Doctor in Dr Abhinav Gupta's Endocrine Center
Prevention & Treatment of Diabetes
Management of Sugar Disorders
Treatment of Thyroid Disorders
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of Underactive Thyroid
Treatment of High Sugar Levels
Treatment of Hormonal Imbalance
Treatment of Hyperthyroidism
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Treatment of Male Infertility or Impotency
Thyroid Disorder Treatment
Treatment of Growth Hormone Deficiency
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Treatment of Gestational Diabetes
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Rajnish Kumar Yadav
He is gud
Diabetes, frequently alluded to by specialists as diabetes mellitus, it depicts a gathering of metabolic illnesses in which the individual has high level of glucose in the blood (blood sugar), either in light of the fact that the production of insulin is insufficient, or on the grounds that the cells of the body don't react appropriately to insulin, or both. Patients with high blood sugar will commonly encounter polyuria (continuous pee), they will turn out to be progressively parched (polydipsia) and hungry (polyphagia).
1. It's the start of the holiday season, which implies heaps of candies, cookies, cakes, and different treats wherever you go. And, numerous individuals with type 2 diabetes accept that their finding implies they should starve their sweet tooth and say no to these seasonal treats. Yet, is that truly the case?
Joyfully, say experts, the answer is no watchful way to deal with planning your diabetes diet and it implies you don't need to kiss desserts farewell. Yet, to have the capacity to appreciate that pumpkin pie or bit of cake without blame while holding your blood sugar levels in line, you have to know:
a. What you are eating?
b. How much you are eating?
c. How much carbohydrate, sugar, and calorie you devor?
After you eat or drink, your body separates the sugars in your blood and transforms it into glucose. The glucose goes through your bloodstream and gives your body vitality. To fulfill this, your pancreas needs to deliver a hormone called insulin. In a man with (diabetes mellitus), the pancreas either delivers too little insulin or none by any means, or the insulin can't be utilized viably. This permits blood glucose levels to rise while whatever is left of your cells are denied of greatly required vitality. This can prompt a wide assortment of issues influencing about all aspects of your body.
PCOS is a disorder characterized by enlarged ovaries and the formation of tiny cysts on the outer sides of the ovaries. Polycystic Ovary is a hormonal condition that stimulates surplus production of androgen in women. Androgen being a “male hormone,” causes development of muscle mass and hair in men, and it has similar effects on women as well when present in high amount. They trigger acne and excessive growth of body hair in women accompanied by irregular or lack of ovulation in the form of absent or erratic menstrual cycle. Hence, owing to troubles in ovulation (discharge of ovules from the ovaries), one may experience difficulties in getting pregnant.
Many women suffering from PCOS are unaffected by the influence of the hormone ‘insulin’, which indicates, that it requires a larger amount of insulin to sustain a normal blood sugar level. High levels of insulin as a result of insulin resistance, in turn drastically boosts androgen production.
Irregular Menstrual Cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.
Excessive hair. Excessive hair on the face, chin, or parts of the body where men usually have hair. This is called "hirsutism." Hirsutism affects up to 70% of women with PCOS.3
Acne. Acne on the face, chest, and upper back
Weight Gain. Weight gain or difficulty losing weight
Skin Darkening. Darkening of skin, particularly along neck creases, in the groin, and underneath breasts
Skin tags. Skin tags, which are small excess flaps of skin in the armpits or neck area
Treatment for PCOS:
The PCOD treatment is tailored as per the symptoms of the condition:
A lack of ovulation and menstrual cycles hinders the secretion of progesterone (a hormone preparing the uterus for pregnancy), thus hampering conception. In this case, the treatment is directed at maintaining a regular ovulation and menstrual cycle which can be fixed by consuming birth control pills. These pills comprise both progestin and estrogen which aid to bring down androgen production.
PCOS along with insulin resistance warrants the use of certain medications such as metformin which is prescribed to enhance insulin sensitivity.
For regularisation of cycles, oral contraceptive pills can be used initially followed by OVULATION INDUCTION drugs which will help enhance your chances of conception.
If all treatments of ovulation induction have failed, you should consider IUI or IVF as a next step as more your time increases your PCOS problem increases and lesser the chances of conception. So consult an infertility expert for the right guidance and support.
Diabetes is one major silent killer. Depression is another silent killer. According to the studies, a patient with diabetes has higher chances of getting depressed. Lack of social support, staying alone, lower income, the presence of diabetes complications and poorly controlled diabetes increase chances of depression in diabetes patients. Similarly depressed patient is at increased risk of development of diabetes. Thus, depression and diabetes have a cyclic relationship.
Need to break
It is very important to break the vicious cycle as it can affect the sugar control, quality of life and patient care. The depressed patient is less likely to follow diet and exercise. They do not take medicines regularly. The depressed patients will have bad control of sugar and increased complications of diabetes. It affects the quality of life of the patient.
1. Speak out
Depression remains underdiagnosed and untreated. One of the reason is the stigma associated with psychiatric illness in the society. Unless and until patient doesn't talk about it they are not going to improve. Hence ADA recommends evaluating for depression in patients with poorly controlled diabetes.
Psychotherapy or in particular cognitive behavioral therapy has been proven beneficial towards treating depression.
3. Regular Exercise
Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self-image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.
These are the medicines given to improve depression. Under the guidance of a psychiatrist, they help a lot. So don't say no to these medicines when prescribed by the psychiatrist.
