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Dr. Acharya B. K.

Ayurveda, Mumbai

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Dr. Acharya B. K. Ayurveda, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Acharya B. K.
Dr. Acharya B. K. is a popular Ayurveda in Andheri West, Mumbai. You can meet Dr. Acharya B. K. personally at Astrologer Acharya in Andheri West, Mumbai. You can book an instant appointment online with Dr. Acharya B. K. on Lybrate.com.

Lybrate.com has a number of highly qualified Ayurvedas in India. You will find Ayurvedas with more than 41 years of experience on Lybrate.com. You can find Ayurvedas online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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My partner was supposed to have her periods on 29th of December. We had sex a week before. I used condom and she took pill too within 4 hours. Its 1st Jan today, she is still not getting her periods. Is there any risk that I should worry about. Is there any chance of her getting pregnant? Should I buy her a prega news? And a very happy new year.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My partner was supposed to have her periods on 29th of December. We had sex a week before. I used condom and she took...
Hello, s she has taken ipill, so withdrawal bleeding arrives only after 7-10 days, so please be patient for a week and wait for menses to arrive.
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I am rani and I have problem my hair fall is too much and too muc dry and dander.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am rani and I have problem my hair fall is too much and too muc dry and dander.
You should pitanjali hair oil. It will help you. Further eat lot of salad fruits and protein diet.
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I am 19 years old male. And my height is 5'9. I want to grow upto 6'1. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 19 years old male. And my height is 5'9. I want to grow upto 6'1. What should I do?
Hi, your height can grow till 25 years of age. If you haven't yet reached the age, you may try the following remedies - 1. Take flax seed powder - 1 tablespoon after lunch and dinner with warm water. 2. Take lakshadi guggul - 2 tablets, twice a day. 3. Take ashwgandha churna - 1 tablespoon with milk at 6.30 pm. Also follow these exercises daily - 1. Swimming 2. Skipping 3. Pull-ups 4. Suryanamaskar.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Sleep disturbance are mainly due to diet modifications and as a result of occupational hazard. Do not go for chemical sedatives or anti-depressant medicines. Try this ayurvedic treatment a) avoid spicy and salty diet intake and add sweet intake (sugar products) in your diet b) use nili bhringadi hair oil for head massage and cows ghee for foot sole massage in the night before going to bed c) use pure almond oil as 1 nasal drop twice a day d) use jatamansi powder and make its fant (cold decoction) and take that before going to bed e) you can also use tab manasmitra vatakam 1 tab twice a day with the upper treatment for quick result.
2 people found this helpful
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I have so many pimples on my face. What should I do to overcome from this problem?

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I have so many pimples on my face. What should I do to overcome from this problem?
Homemade remedies to treat acne and pimples: you probably are under impression that it is tough to treat your acne and pimples. Try our homemade remedies and explore your beautiful skin. Sugar scrub: dead skin cells when get clogged in pores often mimics the acne problem. Scrubbing the skin is the most natural and clinically proven method to exfoliate. Do not scrub too hard, it may irritate and damage your skin. You require: sugar, lemon juice how to use: take half cup of sugar grind it well. Add 10 drops of lemon juice to it. For dry skin, you can add olive oil to give moisturizing effect. Dip your fingertips into the mixture, and scrub on your face in circular motion. Apple cider vinegar: acids in vinegar exfoliate and treat scars on your skin. Also improves skin tone and balances skin ph. It helps to open your pores, shed off bacteria and dirt thus reduces the risk of acne and pimples. You require: apple cider vinegar, distilled water how to use: to 1 part vinegar, add 3 parts water and mix thoroughly. Dip a cotton swab into it and apply it on pimples. Leave on for at 10? 20 minutes. Reapply several times in a day for best results. Papaya: papaya is a rich source of vitamin a and protein (papain). Helps in exfoliating dead skin cells and treats irritated dry skin. Reduces premature ageing and gives a glowy look. You require: papaya how to use: peel outer skin of papaya and mash into thick paste. For a dry skin add milk or honey (optional). Apply this mask evenly all over your face. Wait for 30 minutes and rinse off completely with water. Pat dry your face and apply a good moisturizer. Oranges: if you have any doubt whether oranges help in treating acne, then don? t worry the answer is a definite yes. Its astringent properties attributes to acne treatment. As an excellent source of vitamin c, oranges are actually good in whitening and refreshing your skin. You require: oranges, rose water how to use: peel off outer skin of oranges. Dry them and grind into fine powder. Add rose water to make a paste. Apply it on blemishes and wash off after 20 minutes. Lemon juice: to heal scars and acne spots, lemon is the best remedy. When used topically or taken internally, lemon does wonders. Lemon is a good source of vitamin c, helps to remove dead skin cells. You require: lemon how to use: extract lemon juice and dip cotton balls into it. Apply on pimples, scars; wash off after 10? 15 minutes. With soft towel gently pat your skin. Avocado & honey mask: to clean your pores and treat acne and pimples, avocado is the best choice. It is rich in vitamins and fats that helps to repair damaged skin. Honey helps in cleansing and giving a soothing effect to your skin. This facial mask is suitable for all skin types. You require: avocado, honey how to use: take one of a ripe avocado, remove the skin, seeds and mash it. Add 4 tablespoons of raw honey. Apply it to face and leave it for 30? 60 minutes. Wash with warm water and pat dry. Potato: potatoes do wonders on treating acne prone skin. It is a huge hub of acids and antioxidants. Helps in clearing pimples and left out scars. You require: potato, blender, warm water how to use: all you have to do is take one potato, peel off outer skin completely and make slices. You can even mash it using blender or juicer. Apply it on pimples forming a thin layer. Leave it for 20 minutes and wash off with warm water. Mint: mint leaves contain menthol which acts as an anti-inflammatory and analgesic agent. You require: mint leaves, lemon juice how to use: take 2 cups of mint (peppermint) fresh leaves and grind them into fine paste. You can add few drops of lemon juice to it. Using a cotton swab, apply on pimples. After 30 minutes rinse off with cold water. Do not rub, gently pat with dry towel. Green tea: green tea is rich in epigallocatechin-3-gallate, an antioxidant. Research studies have revealed that epigallocatechin-3-gallate reduces sebum production, inflammation, and infection thus relieving from acne symptoms. You require: green tea leaves how to use: extract green tea from green tea leaves. Wash your face twice a day with green tea and dab with soft towel. It leaves you refreshing and relaxed. You can even daily intake one cup of green tea. Aloe: aloe has many medicinal unseen benefits. It soothes your skin and nourishes giving a vibrant look. You require: aloe, blender how to use: to attain a beautiful and glowing skin start using aloe as your routine. Extract gel from 2? 3 aloe fresh leaves or buy it from a health store. Apply to face and wash off after 20? 30 minutes. Repeat same procedure thrice in a week to get desired results. Baking soda (sodium bicarbonate): sodium bicarbonate neutralizes skin ph. Best skincare regimen which helps to remove dead and dying skin cells. Can be used regularly until you get desired results. In fact it got less or no side effects. You require: baking soda, water how to use: clean your face to remove dirt. Mix equal proportions of baking soda and water to form toothpaste like consistency. Use as a facial scrub, massage in circular soft motions with fingertips. Leave it for 15 minutes, and then rinse off with lukewarm water.
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Experts guide to make friends and indulge in social club or activities, but how a depressed person is going to do that? And that too in an environment where others don't understand or help the patient? Like in small city or rural India?

