Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
In Vitro Fertilization (Ivf) Treatment
Treatment Of Female Sexual Problems
Urinary Incontinence (Ui) Treatment
Sperm Donor Program
Natural Cycle Ivf Treatment
Management of High-Risk Pregnancy
Artificial Insemination Treatment
Preimplantation Genetic Diagnosis (Pgd)
Egg Donation Procedure
Treating Disorders of The Unborn Child
Fertilisation In Vitro - Embryo Transfer (Ivf - Et
Intracytoplasmic Sperm Injection (Icsi) Procedure
Embryo Donor Program
Evaluation & Treatment of Infertility
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- Chances are you've never heard of vaginismus (or, as it is now known, genito pelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects - women. Vaginismus is musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
- Among the male factor infertility, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation 12.01%, Lack of sexual desire 3.92%, homosexual orientation 2.79%, sexual aversion disorder 1.31% and disorders of sexual preference 0.61%.
- Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration and/or organic pathology. Women with vaginismus have also been noted to have a lack of sex education. Vaginismus was the 63.9% , ed 11.9% , PME 8.3% , low male sexual desire 2.7%, low sexual desire in female 13.9% dysfunctional underlying non consummation of marriage is largely treatable. Adaptation to the situation usually occurs and associated factors add to the primary cause. Treatment of the underlying dysfunction can challenge the relationship.
- Sexual dysfunction is a common problem which leads to inter-personal problems and marital discord. defined as recurrent or persistent involuntary spasm of the with coitus and causes distress and interpersonal difficulty.
Treating vaginismus merits a two-front approach which includes behavioral sex therapy techniques and relational intervention. When appropriate, the behavioral intervention consists of prescribing dilators (from smallest to largest) that the wife is to use in the privacy of her own home to gradually desensitize herself to penetration (the fourth and usually largest dilator is roughly the size of a penis). While the husband may be called upon to help his wife insert the dilators (depending on his wife's comfort level), for the most part his job is to ease off the pressure for her to perform, be supportive, and try to understand his role in the marital dynamic (usually an enabling one) and the associated symptom.
Ascribing to a psychodynamic model of treatment, is helpful for a couple to understand where their symptom came from, but I'll admit this is not always necessary for them to achieve a positive outcome. Nevertheless, employing the psychodynamic systems approach to uncover any conflicts that might be behind or exacerbating the vaginismus. These underlying causes may include prior sexual abuse, chronic control struggles experienced in the family of origin, negative messages or beliefs about sex emanating from the family of origin, religious values that conflict with sexual pleasure, to name a few. I also pay close attention to the couple's interactional style in order to assess whether it, too, is a contributing factor.
What causes it?
- "Both [primary and secondary conditions] are psychologically based. "It's a physical condition, but it's a psychological condition as well.
- "To treat it correctly, you need to treat both the physical and psychological aspects."
- while there are many hypotheses on possible causes, its actual etiology is unknown, probably in part due to the fact sufferers are so reluctant to come forward.
- "It's a really complex thing, And while it is influenced by many things -- there are lots of hypotheses -- the big link, for primary vaginismus anyway, seems to be strong correlation between being raised in a religious environment.
- "This may be due to several factors including lack of information, insufficient premarital education, a cultural context strongly proscribing sexual behavior, and the expectation that intercourse take place immediately after the wedding, necessitating a radical shift from sexual abstinence to sexual intercourse.
- Often the anxiety resulting from repeated attempts at intercourse contributes to the sexual dysfunction. One or both partners may be anxious that penetration will be painful, that there will be bleeding, or that the woman will get pregnant. While a certain amount of anxiety surrounding sexual activity is normal, when one or both partners are overly anxious, sexual function can be affected in the following ways: The male partner may have difficulty maintaining an erection strong enough to allow penetration or he may lose his erection just prior to intercourse. Anxiety may contribute to premature ejaculation, also just prior to reaching penetration. Anxiety may prevent the woman from relaxing enough to allow penetration. She may close her legs or contract her vaginal muscles. This presentation is referred to as vaginismus, defined as the persistent or recurrent difficulty of a woman to allow vaginal entry of a penis, a finger, and/or any object, despite her expressed wish to do so. While anxiety may indeed be a factor contributing to and perpetuating many sexual problems, there are many components to sexual problems, including physiological ones. Therefore, each partner in a couple presenting with an unconsummated marriage should undergo a physical exam.
- Physical presentations of the female partner that might prevent intercourse can include sexual pain disorders such as localized vulvodynia, also known as vulvar vestibulitis syndrome. This fairly common condition is characterized by pain with touch at the entry to the vagina, which can prevent intercourse. A woman's hymen may be a barrier to intercourse. Some women have a very thick hymen, or a septate hymen, which is a thin piece of membrane running vertically which separates the vagina in to two sides. While most of these conditions can be addressed with sexual counseling and physical therapy, including use of vaginal dilators, in most cases a septate hymen needs to be repaired surgically.
- Frequently, lack of knowledge about sexual anatomy and physiology may contribute to a situation whereby attempting intercourse feels awkward and un-natural. Often all that is needed is some basic anatomical information and positioning advice. For example, a couple may report that the woman's vagina feels dry and excess friction prevents intercourse. In this case, the couple may be advised to ensure that intercourse take place when the woman is sufficiently aroused after plenty of exciting foreplay. Over the counter lubricants may be very helpful. While some people are physically active, very aware of their bodies, and comfortable with movement, other people are less so and may simply have not figured out how their bodies move in order to comfortably find a position for intercourse. One or both of the partners may have mobility problems or difficulty getting in to or maintaining a position. A woman may have difficulty keeping her legs open or a man may not be able to hold his weight up on his arms. In these cases as well, consultation with a physical therapist may be helpful in providing exercises and positioning advice.
- While behavioral solutions may be found for many couples, it is important to note that couples in unconsummated relationships, particularly of long standing duration, may benefit from couples therapy directed by a competent Sexologist. A doctor working with such a couple may wish to gain understanding in how the couple presents and organizes around the problem: How is the presenting problem perceived by each partner? Is there attribution of blame? What is the significance of the dysfunction itself and how is that perceived by the couple? Who is aware of this situation and in what way is outside intervention (community, parents, and religious leader) perceived in assisting or perpetuating this condition? Identifying the various factors contributing to the condition and dealing with them with physical, psychosexual, and couples therapy, may be the key to consummation and the commencement of a satisfying intimate life.
"So we are talking about people who are raised in conservative faith, who may not have looked at their anatomy in the mirror," Small continued. "They haven't touched themselves, they haven't looked at themselves -- they may view the entire thing as being dirty."
"In terms of the secondary form, this is a result of some kind of trauma or sexual issue, and can be triggered by something later on.
"Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children."
- Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children.
How to treat it
- Most women who experience vaginismus choose to live with it rather than come forward and have it treated. Even those in long-term relationships may try to conceal what is happening from their partner or forgo sexual relations all together.
- "If they don't do that, they cut that part of intimacy out of their relationship altogether and choose to shut down any intimate feelings they might have. They end up having a very different kind of relationship.
- "What is important to say is there is a cure and they can be helped. That's the message that needs to get out there. Treatment for vaginismus have included systematic desensitization along with insertion of graded dilators/fingers11, drugs like anxiolytics, botulinum toxin injection,12
- and sex therapy. An In the Indian scenario where the talk about sex is taboo and limited among partners it becomes very essential to first improve their communication so as to improve the sex related issues. eclectic approach involving education, graded insertion of fingers, Kegel's exercises and usage of anaesthesia with vaginal containment was tried.
- As Small previously mentioned, the best approach in terms of a cure is to seek both psychological and physical treatment.
- For the psychological side of things, she recommends seeking out a competent female sexologist.
- Physically, many women are taught how to use vaginal dilators in conjunction with relaxation techniques.
