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What are the latest advancements in male contraceptions?
The drawback of surgical approaches (such as vasectomy), especially patient compliance and the low success rates with condoms has spurred research on hormonal contraceptive dosage forms. There is a dearth of investigations in the development of pharmaceutical preparations. Evolving technology in the 21st century as well as improvement in living standards further underline the need for new male contraception approaches, especially those that entail new drug delivery methods.
Here are few areas where male contraception is being researched and used in some countries
Hormonal contraception for men is possible, and we are at the threshold of an important breakthrough. Combined testosterone plus progestin administration is more effective and safer than testosterone alone. Combination of testosterone plus an anti-androgenic progestin has several advantages over other formulations. In combined therapy, single injection formulation may have better compliance.
- Conventional male contraception
- Abstinence (doesn't work well)
- Male condom
There are other methods being developed but not sure they are there yet. But for guys? Their options are stuck in a time warp. If a man wants to take pregnancy prevention into his own hands, his choice basically comes down to condoms, a vasectomy, withdrawal, or abstinence. That’s why it's so amazing that scientists are finally developing some real advancements when it comes to male contraception.
Researchers writing in the April issue of the Open Access Journal Contraception published a rundown of the top emerging options. A few hold real promise, particularly a daily or weekly pill that would deliver a dose of artificial hormones to a guy’s bloodstream, which would then act on reproductive hormones to stop sperm from being produced. Like the female hormonal pill, the male hormonal pill would be reversible. But also like the female hormonal pill, there appear to be side effects, among them acne, weight gain, and even trickier to work around, changes in testosterone levels that trigger a plunge in libido.
Non-hormonal techniques are also being developed, particularly a vaccine that immunizes men with antibodies to halt sperm production. This so-called male birth-control shot is encouraging, because it targets sperm directly (rather than targeting other hormones in the body) and doesn’t have the testosterone-lowering side effects of a hormonal pill. Each injection would last for long intervals (experts aren’t yet sure how long), but the pregnancy-preventing effects would be reversible, if and when a guy decides he’s ready to be a dad.
So when can you expect to see men rushing out to the pharmacy counter to pick up their new birth control Rx? “I think we may see a novel male contraceptive within 10-12 years, That may seem far off, but hey at least it’s finally within sight.
Women do not normally visit a gynaecologist, until they are suffering from any problem. Visiting a gynaecologist at regular intervals is important for good health.
Following are the 4 common reasons to visit a gynaecologist:
- Itchy vagina - Vaginal itching is very commonly ignored as most women consider it to be embarrassing, and as something that does not require any attention. However vaginal itching may be an indication of something more serious. Usually vaginal itching is a sign of fungal infection or a symptom of a sexually transmitted disease. In the worst-case scenario, it can even be a sign of vulvar cancer (a cancer of the vulva, which is the external part of your vagina).
- Painful sex - Most women feel that it is normal to feel a little bit of pain in your vagina during sex. However, the truth is that pain during sex is not at all normal. If you feel pain while indulging in sexual activity, there are chances of you suffering from either vaginal dryness or a mild infection, which if left untreated can become worse. Some of these infections can even be STDs such as herpes, gonorrhoea etc.
- Lump in your breast - A lump in the breast, whether or not accompanied by a bloody discharge from your nipples, is most likely a warning sign of cancer. You should also watch out for any type of pain in your breasts or even an abnormal growth as all of these indicate the development of cancerous cells in the breasts.
- Considerable bleeding during periods - If you bleed heavily during your periods, so much so that you have to change your sanitary napkin 2-3 times in just one to two hours, it's a cause of concern. If this heavy menstrual flow is also accompanied with shortness of breath and rapid heart rate, you may be suffering from anaemia. In extreme cases (which is very rare), this can lead to extreme blood loss, which may require a blood transfusion.
More than 90% of pregnancies continue towards a healthy outcome. However, to have a normal pregnancy one must have a retrospective diagnosis for the same and this invariably may be associated with multiple questions from both the parents and close family members. Hence pre-natal screening in several forms allows early prediction of possible problems which may or may not be genetic/inherited. Cases are thus segregated as either high risk or low risk pregnancies and with the aid of specialized FMF- UK accredited softwares we are able to offer the surveillance required on an individual basis.