Masters in Clinical Psychology
Psychologist, Lucknow
Experts guide to make friends and indulge in social club or activities, but how a depressed person is going to do tha...
Hi lybrate-user, you have raised a wise question and it is totally understandable. Now first thing is motivation work backwards in depression- the more you do, the more you like doing. When you kick that inertia and get out of your shell in a way which breaks you free from the negative thoughts and pattern you have been caught in, it gets rewarding and pleasurable. You can start with building your network with friends you have lost touch with over phone plan a meeting, go out hang out with them. Then slowly when you regain little confidence and control over social life you can generalize it by making new friends. You do not have to tell anyone you are patient foremost thing is you are a person and you are capable of anything. What you think becomes the reality. So do not get bothered much there are ample ways to socialize. Join gym, some art classes, any sports etc. There you will find outlet for your feelings and emotions. Just do not think much and go with flow. All the very best.
2 people found this helpful
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I am a diabetic patient recently my tsh is 15.3 iam taking tab thyronorm 50 mg kindly suggest me diet restrictions i. Am vegetarian.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic patient recently my tsh is 15.3 iam taking tab thyronorm 50 mg kindly suggest me diet restrictions i....
Mr. Lybrate-user s r k, to suggest specific diet I need to know some more details like fasting and pp sugar levels, hba1c%, dietary pattern, extent of daily exercise and drugs with dosage. Plus your tsh value (15.3 milli units/ml) is also high, this needs to be brought down to around 3 to 4 milli units / ml when you are on treatment for hypothyroid. As a rule a person with diabetes should avoid sweets, deep fried foods, junk foods and pastries. Also should refrain from alcohol and smoking. Consume more of green leafy vegetables, salads and permitted fruits about 100 g a day. Total calories to be taken should match your body weight, exercise level and sugar levels. Plus you should take 4 to 5 meals in a day, with each being smaller in quantity so that there is no excess glucose rise.
3 people found this helpful
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Fever - What Does It Indicate?

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetology
General Physician, Bangalore
Fever - What Does It Indicate?

Fever is a common medical sign that is generated by the body to a varied level of infection and other conditions. It results from the elevated temperature of the body due to the body’s thermostat getting reset to a higher than normal temperature. It is a defence mechanism of the body to fight against external microbes. It is not a disease but a symptom of a disease that the body is fighting against.

Temperature variation of fever:
There is no absolute value of body temperature which is defined as fever. However, the below-mentioned temperatures are generally accepted as a condition of fever:

  1. Rectal temperature of more than 38 degrees centigrade
  2. Oral temperature of more than 37.8 degrees centigrade
  3. Armpit temperature of more than 37.2-degree centigrade
  4. Ear temperature of more than 38-degree centigrade
  5. Forehead temperature of more than 38-degree centigrade

Different types of fever:

  1. Continuous fever: This is a condition where the body temperature is above normal for more than 24 hours and temperature fluctuation is not more than 1-degree centigrade. Continuous fever is observed in diseases such as typhoid, typhus, infective endocarditis and pneumonia.
  2. Remittent fever: Remittent fever refers to a condition where the body temperature constantly remains more than normal for 24 hours. The temperature fluctuation is not more than 2-degree centigrade. This kind of fever is observed in diseases such as infective endocarditis and typhoid.
  3. Intermittent fever: This is a condition where the body temperature rises for few hours in a day and comes down to normal for the rest of the day. The spike in temperature has a repetitive pattern and is visible in diseases such as malaria, septicemia, and pyemia.
  4. Septic fever: This is a condition which is characterised by an extremely high fever that refuses to come down to normal and has hardly any fluctuation. This condition should be immediately addressed by a doctor to ensure further deteriorating of the physical health of a patient.
  5. Pel-Ebstein fever: This condition is characterised by recurrent bouts of body temperature. It might take up to 3 days for the temperature to rise, it maintains the temperature for the next 3 days and gradually comes down over the next 3 days. The total cycle continues for 9 days.
  6. Periodic fevers: This is the kind of fever which can last up to few days to few weeks followed by a symptom-free period of a fixed interval. This fever has a particular pattern and is mostly witnessed in patients suffering from diseases such as stills disease, Crohn's disease, and rheumatoid arthritis. Certain other conditions such as hyper-IgD syndrome and Mediterranean Fever can also result in this condition. If you wish to discuss about any specific problem, you can consult a General Physician.
3623 people found this helpful

What are the benefits of ashwagandha and musli and safe musli are they safe to consume.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
What are the benefits of ashwagandha and musli and safe musli are they safe to consume.
Ashwagandha powder and safed musli are used for vajikaran in Ayurved if you have samta in body then it harms your body by increasing aam in body which is disease causing agent if you have no samta then these powder may help you for cheking samta niramata and Ayurved medication timings you need proper advice that can be given only by pure Ayurved consultant so consult Ayurved consultant before taking it for better results ayurvediy churna medication don't have side effects but it has good effects bad effects and sometimes no effects so think this also.
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I'm not going to poop daily. What is the problem whether the digestive power is low or bowel movements are slow. How to get better bowel movements and digestive power. Please suggest best medicine. I'm suffering this problem since 3 years.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
I'm not going to poop daily. What is the problem whether the digestive power is low or bowel movements are slow. How ...
Drink plenty of water and have lots of roughage such as onions, batanas, bananas, green leafy vegetables etc. Get a thyroid test done since you are also overweight.
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My age 21 and weight is 40 how to increase my weight. My personality. Give a solution.

