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1 year ago Health , LifeStyle

Male Infertility and Erectile Dysfunction- Symptoms and Causes

Erectile Dysfunctioning: For many couples, reproduction has been a natural and simple experience. But it is not the same for many. A man’s fertility generally relies on the quantity & quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm is of poor quality, it will be difficult and sometimes impossible for him to cause pregnancy. Male infertility is diagnosed only after both the partners and tested and the reproductive problems have been found in the male.male infertility, erectile infertility, symptoms of erectile dysfunction

How Common is Male Infertility?

It is a very common problem. For 1 in every 5 couples, the infertility problem solely lies in the male. It is been estimated that about 1 in every 20 men has the same kind of infertility problem with a low number of sperms in his ejaculate. However, only 1 in every 100 men has no sperm in his ejaculate.

Symptoms of Male Infertility:

In most cases, there are no signs of infertility. Intercourse, erections, and ejaculations will happen without any difficulty. The quantity of semen ejaculated seems to be normal to a naked eye. Medical tests are required to detect male infertility.

Ask a Doctor  Consult a Doctor

Causes of 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 2/3rd of infertile men have a problem with making sperm in the testes. Either low numbers of sperm are made and/or the sperm that is made does 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 fertilization to take place
  • low levels of hormones made by the pituitary gland that acts on the testes (one in 100 infertile men)
  • 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.

Male Reproductive System:

There are 2 main glands that help in the production of male hormones and sperms. They are the pituitary and the hypothalamus glands. Luteinizing hormone and follicle-stimulating hormone are the 2 important messenger hormones made by the pituitary gland that acts on the testes.

The tests are a pair of egg-shaped glands that sit in the scrotum next to the base of the penis on the outside of the body. The testes make sperm and the male sex hormone testosterone. It takes about 70 days for sperm to become mature and able to fertilize an egg. When released from the testes, the sperm spends two to 10 days passing through the epididymis where they gain the vital ability to swim strongly or become motile and to attach to and penetrate the egg.

The waves of muscle contractions transport the sperm, with a small amount of fluid, from the testes to the vas deferens. The seminal vesicles and prostate contribute extra fluid to protect the sperm. This mixture of sperm and fluid travels along the urethra to the tip of the penis where it is ejaculated.erectile dysfunction

What is Erectile Dysfunction?

A man is said to have erectile dysfunction if he has permanent difficulty in getting or maintaining a firm enough erection to be able to achieve sexual activity. Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm, but this is not normally causing for a diagnosis of erectile dysfunction. This condition is only considered a concern if satisfactory sexual performance has been impossible on a persistent number of occasions for some time.

See: Facts You Need to Know about Sex after Abortion!

Broadly, two forms of erectile dysfunction can affect men’s sex lives – the main cause is either medical or psychosocial.

Here, psychosocial refers to the psychological effects – including the effects of social relationships – on sexual performance. Medical conditions can also affect psychological well-being, meaning that, while the primary cause of sexual impotence is typically either medical or psychological, there is often overlap between the two.

Erectile dysfunction used to be known more widely as ‘impotence‘ before the causes became better understood and successful treatments came into use. Impotence is a term that is still in use, however, although it can be seen as pejorative.

Know some facts about Impotence!

  • Organic causes are a result of an underlying medical condition affecting the blood vessels & nerves supplying blood to the penis.
  • Mechanical devices are also available to help achieve an erection.
  • Patients experiencing occasional erectile dysfunction and who do not respond to medical treatment may be candidates for surgery to fit a penile implant.
  • A number of prescription drugs, recreational drugs, alcohol, and smoking can all cause erectile dysfunction.

Diagnosis, with the help of a doctor, can identify the likely cause by taking a history, discussing symptoms, performing blood tests to establish the presence of conditions such as diabetes or heart problems, and other physical problems. 

Causes of Erectile Dysfunction:

The relaxation of muscles allows blood to rush into the cylinder-shaped spongy tissue of the erection chamber. This creates increased tissue pressure and erection. This blood flow process is led by nervous and hormonal triggers when the brain is stimulated by touch.

The normal erectile function can be affected by problems that compromise any of the following normal physiological contributions needed for an erect penis:

  • Blood flow
  • Nervous supply

Vascular causes that affect blood flow and neurological causes that affect nerve signals are the major medical causes of erectile dysfunction, often due to the underlying disease such as atherosclerosis and diabetes.

Smoking and diabetes often cause atherosclerosis, and this narrowing or ‘clogging’ of arteries in the penis is the most common vascular cause of erectile dysfunction.

