Dr. Arup Kumar Majhi

You are often made the topic of all conversations and jokes in your friend circle, if you are lazy. At times, it is just brushed off by laughing. However, in reality being lazy is not a good sign at all. It hampers the growth and development of a person. Laziness is accompanied by lethargy, sleepiness and not wanting to perform any work. This might not only provide less exercise to the brain, but may also adversely affect your body mentally and physically. Ayurveda offers a great scope of medical practice, which can help you out of your lazy personality.

Here, are some of the ways in which ayurveda can help you lead a normal and healthy lifestyle.

1. Practice yoga: Yoga helps in calming your senses and rejuvenating your soul. It helps in increasing stamina and concentration so that you can go about doing your daily chores without any hindrance. In case, you do not want to practice full-fledged yoga, following only pranayama can also help.
2. Ashwagandha and gooseberry capsules: At times, laziness is experienced right after delivery of a child. During that phase, the health of the mother needs to be carefully monitored. Hence, to reduce lethargy, ashwagandha and gooseberry or amla capsules are consumed. Both have medicinal properties and are stable ingredients.
3. Sleep: Ayurveda focuses a lot on the sleep patterns of an individual. It is said that you need to get the adequate amount of sleep to be able to have the energy to work the next day. Sleeping on time and getting up in the morning with at least six to seven hours of sleep is necessary for an adult. Furthermore, your sleep patterns including whether or not you sleep in the afternoons, help you in combating with laziness.
4. Tea: Ayurveda focuses that lethargy can be due to negative vibes in your body. Thus, everyday you need to consume green tea ginger tea, or lemon tea in order to get rid of the tiredness in your body.

Thus, these are some of the best ways in which Ayurveda can help you get back to shape and have sound mental health, leaving laziness far behind. If you follow these rules in your daily life, then your body would be able to develop and grow properly with all the nutrition and environment that it needs for development. In case you have a concern or query you can always consult an expert & get answers to your questions!

There are two methods by which abortion can be done:

• Medical Abortion - Non-surgical abortion in which medicines are used to induce abortion
• Surgical Abortion - Use of transcervical procedures for terminating a pregnancy, including vacuum aspiration, and dilatation and evacuation (D and E).

Surgical or Medical Abortion for Unwanted Pregnancy

• If pregnancy is lesser than = 7 weeks; medical method with Mifepristone with Misoprostol is favorable as the success rate is as high as 97%.
• If pregnancy is between 7-12 weeks; surgical abortion is the only option.
• If pregnancy is beyond 12 weeks - 20 weeks, then the woman needs to be hospitalized and will be given either Mifepristone followed by Misoprostol tablet or only Misoprostol tablets and woman will then abort like a miscarriage in the hospital. If any products are remaining, then it will be evacuated surgically.

Surgical abortion is preferred if patient desires concurrent tubal ligation or IUCD (CuT) insertion. If a woman fulfills the criteria for selecting either method i.e. before 7 weeks, final choice has to be given to the woman.

Summary of choice between Surgical or Medical abortion in India

• Lesser than = 7 weeks - Medical method or surgical method
• 7-12 weeks - Surgical abortion
• 12 - 20 weeks - Medicines with or without surgical procedure in hospital

Advantages of Medical Abortion

• Avoid surgery - Controlled by the woman and may take place at home
• No need for admission to the hospital
• Usually, well tolerated by women, if properly counselled and motivated
• No need to take leave from work, as bleeding can be managed with menstrual pads even while in the office or at work.

Disadvantages of medical abortion

• Takes time (hours to days) to complete abortion, and the timing may not be predictable. Women experience bleeding and cramping, and potentially some other side-effects (nausea, vomiting, fever, and shivering). May require more clinic visits than surgical abortion.

Advantages of Surgical Abortion

• Quick procedure
• Complete abortion easily verified by evaluation of aspirated products of conception
• Takes place in a hospital so Sterilization or placement of an intrauterine device (IUD) may be performed at the same time as the procedure. It can be performed under local anaesthesia if woman is properly motivated and counselled

Disadvantages of surgical abortion

• Requires instrumentation of the uterus
• Small risk of uterine or cervical injury
• Timing of abortion controlled by the doctor and hospital
• Anaesthesia needs to be administered. Most doctors perform this procedure under short general anaesthesia. A woman needs to be in the hospital for at least 6 hours. Effect of sedation will be there throughout the day.

Related Tip: Why eating fish is essential for a healthy pregnancy??

PCOS (Polycystic Ovary Syndrome) is also known as PCOD. PCOS is a hormonal and metabolic disorder of women which has negative impact on their cardiovascular and reproductive health. Exact cause of PCOS is not known but both genetic and environmental factors play a role in it's development. It is known to run in families. 

Clinical features of PCOS 

Classically PCOS is described as triad of hyperandrogenemia, anovulatory cycles and polycystic ovaries on ultrasound. Any two of these three clinical features are enough to diagnose condition. 

Common symptoms of PCOS

Symptoms of PCOS are irregular cycles with episodes of heavy bleeding, infertility, thick and dark hair growth over face and trunk, acne, male pattern hair loss over forehead. Many of these girls and women are overweight or obese. People with PCOS are at increased risk of diabetes mellitus and heart diseases. 

Diagnostic tests 

To diagnose PCOS, few blood tests to see your hormone levels and ultrasound scan of pelvis are done. Simultaneously patients need to undergo blood tests to assess their metabolic health and to rule out other hormonal disorders which can have similar clinic presentation as in PCOS. 

Treatment 

Lifestyle modification is first and most important for patients of all age group. They should exercise regularly and maintain normal weight. Then depending on patients symptoms oral tablets are given either to manipulate hormone levels or their action. With treatment, patients have good quality of healthy life. These medicines make menstrual cycle regular, reduce abnormal hair growth over face and trunk, improve glucose tolerance and improve fertility. If you wish to discuss about any specific problem, you can consult an Endocrinologist.