BHMS
Homeopath, Delhi
My age 21 and weight is 40 how to increase my weight. My personality. Give a solution.
Hello, you can take homoeopathic medicine alfalfa tonic (sbl) (1tbs) twice a day for 15 days and revert. *avoid fried and spicy food *avoid stress and anger. *take a sound sleep. *take milk twice a day *include fruits, vegetables in your diet. *take small meals.
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What Causes Freckles? Ways to Prevent Them

MD - Skin,VD & Lepxsy, MBBS
Dermatologist, Rewari
What Causes Freckles? Ways to Prevent Them

Freckles are those flat and tanned circular spots which are normally the size of the head of nail. There can be numerous spots and may develop on the areas that are repeatedly exposed to sunlight. People with a fair complexion on the upper portions of the body are more prone to develop freckles on areas like the nose, arms, cheeks and upper shoulders. Infants too can also be affected by this skin condition.

What causes freckles?
Normally, freckles are uniform in colour though they may vary among different people. Some people may have reddish yellow patches on the skin while others may develop a tan or bright yellow or black and typically darker than the color of the surrounding skin. Sun exposure is the primary cause behind freckles and thus, the condition worsens right after you are exposed to sunlight. These patches get lightened during winter months and are also caused due to a splurge in the amount of melanin pigment (learn more about pigmentation) and not due to any sort of increase in the number of pigment producing cells called melanocytes.

Probable ways of preventing freckles
There are several safe and preventive methods of lightening and reducing freckles and in most cases multiple treatments are combined to get the best results. It is important to remember that the condition of the freckles is not always alleviated with treatments and it may recur with repeated exposure to the sun. Therefore, it is best to prevent them from the very before they develop instead of seek for some cure when they arrive.

  1. Apply sunscreen: You are advised to apply sunscreen every time you go out in the sun. It is important to check whether your sunscreen offers blockage from both the UVA and UVB rays. You will have to reapply the sunscreen after every two hours under normal conditions and also after sweating and swimming (learn about the Sunscreen : Do's & Don'ts).
  2. Wear a hat while going out: Get a hold of a good quality hat that doesn’t have a weave or mesh through which light may enter. It will offer you shade and protection against the sun at all places. In case it is possible, you must avoid going out in the sun from 10 a.m. to 4 p.m. as the sunrays are most intense during this time.

In case you are already affected with freckles, you must stay away from tanning beds and check your medications, as there are some medicines like birth control pills and certain antibiotics which may further aggravate the condition.

4555 people found this helpful

Is khoya is good for health. If it is good then when we should take it after workout or before workout.

BHMS
Homeopath, Raebareli
Is khoya is good for health. If it is good then when we should take it after workout or before workout.
Please take plenty of milk instead as much as you can consume 2 liters/3 liters daily. Khoya can be taken also anytime suitable to you.
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I lost somebody close last year and since then feel very depressed and prefer keeping to my self all the time. Please help me.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
I lost somebody close last year and since then feel very depressed and prefer keeping to my self all the time. Please...
Hello lybrate-user, its sad to loose somebody close, of course this pain can never be healed completely. But one has to carry his life forward in a happy manner. Usually after 3 months people tend get recovered from the loss and do not feed sad. Since you are still having these symptoms you may need therapy in form of counselling sessions or medicines. More so, if this is effecting your daily routine and work, you do need treatment.
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My skin is getting dry in winter and skin is become like snake skin. Like small boxes. What should I do?

DHMS (Hons.)
Homeopath, Patna
My skin is getting dry in winter and skin is become like snake skin.
Like small boxes.
What should I do?
Hi, take, a massage of olive- oil. Daily. Homoeo-care: sepia 200,-- 5 drops daily =15 days, petrolium 200--5 drops 3 days in a week rhus tox 200--5 drops, dly 15 days take coconut, carrot, apple, spinach, milk regularly. Take plenty of water daily, to remove dryness of skin. Report after 1 month take care,
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I am suffering from melasma on both cheeks and black spots due to pimples so pls suggest me some cream to cure melasma and black spots. I shall be thankful to you.

