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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.
Kegel is named after renowned gynaecologist Arnold Kegel. Kegel exercises are for the strengthening the pelvic floor muscles. You must continue doing Kegel exercises multiple times for several days, to begin to see changes and benefits.
1. It is a highly recommended treatment for urinary incontinence
2. Works well in case of decreased bladder control
3. Strengthens pelvic muscles
4. Relieves abdominal cramps
5. Helps in pelvic toning
6. Prevents organ prolapse
7. Beneficial to those with constipation as kegel exercises help regulate bowel movements
Kegel exercises during pregnancy
During pregnancy, most women suffer from problems related to constipation, which can be kept in check by regular practice of kegel exercises. The strengthening of pelvic muscles is of utmost need during this time, as weakened muscles can lead to a major prolapse if they are unable to bear the weight of a baby. Strong pelvic muscles are required to have a healthy pregnancy. These exercises are useful in preparing the muscles for labour and childbirth. If you notice occasional leakage of urine during the third trimester, it is a warning sign of losing bladder control, which, if left untreated, can worsen during the post partum period. Regularly exercising can help prevent complications occurring due to pregnancy.
How To Do Kegel Exercise During Pregnancy?
Try to stop the flow of urine when you are sitting on the toilet without tightening your abdominal, buttock, or thigh muscles. When you're able to successfully start and stop urinating, or you feel the vaginal muscle contract, you are using your pelvic floor muscle, the muscle you should be contracting during Kegel exercises.
You can do Kegel exercises two ways: either by holding or quickly contracting the pelvic floor muscle. To do slow Kegels, contract the pelvic floor muscle and hold for three to 10 seconds. Then relax and repeat up to 10 times. To do fast Kegels, quickly contract and relax your pelvic floor muscle 25 to 50 times. Relax for 5 seconds and repeat the set up to four times.
Squatting: Squatting is helpful during labor because it opens the pelvic outlet an extra quarter to half inch, allowing more room for the baby to descend. But squatting is tiring, so you should practice it frequently during pregnancy to strengthen the muscles needed.
How to do Squatting? An exercise called a wall slide is especially helpful. Stand with your back straight against a wall, place your feet shoulder width apart and about six inches from the wall, and keep your arms relaxed at your sides. Slowly and gently slide down the wall to a squatting position (keeping your back straight) until your thighs are parallel to the floor. Hold the position for five to 10 seconds, slowly slide back to a standing position. Repeat five or 10 times.
Pelvic Tilt: What is it? Pelvic tilts strengthen abdominal muscles, help relieve backache during pregnancy and labor, and ease delivery. This exercise can also improve the flexibility of your back, and ward off back pain.
How to do Pelvic Tilt? You can do pelvic tilts in various positions, but down on your hands and knees is the easiest way to learn it. Get comfortabe on your hands and knees, keeping your head in line with your back. Pull in your stomach and arch your back upward. Hold this position for several seconds. Then relax your stomach and back, keeping your back flat and not allowing your stomach to sag. Repeat this exercise three to five times. Gradually work your way up to 10 repetitions.
These exercises can yield great benefits with minimal effort. The exercises require no special equipment except comfortable clothes, and a little space to do them.
Do not worry if you are not close to the goal when you begin. Pelvic muscles are like any other muscles in your body. They will become stonger only with time, consistency and mindful work.
Beware: If you sense any pain in your back or abdomen after doing a Kegel set, it is a sign of you not doing them properly.
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.
During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.
There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.
Risks involved: Things that make you more prone to an ectopic pregnancy are:
- The more you smoke, the higher your danger of an ectopic pregnancy.
- Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea.
- Endometriosis, which can bring about scar tissue in or around the fallopian tubes.
- Exposure to a chemical called DES before you conceived.
Symptoms: The signs of an ectopic pregnancy are:
- Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain
- Vaginal bleeding
Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:
- A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy.
- A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy.
- An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period.
Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.
For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy.
