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Infertility Tips

Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

Ovarian cysts are fluid-filled sacs in the ovaries, often in multiples, which are very common in women. This is absolutely different condition from polycystic ovaries. Most of them are benign and not indicative of an underlying problem. They produce no specific symptoms and even if detected, can be watched over a period of time. Treatment may be required only if there are serious symptoms or there is higher possibility of cancerous nature of the cyst. Read on to know more. 

Types 

  1. Functional: There are two types in this. The follicular variety is when the egg that is ready for fertilization does not completely shrink and stays for a few more days before it disappears. Another variety, the luteal ovarian cysts are formed when after the release of the egg, there is blood filling up in the corpus luteum. 
  2. Pathological: There are many types here – dermoid, cystadenomas, endometriomas, cancerous cystadenocarcinomas etc. These are worrisome and need to be treated. Both varieties, once identified, should be monitored. The functional variety, though may not cause a problem, can cause infertility and so necessitate treatment. 

Symptoms 

Any ovarian follicle larger than 2 cm can be called as an ovarian cyst. They are usually benign and do not produce any symptoms. However, if they turn pathologic or grow in size, they can cause various symptoms such as: 

While cysts are often quiet and do not produce any symptoms, they can cause intermittent, nonspecific symptoms like above. If there is a family history of ovarian cancers in mothers, maternal aunt, Sisters, Grandmothers etc then women should have regular Gynaecological checkups to have a check done for ovarian cysts. 

Why go for laparoscopic surgery? 

  1. Laparoscopic surgery is considered to be one of the most effective ways of treating the condition of ovarian cysts. During the surgery, problem causing non-cancerous cyst can be removed without harming the ovaries. In the case of cancer, both ovaries along with uterus etc may have to be removed. This decision is taken by the operating surgeon depending upon age of the patient, characteristics and nature of the cyst and future fertility desires of the patient. 
  2. The patient is given general anesthesia during the surgery. After the surgery, one is suggested to rest for a day and may be permitted to return to normal activities within a day’s time. However, one needs to avoid any strenuous activity for almost a week. 
  3. While some cysts can be watched for years, others need treatment. This would be specifically true in cases where the couple is facing infertility issues or if there is a higher possibility of cancerous cysts. Such cysts need urgent intervention and should be monitored by a gynecologist with an experience in oncology. There are few blood tests that are needed to be done to know the nature of the cyst if it is benign or cancerous.
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Know the Facts About Common STDs in Women!

Dr. N Tripathy 87% (126 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), Master of Hospital Administration, pg (yoga therapy)
Sexologist, Bhubaneswar
Know the Facts About Common STDs in Women!

Although STDs are capable of affecting both genders, the impact on men and women is different. In women, this problem can cause long-term issues such as infertility in women. Although most STDs can be readily treated as soon as the symptoms surface, some cases might not throw up any symptom. Some of the curable STDs that can affect women are discussed below:

  1. Gonorrhoea: This STD is caused by bacteria living in mucous membranes of the vagina, urethra, mouth, rectum and eyes and is capable of spreading through contact. The symptoms in women include excessive discharge from the vagina, abdominal cramps, pain in the pelvic region and bleeding from the vagina after sex.

  2. Chlamydia: This STD is a result of a bacterial infection of ‘Chlamydia trachomatis’. Symptoms in females include burning sensation during urination, unusual vaginal discharge and bleeding between periods. Without treatment, the infection might spread to the urinary tract which could potentially cause PID (Pelvic Inflammatory Disease) which is capable of causing problems in pregnancy and even infertility.

  3. Genital Herpes: Genital herpes is generally caused by the herpes simplex virus-2 (HSV-2) or the herpes simplex virus-1 (HSV-1). The virus is commonly known to be the chief cause of cold sores. Symptoms may appear soon after infection and usually are severe. This includes blisters, which turn into raw and painful sores that scab and heal over time. This might be accompanied by swollen lymph nodes and fever.