Maintained international standards of fetal care.
First trimester screening is a combination of fetal ultrasound and maternal blood tests. The ultrasound is done between 11- 13 +6 weeks and is performed by a FMF accredited operator. The blood test is performed on FMF approved bio-chemical assay systems and measures two hormones, beta- HCG and PAPP-A.
The combination of the nuchal translucency and the blood test is known as the combined first trimester screening test which has a 93-95% sensitivity in predicting the risk of chromosomal abnormalities, the most common of which is Down syndrome.
A specific set of guidelines has been formulated for performing the nuchal translucency , cervical, anomaly and fetal well being scans including fetal Dopplers. A scan done as per guidelines helps calculate the risks for aneuploidies (chromosomal abnormalities) and prognosticate the pregnancy for the risk of pre-eclampsia and/or pre-term labour in order to continue a stress free pregnancy both for the mother and near and dear ones!
The need for a CVS or an Amniocentesis
The results of the first trimester combined screening test are available in a weeks time. It provides us with the risks (probability) for the fetus having any chromosomal abnormality. As per guideline, an invasive prenatal test in the form of CVS (chorionic villous sampling) 10-12 weeks or amniocentesis , beyond 16 weeks is offered as a diagnostic test if the risks are higher than 1 in 150. Though these tests carry a risk of miscarriage , 0.5-1%, they are 100% diagnostic for certain chromosomal abnormalities. It is for you to decide whether or not the risk of having a chromosomal abnormality is high enough to warrant having an invasive test.
Simple, by following these 5 expert-backed tips for starting a healthy lifestyle which will ensure that you start the morning right!
- Start your day with a glass of water
- Consume your breakfast within an hour of waking up. Ensure it is high in protein.
- Make time for a morning exercise routine
- Never skip any food group. Eat more fruits and vegetables.
- Eat healthy snacks every 2-3 hours a day.
The thought of undergoing a major surgery worries most people as they stress about the possible surgical complications, outcomes of the procedure or just get scared with the idea of getting an incision. But, following a few simple steps before the surgery may enable you to not only lessen your fears but also accelerate the recovery process.
Here are some of the most effective tips to prepare yourself in a way that ensures a stress-free surgical procedure.
1. Acquire knowledge about the surgery beforehand
Keep yourself thoroughly informed about the surgical procedures you will undergo. Ask your surgeon about the time required for complete recovery, your stay at the hospital, hygiene standards of the hospital etc. Also, talk about the surgical complications that you may experience and the measures to be taken from your side to deal with them.
2. Inform the doctor about your prevalent health issues
Talk to your doctor if you are suffering from any medical conditions currently like diabetes, hypertension, heart disease, arthritis etc. Also inform him if you are under any kind of medications or allergic to any particular drug.
3. Enquire about the types of anaesthesia available
Knowing about your anaesthesia choices always help you prepare better for an operation. While some surgery requires specific types of anaesthesia for other you can decide whether you want a local, regional or general anaesthesia. Local anaesthesia is used for affecting a small area while the regional one is used for numbing a larger part and general, your entire body.
4. Be prepared to deal with the post-surgery pain
You might experience post-surgery pain depending on the type of procedure followed. Ask your doctor for suggestions on the type of medicines you should do to curb this pain. Generally, most doctors recommend drugs, hot or cold therapy, massage etc.
5. Look for a caregiver in advance
You will require some support and care after the surgery while you recover. Seek the help of your family and friends in this regard and ensure that someone can stay with you for at least a day after you return from the hospital.
6. Follow the pre and post surgery instructions given by the doctor
Follow all the instructions given by the doctor regarding the kind of diet to be followed, restriction from consuming certain things like alcohol or any other lifestyle changes required to keep you healthy before and after the surgery.
Are you suffering from polycystic ovarian syndrome and are looking for an ideal remedy? Polycystic ovarian disease or PCOD is a common female health condition. It is a complex disorder and involves several factors which include insulin resistance, obesity, irregular menstrual bleeding, insufficient ovum production, and abnormal menstrual cycles. PCOD commonly occurs during the reproductive age of a woman and accounts for being a major cause of infertility.
