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Book Clinic Appointment with Dr. Shalini Patlolla
Prevention & Treatment of Diabetes
Management of Sugar Disorders
Treatment of Thyroid Disorders
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of Underactive Thyroid
Treatment of High Sugar Levels
Treatment of Hormonal Imbalance
Treatment of Hyperthyroidism
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Treatment of Male Infertility or Impotency
Thyroid Disorder Treatment
Treatment of Growth Hormone Deficiency
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Treatment of Gestational Diabetes
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My sister has hypothyroidism. She used 75 mcg thyronorm for over 1 year. When she was tested, tsh came at 6.5.The doctor prescribed thyronorm 88 mcg and she used it for 2 months. When she was tested again, now tsh is at 7.5.What should she do?
I m 23yr young female. I have checked thyroid level and tsh level (>1000) was greater than the range (0.0 to 0.5). Consulted with doctor. But he said after 6 months take another checkup and visit me. He did'nt suggest any medications. Heavy hair loss like from root its falling. My doubt is in future any complications will be there? weight loss or gain hair loss any other what can I do naturally to control the thyroid level to balance it.
My sister had thyroid from last ten years. Now this tym her blood report show that is normal .is it possible that any time this disease is curable immediate or report is not ryt.
Sir I am diabetic detected 2 years back. My fasting is 85 and pp is 140-160 average. I am taking no medicine and avoids all diabetic food. Earlier I have asked the same question, you have suggested for Hba1c, which I got report yesterday an it is 6.5. Shall I need any medication. Please suggest.
Can Hypothyroid be reversed? (Current TSH Value 7.5 and last report TSH value was below 5). Does Blood group o+ve is more prone to thyroid malfunction. Also want to know that wrong diet trigger hypothyroid?
If your period is irregular or nonexistent, you won't benefit from the effects of high estrogen. The point of highest estrogen is your pre-ovulatory stage. If you're on a 28 day cycle, ovulation occurs from days 12-16 (though it varies, depending on your stress level, the foods you eat, the exercise you're doing, etc). This means that pre-ovulation occurs on about days 8-11 (but again, it varies from woman to woman).
Your first step in regulating your periods is figuring out what's causing an irregular menstrual cycle. Once you determine the cause, you'll be better able to find an effective treatment.
1. Omega-3 fatty acids - salmon, sardines, fish oil supplements
The blood vessels in your ovaries are tiny, which makes them vulnerable to damage and poor circulation. Smoking, obesity, and high cholesterol can negatively affect your ovarian blood vessels, which blocks hormones and blood flow. Fish oils enhance blood circulation, reduce damage from free radicals, fight the effects of aging, and increase dopamine (which improves your mood!).
2. Non-white foods to regulate your menstrual cycle
Most natural foods are not white, so you can assume that if a food is white, it is probably processed to the point of being unhealthy! To make your menstrual cycle regular, avoid white flour, sugar, white potatoes, white bread, white pasta, and white rice. They disrupt your menstrual cycle by creating insulin surges that result in fat storage. This excess fat storage negatively affects ovulation and your periods - and can cause irregular periods. The simple tip on how to get regular periods: stop eating food that is white.
3. Protein - cottage cheese, lean meats, nuts to balance your hormones
Finding sources of balanced protein can be a challenge for busy women, but it is a must for hormonal balance. The more you balance your hormones, the more regular your menstrual cycle will be. Plant proteins are especially good for enhancing fertility and hormonal balance: almonds, walnuts, peanuts, cheese, hard boiled eggs, soy chips, hummus, canned sardines, and edamame.
4. Healthy beverages - because your cycle is affected by what you drink
Another 'food' to make menstruation regular is nettle leaf tea. The ingredients are so healthy: Organic Fennel Seed, Organic Ginger Root, Organic Cinnamon Bark, Organic Chamomile Flower, Organic Raspberry Leaf, Organic Anise Seed, Dong Quai Root Extract, Chaste Tree Berry Extract, Juniper Berry Extract, and Organic Parsley Leaf.