Physical Causes of Erectile Dysfunction:

The following are a list of common physical causes of erectile dysfunction:

  • Heart disease and narrowing of blood vessels
  • Diabetes
  • High blood pressure
  • High cholesterol
  • Obesity and metabolic syndrome (which are also risk factors for diabetes)
  • Parkinson’s disease
  • Multiple sclerosis
  • Hormonal disorders including thyroid conditions and testosterone deficiency
  • Structural/anatomical disorder of the penis, such as Peyronie disease
  • Smoking, alcoholism and substance abuse, including cocaine use
  • Treatments for prostate disease
  • Surgical complications (surgeries include radical prostatectomy, cystectomy, transurethral resection of the prostate and rectal cancer surgery)
  • Injuries in the pelvic area or spinal cord
  • Radiation therapy to the pelvic region.

Numerous medicines can also cause erectile dysfunction. Anyone taking prescription medications should consult their doctor or healthcare practitioner prior to stopping or changing their medications.

  • Drugs to control high blood pressure
  • Heart medications such as digoxin
  • Some diuretics (known as ‘water pills’ that increase urine output)
  • Drugs that act on the central nervous system (in the brain or spinal cord), including some sleeping pills and amphetamines
  • Anxiety treatments (anxiolytics)
  • Antidepressants including monoamine oxidase inhibitors (MAOIs), selective-serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants
  • Opioid painkillers
  • Some cancer drugs, including chemotherapeutic agents
  • Prostate treatments, including treatments for cancer, and for benign prostatic hypertrophy (such as 5α-reductase inhibitors). Anti-androgen drugs used for prostate disease and other conditions can also cause erectile dysfunction
  • Anticholinergics – drugs with a wide range of uses that block a neurotransmitter (nerve signal molecule) that affects muscle tone
  • Hormone drugs, including estrogens and drugs that act on luteinizing hormone-releasing hormone
  • The peptic ulcer medication cimetidine

The Psychological causes of Erectile Dysfunction include:

  • Guilt
  • Fear of intimacy
  • Depression
  • Severe anxiety.
  • Depression– which can cause a loss of interest in sex (lower libido) as well as erectile dysfunction – and other mental health disorders
  • Stress fear, anxiety, or anger
  • Stress can include work, financial, and emotional problems
  • Performance anxiety – Repeated feelings of doubt and failure in which worrying about getting an erection can cause a cycle of anxiety that prevents one from being possible
  • Poor communication with a sex partner

Other relationship problems such as pressure from a sex partner – for example, because expectations make sex a task instead of a pleasure.

To know more about erectile dysfunction or male infertility and to know its diagnosis procedures log on to www.freedoctorhelpline.com or call us at +918010555444.

healthy life, office life, good life

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How much water should you drink daily ?- Ask A doctor online Free Doctor Online

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Effectiveness of Telemedicine

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1 year ago Health

HEALTH BENEFITS OF RAISINS

Raisins are obtained by drying grapes either in the sun or in driers. On drying, they turn into green, golden or black gems. They are naturally sweet in flavour and are widely used in cooking all over the world especially as dessert toppings. These may be tiny in size but they hold a bunch of nutritional value. The health benefits of raisins are, it aids digestion, treats constipation, improves bone health & increases iron levels in the body. It also helps to treat bloating, anaemia, fever, & erectile dysfunction. Raisins also have a positive impact on the eyes, hair, dental, heart, and bone health. It also helps in healthy weight gain.

Raisins are considered as dry fruits that boost energy that is added to health tonics, snacks, and high energy food supplements for backpackers, campers, and mountaineers. Raisins are high in calories and it is recommended that you eat ¼ cup of raisins a day.

Ask a Doctor  Consult a Doctor

THE HIDDEN NUTRITIONAL VALUE:

Raisins are rich in antioxidants and vitamins like riboflavin, niacin,thiamin, and vitamin C, K, and B6. It is also high in sugar and calories. It contains minerals like magnesium, potassium, calcium, iron, phosphorus, and boron.  A ¼ cup of raisins is said to have 4% proteins, 1% fat & 95% carbohydrates.

