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Hii doctor im going under fertility treatment and took hcg 10,000 injection on may 10 and I have severe cramps now and my period date is may 23 what it will be. If it is a pregnancy r normal periods pls do help me sir.

BAMS,PGDHA,MS(Ay)., Post Graduate Diploma In Hospital Administration (PGDHA), MS(Ay)
Ayurvedic Doctor, Varanasi
Hii doctor im going under fertility treatment and took hcg 10,000 injection on may 10 and I have severe cramps now an...
It's due to hcg injection, we are running complete ayurveda infertility centre in varanasi, send me all your reports on my profile by private consultation, there are very effective treatment available in ayurveda based on medicine and uttarbasti panchkarma, after seen all your reports I will suggest best for you .it seems like pre menstrual pain.
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Infertility In Male And Female - Homeopathic Treatment At Rescue!

BHMS
Homeopathy Doctor, Gwalior
Infertility In Male And Female - Homeopathic Treatment At Rescue!
If you are looking for an effective treatment procedure for infertility, you should consider homeopathy. Infertility refers to the inability to conceive after having sex. The biological inability of a man or a woman to conceive and have a full term pregnancy can also be referred to as infertility. Homeopathy is the most natural cure for infertility and there are several types of homeopathic medicines which treat infertility in both men and women.

Homeopathic Medicines for Infertility in Men-

The top homeopathic medicines used for treating infertility in men are as follows:

1. Homeopathic medicines for infertility in men with erectile dysfunction-
Agnus Castus is used when a man s sexual desire and physical ability are reduced. The genitals stay relaxed, cold and flaccid. Caladium is used when infertility or impotency results because of mental depression. The genitals stay relaxed and weak erections are likely. Selenium is used for erectile dysfunction featured by slow and weak erections. Involuntary semen discharge may also be indicated as a symptom.

2. Homeopathic medicines for infertility in men with low sperm count-
The homeopathic medicine X-Ray is very effective in treating low sperm count in men. Sperm count gets increased, enhancing both the quantity and quality of sperm.

3. Homeopathic medicines for infertility in men with orchitis-
Conium is used for treating infertility in men, which occurs due to orchitis. The testicles get swollen, enlarged and hardened. Conium also helps patients with a history of suppressed sexual desire.

Homeopathic Medicines For Infertility In Women

The top homeopathic medicines for treating infertility in women are as follows:

1. Homeopathic medicines for infertility because of acid vaginal charges-
Borax and Natrum Phos are effective homeopathic medicines used for treating infertility in women, which occurs because of acid vaginal charges. These medicines are prescribed when the vaginal discharges are destructive, acrid and sperm-killing in nature. Borax is used when the discharge is like egg white, copious and warm. Natrum Phos is used in the case of acrid, creamy and honey-colored discharge.

2. Homeopathic medicines for infertility because of prolonged and profuse periods -
Calcarea Carb and Aletris Farionosa are ideal homeopathic medicines which are used in case of prolonged and profuse menstrual periods, and in the case of periods appearing before the usual time. Experiencing early menses is likely. The patient may experience anemia, leucorrhea, fatigue, tiredness and weakness along with menorrhagia.

Homeopathic treatment does not utilize the use of any kind of chemicals, and hence there are no side effects on the body. You should consult a homeopathic practitioner before starting to take homeopathic medicines for infertility.
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Embryo Cryopreservation - What Should You Know?

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology)
IVF Specialist, Delhi
Embryo Cryopreservation - What Should You Know?
Cryopreservation is usually performed as a component of in vitro fertilization, which also tends to include ovarian hyperstimulation, retrieval of egg and embryo transfer. With the frozen embryos available, a woman need not undergo stimulation through fertility drugs for having an embryo transfer during a cycle of infertility treatment. When sperm gets collected during microsurgery or through other means and being frozen for a subsequent cycle of IVF, additional surgery might well be avoided.

Embryo Cryopreservation

At the time of standard manner of treatment for infertility, hormones get used to stimulate the development of multiple eggs. Then, after those eggs are retrieved and fertilized in the laboratory, more embryos might be created than those, which could be transferred quite reasonably to the uterus of a woman. Now, when such extra embryos are of sufficiently good quality, they might get cryopreserved or in simple language, frozen, so that they could get transferred at some future date. Approximately in 25% of IVF cycles, embryo cryopreservation becomes possible, which in turn provides the opportunity to have an extra embryo transferred, without going through the inconvenience and bearing the expense of a full cycle of IVF.

Embryos may get frozen on Day 2 / Day 3 / Day 5 stage. We can freeze the embryos at the age of 40yrs also. One thing should be noted that not all embryos are the right candidates for cryopreservation. Unfortunate thing is that some embryos could well get damaged by cryopreservation and certain experiences have even shown that high-quality embryos are more likely to survive and become capable of getting developed further after freezing, than other types of embryos. Embryos, which divide slowly or are somehow irregular in other ways, do not perform well after cryopreservation, hence do not get frozen. These problems generally tend to arise among older women, so cryopreservation is normally not a recommended option for patients around the age of 40 and older.

Once the embryos are placed in a cryoprotectant solution, they are made to freeze in a computer-controlled device, which is specifically designed for embryo cryopreservation. Embryo storage for a long-term basis takes place in liquid nitrogen at a temperature of -320 degree Fahrenheit.

Embryos that are cryopressed, get replaced either during a natural menstrual cycle or in case of a hormonally controlled cycle. A reasonable amount of care is taken to minimize the possibility of damage caused as a result of cryopreservation. Now, depending upon the stage of embryo during the time of freezing, around 60 and 90% survive this process of freezing. The rate of pregnancy after those embryos get transferred is quite similar to that of those, when embryos are fresh.

Extended amount of storage in liquid nitrogen does not have any effect on an apparent basis on their viability. The embryos which get frozen after numerous years of cryostorage perform equally well as those which are frozen for only a couple of months.

Since the year of 1983, the procedure of cryopreservation has lead to the birth of thousands of babies on a worldwide basis. Though this has been used on an extensive basis, yet there have not been any report of any kinds of increase in birth defects due to cryopreservation.
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How Can You Improve The Odds Of Conceiving When The Sperm Count Is Low?

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology)
IVF Specialist, Delhi
How Can You Improve The Odds Of Conceiving When The Sperm Count Is Low?
Low sperm count is behind almost half of the cases of infertility in couples. It can lead to subfertility or in many cases infertility. But low sperm count does not necessarily make it impossible for a couple to have a child.

What is meant by low sperm count?

Sperm count is the number of spermatozoa present in a particular unit of semen. Low sperm count means, that the sperm count has not reached the threshold of what is considered normal and it may not be sufficient to fertilize an egg. Low sperm count also affects the spermatozoa s ability to move (sperm motility) and their shape (sperm morphology ).

How is sperm count determined?

Doctors prescribe a test called semen analysis. A sample of the man s semen is analyzed to establish both the quality and quantity of the sperms contained in the semen. A sperm should usually make up 5% of the semen volume. A sperm analysis can be done at any pathology laboratory.

How can you improve the odds of conceiving when the sperm count is low?

Having a low sperm count does not mean you should give up hope of ever having a child. There are many ways you can circumvent this minor glitch.

The fluid produced by a woman s cervix is instrumental for the survival and transportation of spermatozoa. The days of the menstrual cycle, when a woman s body produces the best quality of cervical fluid should be reserved for sexual intercourse. This timing is crucial because the cervical fluid will help the spermatozoa to travel to the egg and fertilize it.
It is important to engage in intercourse as frequently as possible. The more the volume of semen, the higher the number of spermatozoa.
Many studies reveal that frequent ejaculation improves sperm motility
Assisted Reproductive Technology (ART), primarily used for infertility treatments, may help couples achieve pregnancy.
Intra-cytoplasmic Sperm Injection (ICSI) is a type of In-Vitro Fertilization procedure wherein a single sperm is inserted directly into the female genital tract.
Surgery performed to remove the blockage can increase the possibility of getting your partner pregnant.
In addition to these abovementioned cures, your doctor may recommend hormone-replacement therapies to correct low hormone levels that are responsible for fertilization.
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Infertility & Psychiatric Problems Due To It!

