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Treatment Of Erectile Dysfunction
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Thyroid Disorder Treatment
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Urinary Incontinence (Ui) Treatment
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Sperm Donor Program
Adult Diabetes Treatment
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Patient Review Highlights
I thought it was something very normal, but then I realised it is diabetes. My previous experiences were not so good, but DR. Abhay Ahluwalia has completely changed my opinion as he is very helpful and humble. I have had therdiabetes from quite some time. Even in case of emergency, the staff is always willing to help. It's been more than a year now, and I have noticed considerable change in myself. The interior of the Columbia Asia Hospital - Palam Vihar was no nicely done. i have been better now.
I was suffering from hyperthyroidism. I am so thankful to Dr Abhay Ahluwalia for giving me the best advice and I am now finally able to get back to my normal self. During the complete hyperthyroid treatment program he always supported and motivated me. He is a very practical doctor. Even after my treatment with my old doctor, I never felt so much relief, but he has treated my completely. The overall atmosphere in the Columbia Hospital is very soothing.
I was shocked to experience the symptoms of thyroid disorders. Thanks to Dr Abhay for the thyroid disorders treatment he gave me has given brilliant results. My previous experiences were not so good, but Dr Abhay has completely changed my opinion as he is very helpful and humble. The guidance he gave me has helped me immensely with my situation.
I am so happy with the results of my thyroid treatment, that I will surely recommend Dr Abhay to anyone gladly. In the past i consulted so many doctors, but nobody was able to help me with my thyroid disorders, but he has helped me immensely. He is a very practical doctor. And I am quite benefitted with his treatment.
From quite some time i was suffering from pain, but never gave much importance to it. With the help of Dr Abhay's treatment for thyroid disorders I am feeling so great. He is not just friendly, but also is very motivating. I am impressed with the way he treated me. I have noticed outstanding changes post treatment.
I was having very bad thoughts regarding my hypothyroid. I am so thankful that Dr Abhay Ahluwalia has given me the best advice and I am now finally able to get back to my normal self. I consulted a number of specialists but the way he treated me was the best. I found the Columbia Hospital itself quite pleasant.
With the help of Dr Abhay's treatment for trying to conceive I am feeling so great. During the complete treatment program he always supported and motivated me. His guidance has helped me immensely with my situation. He is so nice that they even at odd hours one can call him in case of emergency.
I was in so much pain due to my sugar problem. I chose to consult Dr Abhay. His advice and counselling has helped me immensely. It's been more than a year now, and I have noticed considerable change in myself. He treated me very patiently and helped me improvise my condition.
With great ease Abhay Ahluwalia carried out my adult diabaties treatment as the problem was increasing day by day.The atmosphere in the clinic Columbia Asia Hospital in Palam Vihar is always so positive and full of life.With the help of his treatment I am feeling so great.
I took a treatment from dr Abhay Ahluwalia at Columbia Asia Hospital - Palam Vihar for anorexia. Not only he is very calm and composed, but is also a very understanding doctor.His guidance has helped me immensely and has helped gain confidence.
I found the answers provided by the Dr. Abhay Ahluwalia to be very helpful. Thanks
Quite polite and treated humbly.
Quite polite and treated humbly.
Ever wondered how your body releases an egg each month or how the uterus wall thins and thickens at different times of the month? It is the job of your body’s chemical messengers – hormones, which manage the various processes involved in preparing your body for fertilization.
Hormones and Fertility
A subtle balance of different hormones, involved in managing the reproductive organs, enables and maintains fertility. These hormones regulation changes like the discharge of an egg from the ovary and thickening of the uterine wall lining (endometrium). Infertility results if this balance is disrupted.
Roles of hormones in making a woman infertile
Knowing the role of a hormone in making a woman infertile will be easier if you know its role in making the same woman fertile. Here is the role of the five most important hormones that encourage fertility in women-
- FSH or Follicle-stimulating hormone - The pituitary gland in the brain releases the Follicle-stimulating hormone. The major role of this hormone is to allow a woman to have better control over her menstrual cycle and production of an egg in her ovary. The levels of this hormone designate the proper functioning of the ovary as well as the quality of the produced egg. When there is an imbalance in this hormone, the ovary of the woman will not function properly to produce eggs, thus creating infertility in women.