- "With vaginal dilators, basically how they work is you start off very very small, and then, using relaxation techniques, slowly work your way up in terms of size.
- "It's imperative these women have a gentle introduction and remember they are in control of the situation.
- "There is also something called saturation therapy which is often undertaken with their partner. Using dilators, they are able to discuss their mental state and what their thoughts are at any stage. There has actually been incredible results with that. Something like 90 percent of participants report sexual success afterward." there has been some preliminary research done into the effectiveness of Botox, but states at this stage, the research is still too new to offer any kind of conclusive evidence.
Steps to take
- If you think you or your partner might have vaginismus, it's extremely important to understand treatment is available, and, better yet, comes with a high level of success rates.
- "The first step is to see a competent female sexologist. "It is one of those things that, when it presents, it is pretty obvious it is on a psychological basis.
- "A sexologist may double-check everything is okay, but typically what they will find is anatomically they are fine and everything is in order and working -- the cause stems from a psychological basis.
- "The big thing about it is it's treatable, and it is possible to lead a really fulfilled life.
I am 25 years old before 1.5 years got married. Last months we tried for baby its missed. please give some advise. Which time need to do sex it will give a positive results. And my wife period is regularly.
Do you consume soy milk on a regular basis? Soy milk is full of essential nutrients and is a source of complete protein for vegns and vegetarians. However, some people avoid taking soy milk as several compounds similar to the female hormone estrogen are present in soy milk. In spite of having several cons, the pros of drinking soy milk are significant and essential for maintaining good health.
- Nutrients in soy milk: Soy milk contains protein in large amounts and is fortified with micro nutrients such as vitamin D, calcium, phosphorous, vitamin A, vitamin B 12 and Riboflavin. One cup of soy milk contains about 8 grams of protein. Soy milk also contains Alpha Linolenic Acid or ALA, an Omega-3 fatty acid, which the body requires for proper functioning. The micro nutrients contained in soy milk are similar to those present in cow milk.
- It is lactose-free: Cow milk contains lactose, which is a natural sugar and many people find it hard to digest it. Soy milk is completely lactose free. Hence, if you have a milk allergy or are lactose intolerant, soy milk serves to be an ideal nutritional replacement without having any negative side effects on your body.
There are several health benefits, which are obtained by drinking soya milk. It is free of dietary cholesterol, trans fat and saturated fat, which indicates that your risk of heart disease is reduced. Drinking 25 grams of soy milk as a part of a healthy diet prevents the occurrence of heart diseases. Soy contains isoflavones which help in the prevention of hormone associated cancers such as breast cancer, prostate cancer and endometrial cancer.
In spite of having several health benefits, there are some potential concerns associated with soy milk and its consumption. According to some studies, soy can affect or impact fertility in men. Soy may also increase the activity of thyroid hormone and reduce thyroid function. Moreover, milk is considered to be more effective than soy protein in boosting lean muscle mass.
Soy milk accounts for being one of the most ideal non dairy milk varieties, if you are concerned about matching its nutrient content with cow’s milk. Recently, there have been some controversies regarding the benefits of soy milk as GMOs or genetically modified organisms are used in it. However, there are many soy milk manufacturing brands which do not use GMOs. Moreover, there is no evidence about GMOs being harmful to the body. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
I am 31 years old female. I married in 2016 july, after 1 month of marriage I got pregnant but we did not want baby so I abort it, and then use condoms. Now we are trying for baby from last 2 month but not conceive. Please suggest what should we do.
I had abortion in july. And doctor said torch off positive .and prescribed torchnil and rovamycin .I got second period after abortion .can I plan for baby now.
Infertility is an issue that arises when a couple is not able to conceive even after having intercourse without protection for a period of up to or beyond 12 months. This problem can be in the male or female or in both partners. While there are many kinds of treatment methods that can be used to treat and manage infertility to help a couple conceive naturally, there are also many instances where the couple may have to go in for other semi invasive methods that can be used in extreme cases. Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF) are two methods that are used in such cases. Let us understand both the methods and the difference between the two.