MBBS
General Physician, Cuttack
I am suffering from melasma on both cheeks and black spots due to pimples so pls suggest me some cream to cure melasm...
Melasma It is a chronic skin conditionThat causes discoloration of face. It usually appears as brown, tan or blue grey patch on upper cheek/upper lip/fore head/chin. The primary reason is because of hormonal changes and exposure to bright sun light. It mostly affects women precaution 1.Choose a sun screen with a SPF of greater than 30 when going out door 2.Avoid exposure to bright sun light 3.Drink plenty of water 4.Use sun screen lotion 5.Take plenty of fruits and vegetables 6. Take Vit B12 supplement 7. Avoid stress 8. Apply topical de pigmentation agent like 25 hydroquinone/Tretinoin ointment after consulting skin specialist. If no relief, then micro dermabrasions Natural method of Treatment 1.Mix equal parts of lemon juice and raw honey, apply it over affected area, cover it with warm towel for 15 minutes and then rinse off 2. Apply a paste of turmeric powder and lemon juice to the affected area 3. Keep a slice of cucumber on affected area and wash it off after 30 min 4.Make a paste by mixing sandal wood powder and rose water, apply it on affected area and leave it for 20 min. Wash it with lukewarm water.
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Fallopian Tube Block In Infertility - What Can You Do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Fallopian Tube Block In Infertility - What Can You Do?

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina.

In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm.

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires:

1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes

2.Transport of these sperms through the sperm conducting ducts from testes to penis

3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina

4.Transport of these sperms from vagina through cervix to the uterus and the tubes

5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries

6.Pick up of the eggs by the tubes

7.Approximation of eggs and the sperms to form the embryo

8.Transport of embryo from the tubes into the uterus

9.Acceptance of the embryo by the uterus and its growth

What is Infertility?

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor.

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%.

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage.

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned.

Thus the common causes may be

1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.

2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examples include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.

3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.

In general, what are the treatment options for infertility?

To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress.

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

What is Fallopian Tube(s)?

Fallopian tubes (commonly called “the tubes”) are the structures that are connected to the both sides of the uterus, as mentioned above. Each tube is of 10 cm length. The part attached to the uterus is called the “cornu” and the part remaining free is called the “fimbria”. It’s the fimbria, that is present near the ovary and picks up the ovum and transports it inside the tube. The cornu received the sperms from the uterus and passes it inside. Inside the tube, the sperms and the egg meet to form the embryo, which then travels down the tubes into the uterus and then the pregnancy starts.

What happens if tubes are blocked?

If both the tubes are blocked completely, anywhere along the length (cornu, fimbria or the middle), pregnancy is not possible. This is quite obvious, because either the sperm cannot enter or the egg is not picked up or they cannot meet.

However, if any of the tubes are partially blocked, then the sperms and egg can pass and meet but the embryo cannot come down into the uterus. As a result, the pregnancy continues inside the tube, which is called “Ectopic pregnancy” that is life-threatening for the mother. It’s important to remember that ectopic pregnancy can happen even if both the tubes are open.

What are the reasons for tubal blockage?

Often, the exact cause is not known. Infection is the commonest cause. The infections may be due to sexually transmitted infection (STI), particularly Chlamydia infection or infection from bowel or appendix. Tuberculosis is very common in our country and can affect the tubes, silently, without affecting any other parts (not even the lungs) of the body. Endometriosis is also a common reason for tubal blockage. Any pelvic surgery (surgery in ovaries, tubes, uterus, even appendix) can block the tubes by “adhesion”. This means the tube may be open but attached to the bowel or rotated on itself, so that the tube cannot pick up the eggs from the ovaries. Sometimes fibroid of uterus can compress the tube and cause blockage. Women, with previous history of ectopic pregnancy, are at risk. Uncommonly, some abnormalities, present since birth can block the tubes.

What are the types of tubal blockage?

Tubal block may be one sided or both sided. It may involve only a particular part of a tube or multiple parts of a tube. The site of the block may be the cornu, the fimbria or the middle portion.