- LH or Luteinizing hormone - The pituitary gland releases this hormone. It plays a vital role in stimulating the ovary of a woman to discharge eggs. It instigates the manufacturing of progesterone to prepare the uterus of a woman to accept a fertilized egg. When the level of this hormone is disturbed, it will not stimulate the ovary to release eggs.
- Estradiol Hormone - This is a vital form of the oestrogen hormone. When the levels of this hormone become irregular, it will reduce the chances of making a woman conceive.
- Thyroid hormones - This hormone assists greatly in making the ovulation as well as the ovary of a woman to function normally by interacting with the progesterone and oestrogen hormones.
- Progesterone hormone - This hormone plays an important role in making a fertilized egg to continue as well as to develop in the uterus of a woman. Any imbalance in the level of this hormone will not allow the egg in the uterus to grow.
In case you have a concern or query you can always consult an expert & get answers to your questions!
For the normal functioning of your body, many hormones are essential, and when there is an imbalance, the system goes for a toss. The thyroid gland plays an important role in regulating metabolic processes all through the body. The thyroid disorders tend to affect the structure or function of the thyroid gland.
The functionalities of the thyroid gland are regulated by a feedback mechanism that involves the brain as well. Hypothalamus in the brain makes pituitary gland to produce TSH. The thyroid-stimulating hormone produced by pituitary gland stimulates the thyroid gland to produce T3 and T4. There are different kinds of thyroid disorders such as thyroid cancer, thyroid nodules, goiter along with hypothyroidism and hyperthyroidism.
Diagnosis of thyroid disorders
When you consult an endocrinologist, he will not only ask about your medical history, but will also carry out specialized tests for diagnosing thyroid disorders. Blood tests such as TSH receptor stimulating antibodies, anti-thyroglobulin and anti-thyroperoxidase are generally advised. Even thyroid scans with the help of radioactive iodine are also performed for evaluating the functions of the thyroid nodules. Fine needle aspiration and biopsy are some of the important techniques used for removal of sample cells for examination.
Dealing with thyroid disorder
Several tips can help you deal with the thyroid disorders and its common signs and symptoms. One of the most significant symptoms of thyroid disorders is depression, and you can get rid of it by exercising and socializing, so that it can uplift your mood and feel better.
Here are some of the best ways to help you cope up with the symptoms of thyroid disorders:
- Seek advice from a therapist: If you are concerned about your emotions along with having difficulty in eating and sleeping, you should speak to a mental health professional. A therapist can guide you about what you can do to cope up with the emotional issues and set practical goals. You should try to voice your concerns rather than holding on to them.
- Try to reduce stress: Thyroid disorder is one of the chronic conditions that are very stressful. When you learn to reduce stress, you will be able to better respond to the treatment. The best stress-buster is doing an activity that you enjoy.
- Consume healthy foods: Food provides the body with all the essential nutrients required to function well. Gaining weight is the most common symptom of thyroid disorder, and therefore, you should consume food low in fat and rich in fruits and vegetables.
Get enough sleep, since lack of sleep can make you irritable. With these few tips, you will be able to manage the symptoms of thyroid disorder better.
The pituitary gland is a small, pea-sized attached to the base of the brain. It controls growth, functioning and development of other hormonal glands. The deficit of one or more pituitary hormones is a state of Hypopituitarism. This clinical term is used by endocrinologists to mean that one or more pituitary glands are deficient. In hypopituitarism, the pituitary gland does not produce the normal amounts of hormones.
Hypopituitarism has the following causes
Sarcoidosis (A lung disorder)
Tumours in the pituitary gland
Hemochromatosis (Too much iron in the body)
Tumours in hypothalamus (Controls the production of hormones)
Histiocytosis X (A rare autoimmune disease where the immune cells damage the organs)
Sheehan syndrome (Excessive blood loss during childbirth)
Lymphocytic hypophysitis (inflammation in the pituitary gland)
Radiation treatments like chemotherapy
Symptoms depend on which hormones is not being produced.
Adrenocorticotropic Hormone (ACH): Lack of ACH affects the adrenal glands (endocrine glands producing hormones) and cortisol (a steroid hormone). Symptoms include
Low sodium levels
Loss of weight
Thyroid-stimulating Hormone (TSH): Deficient TSH mostly affects the thyroid (produces growth-regulating hormones) gland. The symptoms are
Sensitivity to cold
Luteinizing hormone (LH): Low luteinizing hormone in women affects their ovaries and ovulation. Symptoms include-
- In men, lack of LH affects their testes and sperm production. Symptoms include
- Follicle-stimulating hormone (FSH): This hormone affects men and women the same way the luteinizing hormone does. Thus the symptoms are the same.
- Growth Hormone: In children, the growth hormone affects their bone, fat and muscle. They have the following symptoms
- Lack of height
- Increase in body fat
- Abnormal peak bone mass (bone tissue present after the skeleton matures)
- In adults, the whole body is affected. Body fat increases while muscle and bone mass decrease.
- Prolactin: Prolactin deficiency only affects women. The prolactin hormone gets the production of milk started after childbirth. Lack of prolactin thus affects breastfeeding.
- Antidiuretic Hormone (ADH): The kidneys are affected by lack of ADH. Symptoms include—
- Diluted urine
- Frequent urination
- Feeling excess thirst
- Oxytocin: Lactation and childbirth are affected by lack of oxytocin.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Adrenal gland is an endocrinal gland located above the kidney which produces hormones that regulate blood sugar, stress and sexual functions. Any problems in the pituitary gland can affect the adrenal gland as the pituitary gland regulates all the endocrine glands.
Here are the different types of adrenal gland disorders
- Cushing's disease - This disorder occurs when the adrenal glands produce too much cortisol in the body. Cortisol is a hormone that adrenal glands produce when a body is exposed to stress. The causes of this disease are intake of steroids and tumors present in the pituitary gland. The symptoms are rise in blood pressure, weakness in the muscles and weak bones.
- Adrenal cancer - Presence of cancerous cells in the adrenal cortex leads to adrenal cancer. The symptoms of this disorder are stomach cramps, blood pressure problems and irregular menstrual cycle.
- Addison's disease - This disease occurs when the adrenal glands produce less cortisol. This disorder is linked with the immune system as the adrenal glands are attacked by it during this disorder. The symptoms of this disorder are nausea, loss of appetite, constipation and muscle pain.
- Pheochromocytomas - These are tumors that develop in the adrenal gland which causes excessive production of a hormone called catecholamines. These hormones help in regulating blood pressure. The primary causes of this disorder are genetic factors. Common symptoms of this disorder are headaches, shortness of breath and sweating.
- Conn's syndrome - This disorder occurs when the hormone aldosterone is produced in excess by the adrenal glands. The symptoms of this disorder are feeling excessively thirsty, muscle weakness and high blood pressure.
In case you have a concern or query you can always consult an expert & get answers to your questions!
If you have just learned that you have been diagnosed with type A diabetes, what would you do to manage it? There are just a few ways of coping with it and they include controlling the blood-glucose levels, managing insulin levels, being fit and active, getting a well-regulated diet and obtaining emotional support from close ones.
- Getting proper advice: Type A diabetes implies that your pancreas are no longer able to produce insulin and now it is up to you to monitor your blood-sugar level and administer your insulin levels in order to get rid of the harmful effects of type A diabetes. Though your doctor would be able to advise you better whether you will need insulin injections or any medication, you can beat the negative impacts of diabetes with small and simple lifestyle changes.
- Exercise to be fit and healthy: Working out is key to proper diabetes care. In addition to all the benefits you can reap by being fit and active, your diabetes would also respond with stable and lowered glucose levels. With type A diabetes, it is essential to know how your body reciprocates before, during and after exercise, and take proper precautions for treating hypoglycemia or low blood sugar. Your healthcare provider would be able to guide you better and etch out a fitness plan on the basis of your clinical requirements.
- Dietary changes for optimum nutrition: Obtaining a perfect dose of nutrition is a crucial piece of the puzzle to cope with diabetes, and it is quite difficult to figure out. Contrary to the popular belief, being diagnosed with type A diabetes doesn’t really mean that you will have to feel deprived and starve. A wide array of delicious meals, snacks, fruits and vegetables await you to be explored. Indulge in citrus fruits, beans, green leafy vegetables, berries, fish rich in omega-3 fatty acid contents, and whole grains to your heart’s content.
Though it is often undermined, emotional support plays a very significant role in caring for those affected with diabetes, regardless of its type. If you are presently combating with type A diabetes, connect with people who go through the similar pain of measuring the daily carbohydrate count, testing the blood-sugar levels endless times in a day and dealing with emotional highs and lows brought about by diabetes. These few things can bring a huge positive difference in your life. If you wish to discuss about any specific problem, you can consult a Endocrinologist.
Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.
With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.
- The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
- The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
- Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
- Babies born to diabetic mothers are often bigger. The baby’s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
- Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
- Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
- Most diabetic women reach full term if the sugar levels have been under good control.
Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother’s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
It is important for you to know how pregnancy affects your thyroid gland. The thyroid hormone plays an important role during pregnancy in the development of the baby and also regarding the health of the mother. If you suffer from thyroid problems during pregnancy, you should take medicines and certain thyroid function tests.
How pregnancy affects normal thyroid function?
The pregnancy hormones known as human chorionic gonadotropin or hCG and estrogen lead to increased thyroid hormone levels in your blood. The hCG made by the placenta stimulates the thyroid to produce excessive hormones. Increased estrogen leads to higher levels of the thyroxine binding globulin, which transports the thyroid hormone in the blood.
Because of these normal hormonal changes, thyroid function tests are difficult to perceive during pregnancy. The thyroid hormone is very important for the normal development of a baby’s nervous system and brain. During the first trimester of pregnancy, the foetus depends on the supply of thyroid from the mother via the placenta.
In healthy women, the thyroid enlarges during pregnancy. An enlarged thyroid can indicate a thyroid disease, which should be diagnosed immediately. Thyroid problems are difficult to diagnose during pregnancy because of the increased hormone levels, increased thyroid size, fatigue and other factors.
Hyperthyroidism in pregnancy
Hyperthyroidism may occur in pregnancy because of Graves’ disease where enough thyroid hormones are not produced. Graves’ disease is an autoimmune disorder in which the immune system attacks the cells and organs of the body instead of fighting bacteria or viruses. With Graves’ disease, an antibody is released by the immune system called the thyroid stimulating immunoglobulin or TSI. This causes the thyroid gland to produce excess thyroid hormone. In many cases, the antibody is also associated with eye problems like bulging, irritation and puffiness. Graves’ disease commonly appears during pregnancy, but women with this disease from before may actually observe improvements in the symptoms during the second and third pregnancy trimesters. The remission or the disappearance of the symptoms of Graves’ disease may occur due to the general suppression of the immune system, which occurs during early pregnancy. The disease is likely to recur and worsen in a few months after the delivery. It is important for pregnant women with Graves’ disease to be monitored carefully.
Hypothyroidism during pregnancy may lead to a developmental delay in the child. Sometimes, hormone therapy is given to women who are at the borderline stage in thyroid function during pregnancy or just before pregnancy. The treatment of the condition aims at maintaining a proper and balanced thyroid hormone level in the body. If you wish to discuss about any specific problem, you can consult an endocrinologist.
If you are concerned about diabetes and want to protect yourself from getting affected by the disease, there are several preventive steps you can take. These steps are simple and require some modifications in your daily life, activities, diet and overall lifestyle. Diabetes is a condition in which your blood-sugar level gets higher than normal and affects your health in several ways.
Here are some ways to protect yourself from diabetes:
- You should know about the different causes of diabetes by speaking with health professionals, diabetes patients and by doing some online research.