Intrauterine Insemination (IUI): It is a process wherein the woman’s womb is injected with motile sperm. This method is done in keeping with the ovulation cycle of the woman, and it may be conducted a few times in the days, right after the ovulation starts. The process of ovulation is usually diagnosed by a doctor and the insemination process is timed accordingly.
In vitro Fertilization (IVF): It is a process that is slightly more complex than IUI. It is one of the most successful methods that is in use for couples who have tried every other kind of treatment for infertility. In this process, the eggs are retrieved from the ovary and then harvested. This is done with the help of a process of stimulation of the ovaries. The fertilization of the eggs happens in a lab.
Insemination process: While the motile sperm is injected in the woman’s womb during the process of IUI, in IVF, the process is slightly different. In this case, the eggs are fertilized in a lab so as to form embryos. These are then placed in the woman’s uterus.
Preparation: While IUI needs a proper process of studying the ovulation cycle of the woman so as to detect the same, in IVF, the process of ovulation has to be stimulated using hormonal injections and other types of drugs so as to extract eggs that need to be fertilised. In this case, IVF tends to be a more intense method of treatment.
Chances of pregnancy: In IUI, the chances of pregnancy depends on whether or not the fallopian tubes pick up the sperm and whether or not the egg and sperm meet each other. In IVF, the chances of pregnancy depends on the age of the woman as well as the causes behind infertility. Also, the efficacy of IVF depends from patient to patient and also on the quality of the IVF laboratory where the treatment happens. In IUI, the practices are more standard. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
Klinefelter's syndrome is a medical condition in which a boy is born with an extra copy of the 'X' chromosome. Klinefelter's syndrome has an adverse effect on testicular growth and results in the formation of smaller than normal testicles. This affects the production of the sex hormone testosterone. It can also cause lower retention of muscle mass, facial or body hair and enlarged breast tissues. It is difficult for people who are diagnosed with Klinefelter's syndrome to father children because they produce little to no sperm and often has to resort to take help from assisted reproductive procedures to procreate.
Generally Klinefelter's syndrome is not diagnosed before adulthood because of the fact that there are few noticeable symptoms which might indicate Klinefelter's syndrome during infancy, childhood or adolescence period.
The few characteristics which might indicate the condition are listed below:
1. Development of weak muscles.
2. Taking above average time to develop basic motor skills.
3. Delaying in speaking.
4. The testicles haven't descended into the scrotum.
Boys and teenagers develop the following characteristics:
1. They tend to have longer leg and broader hips than their peers.
2. Onset of puberty is delayed or in some cases absent or incomplete.
3. After puberty, less muscular bodies and less facial and body hair compared with other teens
4. Smaller than average size of penis.
1. Klinefelter's syndrome occurs due to the occurrence of an extra 'X' chromosome in the cells instead of the normal combination on 'XY' chromosomes.
2. In some severe cases, there is the occurrence of more than one extra 'X' chromosome in each cell.
3. This is not inherited or a genetic condition. This occurs due to a random error during the formation of the egg , the sperm or post conception.
Diagnoses and Treatment:
1. Chromosome analysis and hormone testing are the two main ways to diagnose this condition.
2. Abnormal hormone levels present in blood and urine, might indicate Klinefelter's syndrome.
Early diagnosis and medication minimizes the effects of Klinefelter's syndrome. These include:
1. Testosterone replacement therapy. In treatment, testosterone is injected at regular intervals from the onset of puberty to ensure normal growth.
2. Patients also need educational support as well as speech therapy to overcome any barriers the patient is experiencing.
3. Removal of excess breast tissue and fertility treatment.
4. With the help of intracytoplasmic sperm injection, it is possible for patients with low sperm production to father children. If you wish to discuss about any specific problem, you can consult a Sexologist.
I am trying to conceive since 2 yrs. So went to the gone for check up. During HSG it was found that my right tube is totally blocked and left is open somewhat. My egg quality is good and ovulating well. Doc suggested laparoscopy. I want to know is there any medicines which can unblock tubes as I do not want to undergo surgery. Please help.