  4. Chancroid: This infection is caused by the bacterium ‘Haemophilus Ducreyi’. It occurs most commonly in the vulva (the female external genital organ that includes the clitoris, labia as well as the opening of the vagina). The condition starts out as a tender lump that appears during the incubation period after intercourse. The incubation period generally ranges between 3-10 days. The bump turns into an ulcer i.e. an open sore, due to the death of the cells. This is usually painful.

  5. Syphilis: It is caused by the bacterium ‘Treponema pallidum’ and the disease mainly occurs if you have sexual intercourse without any protection, that too with multiple sexual partners. The other mode of infection is blood transfusion. Symptoms of Syphilis include appearance of ulcers around the genitals or the oral region known as a chancre, severe rashes around the hand or feet coupled with other symptoms of mild fever, headache, throat pain and immense fatigue.

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5 Ayurvedic Remedies For Infertility!

Dr. Priyanka Suneet Shende 89% (79 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), T.T.C.M Yoga
Ayurveda, Navi Mumbai
5 Ayurvedic Remedies For Infertility!

Not everyone can conceive a baby easily. The inability to conceive a baby despite having intercourse during the fertile window in a woman’s menstrual cycle for over a year is termed as infertility. Infertility does not affect only the physical health of a woman, but also her mental and emotional well-being as well as the couple’s social health.

In some cases, infertility can be treated with Ayurveda. According to Ayurveda, a couple needs to be both physically and mentally strong and healthy. Ayurveda believes that a lack of nutrition in the shukra dhatu or the person’s reproductive tissue is the cause of infertility. This can be triggered by indigestion, anxiety, depression, insomnia and the presence of toxins in the body. Some of the ways Ayurveda can be used to treat infertility are as follows:

  1. Eat cool foods: Spicy food can affect the quality of shukra dhatu and lower the quality and quantity of both sperm and ovum. This is because shukra dhatu requires a cool environment to promote fertility. Hence, eat food that is easy to digest and which has a cooling effect on the body. Men can benefit from foods like asparagus, dates and almonds, while foods like quinoa and pineapples can help a woman conceive easily.
  2. Shirodhara therapy: Shirodhara involves the movement of liquid over the forehead in a rhythmic manner at specific points. This stimulates the hypothalamus, pituitary and pineal glands and aids in the secretion of hormones including follicle-stimulating hormone (FSH). When it comes to women, FSH stimulates the ovarian follicles into releasing an egg without which it would be impossible to conceive a child.
  3. Fight stress: One of the effects of stress is reduced libido. Prolonged exposure to stress is often a major factor that contributes to infertility. When it comes to women, stress makes a woman ovulate less regularly. In men, stress can affect the sperm production and affect testosterone levels. To fight stress, try deep breathing exercises like alom vilom or keep a little time aside each morning for a walk or light exercise.
  4. Lodhra: This herb is very beneficial in treating women with infertility. It stimulates FSH and luteinising hormones (LH) and lowers the risk of a miscarriage. It also increases chances of conception. Lodhra should be taken twice a day along with honey and milk.
  5. Lifestyle changes: Ayurveda is not only about herbal medicines but also following the right lifestyle. Bad habits like smoking, drug usage and alcohol not only affect a person’s overall health but also interfere with fertility. Hence, when trying to conceive a child, quit these bad habits and try following a healthier lifestyle that involves following a routine, eating right and exercising regularly. If you wish to discuss about any specific problem, you can consult an ayurveda.
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Dilation & Curettage Process - What To Expect From It?

Dr. Shyama Nivas 91% (169 ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Patna
Dilation & Curettage Process - What To Expect From It?

Dilation and curettage procedure which is commonly referred to as D&C is a minor surgical procedure where the cervix is dilated while a special instrument is used for scraping out the lining of the uterus. It is important to know what you can expect before, after and during the process so that you can stay ahead of unnecessary worries and help the process to be smooth and fruitful.