POWERFUL HEALTH BENEFITS OF RAISINS:

  1. Relieve Constipation: Raisins are rich in fibre (insoluble fibre) which absorbs all the water and natural fluids in the body. This adds bulk to the food moving through the intestinal tract. This ultimately provides relief from constipation.
  2. Promotes Weight Gain: They are rich sources of fructose & glucose and thus helps weight gain in a healthy way. It forms an ideal part of the diet for bodybuilders and athletes who require boosts of energy. It can be consumed by those who want to gain weight without accumulating unhealthy cholesterol.
  3. Treats erectile Dysfunction: It has been a custom in India to make the bride and the groom drink a glass of milk boiled with raisin & a pinch of saffron on their wedding. Any idea why this custom is been followed for years and years? Here it is. Raisins have been known to stimulate libido and thereby induce arousal. This is because it contains an amino acid called arginine which helps to treat erectile dysfunction. Raisins have the ability to increase sperm count. Consuming these dry fruits on a daily basis helps in sexual endurance.
  4. Aids Digestion: The fibres present in raisins help to flush out the toxins and harmful materials from the digestive tract. This prevents bacterial growth, intestinal diseases & difficulty in bloating.
  5. Prevents CancerCatechin is polyphenols antioxidants that are present in the blood which removes the free radicals present in the body. These free radicals are the underlying reasons for the spontaneous growth of cancerous cells. Raisins are rich in high levels of catechins that removes free radicals thereby preventing cancer. The fiber content in the raisins also promotes the excretion of bile from the body which also flushes out the toxins that cause cancer.
  6. Reduce Hypertension: The hight amount of potassium in raisins play a very important role in reducing hypertension. Potassium is mineral that reduces the tension of blood vessels and also decreases blood pressure. The dietary fibre in raisins also affect the blood vessels in the body and also help to reduce hypertension.
  7. Dental care: The phytochemical called oleanolic acid present in raisins play a crucial role in protecting your teeth against cavities, decay, and brittleness. It also prevents bacterial growth that is responsible for cavities.  The calcium present in raisins helps in strengthening and demineralizing tooth enamels. The boron content in raisins promotes the growth of oral gums thereby ensuring strong teeth. It might be surprising to know that while eating raisins, the longer it gets stuck to the teeth, the better it is, as it increases the preventive powers of bacterial growth.
  8. Cardiac Health: The high levels of potassium, fibre, boron, polyphenols, antioxidants, and phenolic acids help to burn cholesterol as well as lowers hypertension thereby promoting good cardiac health.
  9. Controls Diabetes: Raisins have the ability to lower postprandial insulin response. This means raisins have the ability to control the insulin production after the intake of the certain meal which is otherwise dangerous to a diabetic patient. They also help release leptin & ghrelin, the hormones which indicate us that we are hungry.  
  10. Treat Anemia: Raisins are abundant sources of iron which helps treat anaemia. It also contains vitamin B complex that helps in the formation of new blood. The high copper content in raisins also helps in the production of red blood cells.
  11. Good for Eyes: Raisins are rich in antioxidant-rich polyphenolic phytonutrients that are excellent for ocular health. They protect the eyes from the damages caused by radicals such as macular degeneration, age-related weakening of vision, and cataracts.Raisins benefits
  12. Prevents acidosis: Raisins being rich in potassium & magnesium are a natural remedy for acidosis. Potassium & magnesium help prevent acidosis as they are the common components of antacids and are considered basic on the pH scale. Acidosis is the state of increased acidity of the blood also known as toxicity of the blood. Sometimes the gases in our respiratory system may cause boils, skin damage, damage to the internal organs, & renal calculi. Consuming raisins can help prevent all this.
  13. Promote bone health: Calcium the important component of our bones is abundantly present in the raisins. Boron, which is required by our body in very small quantities is a very efficient calcium absorber. It helps to prevent menopause induced osteoporosis in women and is very important for the bones and joints. Potassium is another nutrient present in high levels and can help strengthen bones & promote bone growth thereby reducing the chances of osteoporosis.
  14. Reduce arthritis pain: Raisins have strong anti-inflammatory properties. It helps relieve chronic pain especially arthritis pain. One can either eat the soaked raisins or even drink the soaking water and see a drastic improvement in their health condition.
  15. Promotes kidney health: The high amount of potassium in raisins help prevent the formation & re-occurrence of kidney stones.
  16. Treats insomnia: Insomnia trouble may be due to deficiency of iron in your body. The intake of raisins which are rich in iron content can help overcome the iron deficiency. This also ensures good night sleep.
  17. Increase nutrient uptake: Raisins are rich sources of vitamins, minerals, and amino acids such as phosphorus & selenium. These nutrients are a good absorber of other nutrients and proteins in the body. including this in your diet can help improve your overall energy & strengthen your immune system.
  18. Improves Liver health: dry fruits are rich in bioflavonoids that protect your body from the free radical activity. Over-night soaked raisins and raisin water act as liver cleansers. The raisin water helps to improve liver health which in turn purifies the blood.
  19. Rich in anti-oxidants and vitamin C : Raisin is rich in anti-oxidants and vitamin C which keep the skin radiant, taut & youthful. It also prevents acne as it has germicidal properties.
  20. Hair health: The rich amount of vitamin C prevents cell damage. Daily intake of raisins can help hair growth, make it shinier and grow even thicker. The anti-inflammatory property can prevent dandruff, scalp irritation & flakiness

How to store?

Raisins once opened should be stored in the cool & dry area. It can be stored in airtight containers for about 6 months but still retains its flavour, colour & nutritional value. It can also be refrigerated for a year. You can also use it by steaming and boiling it in water for 10 minutes.

Raisins Preparation: Way to Prepare your own Raisin at Home

  • Get some fresh grapes
  • Remove the large stem
  • Wash it in cool water
  • Place it on a tray and dry well under the sun. it is even better if the tray has holes for air circulation
  • Rotate the tray to ensure even sun exposure.

 Hope these benefits of Raisins makes you add them to your daily dose of nutrition. Have a Healthy Life!

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2 years ago Health , healthy

5 Foods that Fight High Cholesterol

There are many patients who are experiencing elevated high cholesterol levels, prompting health Complication, for example, weight, hypertension and coronary illness.

Foods that contain cholesterol incorporate dairy items, (for example, cheese or butter), rice and bread kitchen items. Beyond what many would consider possible, you should restrain the admission of these foods. Patients who have recorded critical levels of cholesterol are advised by doctors to stay away from these foods.

Ask a Doctor  Consult a Doctor

Cholesterol-lowering lowering foods deliver a good dose of soluble fibre and provide Polyunsaturated fats, And those with sterols keep the body From absorbing cholesterol.

  1. Oats contain a special type of natural soluble fibre called beta-glucan, found in the endosperm layer of the oat grain. Oats Choose oatmeal or an oat-based cold cereal breakfast for 1 to 2 grams of soluble fibre. Researchers have known for more than 50 years that eating oats can lower cholesterol levels and thus reduce a person’s risk of developing cardiovascular disease.
  2. Beans are especially rich in soluble fibre. They make you feel for longer after a meal and a good choice for folks trying to lose weight. Beans are excellent for your heart. Beans are high in fibre and they contain a lot of protein i.e low in fat. “Studies have shown that beans can help to lower cholesterol by as much as 8% with one half a cup of beans eaten regularly”.
  3. Nuts eating 2 ounces of nuts a day can slightly lower LDL, by as much as 5%. Nuts have additional nutrients that protect the heart in other ways. Studies showed that participants who ate a diet high in peanut products lower their total cholesterol, LDL “bad” cholesterol and triglyceride levels and maintained their level of HDL “good” Cholesterol.
  4. Fatty fish Eating Fish 2-3 times a week can lower LDL by delivering LDL-lowering omega-3 fats, which reduce triglycerides in the bloodstream. Fish contain omega-3 fatty acids which can improve cholesterol. Salmon, sardines, herring, trout and albacore tuna are oily fish

Stanols/Sterols are extracted from plants help the body to absorb cholesterol from food. Getting 2 grams a day can lower LDL cholesterol by about 10%.

  • Plant stanol ester is oily substances found in plants. The scientist has discovered that these can stop the small intestine absorbing cholesterol, lowering the levels of cholesterol in the blood.
  • High Cholesterol levels are linked to a raised risk of heart disease.
  • Plant stanols are now used in many foods such as yoghurt, drinks and spreads.
  • There is clear evidence that they have an effect.  

When it comes to investing money, experts recommend creating a portfolio of diverse investments instead of putting all your eggs in one basket. The same holds true for eating your way to lower cholesterol. A diet that is heavy on fruits, vegetables, beans, and nuts is good for the body in ways beyond lowering cholesterol. It keeps blood pressure in check. It helps arteries stay flexible and responsive. It’s good for bones and digestive health, for vision and mental health. 

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Premature Ejaculation: Causes and Treatments

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2 years ago Health , healthy , Medical , Sexual Problems

THINGS TO KNOW ABOUT FERTILITY

Fertility is one thing that you take for granted until you want to actually put it into to use. This happens when you have no idea of what goes into having a baby. Here are some answers to various questions hanging unanswered in your mind!

1. What can be done to have more eggs?

Nothing can be done to produce or develop more eggs. Women are born with about 2 million eggs and they gradually lose them throughout your lifetime and menstrual cycles.

things to know about fertility

things to know about fertility

2. How can pills affect the fertility?

When you are on birth control you actually don’t ovulate. This doesn’t mean that you are killing off the extra eggs. You are just not using them! Even if you don’t ovulate your eggs will naturally degrade and die with time. The pills actually reduce the risk of ovarian cancer.