I got married 2 yeas ago. Since I have not conceived I am having stomach pain and also white bleeding. Actually my previous periods is on 28th August. Is there any possibility or symptoms to me. If I am pregnant.
My wife is 36 years old & she is suffering from thyroid. She take medicines for this disease. Her period is regular & she is healthy too. We are planing a baby what is the possibilities & what we have to do please guide us.
I went for check up my prolactin is high and doctor has given me cabergoline for 3 months is there a change I can get pregnant using this tablets and having prolactin high please help me what can I do to get conceived and bring my prolactin level normal.
We been having sex though once a week normally without protection but we have not yet been able to conceive baby. Is there any issue in this or we should follow certain timing or days.
"While many women have no problem getting pregnant in their late 30s and even into their early 40s, a woman's fertility may start to decline as early as 32. So if you want to have kids, talk to your doctor about options, like freezing your eggs."
My wife is not pregnant since 8 month and he is depressed this problem. I have no idea. Before 3 days starting period his body is pain. White liquid continue passing. And after 2 day it is failure.
Hi my age is 29 years and I'm trying for the pregnancy and my period got started on 13th September of this month and I want to know that when I should have sex and on which date pls let me know it.
I am trying to conceive for 2nd baby. I consult with my doc. Last month they did follicular scan and gave some tablet. Bt this month its failure. I got my period. Doc told me next is tube test. I want to know about that test. Is it painful.
Hello, I have 1 child, we are not ready for second child. We need temporary solutions for 1 year. We will plan after 1 year second for baby. Please suggest what is best solution? Any medicine? Anything?
Infertility is a condition that refers to the inability to conceive, even after regularly having unprotected sex for a period of 6 months at least. In most cases, infertility may also refer to the biological inability of a person to contribute to the process of conception; or to a woman who is incapable of carrying a pregnancy to its full term.
There are several causes behind infertility; but taking the current lifestyle of the people into account, stress and a sedentary lifestyle are emerging as major factors behind this condition.
How do stress and a sedentary lifestyle cause infertility?
1. Stress: Stress is turning into a major cause of infertility, esp. in women. A research carried out by Emory University observed 16 women between their mid 20s-30s, with normal weights for a period of 6 months to come to this conclusion. It found out that each of these women did not get their periods for the 6 months under observation due to high amounts of cortisol (stress hormone) in their body. Each of these women had really hectic work lifestyles, which indicated that women with stressful jobs are at a higher risk of experiencing infertility due to stress.
In fact, both the partners, when going through a period of stress, are unable to conceive. However, during periods when they felt good, their chances of having a baby increased dramatically.
2. A Sedentary Lifestyle: Again, more of a risk factor for women than men.
Amongst women, a sedentary lifestyle during teenage causes hormonal imbalance and anovulatory cycles more commonly seen in PCOD (polycystic ovarian disorder - the development of multiple small cysts in the ovary) patients, which is a major cause for infertility.
As for men, those with a sedentary lifestyle generally tend to be overweight or obese, which can lead to low sperm quality. This, in turn, can significantly reduce a couple’s chances of conceiving.
What can do you to prevent infertility?
1. Stay Active: Acupressure, regular exercising, daily brisk walking, practicing yoga and meditation are some of the ways by which you can alleviate the problem of infertility. Each of these activities help in improving the flow of blood to your reproductive organs, which helps in the release of toxins from the body. They also help in enhancing the movement of the pelvic region and in reducing any type of inflammation and pain in the area, thereby increasing your chances of conceiving. The added benefit of practicing these is a significant reduction in your stress levels.
2. Eat Right: Diet too plays a major role. Certain foods are known to boost your fertility, while maintaining proper hormonal balance and reducing the chances of miscarriage. Foods like cold water fish, raw dairy, eggs, tomatoes and dark leafy greens among others should be a part of your daily diet.