When do doctors recommend dilation and curettage process?
You may be required to undergo the dilation and curettage procedure for one of many reasons. It can be used for removal of tissues in the uterus during or after an abortion or miscarriage or to remove little pieces of placenta after delivery. This process aids in preventing infection as well as heavy bleeding. On the other hand, it can help in diagnosing and treating abnormal uterine bleeding including polyps, fibroids, hormonal imbalances and even uterine cancer. A sample of the tissues in the uterus is tested under a microscope to check if there is any abnormal cell present.

What can you expect during the dilation and curettage process?
The D&C procedure is a minor one and takes about 15 minutes even though you will have to spend about 4 to 5 hours in the healthcare facility. Before the procedure, your doctor would check complete history, and at this point, you should tell your doctor if you suspect that you are pregnant, you are sensitive to latex or any medicines or if you have a history of bleeding disorders. You will then be given anesthesia so that you don’t feel any pain or discomfort during the procedure. Before this procedure, you will have to empty your bladder.

The D&C procedure comprises two main steps, dilation, and curettage.
Dilation involves opening of the lower part of the uterus or the cervix for allowing insertion of a slender rod. This is done to soften the cervix so that it opens and allows curettage to be performed. Curettage involves scraping of the lining and removal of the uterine contents with the help of a spoon-like instrument known as a curette. This may cause some amount of cramping, and a tissue sample would be taken out for examination in the laboratory.

After the completion of the procedure, you may experience slight bleeding and cramping. In some rare cases, adhesions or scar tissues may start forming inside the uterus, and this condition is termed as Asherman’s syndrome which can cause changes in the menstrual cycle along with infertility. This problem, if arises, can be solved with the help of surgery and therefore, you should report any abnormality in your menstrual cycle to your doctor. Consult an expert & get answers to your questions!

2601 people found this helpful

4 Ways To Preserving Your Fertility!

Best Fertility Centre In India
IVF Specialist, Chennai
4 Ways To Preserving Your Fertility!

Doctors believe that all women are born with a certain quantity of eggs as well as chances of conception. Also, all bodies are unique with individual strengths and weaknesses. Fertility tests can help in unravelling a number of issues as well as the health of your reproductive system as a whole. It is important to address various lifestyle issues in order to retain your fertility and ensure that you have a hassle free conception. Read on to know more about the ways in which you can preserve your fertility.

  1. Oral health: There are a number of medical studies that go as far as suggesting that the state of the woman’s oral health is a significant factor when it comes to the proper functioning of her reproductive system. Many women who have required treatment for infertility are said to have suffered from oral health problems like inflammation and gum disease. One needs to avoid these issues so as to have more reproductive success. So, it is important to brush and floss on a regular basis in order to have better oral and reproductive health.
  2. Food: When we are talking about oral health, how can food intake be too far behind? In order to maintain good oral health, it is important to take care of your eating habits. One should steer clear of excessive sugary food intake as well as junk food intake which end up harming the gums as well as the overall system of the patient. Also, you must avoid eating processed carbohydrates like white bread and white rice. It is also a good idea to get your proteins from plant sources rather than animal sources. Furthermore, it is also a good option to strike trans fat off the list and to pick unsaturated fats instead. This kind of a diet is known as low glycemic diet which keeps the sugar levels stable. This helps in boosting all body functions in general, including one’s fertility.
  3. Smoking: As per a number of medical studies, about 13 per cent of the infertility cases are linked with excessive smoking. Tobacco has an adverse effect on the state of your fertility, and it usually makes the eggs deteriorate at a much faster rate. It can also cause early miscarriage and ectopic pregnancy, which is a dangerous condition where the egg gets lodged in the fallopian tube. Smoking can also bring about early menopause.
  4. Vitamin supplements: Many doctors suggest that once a woman has entered her child bearing years, it is important to start taking multivitamins as these contain folic acid. Folic acid is an important nutrient that helps in foetal growth and stimulates ovulation. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
3129 people found this helpful