Male infertility is when the male is not able to get a fertile female pregnant. Though not openly admitted, it is an extremely common condition. For a man, it is highly hurting to the ego when it is identified. Given the discrete nature of the topic, it is difficult both for a man to admit that he could possibly be the reason the couple is not able to conceive. If that happens, the next challenge is to get them to undergo treatment.
With times, things are changing and more men are open to getting tested. The changed lifestyles are also contributing to male infertility, and the incidence has risen by a couple of percentages.
Causes: Male infertility is caused by a variety of issues leading to poor sperm quality and/or quantity, ranging from:
- Sperm production, which can be reduced in numbers.
- The quality of the sperm could be poor, with reduced mobility being extremely common. When this happens, they are not able to travel up the uterus and penetrate the egg.
- Erectile dysfunction, where the erection is too soft or short for penetration into the female
- Premature ejaculation, where the sperms are released very soon before they can enter the female.
- In addition, lifestyle causes are another major cause of male infertility. These include smoking, increased stress levels, alcohol abuse, lack of exercise, poor dietary habits, and increased junk food.
Management: Male infertility is not as easily accepted as female fertility, though it is the cause for the couple’s inability to conceive in about 50% of the cases.
Once identified and accepted, treating male infertility is quite easy compared to female infertility. In order of progression, the treatment modes are listed below.
Counseling: In most cases, a sexual counseling session with the couple can help iron out performance anxiety and help build trust and frankness in the relationship. In many couples, this helps in overcoming the problem. Given the discrete nature of the topic, it takes time for a couple to get to know each other. There is also the male performance anxiety which can lead to poor performance. All this needs some time and some external help, which can improve the sexual compatibility and overall relationship.
Hormonal therapy: This is another simple and effective way to manage male infertility. Topical or systemic androgens can help in treating male infertility.
Surgery: In worse cases, where there are blocked sperm tubes, surgery may be required to unblock them.
In vitro fertilization: In couples whom none of the above work, IVF could be used to help in conception.
Male infertility needs to be accepted and then it becomes easier to treat.
The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.
One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-
Disruption in the complex hormonal balance.
Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.
Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.
Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.
A rare case of premature menopause.
Problems of the follicle.
Poor functioning of fallopian tubes
Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-
Previous pelvic or abdominal surgeries.
A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.
Rare congenital defects in which women may be born with tube anomalies.
This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.
Other additional factors may include:
Behavioural factors like personal habits, lifestyle and health factors.
Cigarette smoking reduces the chances of conceiving by one-third.
Alcohol increases the chances of birth defects.
In simple terms, infertility is the inability of a couple to bear children when using no contraception. This could be due to the male not being able to contribute to conception or the female not able to carry a pregnancy to term. Though the female is attributed to be the reason very often, almost 50% of infertility cases are due to issues with both the male and female.
Causes: Some of the main male and female causes of infertility are listed below.
- Women: Poor egg quality, thyroid abnormalities, polycystic ovarian syndrome, endometriosis, pelvic surgery, chemotherapy, radiotherapy, and uterine prolapse.
- Men: Erectile dysfunction, hypogonadism, low sperm count, poor sperm quality, testicular infections, ejaculation disorders.
Risk factors: Infertility is on the rise and some of the risk factors are identified to be:
- Advanced maternal age: With females choosing to have children later in life, even as late as 40 years, infertility is on the rise. As per studies, female fertility is believed to reduce after 32 years.
- Smoking: This is the biggest contributor of infertility in recent times, the effect is more severe when the woman is also a smoker
- Obesity: With changing lifestyles, obesity has become an epidemic in both women and men, leading to infertility.
- Increased stress levels: This leads to strained relationships. Impotence in men, poor egg quality, and erectile dysfunction are all caused by increased stress levels, leading to infertility.
- Eating disorders: Leads to obesity and poor health overall, leading to infertility.
- Alcohol consumption: This again causes erectile dysfunction, leading to infertility.
- Excessive or lack of exercise: Lack of exercise leads to obesity and overall lethargy. Over-exercising, on the other hand, leads to erectile dysfunction.
- Environmental pollution: Exposure to toxins and chemicals has increased, reducing overall sperm and egg quality.
Infertility is often caused by a combination of these factors. Changing lifestyles with smoking among women on the rise is a major cause of infertility.
Diagnosing infertility: The reason for infertility should be identified so that treatment can be directed appropriately. Most often, women are cited as the reason for a couple’s infertility. That is not necessarily the case, and in about 30% of the cases, the male also could be contributing to infertility. The following methods are useful:
Treatment: Once the cause is identified, then targeted treatment can be done, including:
The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.
There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:
- Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
- Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
- Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.
Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs.
For a married couple, having a child is the next step to completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep-rooted causes for this issue, and homeopathy aims in treating the root cause and not just infertility.
A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc., and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member’s recommendation is best avoided.
Infertility in females is often caused by the following reasons:
- Irregular menstruation
- Hormonal imbalance
- Advancing age
- Emotional stress
- Excessive smoking
- Alcohol consumption
- Sexually transmitted diseases (Chlamydia, gonorrhoea)
- Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
- Polycystic Ovarian Syndrome (PCOS)
- Pelvic Inflammatory Disease (PID)
- Thyroid disorders
With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with doctor to identify what would work best for you. Self-medication is best avoided.
- In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
- In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
- In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
- In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
- In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.
These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms.