Dr. Rama Shastri

यदि माँ को शिशुओं को दूध पिलाने में परेशानी हो रही है | यदि माँ को दूध नहीं आ रहा है | तो बहुत जरूरी है माँ को खुश रहना | इसके साथ-साथ माँ को मन से    महसूस होना चाहिए कि उसका बच्चा भूखा है, यह एहसास माँ को खुश रखने में सहायक है, जिससे माँ का दूध बढ़ेगा | 

A STD is transmitted by means of physical intimate contact and intercourse. These diseases are caused by parasites, virus or bacteria. Usually STDs are preventable provided you make the right choices concerning your sexual health. Refraining from sex isn’t a feasible idea at all. But fortunately there are alternatives too to curb the menace that STDs are:

1. Mutual monogamy: Two people who have sex only with one another don’t have any opportunity to bring a new STD into the relationship. If you and your partner have been tested and are healthy, remaining faithful to each other is a very good way to reduce your chances of contracting an STD.
2. Get Vaccinated: One important prevention tool against STIs is vaccination. Currently, vaccines are available to protect against infection with HPV, hepatitis A and B. Talk to your healthcare provider to see which vaccines might be recommended for you.
3. Protect Yourself: Condoms work really well in stopping most STIs from being passed from an infected partner to another when they are used consistently and correctly every time a person has oral, vaginal or anal sex. Consistently and correctly means that a person makes sure they use a condom every time they have oral, vaginal or anal sex and put it on and use it the right way.
4. Avoid alcohol and drug use: Avoiding alcohol and recreational drug use reduces the risk of contracting an STI, having an unwanted pregnancy, or being coerced to have sex. Alcohol and drug use can reduce our ability to make good decisions. It may also make us more likely to be talked into into participating in an activity without being able to give our full consent.
5. Consider male circumcision: There's evidence that male circumcision can help reduce a man's risk of acquiring HIV from an infected woman (heterosexual transmission) by as much as 60 percent. Male circumcision may also help prevent transmission of genital HPV and genital herpes.

Coping and Support

It's traumatic to find out you have an STI. You might be angry if you feel you've been betrayed or ashamed if there's a chance you infected others. At worst, an STI can cause chronic illness and death, even with the best care in the world. Between those extremes is a host of other potential losses is trust between partners, plans to have children and the joyful embrace of your sexuality and its expression. If you wish to discuss about any specific problem, you can consult a General Physician.

You may lead a busy life and may have the responsibility of a career or a business and may also have to worry about paying up bills and instalments at the end of every month. All in all you may be completely tied up with the monotony of life and may be seeking some relief from all the problems and the only thing that may really come to your mind may be carnal pleasure and not just making yourself happy, but real and energized sex with your romantic partner.

While it may be very exciting to think about indulging in sex and trying out new things with the person you love. A lot of people hear stories and myths about the pain that accompanies sex and often feel apprehensive about getting on with the experience because of the fear of pain. However, when you are ready for your pleasurable experience and need to learn a few things and beat a few myths, it may help if you choose to meet a doctor who may be able help you learn a lot more about the pain.

Myth and facts:
One of the biggest myths that is prevalent in the world of sex is that males experience pain during intercourse, if the vaginal opening is excessively small, which is when the penis may have to be forced inside.
The fact is that vaginal openings are meant to be flexible and can accommodate a regular sized penis without causing much trouble. While you may have to put in some more effort than usual, it is not a painful process.

The problems and the treatment:
One of the most common problems that a lot of men face is the problem with the foreskin. Some may have issues with the foreskin by birth and others may develop the issues due to other health problems such as diabetes. Another major problem that a lot of males go through may be deformities, where the penis may not be shaped normally and may have a bend or arch because of which penetration during sex may become painful. Other problems that may be a cause for pain during sex in men may be the presence of STDs, allergies or injury. In all cases, it may help to seek the advice of a doctor who may specialize in the field and may be able to give you natural medication such as Ayurvedic solutions and help you come out of the problem.

In case you have a concern or query you can always consult an expert & get answers to your questions!

In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. 

Endometrium explained in brief: 

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. 

The enhanced success of achieving pregnancy: 

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. 

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: 

1. Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. 
2. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. 
3. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. 

This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure. If you wish to discuss about any specific problem, you can consult a gynaecologist.