well with half a spoon of salt. Apply this mixture while scrubbing thoroughly on the entire surface of your face skin. This method decreases whiteheads and blackheads in a week and also stops them from recurring.

2. Cinnamon &amp; honey- a paste made up of one tablespoon of cinnamon powder and adequate honey is a very effective mixture. Apply it on the face, especially on the affected areas, and keep it on for the entire night. Wash it off in the morning. Continue this every night till whiteheads and blackheads disappear.

3. Baking soda- baking soda is exceptionally good to treat several skin problems. A mixture of baking soda and water must be applied on the face. Once it dries, wash it off. This mixture dries off the whiteheads and blackheads and also removes excessive oil from the skin.

4. Mint &amp; turmeric- extract 4 teaspoons of mint juice and add half a spoon of turmeric making a thick paste. Apply it on affected areas for a while. Once this paste dries off, wash your face with water. Milk can replace mint juice if desired.

5. Lemon juice- squeeze out lemon juice from 2 big sized lemons. Add some water to reduce the acidic effect. Dip a cotton ball in it and rub it across your face. You can do this several times a day. This is the simplest method to treat whiteheads and blackheads.

If you would like to consult with me privately, please click on'consult.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.

Everybody Has Them! Remove Blackheads &amp; Whiteheads Naturally.

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!

Tuberculosis is an opportunistic infection caused by the bacteria Mycobacterium tuberculosis. The infections occurring in people with weak immunity as compared to the people with a healthy immune system are called as opportunistic infections. As, HIV enters the human body, it replicates and weakens the immune system which in turn increases the risk of contracting Tuberculosis in people already suffering from HIV infection.

An HIV and Tuberculosis co-infection occurs when an individual has both, the HIV infection and an either latent or active TB disease simultaneously.  Each disease acts in speeding up the progress of the other, when HIV and TB infection is present together in the body. HIV infection speeds up the progression from latent to active Tuberculosis, Mycobacterium tuberculosis also accelerates the progression of replication and spread of the HIV infection.

HIV infection and Tuberculosis are totally different type of infectious diseases. HIV is a viral infection and TB is a bacterial one. An HIV infected person will not contract TB unless a contact happens with a TB infected person. TB spreads via droplet infection and is communicable. If a person lives in a country with a high prevalence rate of TB, an HIV patient is highly susceptible to contracting the infection. In the similar manner, a person suffering from TB gets infected with the HIV infection only through the blood and bodily fluids borne route, with unprotected sexual intercourse with an HIV infected individual being the most important cause.

Amongst all the other opportunistic infections, TB occurs at an earlier stage in the course of an HIV infection than most other opportunistic infections. Mortality rate in the co-infected patients is more than twice that of HIV infected individuals without a TB infection. Even if a patient is undergoing anti-retroviral therapy, the death rates remain high in co-infected individuals.The natural history and course of TB gets altered in people with an infected immune system. The damage to immunity due to HIV infection causes a drastic reduction in the pathogen killing capacity of the body. In such patients if there is no anti-retroviral treatment prescribed, then the latency period between the infection and progression of disease gets eliminated. 

An active phase of TB is observed in such individuals progressing within a short span of time, ranging from weeks to months, rather than years as it normally should be spanning. Risk of progression from a latent stage to an active stage of TB is around 10-15 times greater in an HIV infected individual as compared to the non-infected person. Such individuals also communicate the disease more rapidly to others.Pulmonary tuberculosis in an HIV infected person can present similar symptoms like that of a classic TB disease. However, a co-infection can sometimes show less presenting TB symptoms, where even the chest X-ray scans can be observed to be normal. A  subclinical  phase of Tb in co-infected patients can cause delay in the diagnosis of the symptoms and subsequently affect the prognosis due to lack of timely treatment.

Social stigma and discrimination has caused an obstacle in provision of adequate treatment for people with HIV. Proper counseling  and initiatives taken to provide indiscriminate care can aid in identification of co-infection and earlier stages. Anti-retroviral treatment teamed up with anti-tubercular drug regimen is prescribed and a successful treatment for drug sensitive cases of TB can be provided with medications for 6-8 months.

How HIV & TB  Are Related?

Viagra doesn t boost your libido, it simply works when the man is sexually aroused, by giving him the power to perform and enjoy a passionate stance. Instead of depending on an external drug, go natural by adopting the following means by not only increasing your libido but also enhancing performance.

4 powerful ways to make your sex life better

1) Natural Nitric Boosters - They are a must have if you want a better sexual health. Nitric oxide is one of the main reasons behind an  erection  and therefore, it can be directly taken in the form of food or as a supplement. It helps in preventing blood pressure, cardiovascular diseases and improves the blood flow. There are certain foods that can boost nitric oxide naturally, such as dark chocolate, walnuts, pomegranate, watermelon, brown rice, beets and garlic.

2) Exercise - It is important to exercise and stay fit if you want a healthier sex life. You shouldn t have to do furious strength training. Instead, simply opt for cardio exercises, do strength training or weight lifting if you like. 

3) The greens - There are several greens that, when combined with the bacteria in your gut can help in transforming nitrites to nitric oxide. This includes cabbage, iceberg lettuce, parsley, spinach, celery and collard greens.

4) Sunlight - Sunlight provides us with Vitamin D and also gives the skin an opportunity to synthesize more nitric oxide. 


4 Recommended Natural Sex Boosters 

Don't wait any longer, manage your Venereologist online with a Lybrate doctor today

Consult for Venereologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES