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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
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Should I see a fertility specialist?
Perhaps you've been under a lot of stress lately. Or, maybe your partner is always traveling during the right time. If you hear yourself making excuses month after month for seemingly unexplained infertility, then it might be time to sit down with a fertility specialist to uncover the root cause of the problem.
What many men and women don't realize is that early diagnosis is key. Many times, if a problem is diagnosed, it can take months to treat and suddenly there you are, almost a year later, starting to try all over again.
The solution? don't wait. Here, we've narrowed down 4 signs that it's time to pick up the phone or hop online - to make an appointment for a fertility consultation asap. But as a general rule, if you are even asking yourself this question, the answer is yes.
1. You've been trying and trying, and trying
Trying to conceive with no luck can be incredibly frustrating, but the fact is that 1 in 8 couples struggle with infertility. Experts agree that women over the age of 35 should wait no more than 6 months of trying before seeing a specialist. That wait extends to just one year for the under 35 crowd. It's also a good idea for your partner to join you and not just to hold your hand: studies show that male partners contribute to over 40 percent of infertility cases.
2. You have a pre-existing condition
There are a number of health conditions that can have a huge impact on a woman's fertility and while some of these may have been diagnosed as early on as childhood, others are silent and can go completely undetected. From uterus abnormalities and hormonal imbalances to endometriosis and polycystic ovarian syndrome (pcos), the sooner these issues are brought to light and treated, the better your chances for a happy, healthy baby.
3. You've had more than one miscarriage
Many women have multiple miscarriages and go on to have perfectly normal pregnancies. However, this can also indicate that chromosomal abnormalities, hormonal issues or even structural issues in the cervix or uterine lining are at play. Fortunately, most of these conditions are treatable, but only after a proper examination can the diagnosis be made.
4. You've had irregular or absent periods
There is certainly no shortage of potential reasons for why you may be experiencing menstrual irregularity. Diabetes, irritable bowel syndrome and increased exercise are all common causes. Many are surprised to learn that over-exercising and weight loss can actually cause you to have no period (amenorrhea) whatsoever. The ever present relationship between stress and infertility can wreak havoc on regular periods, too.
By taking notes on any and all symptoms you may be experiencing and discussing them with a fertility specialist, you'll be able to diagnose your own personal reason even sooner.
Dear sir I am suffering from hypothyroidism I am facing body pain weakness cramping on my body like that what I do for better relief how many problem I will facing in future if I am not caring my self properly. Please suggest me what I do.
What should by my insulin Intake if my f.B.S. Is 297 And after food is around 380 Currently i am taking 25 In the morning and 15 In the night i am 20 year old and suffering from diabetics from last 5 Years type 1 do you prefer any tablets aother than insulin or should i take insulin in more quantity whenevef i took more quanfity o feel like low sugar please direct me to the life with diabetics i am am engineering student whenever i feel that low sugar i just cant concentrate on the lecture.
Hello, I am DR Vaishali Sharma. I am practising as a consultant Gynaecologist in South Delhi.
If you have any problem in conceiving naturally, then when to consult a gynaecologist. You should know that if your age is below 30-35 years then you can try naturally for one year. But if you are coming close to 35 years then I think that 6 months of natural conception is enough because you should not waste much time after the age of 35 years.
What are the options to increase the chance of pregnancy?
- The best thing is that you should go for Pre- conceptional counselling. But if you are not doing so then you should know that the best chance of conception is during the mid cycle, that is, if you have a cycle of 28-30 days then the best time for pregnancy is 10-16 days after your cycle. The number of days we are calculating here are from the 1st day of the cycle. So, this is the best time from which you can calculate naturally.
- The other thing is the kit that is available in the market to know what is the time of Ovulation, that is when the egg is released. So, these are the very commonly available in the market. YOu should use them from the 10th day of the cycle and then you have to use them daily, preferably in the afternoon period and you have to do the urine test yourself. If you find the two dark lines on it, that means you will be ovulating.