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Infertility & Psychiatric Problems Due To It!
If a couple has been trying to have a child for 12 months via regular intercourse, but still not able to bear a child, then this is referred to as Infertility. Having a child, or fertility, is one of the biggest pleasures in the life of a couple. Most of the times, a child is considered as the next logical step after marriage. However, if a couple is not able to have a child due to infertility, then it can lead to all sort of psychiatric problems.

Despite the fact that infertility treatment has advanced by leaps and bounds, Infertility still impacts a lot of couples. There is a general notion nowadays that Infertility is on the rise. However, that is not the case; the reason that there seem to be a higher number of infertile couples is simply because more people are now in the childbearing age.

Who Causes Infertility: Men or Women?

Here is one statistic that we need to be clear about: there is no clear trend towards who is more infertile: men or women. In fact, in around 40% of the cases, infertility is caused by male, in 40% it is by female, and in the rest, it is either due to both the partners, or unidentified issue. This is an important statistic to know, especially in a country like India, where women are mostly blamed for the infertility.

Causes of Infertility:

There are a lot of causes that can lead to infertility. Here are just a few of those:

Reasons for Male Infertility:

Sexual problems that lead to problem in delivering sperms.

Excessive Smoking, drinking, or exposure to pesticides etc.

Inadequate sperm production. This could be due to genetic issues, medical problems like diabetes, or undescended testicles

Sometimes cancer, or the cancer treatment, can also lead to infertility.

Reasons for Female Infertility:

Sometimes there might be ovulation problems which can lead to problems in which eggs are not released from ovaries

Blockage of Fallopian Tube

Apart from the above, women are also affected due to cancer and environmental factors or lifestyle choices like excessive smoking.

Psychiatric Problems Due to Infertility:

Infertility can cause a lot of Psychiatric problems. Some of these are:

First and foremost, this can lead to a constant frustration in the couples. They might feel lacking and incapable and keep holding themselves, or each other responsible for it.

Women, in particular, might be more impacted by it. Especially in a country like India, women are almost looked down upon, even if they might not be the one responsible for infertility.

Relationships can suffer as the couples might get into a constant bickering, or even fighting, due to infertility.

Not just relationships among couples, but the relationships with family and friends might also get impacted. The affected couple might deliberately try to stay away from social gatherings.

Sometimes this can lead to constant stress and anxiety, which can catapult into other serious health problems.

This can also lead to financial problems as the couple might spend money on falsely advertised Infertility treatments, instead of consulting a good infertility treatment specialist.

How to Avoid Psychological Issues?

Infertility is already a stressful situation, and having psychological issues can further escalate the problem.

The best way to avoid such issues is for the couples to support each other during this phase. Even though one of them could be responsible for this combined situation, still the other partner must understand that the situation is not caused by choice, and both the partners are being equally affected by it.

Furthermore, whenever going for a consultation with an expert, both the partners should go, so that the partner can understand what other partner is going through.

Conclusion:

Infertility can cause many psychological problems, but they should be dealt with maturely. Couples need to understand that ultimately, they need to support each other, as they might not be able to get similar support from society or even friends. Being there for each other during this stressful situation can go a long way in getting over this.
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Lesser Known Causes That Can Harm Male Fertility!

BHMS
Homeopathy Doctor, Hyderabad
Lesser Known Causes That Can Harm Male Fertility!
Infertility is a rampant problem for men in India. While environmental and genetic factors are to blame partly for this, there are several other lesser-known causes for the same. Here is a look at some surprising things that can affect the sperm count.

Lesser-known causes for male infertility
If you are a male and looking to start your own family, ensure that you avoid doing the things mentioned below, as these activities may severely hamper your chances of becoming a father naturally.