5. Vitamin D for regular periods
Vitamin D is a little hard to come by in food, Eat vitamin D-fortified milk products, tuna, egg yolks, salmon, sardines, and (yuck) cod liver oil. This vitamin improves communication between your cells, which stabilizes your hormones. Vitamin D is also vital for cancer protection - especially breast, colon, ovarian, and prostate cancers.
To increase your vitamin D and make your menstrual cycle regular, make sure you're getting enough sunlight. Where you live and the color of your skin determines how much time you should spend in the sun, but my research tells me that the average North American should spend about 10 minutes in the sun about 2-3 times per week. If you aren't getting enough vitamin D and you want to regulate your menstrual cycle, check out the vitamin D supplement above.
6. Dark chocolate to balance your menstrual cycle
Chocolate contains flavenoids, which have estrogen-like activity and help improve circulation by reducing platelet clumping. Flavenoids also enhance microcirculation in the ovaries and endocrine glands and increase dopamine (a 'feel good' hormone). Not just any old chocolate will do: eat dark chocolate that contains at least 70% cocoa solids.
But don't eat too much chocolate. You'll gain weight and confuse your hormones, which can contribute to irregular periods.
7. Castor oil and hot water bottles
Here's how to use castor oil and hot water bottles to regulate your period:
Moisten a flannel pack (an old T-shirt will do) with warmed castor oil. Place the oil-side down on your lower abdomen with a hot-water bottle on top of the flannel pack. Cover with a towel. Do this daily for an hour - but not when you're getting your period) for a few months. Then, gradually reduce frequency to twice a month.Your period might become heavier or more painful, but that's just stagnation clearing from the uterus.
8. If your periods are heavy, consider iron supplements
If your periods are both irregular and heavy, you might consider taking iron supplements. One of the common causes of iron deficiency and anemia is heavy bleeding during menstruation. If you don't get enough iron in your diet or the foods you eat, your body's iron stores will diminish and you'll experience fatigue.
9. Learn about Polycystic Ovarian Syndrome
While irregular periods are common among teenage girls, an underlying hormonal disorder may be the cause of long-term irregular periods in adult women. Polycystic Ovarian Syndrome is an endocrine disorder that is characterized by an excess of androgens or male hormones in the body. The imbalance of hormones interferes with the growth and release of eggs from the ovaries, which can prevent ovulation and menstruation.
Menstruation begins on average at age 12 for most women, and a normal menstrual cycle is approximately 28 days. Girls should have a regular menstrual cycle within approximately two years after they get their first period, or by age 17 at the latest. If you've been getting your period for more than two years and you're over 17 years old, you may want to talk to a doctor about how to regulate your period - and you may need more than information about foods to make your menstrual cycle regular.
I am diabetic and on insulin. While travelling, I take the insulin pen in the travel bag. It is about for 12 hours when the pen remain outside the refrigerator (in travel bag). Is it safe to inject the insulin after that?
I am a diabetic for the last 10 years. My self check diagonisis and the doctor's differs. For e.G. My fasting sugar shows 94 on my ACCUCHECK whereas the doctor's shows 132. This is happening for the last three times. I would like to know the reason.
What is male infertility?
Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive.
A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy.
Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male.
How common is male infertility?
Infertility is a widespread problem. For about one in five infertile couples the problem lies solely in the male partner. The reasons of male infertility is found out so because due to changing of fast new lifestyle.It is estimated that one in 20 men has some kind of fertility problem with low numbers of sperm in his ejaculate. However, only about one in every 100 men has no sperm in his ejaculate.
What are the symptoms of male infertility?
In most cases, there are no obvious signs of infertility. Intercourse, erections and ejaculation will usually happen without difficulty. The quantity and appearance of the ejaculated semen generally appears normal to the naked eye.
Medical tests are needed to find out if a man is infertile.
What causes male infertility?