- You must put off the causes which you just cannot prevent and should abstain from aggravating them. These may include heredity and age-related causes. If diabetes runs in your family, there are high chances of you getting it as well. The chances are maximum when both your parents are diabetic.
- Increasing age is another likely factor for developing diabetes. This is because the functioning of all your body system gets disrupted and slowed down because of age. Major cases of diabetes commonly occur after the age of 49.
- Prevent the causes of diabetes which you can control. These include obesity, stress, high blood pressure and viral complications. Stress because of several factors such as physical injuries and emotional problems commonly cause diabetes in many people. Obesity and high blood pressure too are linked with the development of diabetes. Several viruses can settle in your system and lead to diabetes as well.
- For preventing diabetes, you should conquer your obesity and attain a BMI or body mass index, which is within a normal range and is suitable for you. For men, the waist size should be maintained below 40 inches and in women, it should be under 38 inches.
- Eating healthy food will help you stay away from diabetes. You should consume less sugar, fats and alcohol and consume milk, meat and other proteins in a moderate amount. You should consume whole foods, such as vegetables, fruits, whole grains, starchy foods and beans in large amounts. These items should highlight all your major meals.
- Being physically active and exercising regularly is very important, if you want to stay healthy and prevent yourself from developing diabetes. You should climb stairs, walk, play and undertake activities which require you to move around.
To keep yourself safe from diabetes, you must take good care of yourself when you are ill in order to avoid several complications. Several viruses and autoimmune diseases lead to diabetes in which the immune system attacks the body. You should be careful of viral infections such as measles, influenza, rubella, mumps and many others. If you wish to discuss about any specific problem, you can consult an endocrinologist.
My pre lunch sugar is 119 and post lunch sugar was on yesterday was 197 and today it is 240. Why so diff. Is there? Today I have not consumed any sweet and drink sugar free tea.
Every woman likes to look into the mirror and find not an extra strand of hair on her face, be it the upper lip or near the ears. While it is not uncommon for women to have hair on these and other areas, most women resort to multiple ways to get rid of this. The pattern of this unnecessary hair growth is very similar to the pattern seen in males normally.
This condition of excessive hair growth is known as hirsutism and can be caused by multiple causes, as listed below.
- Genetic or racial: While the European women have a more clean face that is free of hair, the Mediterranean and Indian women are highly likely to have more facial hair growth. There is also a strong family history relation, and it is hereditary.
- Androgens (testosterone): This is a male hormone, essential for the development of male sexual characters. Though it is present in very minute amounts in all women, in some, there could be higher than these minimal levels, leading to minor masculine characters, facial hair being one of them.
- Hormonal imbalances: There are multiple hormonal issues which can manifest as increased facial hair growth. The two most common ones include polycystic ovarian syndrome ((PCOS)) and adrenal conditions including tumours, Cushing's syndrome, and hyperplasia. In all these cases, there is increased amount of androgens, leading to excessive facial hair.
- Medication side effect: Some medications like testosterone, cyclosporine, anabolic steroids, and Minoxidil also lead to increased amounts of facial hair in women. Some other medications used to treat migraines, seizures, schizophrenia, and hypertension can also cause hirsutism. This is indirectly due to increased levels of male hormones in the system, producing these effects.
- Birth control pills: These also affect the hormone levels and lead to increased facial hair.
- Obesity: Most women with facial hair are also on the heavier side, and most people have a reduction in hair once weight is managed.
Treatment: The underlying cause should be treated for controlling hair growth. If there is an inducing medication, an alternative should be looked at. While hormone levels can be altered, in most cases, not much can be done. These need to be dealt with using one of the following methods - depilatory creams, waxing, plucking, shaving, laser reduction, electrolysis, and weight loss.
When reading through the above, it is obvious that a lot of causes for hirsutism point towards hormones. This also helps identify hormonal abnormalities in the earlier stages. This helps to identify hormonal disorders in their earlier stages, which are managed with lesser complications. The next time you feel there is more hair on your chin or cheeks, get your hormone levels checked. If you wish to discuss about any specific problem, you can consult an endocrinologist.