Keeping the laptop on your lap for prolonged periods. Research has indicated that this activity reduces the overall sperm count in men.
Wearing pants that are too tight can damage the testes and interfere with its normal functioning. Ensure that both your underwear and trousers are loosely fitted at the crotch region.
Sitting on a chair for hours at a stretch can increase the temperature inside the testes, thus destroying the sperm within. Similarly, taking hot water baths can also have an adverse effect on the fertility of a man.
Excessive alcohol consumption, along with tobacco smoking greatly affects the sperm count. Avoid smoking and cut down the drinking to increase the sperm count and quality.
Lastly, stress is one of the commonest reasons for infertility in both men and women. Deal with the stress by engaging in enjoyable activities or practice meditation daily.
Role of homeopathy in treating male infertility
Conventional forms of treatment for infertility may have numerous side effects, which is why homeopathy is greatly regarded in this regard. Homeopathy approaches the condition in a holistic fashion. It does not look to treat the infertility itself, but treats the underlying cause for the disorder. The all-natural form of remedy relies in the premise that like-cures-like. Since only natural ingredients are used in the homeopathic medication, there are no chances of side effects from the same.
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IVF - Know Misconceptions About It!

MBBS, Diploma in Obstetrics & Gynaecology, DNB (Obstetrics and Gynecology), Fellowship in Reproductive Medicine
IVF Specialist, Bhopal
IVF - Know Misconceptions About It!
IVF or In-vitro fertilization is a procedure in which a woman s egg is taken out of her body and infused with the sperm in a medical laboratory. This is an artificial method of fertilization, which can help people overcome a range of issues stopping them from becoming biological parents to their child. However, as is the case with many modern medical procedures, there exist several misconceptions about IVF and what it does.
Here is a look at some of the myths concerning IVF, which you definitely should not believe.

IVF is the only option for infertility: This is a misconception among the populace. If you or your partner is diagnosed with a fertility issue, your doctor will suggest many other treatment options prior to suggesting IVF. In-vitro fertilization is used when all other treatment options have failed to produce the desired result or pregnancy. For instance, infertility in women can be caused due to the formation of cysts in the uterus. A simple surgery to remove such cysts may be enough to cure infertility, therefore not needing IVF for pregnancy.
Insurance covers IVF treatment: Most health insurance does cover the cost of treatment for infertility. However, the IVF procedure is rarely covered by any such insurance. This is because the treatment involves a considerable cost that most insurance companies do not want to deal with. So, before signing on to health insurance, ensure that you and your partner are aware of the treatments covered by the same policy.
IVF raises chances of having twins or triplets: There is some truth to this myth. During the initial In-vitro fertilization cases, doctors often fertilized two eggs at once and fused them into the mother. This was done because the success rate for such a procedure was lower and doctors hoped that fertilizing two eggs at once would increase the chances of pregnancy. However, modern medicine has advanced quite a bit since then. This has led to clinics implanting only one fertilized egg in the mother, leading to the birth of just one child.
IVF babies are at greater risk for birth defects: Another misconception that may harbour is that babies born through IVF are rarely healthy. However, this is not true. Birth defects in IVF babies occur at the same frequency as they do for babies born through the natural process. So, people should stop worrying about their children suffering from chronic diseases, just because their mothers have undergone the IVF procedure.
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Women's Infertility - Know All About It!

MBBS
IVF Specialist, Raipur
Women's Infertility - Know All About It!
Infertility is the incapability of a couple to conceive after indulging in unprotected sex multiple times over a long period. It can also be referred to as the biological inability of a man to cause conception or a woman to conceive as well as being unable to carry the pregnancy for the whole duration. Research has shown that female problems contribute to over half of all the infertility cases.

Causes-

Causes of infertility in include:

Ovulation Disorders This is regarded as the most common cause of infertility in women. The disorders can be caused due to conditions like PCOS (polycystic ovary syndrome), Premature ovarian failure, poor quality of eggs, overactive or underactive thyroid gland and chronic conditions like cancer or AIDS.

Problems in fallopian tubes or uterus Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to conditions like Endometriosis, previous sterilization treatments or surgeries to correct past problems.

Medications or Treatments There is a possibility of some treatments affecting infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.

Diagnosis-

Usually, the initial steps for diagnosing infertility involve a review of the complete medical history of the patients as well as a physical exam. Post this check-up, some diagnostic tests are conducted for infertility. This might include-

Blood and Urine tests: For checking hormone levels.

Pap smear: For checking the health of your cervix.

X-ray: For outlining the internal shape of the uterus so that blockages in fallopian tubes can be identified.

