Dr. Ashutosh Sharma

Polycystic ovarian disease is a gynaecological disorder whose prevalence seems to have increased considerably among Indian women in last few years. Many young girls and middle-aged Indian women are suffering from this syndrome which is a marked by appearance of multiple cysts on ovaries and disturbances in monthly menstrual cycles.

CAUSES :

The exact cause of PCOD remains unknown to the modern science even as the genetic link is being scrutinized for its causative role.

SYMPTOMS :

• Menstrual disorders
• Acne
• Abnormal hair growth on face
• Hair fall from scalp
• Weight gain
• Insulin resistance

TREATMENT :

From Ayurvedic point of view, PCOD reflects vitiation of rasa and rakta dhatus. When levels of impurities and toxins increase in rasa and rakta dhatus, body stores them in form of cysts around ovaries. So presence of multiple cysts indicate high levels of impurities and toxins in these dhatus. Sign and symptoms in PCOD patients suggest imbalance of all three doshas. Dhatwagnimandya may also exist in some patients. History of improper diet and lifestyle is generally found among majority of PCOD patients. Excessive consumption of hormonal pills and contraceptive pills too is reported by many patients. Mental stress and lack of physical exercise are marked among quite a few ladies with PCOD. From Ayurvedic perspectives, all these things can produce toxins in body and cause diseases like PCOD.

DIET & LIFESTYLE :

• Low-fat milk is recommended. Boil milk before drinking. Drink it warm. This makes it easier to digest. Do not take milk with a full meal or with sour or salty foods. Add a pinch of turmeric or ginger to the milk before boiling it. This helps to reduce the kapha increasing qualities of the milk.
• Lighter fruits, such as apples, oranges, grape fruit, pineapple and papaya and pears, are recommended.
• Sweeteners: Honey is excellent for reducing kapha. Reduce the intake of sugar products, which increase kapha.
• Beans are recommended. Nuts should be avoided.
• Grains such as barley, chickpea and millet are recommended. Do not take too much wheat or rice, as they increase kapha.
• Spices are recommended only in moderate quantities.
• Vegetables such as potaotoes and sweet potatoes should be avoided as they can cause weight gain.
• Follow a lifestyle that will not aggravate any dosha.
• Negative feelings like stress and tension should be avoided. Do not undertake physical or mental work beyond your capacity.
• Limit the use of contraceptives.
• Follow an active lifestyle, yet the exercises should be according to one's capacity. Both, excessive fasting and overeating are harmful.
• Smoking, drinking alcohol and using narcotics aggravates menstrual disorders.

The simple and effective remedy for dental pain.

Toothache is also one of the severe pain in the body. Many people suffer from this pain because of the sensitiveness of the teeth. This remedy has only two ingredients which are simply effective. People who have to suffer from route canal or dental carries take 3-4 buds of cloves and make it powder. Later mix with 1 tsp of coconut oil and apply it. Clove has antiseptic, analgesic and antimicrobial activity and coconut oil is best antibiotic action and hence, this remedy works better on dental carries.

In case you have a diseased uterus, which makes you infertile, you can undergo a procedure known as uterus transplant or uterine transplant to get pregnant. In the process of sexual reproduction, a diseased uterus does not allow embryonic implantation. This factor is referred to as uterine factor infertility or UFI. As a result, you will not be able to get pregnant.

Who requires a uterus transplant?
This procedure involves women who have UFI and women who had their uterus removed by hysterectomy. Women who have a damaged uterus on account of an injury or infection, which does not function anymore, can also undergo a uterus transplant procedure. Women from the age of 21 to 45 are eligible for this procedure. Many women are born without having a uterus. This condition is called Mayer-Rokitansky-Küster-Hauser syndrome.

Procedure
Uterus transplantation begins with undertaking a uterus retrieval surgery on the uterus donor. The uterus, which is recovered has to be stored and transported to the location of the patient undergoing the transplant. An ischemic tolerance may last over 24 hours. Three major surgeries have to be carried out with the recipient. Firstly, a transplantation surgery is required in which the donor’s uterus gets transplanted. In case pregnancy develops, a caesarean section surgery has to be performed. The patient is given immune suppressive therapy. After childbirth, a hysterectomy is done in order to terminate the immune suppressive therapy.

Will the women be able to get pregnant after having sex?
Women receiving a uterus transplant will not be capable of becoming pregnant without undergoing fertility treatments. The transplanted uterus is not connected with the fallopian tubes, which is the location of the normal fertilisation process. The women will require to carry out IVF or in vitro fertilisation to become pregnant after a uterus transplant. IVF is a process in which the eggs are removed from the ovaries and get fertilised in a laboratory. Then, they are implanted in the uterus. After undergoing the uterus transplant procedure, a woman has to wait for a period of one year. The uterus requires time for healing and after recovery, the embryo may be implanted for pregnancy. After giving birth successfully, a woman will be able to keep the transplanted uterus. Why IVF is a popular procedure.

She has the option to get pregnant again. However, after giving birth twice, a hysterectomy must be carried out for the removal of the uterus. This is done so that the woman can stop using the immune suppressant drugs, which are associated with major risks. Uterus transplant is a relatively new technology. In October 2014, the first healthy baby was born to a woman who had undergone a uterus transplant. This surgery is kind of experimental in nature and is usually the last option for getting pregnant. If you wish to discuss about any specific problem, you can consult a gynaecologist.