Impotence - 6 Ways To Treat It

Sexologist
Sexologist, Chennai
Impotence - 6 Ways To Treat It

Impotence or erectile dysfunction (ED) is treatable. The condition improves with treatment and lifestyle changes. While there are a plethora of medical options to treat impotence, there are some simple, easy-to-follow natural remedies as well. Here is a list of six such methods:

  1. Walk a mile: When it comes to impotence, walking two miles a day greatly helps in countering impotence. A brisk walk in the morning or evening helps to reduce weight and intervenes in cutting down obesity. A study in 2005 showed that a healthier lifestyle can improve or even reverses impotence. A person with a 42 inch waistline is far more likely to suffer from ED than a person with a waistline of 32 inches. Maintaining a healthy weight is, therefore, a good way to treat impotence.
  2. Moving the nether regions: Kegel exercises are known to be conducive for a good erection and better sexual performance. The bulbocavernosus muscle gets strengthened with this exercise. The bulbocavernosus muscle serves three purposes as they help the penis to engorge blood, empties the urethra post urination and pumps during ejaculation. Some other remedies include wearing loose pants, quitting smoking and alcohol, etc.
  3. Herbal Viagra: Red ginseng is considered to be the herbal Viagra because of its high effectiveness. A 2005 study showed that a dosage of 600–1,000 mg per day greatly helped in countering ED. This can be found in the form of a supplement. If plants are to be used, it should be ensured that the tree is at least five years old.
  4. Amino acid: The body possesses L-arginine that is naturally found in the body and helps in erection. Nitric acid relaxes the blood vessels in the body and sustains an erection for a longer duration. Consumption of high dosage of amino acid (5 mg/day) for six weeks can prove to be extremely beneficial in treating impotence. It should be ensured that a doctor is consulted before starting this course. Patients with a medical condition should not consume amino acid unless specifically prescribed by the doctor to do so.
  5. Watermelon juice: A citrulline is a form of amino acid that is found in abundant quantities in one slice of watermelon. This is a type of amino acid which is found to be extremely effective in improving the flow of blood to the penis. A 2011 study showed that a watermelon fetches very good result in improving ED.
  6. Acupuncture: A study conducted in 1999 showed that acupuncture improves erection in more than 39%of the people. This alternative therapy relaxes the mind and helps a person to get more involved while having sex. While there are mixed results of this alternative therapy, it is definitely worth a try to improve ED or impotence.
3 people found this helpful

Male Infertility

Dr. Pranay Ghosh 89% (20 ratings)
MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Play video

Do Not Worry About Male Infertility!

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Infertility - Causes, Risk and Treatment Of It!

Dr. Manisha Ranjan 83% (10 ratings)
MBBS, DGO
Gynaecologist, Noida
Infertility - Causes, Risk and Treatment Of It!

Infertility is a condition where a couple trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly. So here are the causes, risks and treatment for this condition.

Causes: There are many causes of infertility. It may be down to a condition present in one or both partners. As per a medical study, 20% of the cases of infertility are due to males, while 40% to 50% cases are due to problems in the female partner. 30% of the cases suffer from infertility due to problems in both males and females. Ovulation and fertilisation are the main elements of the conception process, and any condition in the female or male can upset either function which can make it difficult to conceive. While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions. Also, factors like thyroid, cancer and medication leading to temporary infertility may be at play. 

Risk: There are a number of factors that put a male or a female at risk of infertility. Being in your mid 30s usually has an adverse effect on the ovulation and production of well functioning sperm. Further, smoking and tobacco are among the main causes of infertility in either partner. Excessive alcohol consumption may also lead to this problem. Being overweight or underweight can also make a person infertile. Further, not getting enough exercise and routine activities out of your day, can lead to this condition as well. 