3. Can IUDs impact your fertility?

Intrauterine devices do not affect fertility in any negative way. You still have the possibility to ovulate when you have an IUD inserted into your uterus. The device only makes your uterus inhospitable for the fertilized eggs.

4. Does eating anything, in particular, induce labor?

There are a lot of myths out there about how foods can induce labor. Eating spicy foods, garlic, pineapple and almost everything is meant to induce labor. But the fact is that no food can actually induce labor.

5. Plan in your early 20s!

It might found silly, but just as we plan our retirement we need a plan for the reproduction as well! This is because there are a lot of things that can make it harder for you to get pregnant. So it is always better to know your own body and understand the risks and make potential choices well in advance.

6. It’s couple issue and not a women problem!

Fertility affects both men & women and it’s not a women problem alone.  When a couple seeks for infertility issue, most of the time it is male infertility and it is the male sperm that is responsible for infertility.

things to know about fertility

things to know about fertility

7. Are you potentially Capable?

It can take awhile for even young, healthy women to get pregnant. And if you plan to put off having kids at an early age and plan it during your early 30s then you should have done a complete evaluation with your doctor to check if you are potentially capable of conceiving at a later age.

8. Blood Test Performance

You may have a blood test performed to check on your egg reserves. It is performed on the 3rd day of the menstrual cycle so that we can identify whether the female is capable or incapable of postponing her pregnancy to a later stage.

9. Consult a Specialist

If you are women under 35 and trying to get pregnant then you will have to try for a year with your partner and if that doesn’t work then you can consult a specialist. But if you have crossed your 40s and still want to get pregnant then you will have to consult a specialist to know about the odds and opinions.

Consult with Specialist Doctor

10. Lifestyle Factors

Some lifestyle factors can also affect your reproduction. Very small changes in your lifestyle can make potential changes in your fertility.

  • Women who smoke go through menopause 4 years earlier than those who don’t!
  • Alcoholism
  • Chronic stress
  • Poor diet
  • Lack of regular exercise

      Lifestyle changes in men can also affect the fertility.

  • Smoking definitely hurts your sperm
  • Taking testosterone to build muscles can also affect sperm count
  • Alcoholism
  • Chronic stress
  • Poor diet
  • Lack of regular exercise

11. Health Conditions

Health conditions that make it harder for you to conceiveThere are some health conditions which can worsen your ability to conceive. Some are listed below:

Women health issues:  

  • Uterine fibroids
  • Irregular periods
  • Overweight or underweight
  • Endometriosis
  • Endocrine disorders
  • Polycystic ovarian syndrome

 Men health issue:

  • Weight problems
  • Hormone disorders
  • Diabetes
  • Thyroid problems
  • Previous trauma to the area

12. Inheritance Problem

Your mom’s pregnancy and menopause can tell you something about your own fertility. If your mom underwent menopause in her late 30s or early 40s then it is a sign that you might suffer from infertility problems. The same is true even if she has suffered uterine fibroids, difficulty in pregnancy, or endometriosis.

things to know about fertility

things to know about fertility

13. Surgical Treatment

Technology is amazing but it is not a sure thing! Most of the surgical treatment methods may not be applicable if you have crossed your 40s. There is no way to grow new eggs or to develop new eggs. Once a woman is out of eggs then she is out of eggs. There is no way to develop new ones.

14. Freezing your Egg

If at all you are planning to freeze your eggs then the best time is in your 20s or early 30s! the younger you are when you froze your eggs then there is a possibility that it is more viable and is of high quality!

15. Age Effects

Age effects sperm as well! It is a wrong belief that male age does not have any impact on fertility. Men also have equal contribution. The older they get the less healthy is their sperm quality. Men can become a father even in their late 70s but the fact is that children born to older dads have more chances of being victims of autism and other psychiatric conditions.

 

If you know you want to conceive one day then the only thing you need to do is to plan for it well in advance. Take good care of your body, keep in mind about your family history & medical history. Talk to your doctor and get medical advice. Consult our online doctors at www.freedoctorhelpline.com or call us at +918010555444.

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2 years ago

Answer for difference-between-implantation-bleeding-and-period

There area unit many alternative signs and symptoms of gestation and most of them mimic the upcoming arrival of your amount. Bleeding, interestingly enough, may be a signal that you simply area unit pregnant, and that we see this as ‘implantation bleeding’. though implantation harm isn’t that common it’s one thing that a lot of ladies have considerations concerning. Implantation harm may confuse the dates your nurse might offer you for your estimate birth date, supported the primary day of your last discharge amount.
When you do see your nurse they’re going to raise you once your last discharge amount was and additionally if it absolutely was ‘lighter’ than traditional. From this they will deduce whether or not or not this was Associate in Nursing implantation bleed and ‘date’ your gestation as four weeks earlier. this is often vital once it involves temporal arrangement your twelve week or ‘dating’ scan; too late and you will miss the window for a few of the screening tests that area unit offered.
What is implantation?
Once your egg has been fertilized it then should travel through your uterine tube, into your uterus and burrow into the liner of your uterus, or ‘implant’. This stage sometimes takes around seven days from fertilisation. The rule of thumb is that organic process happens around {two weeks|fortnight|time amount|period of time|period} when the primary day of your last period, and fertilisation around 24-36 hours when organic process.
To confuse things a trifle additional, spermatozoon will survive for up to seven days, therefore the day that you simply had intercourse might not be the date you formed. spermatozoon will simply wait up to per week in your uterine tube for the egg, that in distinction can sometimes solely live for 24-36 hours. Your conception date is all to try to to with once your body free your egg.
As with everything in nature, our bodies ne’er appear to follow the textbook and a few folks might unleash our eggs days before or when day fourteen. while not knowing once the egg was free it’s troublesome so much|thus far|up to now|to this point} pregnancies accurately and it’s for this reason that we have a tendency to use your amount and their traditional length and cycle because the reference for the way far on in gestation you’re.
The graph below shows the passage of your time for gestation in somebody with a twenty eight day oscillation.
Day 1: first day of your period
Day seven – 15: Intercourse
Day 14: ovulation
Day 14-15: Fertilisation
Day 21: Implantation (with potential bleeding)
Day 28: period due positive pregnancy test and four weeks pregnant
What’s the distinction between implantation bleeding and a normal period?
You would sometimes have expected your period some days to per week when any implantation bleeding. It’s extraordinarily simple to mistake the implantation harm for Associate in Nursing ‘early period’ as several of the pre-menstrual symptoms, like cramps, bloating and mood changes area unit present with gestation too. The distinction with a amount Associate in Nursingd an implantation bleed is that the length of the bleeding, the color of the blood loss and also the heaviness of the blood flow. A amount would commonly last 4-7 days and be heavier, with a uniform flow of blood and darken to red. Implantation bleeding sometimes begins as brown or pink and remains extraordinarily lightweight.
How long will implantation bleeding last?
Implantation bleeding sometimes lasts around one -2 days, however will last something from some hours to recognizing on and off for several days, and be extraordinarily lightweight, and keep lightweight. like everything, everyone seems to be totally different, and some ladies might feel that the implantation harm lasts as long as their amount.
What will implantation bleeding look like?
The blood is sometimes brown or pink and is sometimes contained in an exceedingly step-in liner, instead of a hygienical pad. it’s totally different from the darker red blood related to a amount, but many ladies begin their amount with this kind of blood loss and if they’re not expecting to be pregnant might mistake it for a amount. most girls with implantation harm can feel that their amount was early, Very light and use words like ‘spotting’. This ‘spotting’ might continue for 2-4 days in some ladies, and for those not expecting to be pregnant might merely mistake this for a ‘light’ amount and assume nothing else of it, till they miss their next amount

2 years ago

Answer for Spearm count is zero

Zero sperm count might be because of obstruction or blockage in the reproductive tract or sperm is not being made at levels sufficient to get into the ejaculate. A blockage can be due to prior infection, surgery, prostatic cysts, injury or congenital absence of the vas deferens (CAVD). Consult a urologist to diagnose it effectively and start a suitable treatment.
 

2 years ago

Answer for Spearm count is zero

Zero sperm count might be because of obstruction or blockage in the reproductive tract or sperm is not being made at levels sufficient to get into the ejaculate. A blockage can be due to prior infection, surgery, prostatic cysts, injury or congenital absence of the vas deferens (CAVD). Consult a urologist to diagnose it effectively and start a suitable treatment.

image
3 years ago LifeStyle

Types of Contraceptives

Contraceptives and their types:

A woman can get pregnant if a man’s sperm reaches one of her eggs.

Contraception tries to stop this happening by keeping the egg and sperm apart, or by stopping egg production, or by stopping fertilization attaching to the lining of the womb. Contraception is almost free for most people in the UK.

With 15 methods to choose from, you can find one that suits you best.

Barrier methods such as condoms are a form of contraception that helps to protect against sexually transmitted infections and pregnancy. You should use condoms to protect both your sexual health and that of your partner, no matter what the other contraception you’re using to prevent pregnancy.

What methods of contraception are available?

There are different methods of contraception:

  • long-acting reversible contraception,
  • hormonal contraception
  • barriers methods,
  • fertility awareness
  • emergency contraception
  • permanent contraception

 

There are about 15 methods of contraception. Don’t worry if the first type you used isn’t quite right. You still many ample options.

  • ¨ Caps
  • ¨ Combined pills
  • ¨ Condoms- female
  • ¨ Condoms- male
  • ¨ Contraceptive implant
  • ¨ Contraceptive injection
  • ¨ Contraceptive patch
  • ¨ Diaphragms
  • ¨ Intrauterine devices
  • ¨ Intrauterine Systems
  • ¨ Natural family planning
  • ¨ Progestogen-only pills
  • ¨ Vaginal ring
  • ¨ Female sterilization
  • ¨ Male sterilization

Over years the number of contraceptive methods has greatly increased and the methods differ by how they work. There are

  • ¨ Barrier methods- condoms or cervical cap
  • ¨ Hormone methods- pills
  • ¨ Intrauterine devices & sterilisation

Most types of contraceptives work by:

  1. a) Prevent an egg from being released every month (hormones)
  2. b) Prevent sperms from reaching the egg (barrier and some IUD methods)
  3. c) Block the reproductive function – in men or women (sterilization)
  4. d) Prevent a fertilized egg from implanting in the uterus (hormones)

What is long-acting reversible contraception?

A long-lasting reversible contraception usually last for a long time, you need to remember it every day or month.

There are two types of LARC:

  • anintrauterine device that lasts five or more years
  • animplant under the skin that lasts either three or five years.

These types of contraception last longer so are more effective at preventing pregnancy because you don’t have to worry about forgetting pills or a condom breaking or coming off.

They are “fit and forget” contraception.

 

Hormonal methods:

Hormonal methods of birth control use hormones to regulate or stop ovulation and prevent pregnancy. Ovulation is the biological process in which the ovary releases an egg, making it available for fertilization. Hormones can be introduced into the body through various methods, including pills, injections, skin patches, transdermal gels, vaginal rings, intrauterine systems, and implantable rods. Depending on the types of hormones that are used, these methods can prevent ovulation; thicken cervical mucus, which helps block sperm from reaching the egg; or thin the lining of the uterus.

  • Injectable birth control:

   This method involves the injection of a progestin, given in the arm or buttocks once every 3 months.5 This method of birth control can cause a temporary loss of bone density, particularly in adolescents. However, this bone loss is generally regained after discontinuing use of DMPA. Most patients using injectable birth control should eat a diet rich in calcium and vitamin D or take vitamin supplements while using this medication.

  • POPs progestin-only pills:

   In this, a woman takes one pill each day probably at the same time. POPs may interfere with ovulation or with sperm function.  POPs thicken cervical mucus, making it difficult for sperm to swim into the uterus or to enter the fallopian tube. POPs alter the normal cyclical changes in the uterine lining and may result in unscheduled or breakthrough bleeding. These hormones do not appear to be associated with an increased risk of blood clots.

  • Contraceptive patch:

It is a thin plastic patch which sticks to the skin and releases hormones into the bloodstream.  The patch is placed on the lower abdomen, buttocks, outer arm, or upper body. A new patch is applied once a week for 3 weeks, and no patch is used on the fourth week to enable menstruation.

  • Vaginal ring. 

     The ring is thin, flexible, and approximately 2 inches in diameter. It delivers a combination of Ethinyl estradiol and a progestin. The ring is inserted into the vagina, where it continually releases hormones for 3 weeks. The woman removes it for the fourth week and reinserts a new ring 7 days later. Risks for this method of contraception are similar to those for the combined oral contraceptive pills. A vaginal ring may not be recommended for women with certain health conditions, including high blood pressure, heart disease, or certain types of cancer.

EMERGENCY CONTRACEPTIVE PILLS:

    

ECPs are hormonal pills that are taken as a single dose or 2 doses, 12 hours apart. They are intended to use in the event of unprotected intercourse. If taken prior to ovulation, the pills can delay or inhibit ovulation for at least 5 days to allow the sperm to become inactive. They also cause thickening of cervical mucus and may interfere with sperm function. ECPs should be taken as soon as possible after semen exposure and should not be used as a regular contraceptive method. Pregnancy can occur if the pills are taken after ovulation or if the woman has unprotected sex in the same cycle.

    

In this article, we will mainly focus on the 3 main types: IUD, Vasectomy (male contraception) & tubectomy (female contraception)

 

Intrauterine devices:

An intra-uterine device (IUD) is a small T-shaped birth control device which is usually made of plastic and wrapped with copper or hormones. This device is inserted into the women’s uterus to prevent pregnancy. A plastic string is tied to the end of the IUD that hangs down the vagina through the cervix. One can check if the IUD is in place by feeling this string. This string is also used by the doctors to remove the IUD.