According to Ayurvedic principles, PCOD occurs primarily due to the imbalance state of your doshas. The dosha vaishanmya is linked to the symptoms of PCOD, and the relationship between the doshas and lakshans is permanent.
PCOD is associated with stri beeja and rajah formation, along with medhodhantu to some extent. These should be attended to while the condition is being treated. The Ayurvedic treatment of PCOD aims at providing ideal care by correction of the ama dosha. By this, you achieve koshta shuddi, which in turn regularizes your tridoshas. The way or approach towards Ayurvedic treatment for PCOD includes the following:
- Treatment of agnimandya at both dhatwagni and jataragni levels.
- The alleviation of sroto avarodha is an essential part of PCOD treatment using Ayurveda. You should undertake purificatory therapies which are based on the grade of your doshic vitialation, and the exact area of affliction. These should be followed by rasayana drugs, which are free radical scavenging agents.
- The regularization of the apana Vata is essential as well. You must firmly avoid vihara and kaphkara ahara.
- Yoga and meditation are very important for the Ayurvedic treatment of PCOD. You should perform yoga asanas regularly. Some of the ideal postures for PCOD management include sarvangasana, matyasana, and shavasana.
- It is also very important for you to work out regularly, undertake different physical exercises. This will make your overall life much healthier.
- You must follow a healthy, balanced diet regularly, which should consist of fresh vegetables and fruits.
Ayurvedic herbs for the treatment of PCOD
- The varuna crataeva nurvala is an effective herb which helps in the clearance of channels, which reduces your cyst’s size.
- You can try hareetaki because of its amazing laxative effects, which reduce the morbidity of your body.
- Bilva or aegle marmelos heps in reducing the size of your growth, via its digestive effect.
- Strotasshuddhi is required and herbs likes Punarnava, kaphhar medicines are advised.
- Phytooestrogen sources and female tonic Shatavari is very much advised.
- Agnimantha, similar to lions. Lake er dhareyjata
- Guduchi is another effective remedy for PCOD and has a rejuvenating effect.
- Kanchnar is the drug of choice for Thyroid as per AYURVEDA, Strotasshuddhi is done by using Trikatu, Punarnava and other medicines. Rasayan like Shatavari are advised for enhancing female hormones.
If you are experiencing any symptom of PCOD, it is recommended for you to consult an Ayurvedic practitioner. This ensures that proper diagnosis is undertaken so that you can start treating the condition as early as possible.
Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.
Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.
Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.
Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:
Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.
Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.
Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.
Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.
We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.
Over the past decade, many women have opted for Breast Augmentation Surgery. It is a surgical process to improve the aesthetics of one's breast. Apart from giving a much needed lift to the bust size, the augmented breasts can lift up your confidence. Breast Augmentation Surgery, if gone wrong, can create a havoc. The outcome of the surgery can be influenced by a number of factors. Thus, before going under the knife, some important and vital points need to be taken care of.
- It is advisable to avail the services of an experienced surgeon, who has a higher success rate. A lot of confusions and apprehensions may arise during course of the surgery. An experienced surgeon will ease out the tension to a great extend and guide you better.
- Breast Augmentation is no child's play. Do not embark on breast augmentation surgery if you are below 18 years of age. It can result in serious health complications. Surgery can wait, but health once lost, will be gone forever.
- Know the type of implants to be used. Saline and Silicone implants are commonly used in breast augmentation. Both the implants come with their own sets of merits and demerits.
Being softer and smoother, Silicone implants give the augmented breasts a very natural feel. The chances of scalloping (the skin around the breasts appear wavy) are negligible in case of Silicone implants. However, the Silicone implants come pre-filled. Thus, a bigger incision is needed to get it inserted. Though approved by the FDA, leakage of the silicone implants into the body has been reported. The leakage can affect the health seriously. Interference of Silicone implants with the mammogram can also pose a serious threat.