Risk Factors:

Age Increasing age tends to lower the quality as well as the quantity of a woman's eggs

Smoking Besides damaging your cervix and fallopian tubes, smoking increases your risk of miscarriage. It is also believed to deplete your eggs at a premature stage, thereby reducing your chances of pregnancy.

Weight Normal ovulation is hindered by being overweight or even significantly underweight. This is because lower levels of BMI (body mass index) reduces the frequency of ovulation, reducing the chances of pregnancy.

Sexual history Sexually transmitted diseases like gonorrhea and Chlamydia can cause damage to the fallopian tubes, resulting in infertility.

Treatments:

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

Intrauterine insemination (IUI): deliberately introducing sperm into the uterus of a woman for achieving pregnancy.

Stimulating ovulation with fertility drugs.

Surgery to restore fertility.

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve a pregnancy. It is any form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperm are manually combined in a laboratory dish, followed by transfer of the embryo to the uterus.
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I have undergone ssg and I found bilateral tubal patency. But I have a doubt whether I have bilateral distal end hydrosalphinx. Can ssg results be accurate in accordance with hydrosalphinx? If I have hydrosalphinx means can it be detected through ssg test?

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE)
Sexologist, Sri Ganganagar
I have undergone ssg and I found bilateral tubal patency. But I have a doubt whether I have bilateral distal end hydr...
Typically, the sides alternate. On occasion and for some women, an egg may be released from both sides in the same month. If you have one fallopian tube that's affected by hydrosalpinx and one that isn't, pregnancy is technically possible. Blocked tubes are usually diagnosed during a fertility workup. An hsg—a special kind of x-ray—can show tubal blockages. To determine if the blockage is a hydrosalpinx, a sonohysterosalpingography may be needed.
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Causes And Treatment For Infertility In Woman!

MBBS, DGO, DNB
Gynaecologist, Delhi
Causes And Treatment For Infertility In Woman!
Not being able to conceive a child can be one of the biggest problems for a woman. Infertility also includes not being able to carry a baby full term. Infertility can have a single cause or can be the result of a combination of factors. In most cases, infertility can be treated but in order to do this, it is essential to first understand the underlying cause of infertility. Let's take a look at some of the things that could be keeping you from getting pregnant-

1. Damaged Fallopian Tubes-

Pelvic inflammatory disease can cause inflammation in the fallopian tubes and damage or block them. It can also be the result of a sexually transmitted disease. A blocked fallopian tube will not allow the egg to reach the uterus from the ovaries and hence does not allow you to get pregnant.

2. Hormones-

Hormonal changes can prevent the ovaries from releasing eggs and can also thicken the lining of the uterus. Excessive stress and a sudden change in weight can disrupt the production of the follicle-stimulating hormone and luteinizing hormone leading to irregular or absent periods.

3. Cervical and Uterine Trouble-

This includes abnormalities like fibroids and polyps in the uterus and abnormally shaped uterus. These fibroids could block the fallopian tubes or interfere with the implantation of the fertilized egg.

4. Endometriosis-

This is a condition where the endometrial tissue grows outside the uterus. It can affect the functioning of the ovaries, fallopian tubes and uterus thus interfering with your chances of conceiving a baby.

Treatment-

Treatment for infertility depends on how long you've been infertile, age, the cause of infertility and your preferences. Some of the ways it can be treated are:

Fertility Drugs-
Fertility drugs are of many types and are often the first step in treating infertility. If the infertility is caused by ovulation disorders, fertility drugs can help regulate or induce ovulation.

Surgery-
Polyps and fibroids that are preventing pregnancy can be removed surgically to treat infertility triggered by them. It can also be used to treat intrauterine scars.

Intrauterine Insemination-
This involves the placement of healthy sperm cells directly in the uterus and is timed to match the release of eggs from the ovaries. This can be used in combination with fertility drugs.

Assisted Reproductive-
In vitro fertilization (IVF) is the most common assisted reproductive technique. This involves collecting eggs and sperm from the women and man and fertilizing the egg with the sperm cells in a laboratory. This fertilized embryo is then implanted in the uterus.
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