Hydrosalpinx, is a thing that you must know. In this condition, the tube is blocked but the mid-portion is dilated and contains some fluid (often infected). This tube is not functional. And the problem is even if there is pregnancy by IVF inside the uterus, this fluid from the tube may trickle down, coming in contact with the embryo and can potentially kill the embryo!

How can I understand that the tubes are blocked?

Unfortunately, very few women have signs or symptoms indicating tubal block. However, if you had previous infections in pelvis, tuberculosis in any part of the body, appendicectomy or other gynaecological surgery, there is chance of tubal block. Patients with fibroid and endometriosis are also at risk of tubal block. If you feel severe pain during periods or during intercourse, there is a chance that the tubes may be blocked.

When the tubes should be tested?

As mentioned earlier, the routine investigation of infertility includes testing for the ‘open-ness’ of the tubes- “Tubal patency tests”. That means if pregnancy does not come within 12 months of regular intercourse, then we usually advise the tests. Sometimes, tests are needed, after 6 months of trying (see above). However, in some women, with low risk of tubal block (no risk factors as mentioned above), it may be appropriate to start treatment and continue it for few cycles and if no response, then tubes should be tested.

How the tubes are tested?

The method of tubal patency test depends on your risk of having blocked tubes and also your wishes, availability of resources, other fertility factors and of course the affordability.

Routine ultrasound (like TVS) cannot detect tubal patency. However, it can detect the hydrosalpinx in most of the cases.

If you do not have any risk factors (like pain during periods, endometriosis, previous infections or surgery), you can choose either HSG or SIS. These are done in out-door basis, without any need of anesthesia.

HSG (Hystero-salingogram) is a method by which, your tubes will be seen under Xray. After visualizing your cervix (mouth of the uterus) by a speculum (instrument inserted in the vagina) a small screw will be inserted inside the cervix and a contrast material (which can be seen by the X ray) will be given through it. If tubes are open, the Xray will show that the contrast material will be going through the tubes into the abdomen.

The advantage of HSG is that, a test showing open tube has good correlation with tubal patency (if HSG shows the tubes are open, it’s likely that tubes are open). It is widely available and also cheaper.

However, the problem is that most of the women feel it painful, although they are given pain-killers for it. In addition, there is small risk of infection, for which antibiotics are prescribed. The contrast material can rarely give rise to allergy in some sensitive women and it may be life-threatening in very rare cases. Another problem is the false positive result. That means if tubes are found to be blocked in HSG, in 50% cases, they will be found to be open subsequently in laparoscopy. This is mainly because of some spasm of the muscles of the tube during the test.

SIS (Saline infusion sonography) or HyCoSy (Hystero-Contrast-Sonography) is the method by which tubal patency is checked by ultrasound (TVS) along with water like material inserted inside the uterus through a small tube. If tubes are open, the passage of water can be seen going into the abdomen through the tubes, in the ultrasound.

The advantage of HyCoSy is that it’s much less painful than HSG, although mild discomfort may be there. Pain-killers and antibiotics are prescribed usually. Additionally, problems inside the uterus can be better visualized, even better than normal TVS. In addition, the false positive result is much lower, only 7%. That means if HyCoSy suggests that the tubes are blocked, in most cases, the tubes will be found to be blocked at laparoscopy.

The problem with HyCoSy is mainly the cost and it’s not available everywhere.

An important merit of doing the tubal test is that, sometimes the water or the contrast material used in these tests can open the “mild” block. That’s why we often find patients who conceive spontaneously with pregnancy inside the uterus, after apparently “blocked” tubes in HSG or HyCoSy.

Now, laparoscopy is reserved for those, who are at high risk of tubal block. This includes women with risk factors (pain, surgery, infection etc) o women having “blocked” tube in HSG or HyCoSy. Clearly, it’s done after hospitalization under general anaesthesia inside the OT. Two or three small opening (key-hole surgery) will be put inside the abdomen and through vagina a coloured material (“dye”) will be given inside the uterus. If the tubes are open, the laparoscopic camera will show that dyes coming out of the tubes inside the abdomen.

The advantage is that it’s a definitive test, can help you to make final decision. It also provides the options of treatment. If there is corneal block in HSG, we can make attempt to open the tubes using laparoscopy (see below). In addition, if there is hydrosalpinx, where the tube serves no function, the tubes can be removed (salpingectomy) or clipped (we put clips to block the tubes) to improve the chance of pregnancy if IVF is the only option left for you. In addition, laparoscopy helps us to see whether there is any other diseases that have been missed by routine tests and that may account for infertility. We can treat the cysts of PCOS (by applying current to destroy some cysts), remove any large cysts, remove any adhesion, treat endometriosis etc.

The disadvantage of laparoscopy is of course, the need of anaesthesia and associated surgical and anaesthetic risks, although in modern era, the serious complications are uncommon.

What are my options if tubes are found to be blocked in HSG?

There are simply two options. It depends on your age, fertility factors and affordability. Number one is directly, you can go for IVF. In that case, you can save time and cost. It may be a preferred option, if you are aged or have some other fertility factors (low sperm count, endometriosis etc). The chance of pregnancy per cycle of IVF is usually 40%.

Another option is that you can confirm the block by other tests, keeping in mind that you may need IVF if the tubes are found blocked ultimately. We usually advise to have laparoscopy. However, some women want to give a trial with HyCoSy, because if HyCoSy shows the tubes are open, then you can avoid laparoscopy and you can try different fertility treatment options.

In laparoscopy, first we see if tubes are open or not. If open, there is no need of further treatment in laparoscopy. However, if tubes are found blocked, especially if the block is in cornu, we can try “hysteroscopic tubal cannulation”, where we put a small catheter through hysteroscope (a telescope, like endoscope, put inside the uterus through vagina so that we can see inside the uterus using a camera) to open the tubes. If tubes can be opened, you have all options for fertility treatment open. However, if we fail to open the tubes, the only option left is IVF. In addition, if there is fimbrial block, it can be released and new opening in the fimbria can be made. The treatment of hydrosalpinx by laparoscopy has already been discussed (see above).

Having said that, there are some group of women, who conceive while waiting for IVF or laparoscopy after a blocked tube found in HSG.

What can I do if tubes are blocked in Hycosy?

In this case also, there is choice between the two- laparoscopy first and IVF directly.

What can I do if laparoscopy suggests tubal block?

Unfortunately, in that case, the only option left is IVF. As mentioned before, if hydrosalpinx is found it must be treated before IVF. However, sometimes we find hydrosalpinx in laparoscopy but cannot cut the tube of clip it, simply because you did not give consent to us for doing so. In that case, we can suck out (“aspirate”) the fluid from the hydrosalpinx under ultrasound guidance (no need of further laparoscopy) using the needle.

How tubal block is dealt in your particular centre?

We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.

We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.

We prefer to have SIS or Hycosy, rather than HSG, to reduce the pain to the women. We discuss all the options if tubes are found blocked.

Conclusion:

Tubal factor can account for 20-25% cases of female infertility. It’s more common in secondary infertility (women who conceived earlier- whatever be the fate of the pregnancy). Tubal test is a part of infertility investigation. The choice between HSG and HyCoCy is open to you. If tubes are found blocked, the options are IVF directly or confirming the block by laparoscopy.‚Äč

10 people found this helpful

Im working very hard from last year so just because of that im getting weak day by day so kindly suggest me any medicine.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
hello, first of all tell wht type of hardwork u did. in gym or something else. iif u did in gym then thats not the reason for getting weak. the reason behind it is ur diet. follow thes diet tips to gain weight n do regular workout: breakfast oats with milk , 7 soaked almonds, 2 banana, 3 walnuts brunch banana shake , salad lunch 2 chapati , any veg , littel curd, rice, boiled potato before workout 2 banana after workout 5 eggs, sprouts, banana shake, dinner 3 chapati, daal, salad, chicken, before sleep 1 glass milk
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I am 34 year, software engineer having diabetic type 2 for last 3 years. I have a question. Which bread is better for me, a brown bread or aata bread.

BHMS
Homeopath, Faridabad
I am 34 year, software engineer having diabetic type 2 for last 3 years. I have a question. Which bread is better for...
Hi, Take Atta bread as sometimes brown bread is written, but it has only brown colour and not wheat in it.
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