Male infertility is usually caused by problems that affect either sperm production or sperm transport. Through medical testing, the doctor may be able to find the cause of the problem. About two-thirds of infertile men have a problem with making sperm in the testes. Either low numbers of sperm are made and/or the sperm that are made do not work properly. Sperm transport problems are found in about one in every five infertile men, including men who have had a vasectomy but now wish to have more children. Blockages (often referred to as obstructions) in the tubes leading sperm away from the testes to the penis can cause a complete lack of sperm in the ejaculated semen. Other less common causes of infertility include: sexual problems that affect whether semen is able to enter the woman’s vagina for fertilisation to take place (one in 100 infertile couples); low levels of hormones made in the pituitary gland that act on the testes (one in 100 infertile men); and sperm antibodies (found in one in 16 infertile men). In most men sperm antibodies will not affect the chance of a pregnancy but in some men sperm antibodies reduce fertility.
Known causes of male infertility
1.Sperm production problems
• Chromosomal or genetic causes
• Undescended testes
(failure of the testes to descend at birth)
• Torsion (twisting of the testis in scrotum)
• Varicocele (varicose veins of the testes)
• Medicines and chemicals
• Prostate-related problems
• Absence of vas deferens
(erection and ejaculation problems)
• Retrograde and premature ejaculation
• Failure of ejaculation
• Erectile dysfunction
• Infrequent intercourse
• Spinal cord injury
• Prostate surgery
• Damage to nerves
• Some medicines
• Pituitary tumours
• Congenital lack of LH/FSH (pituitary problem from birth)
• Anabolic (androgenic) steroid abuse
• Injury or infection in the epididymis
• Unknown cause
How is male infertility diagnosed?
If a couple has been trying for a pregnancy without success, they should go to their local doctor, family planning clinic or women’s health clinic, and have some initial tests. Both partners should be tested, even if one has a child from another relationship. Diagnosis can involve a medical history from the man and a physical examination along with a semen analysis to check the number, shape and movement of sperm in the ejaculate.
Blood tests may also be done to check the levels of hormones that control sperm production. Genetic investigations and testicular biopsies are also done.
How is male infertility treated?
One in eight infertile men has a treatable condition, and after treatment, couples can become pregnant naturally.
In some cases, the doctor will recommend that the couple seek assisted reproductive technologies (ART), such as IVF (in vitro fertilisation). ART do not cure or treat the cause of infertility but they can help couples achieve a pregnancy, even if the man’s sperm count is very low.
What is ICSI?
Intracytoplasmic sperm injection (ICSI) is a form of IVF where a single sperm is placed directly into each egg by piercing the outer covering of the egg. ICSI is particularly helpful for men with poor sperm production. Sperm are collected from the semen or removed carefully from the testis or epididymis
Can I do anything to prevent male infertility?
It is best to avoid cigarette smoking, excess alcohol, sexually transmitted infections, heat stress from tight fitting underwear, and anabolic steroids (taken for body building or sporting purposes) as these factors can be harmful to the production of sperm.If you work in an occupation that may affect your fertility, it’s important to wear protective clothing and follow all occupational health and safety guidelines. It is recommended that couples trying to conceive avoid exposure to any possibly harmful chemicals.Because of the possible effects on fertility, it’s important to tell your doctor if you have had hormone treatment or had surgery as a child to move your testes into the scrotum.
Can older age cause male fertility problems?
Healthy men in their 70s and beyond can still father children, however the time taken for a partner to become pregnant is longer when a man is middle-aged or older. Reasons for this may include a decrease in sexual activity, lower semen volume, changes to sperm motility (movement), a lower number of motile sperm, and possibly lower sperm function and DNA quality.
The chance of the child having some genetic or chromosomal problem is also increased for older men.
What emotions might a man experience when diagnosed with infertility?
Men may be shocked when they find out they are infertile. There is still a common but incorrect belief that infertility is a woman’s problem. Therefore, when men are told there is a sperm problem, they are often unprepared. Being told that there is a sperm problem can affect a man’s sense of masculinity, sexuality and potency. Most infertile men at some time struggle with the idea that they are not able to do what other men can.
An emotional response to infertility is normal. Talking with a doctor or a sexual therapist or counsellor can help men with their feelings about infertility.