- Then if you find that you will not be able to conceive from these methods then you should go the nearby gynaecologist. She may advise you basic investigation from basic workup. For example a blood test, semen analysis and so on. And if the basic investigation area coming normal, then you are advised to have medicines. These medicines are roughly for 5 days. This is called Ovulation Induction. They basically increase the chances of ovulation and egg release. So, this thing you can try for 3-4 months but this has to be done under the guidance of Gynaecologist. We advise them to take 5 tablets during their periods. We call them from the 9th day of their cycle and perform an ultrasound to see whether the eggs are formed or not. Once the eggs are there and the appreciable size of 18mm is attained, then we give the injection to release the eggs. After this, we tell the patients that this is an appropriate time to try the conception. This way if the couple is not able to conceive within 6-8 months, then we advise them to go for either the injections, which will help in the formation of eggs.
- Or we advise them to go for IUI (Intrauterine Insemination). One most important point is that before suggesting IUI to the patient, the tubal testing is a must. That is usually advised HSG and SSG. In this way, we show that both the tubes are patent. In case there is a problem in semen or there is some problem with the male like the premature ejaculation or difficulty in performing. In such cases, we advise the patient to visit an endocrinologist. And the final option we give them is IUI. Through this, 50% of the patients are able to conceive in 6 months and another 50% of the patients are able to conceive in another 6 months. The cumulative success rate is come out to be around 75%.
- In case the patient is not able to conceive after injections and IUI then we usually advise them to go for Laparoscopy treatment. This is a diagnostic and therapeutic option because, in this, the woman has to get admitted to the hospital and we directly look through the Laparoscope, that is camera through which we are able to know if the tubes are blocked, any difference in the location, a relationship between the ovaries and the tubes. In this way, we are able to detect and correct it. It is a painless procedure and the woman has to admit in the hospital for 8 hours. THis is minor operation in which 2-3 stitches are there. BUt this is mandatory before proceeding further. After doing laparoscopy we are going to tell patients that the tubes are open and you can continue with the Ovulation induction and IUI. In that way, you will have the chances of pregnancy. And even after the Laparoscopic surgery, the tubes are blocked, then we suggest our patients for the IVF that is the test tube baby. If the tubes are blocked then IUI will not be helpful.
- IVF surgery is also advisable when the female partner is close to the age of 40 or so. After the age of 35 years, the quality of the eggs in the female ovary will decline sharply. So, sometimes the IVF is suggested directly to the patients in case ovarian reserves are poor.
- In case IVF test tube baby is advisable, then we have lot many options.
So, if you want to take an appointment, you can visit me at Asian clinic in GK-1 or you can consult me through Lybrate for the audio and the video call consultations.
Sir I have problem of uric acid and my uric acid level is 9.8% and I have joint pain in my wrist I have tried many ayurvedic medicines but no use please help me.
Dear sir I am diabetic last two years my gf 179 or pp 270. I am taking medicine glyciphage G-1. Please suggest to how control over this. Thanks a lot Raj.
I am suffering hyper thyroid. Since 2009. And now I am taking neo mercazole tablets 5 mg. Per day. Give me permanent remedy.
Hello. Meri skin baht hi dry ho gyi g glow bhi nhi raha m 40 years old. Thyroid bhi h abhi low ho gya tha0.8 ab normal h 1.50 me kya karu skin k liye drynees , pigmention and glow k liye please help me Dr.
My mother age 82 years having oedema over lower limbs since 1 year she also complains breathless in mornnig she is mild hyper tenssive with diabtes.
Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.
Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.
The two main types of diabetes are:
Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus. Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.
Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.
Physical Inactivity, Obesity, and Diabetes
Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.
An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.
So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.
Simple Steps to Lower Your Risk
Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.
- Control your weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
- Get moving and turn off the television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
- Tune up your diet: Four dietary changes can have a big impact on the risk of type 2 diabetes:
- Choose whole grains and whole grain products over highly processed carbohydrates.
- Skip the sugary drinks, and choose water, coffee, or tea instead.
- Choose good fats instead of bad fats.
- Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.
If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. If you wish to discuss about any specific problem, you can consult a General Physician.