The Saline implants, on the other hand, are not pre filled. Thus, a small incision is all it takes to get the implants inserted. Once inserted, the implants are filled with saline solution. The saline implants can also leak into the body, without any serious implications. The biggest limitation of saline implants is in the fact that it gives the breasts a very hard feel. Scalloping cannot be ruled out either.
Things to take care of:
- Do not go for breast augmentation surgery if you are planning to start a family in 1-2 years of time. A weaning or lactating lady should also avoid the surgery.
- The exact location of the implant is an important factor to ponder upon. One can go for an under the muscle or over the muscle implants.
- One can opt for a round implant or a tear shaped implant. The biggest USP of tear shaped implant lies in the fact that it gives a very natural feel to the augmented breasts. The round implants, on the other hand, are much safer to use.
- Go for the surgery only when you are physically, mentally and emotionally fit and healthy.
I want to reduce my belly fat. I am a lactating mother of 6 month baby. I had c-section on march 31. Please help.
My HbA1c is 6.1 andABG is 128. Do I need to use any medicine, Am I a diabetic patient now. Please advice.
I am not gaining weight for a long time. I want to gain mass & weight around 70 kg in a healthy way. How do I gain weight?
I'm too much sensitive to sun tan. I can not handle sun tan. Is this absence of vitamin D or any other deficiency.
I am a 19 years old male. Ht:177 cm wt: 55 kg. I think I am lean for my height. But I am having a normal diet. My problem is I am not gaining weight. I think that is because I am having brown fat. Any advice for gaining weight?
When I am going to bathroom blood is coming. I thought it's because of eating spicy stuff. But after stopping all the spicy food also yesterday and today I got blood after going to the bathroom. Firstly it was stopped for some days but now it's coming for 2 days. I don't have problem in sitting. I have a job in which I have to sit on a chair for 12 hours a day. Please help what should I can do for this problem. I am eating vegetarian, non-vegetarian. Please help.
Bringing a child into this world is one of the most wonderful phases of a woman's life. At the same time, this involves a lot of body changes - physiologically, physically, chemically, and emotionally. Mommy makeover refers to one or a combination of procedures that are done to alter the appearance after delivery, especially relating to one or more of the following:
- Tummy that is sagging (no fat, just loose skin) with stretch marks
- Breasts that are altered in size and shape, sometimes the enlargement could be completely disproportionate with the body and cause back pain
- Undefined thick waistline with irregular fat accumulation
- Fat deposits on the abdomen, thighs, hips, and trunk that do not reduce with dietary changes and exercise
- Skin changes on the face and around the eyes, giving an aged appearance
- Post cesarean, there is excessive skin around the surgical scar
- Reduces tummy size
- Gives a more youthful appearance
- Alters breasts to the desired shape and size
- Weight loss, if happens, could affect the results
- Subsequent pregnancies don't have any complications with tummy tuck but with another pregnancy the effects may be lessened or reversed.
- Since surgery is involved, the risk of unforeseen complications always exists (for instance, in breast implants, there is capsule formation or capsulitis, in rare cases rupture may require removal.)
Mommy makeover is not a single step procedure, but a combination of plastic surgical procedures that are done depending on the problem you present with.
Tummy tuck - If there is abdominal sagging, the tummy is tucked back into position by removing the fat and excessive skin and reworking on the belly button.
Liposuction - Excessive fat deposits in the hips, thighs, trunk area can be removed by sucking out the fat deposits. Most commonly done in the hips and trunk area.
Breast lift - Sagging uneven breasts, drooping nipples, reduced volume are all indications for a breast lift. During the surgery, the breast tissue is repositioned to reproduce a better shape and size and reposition the nipples if required.
Breast reduction - Large breasts are a common problem, and breast reduction is one of the most requested for procedures.
Breast augmentation - Either saline implants or silicone are used to restore breast size and shape to the desired results. Usually, breast lift is combined with breast augmentation.
Facial corrections - From dark circles to sagging skin to wrinkles, facial appearance can be changed based on the presenting symptoms.
These are very brief descriptions of the various procedures that are done as part of mummy makeover. A detailed consultation with your plastic surgeon regarding costs, subsequent pregnancies, aftercare, recovery, healing, and limitations and risks is to be had ahead of the surgery.