Treatment: Male patients can go through treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal, and ART or assistive reproductive technology. Female patients can turn to medication that will stimulate ovulation, Intrauterine Insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery

If these methods fail, the patient or the couple can always turn to methods like In Vitro Fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception.
 

thyroid cancer

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Unexplained Infertility - What Is It?

Dr. Seema Jain 92% (52 ratings)
MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
Unexplained Infertility - What Is It?

They say you need to have intercourse only once to get pregnant. However, this isn’t always the case. Many couples struggle for months and years trying to conceive a baby. The inability to get pregnant despite having unprotected sexual intercourse for over a year is defined as infertility. Infertility in women may be caused by a number of factors. This includes PCOS, ovulation disorders, side effects of medication, radiation etc.

However, in some cases, the cause of infertility may be difficult to pinpoint. In such cases, the patient may be diagnosed with unexplained infertility.

  • Unexplained infertility can be very frustrating as all your and your partner’s test results are normal. However, it is important to remember that modern medicine can only test for certain fertility factors. For example, there is no way to test the quality of an egg being released by the ovaries. Some of the other probable causes for unexplained infertility include nutritional deficiencies, low levels of cervical mucus, thyroid issues, hormonal imbalances, long-term use of medication etc.
  • Unexplained infertility is common amongst all infertility cases. In fact, according to some studies, it accounts for almost 50% of all infertility cases. Certain factors can increase the risk of unexplained infertility. Women over the age of 35 years are more susceptible to this type of infertility. Mild endometriosis could also contribute towards this condition. Stress is another factor that could influence unexplained infertility. In the case of unexplained infertility, conceiving a baby without treatment has a very low probability.
  • IVF or In Vitro Fertilization is the most common form of treatment for this type of infertility. Hormone treatment is the first stage of IVF. This causes the ovaries to produce multiple eggs instead of one egg. This medication is given in the form of injections. Just before these eggs are released from the ovaries, your doctor will harvest them. At the same time, the sperm will be collected from the male partner. These sperm cells will then be introduced to the harvested eggs in a laboratory so that the eggs may be fertilized. The fertilized eggs may be kept under observation for up to 5 days. Once the embryos are ready, one or more embryos will be transferred to the woman’s uterus. In most cases, up to three embryos are implanted. When it comes to unexplained infertility, IVF has a relatively high success rate. In case the IVF is not successful, you may choose to restart the process. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4622 people found this helpful

IUI - 4 Reasons To Go For It

Dr. Meeta Airen 89% (703 ratings)
MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
IUI - 4 Reasons To Go For It

Intrauterine insemination or IUI is a form of artificial insemination that involves the sperm being placed inside the uterus of a woman for bringing about fertilization. The aim of this procedure is to enhance the number of sperms that successfully reach the fallopian tubes and fertilize an egg, thereby increasing your chances of getting pregnant. Depending on the cause of your infertility, the procedure can be synchronized with fertility drugs or your ovulation cycle.

When should you go for IUI?

While reduced sperm mobility or a low sperm count may be the reason this procedure is opted for, there are certain conditions that may cause you and your partner to opt for IUI:

  • If the cause of your infertility doesn't have any medical explanation
  • Problems with ejaculation affecting the release of semen
  • Problems associated with cervical mucus can hinder the journey of the sperm from the vagina to the fallopian tubes
  • Scarring of the cervix due to past surgical procedures, rendering the sperm unable to enter the uterus

At the same time, the procedure is not recommended for women who suffer from:

  • A disease of the fallopian tubes
  • Past episodes of pelvic infections
  • Mild to severe endometriosis (a condition wherein the womb's lining grows outside it)

What happens after IUI?

The procedure takes up only a few minutes of your time and causes very little discomfort. Following the procedure, you'll be told to lie on your back for a short period of time, after which you can get back to your normal routine the same day. You can expect instances of light spotting, which will go away after two days. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2926 people found this helpful