Fibroids are non-cancerous growth that develop in the uterus in varying sizes. Fibroids do not usually show symptoms, but if they are large they may cause severe pain in the abdomen, heavy menstrual bleeding, bloating, infertility or complications during pregnancy. Several factors may lead to the formation of fibroids, including hormones, family history, and pregnancy.
What is myomectomy?
Myomectomy is the surgical procedure which is used for removing fibroids from the uterus. It is a safe method that allows women to become pregnant in future. Gonadotropin-releasing hormone analogue therapy, performed before myomectomy helps in lowering the estrogen level and also controls anemia by stopping uterine bleeding. The different surgical methods for myomectomy include:
- Hysteroscopy, involving the insertion of a lighted viewing instrument into the uterus
- Laparoscopy, involving the insertion of a lighted viewing instrument and one or more incisions in the abdomen
- Laparotomy, involving a larger incision made in the abdomen
Why is the surgery performed?
Myomectomy treats fibroids while preserving the uterus. It is a viable option for those who have:
- Anemia which cannot be controlled with medicines
- Pain which cannot be tackled with medicines
- A fibroid that can cause infertility or increases the risk of miscarriages
How well does it work?
- Pregnancy: myomectomy is the only treatment for treating fibroids that improve your chances of having a baby. The method is effective for treating submucosal fibroid. A cesarean section is required for delivery after performing a myomectomy.
- Recurrence: recurrence of fibroids after myomectomy is really low. It is possible in rare cases, depending on what the original fibroid problem was. Large and numerous fibroids have a greater risk of recurrence.
It's anything, but difficult to make a hasty judgment when you understand your period is late. In case you're attempting to conceive, you may have this feeling of incredulity. In case you're not, you may feel frustrated or disarrayed in the event that you know it is highly unlikely you could be pregnant. The truth of the matter is, however, the vast majority naturally consider pregnancy, at the time of a late period, it may be the case that or one of numerous different conceivable outcomes.
- Preganancy: Sometimes when you miss your period, the cause maybe exactly what you think you could be pregnant! The initial symptoms of pregnancy such as bloating of the stomach, cramping of stomach, and tenderness in breasts can resemble the feeling that you get before your periods; may create confusion whether you are actually pregnant or if your periods are a little delayed. If your periods are delayed for over 10 days, then it is better to take a home pregnancy test.
- Stress: Stress can have several effects on your body such as headaches, acne, weight gain and other issues. Stress can also make you miss your periods. When you are stressed, your body synthesizes stress hormones such as cortisol and adrenaline. These elevated levels force your brain to differentiate between essential and non-essential functions of the body. The blood supply to the muscles of the body can increase while systems such as the digestive system or the reproductive system can be subdued. This results in delayed period.
- Excessive exercise: Working out and maintaining fitness is a great thing to do; although when you overdo it, it restricts your body from producing enough oestrogen, the hormone that helps in completing your menstrual cycle. Thus professionals such as ballet dancers, athletes and gymnasts face a higher chance of suffering through amenorrhea (missing periods) for 3-4 months. Also if you work out too much without consuming enough calories, it can cause disruptions.
- Illness: When your body is battling a disease such as common cold or even fever, your brain starts concentrating on the functions that are important for the body. This can contribute to missing your period.
- Weight: If you lose excessive amount of weight without maintaining a good diet, you can deprive your body from producing oestrogen that helps build up the uterine lining. The same thing happens with eating disorders such as bulimia or anorexia. On the contrary, if you are obese, it can result in over production of oestrogen that can stop your ovulation in totality. This may lead to heavy, irregular periods.
Over the past few decades, lifestyle disorders have been on a mercurial rise. Sedentary lifestyle, amalgamated with unhealthy eating habits has been the wrecker in chief. Lack of proper awareness has made the situation even worse. The mad and competitive rush to reach the pinnacle has serious health implications. Almost every second individual suffer from some kind of lifestyle disorders. Unhealthy and stressful lifestyle has resulted in increased incidences of Obesity and Diabetes (Type II). Individuals from all age groups have been affected by obesity and diabetes. Anxiety and depression are also on the rise. Other lifestyle disorders like Alzheimer's disease, Stoke, Arteriosclerosis, Hypertension, Hypothyroidism, Cancer (mostly skin, and lung), Cardiac problems, Renal failure, Chronic Liver problems, cannot be neglected either. The lifestyle disorders, if not treated, can cause havoc, changing the entire dynamics of a person's life.
Many lifestyle disorders occur because of the occupation we are in (Occupational lifestyle disorders). Children, who are supposed to indulge in more physical activities and outdoor games, are happy fidgeting around with their favourite gadgets. Fast foods have long replaced the healthy, nutritious foods. Children as young as you can imagine, appear to be obese or diabetic. Stress and anxiety can also trigger a number of lifestyle disorders. Thus, getting to the root cause is an important deciding factor for an effective treatment.
Homeopathy does not treat a disease or an ailment superficially. It believes in curing the patient in a disease rather than a disease in the patient. Homeopathic treatment has a more holistic approach. It takes the miasms (hereditary or acquired) into consideration while dealing with a particular symptom. The homeopathic medicines are mainly prepared by dynamization or potentisation. This greatly minimizes the toxic and harmful effects of the drug (crude), thereby increasing the inherent curative effectiveness of the medicines. Thus, the homeopathic medicines have negligible or no side effects.
Diseases like diabetes, hypertension, hypothyroidism or depression can be successfully treated and cured with homeopathy. In addition to treating the disease, homeopathic medicines go a long way to improve and enhance the patient's overall immune system. The improved immune system works effectively to keep a lot of diseases at bay. Homeopathy ensures that a person's physical, mental and emotional well being is well taken care off. This greatly helps to treat and control a number of stress related disorders. Homeopathy cannot work miracles. Treating a disease from the grass root level can be time consuming. With homeopathic treatment, one needs to have patience.
Homeopathic treatment, if followed diligently can help in the treatment of a number of lifestyle disorders.
गुलकंद अपने बेहतरीन स्वाद के कारण ज़्यादातर लोगों की पसंद है. जाहीर है आपमें से भी कई लोगों ने इसे खाया ही होगा. कई लोगों का आटो ये फेवरेट भी होगा. स्वाद में अच्छा लगने वाला गुलकंद आपको कई औषधीय पोशाक तत्वों से भी भर देता है. इसके इसी गुण के कारण इसका इस्तेमाल कई आयुर्वेदिक दवाओं में भी किया जाता है. इसका इस्तेमाल कई भारतीय व्यंजनों में भी खूब किया जाता है. आपको बता दें कि गुलकंद, गुलाब की पत्तियों और शक्कर को मिलाकर बनाया जाता है. यह हमारे शरीर को ठंडक प्रदान करता है इसलिए यह गर्मी से संबंधित कई समस्याएं जैसे सुस्ती, थकान खुजली आदि में इस्तेमाल किया जाता है. जिन भी लोगों को हथेली और पैरों में जलन की समस्या है वे भी इसे खाकर अपनी समस्या को दूर कर सकते हैं. गुलकंद हमारे स्वास्थ्य से लेकर हमारे सौन्दर्य तक की समस्या को दूर करता है. आइए गुलकंद के फ़ायदों पर एक नजर डालते हैं.
1. प्रेगनेंसी के दौरान
आयुर्वेद के अनुसार, प्रेगनेंसी में गुलकंद के सेवन को सुरक्षित माना गया है. यह प्रेगनेंसी के दौरान कब्ज की समस्या से छुटकारा दिलाने के लिए दिया जाता है. गुलकंद मल को पतला कर देता है और इसमें मौजूद शुगर इंटेस्टाइन में पानी की मात्रा बनाए रखता है, जो कब्ज की समस्या से छुटकारा दिलाता है.
2. मुंह के अल्सर्स में
गुलकंद शरीर को शीतिलता प्रदान करने में सहायक होता है, क्योंकि इसमें शीतल गुण होते है. यह मुंह के छाले के लिए बहुत फायदेमंद है. यह मुंह के छालों के प्रभाव को कम करता है और साथ में यह छालों के कारण मुंह के जलन और दर्द को कम करने में मदद करता है.
3. त्वचा के लिए
हर दिन गुलकंद खाने से त्वचा में नमी बनी रहती है और त्वचा बेजान नहीं दिखती है. यदि आप पानी कम पीते है जिसके कारण आपकी त्वचा बेजान हो रही है तो गुलकंद बहुत फायदेमंद हो सकता है. इसमें मौजूद एंटीबैक्टीरियल गुणों के कारण इससे मुँहासे जैसी समस्याओं से भी छुटकारा पाया जा सकता है. यह रक्त को साफ करता है, जिससे हमारी त्वचा का रंग भी सुधरता है और त्वचा की कई समस्याओं में फायदा
4. सनबर्न में
गुलकंद में शीतल गुण होते है इसलिए इसका नियमित रूप से सेवन सनबर्न की समस्या से निजात दिलाता है. यह आपके बॉडी में अतिरिक्त गर्मी के प्रभाव को कम कर देता है.
5. पेट के लिए
वर्तमान समय में पेट में गैस की समस्या बहुत आम हो गयी हैं. कई लोग पेट की परेशानी से छुटकारा पाने के लिए खाली पेट एंटी एसिड दवा लेते हैं. गैस के कारण हमें कई प्रकार के समस्याओं का सामना करना पड़ता है जैसे गले में छाले, पेट में मरोड़, अपच मुंह और गले में छाले आदि. यदि हम रोजाना भोजन के बाद गुलकंद का उपयोग करते है तो इन सभी परेशानी से छुटकारा मिल जाएगी. गर्मी के दिनों में कई लोग पेट में जलन और पेट दर्द जैसी समस्या से परेशान होते है ऐसे में उनके लिए इन सभी परेशानियों से निजात पाने के लिए गुलकंद बहुत फायदेमंद साबित हो सकता है. यह पेट में ठंडक प्रदान करता है. गुलकंद कब्ज जैसी समस्या से निजात दिलाने में उपयोगी है. इस में मौजूद गुण मल को पतला कर देता है और हमें मल त्यागने में किसी भी तरह की दिक्कत नहीं होती है साथ में यह बवासीर के सूजन को भी कम करता है.
6. आँखो की समस्या में
गुलकंद आँखो की रोशनी बढ़ाने के लिए फायदेमंद है. यह कंजंक्टिवाइटिस के लिए अच्छी औषधि है. इनसब के अलावा यह आँखो में जलन की समस्या को भी दूर करता है.
7. वजन कम करने में
गुलाब में ड्यूरेटिक और लैक्सेटिव गुण पाए जाते है जो मेटाबॉलिज्म को तेज करने में मदद करते हैं. जब मेटाबॉलिज्म तेज होता है तो शरीर में कैलोरी की मात्रा कम हो जाती है जिससे वजन को कंट्रोल करने में मदद मिलती है. आर्युवेद में भी बहुत पहले से वजन कम करने के लिए गुलाब का इस्तेमाल किया जा रहा है. अगर आप अपने बढ़ते वजन से परेशान हैं तो गुलाब की कुछ 20 पंखुडियों को एक गिलास पानी में डालकर उबाले. आपको पानी को तब तक उबालें जब तक पानी का रंग गहरा गुलाबी न लगने लगे. अब इसमें एक चुटकी इलायची पाउडर और एक चम्मच शहद मिलाएं. अब इस मिश्रण को छानकर दिन में दो बार लें. इसके सेवन से आपका वजन भी कम होता है और तनाव को दूर करने में मदद मिलती है. गुलकंद में गुलाब का अर्क होता है. इस का नियमित उपयोग भी आप के वजन को कम करता है.