TYPES OD IUDs:

There are 2 types of IUDs that are usually preferred. They are:

  • ¨ Hormonal IUD
  • ¨ Copper IUD

The hormonal IUD releases a form of progestin hormone called as levonorgestrel. This type of IUD is found to be the most effective form of contraception than the copper IUDs. They can prevent pregnancy for 3 to 5 years.

The copper IUD is the most commonly used IUD. A copper wire is wound around the stem of the T-shaped device. This can prevent pregnancy for 10 years.

Insertion & working of IUDs:

The insertion of IUD into the uterus is done with help of a specialized doctor. An IUD can be inserted anytime into a women’s body provided she is not pregnant or have a pelvic infection. The insertion procedure takes only a few minutes and sometimes an anesthetic may be given in the area around the cervix.

The main function of the IUD is to prevent the fertilization of the egg by killing or damaging the sperms. The hormonal IUD prevents the fertilization of the egg by killing or damaging the sperms. It makes the mucus in the cervix thick and sticky so that the sperm can’t get through the uterus. It also weakens the uterine lining so that it becomes a poor place for the fertilized egg to implant and grow. The hormone in this IUD also reduces the menstrual cramping and bleeding.

Copper is toxic to the sperm. The copper enables the fallopian tube and uterus to produce a fluid that consists of copper ions, enzymes, white blood cells and prostaglandins that kill the sperms.

When can it be done?

Women can undergo an IUD if she fits into one of the below categories;

  • Do not have a pelvic infection at the time of insertion
  • If a woman is breastfeeding
  • If she is not prone to sexually transmitted diseases
  • If she do not want to use birth control pills
  • If she prefers a long-acting method of birth control

Advantages of IUDs:

The advantages of IUDs include:

  • ¨ It is cost-efficient
  • ¨ Less time-consuming method of contraception
  • ¨ Lowers risk of ectopic pregnancy
  • ¨ Reduces menstrual bleeding and cramps by 90%
  • ¨ It may prevent endometrial cancer
  • ¨ Do not cause weight gain

Disadvantages of IUDs:

  • The hormonal IUD may give rise to non-cancerous growth such as ovarian cysts.
  • It may cause hormonal side effects as that caused by oral contraception.
  • The side effects include breast tenderness, mood swings, headaches, and acne.

 

RISKS FACTORS:

Menstrual problems: the hormonal IUD reduces menstrual cramps and bleeding whereas the copper IUD increases menstrual cramps and bleeding. Some may also experience spotting between the periods.

Perforation: one out of 1000 women will strike in perforation. It almost occurs during insertion. The IUD should be removed if the uterus perforate.

Expulsion: about 1 out of 100 women may experience expulsion. The IUD may be expelled out of the vagina.

 

TUBECTOMY:

Tubectomy, also called as tubal ligation is solely meant for women. It is a surgical procedure of permanently preventing pregnancies. It is commonly called as, “getting your tubes tied” is a surgical sterilization technique for women. This procedure involves closing the fallopian tubes thereby stopping the eggs from traveling from the ovary to the uterus. It also prevents the sperms from entering the fallopian tube to fertilize the egg.

This surgical procedure is 99.5 % effective as birth control and works immediately. In the tubal ligation, the fallopian tubes are either cut or burned or blocked with clips. It does not protect against sexually transmitted diseases including HIV & AIDS.

Procedure:

The tubectomy can be carried out in 2 ways; one is by open surgery that is cut opening the abdomen and the other is a minimally invasive surgery using laparoscopic techniques. In this, the tubes are cut and tied or a clipped at a particular point so as to stop the motion of egg from the ovary to the uterus. This prevents the chances of getting pregnant.

Can the procedure be reversed?

As mentioned earlier this is a permanent technique but it can be reversed by undergoing major surgery. However, the results of that surgery are not at all guaranteed and reversals are more difficult and expensive. Performing tubectomy by microsurgery or laparoscopic techniques have higher chances of reversal but the chances of getting pregnant after the reversal are very minimal.

Women can enjoy sex as earlier even after tubal ligation. There are no noticeable changes in their menstrual cycle and hormone levels. The ovaries release eggs as earlier they are not pushed down the fallopian tube but are reabsorbed by the body itself.

Who should not get this procedure?

It is a complex surgery and is performed under general anesthesia. Certain people who suffer from the following should not undergo this procedure.

  • Women who already have undergone surgeries in the abdomen
  • Women who have heart and lung diseases
  • Women who are allergic to general anesthesia.

Why is it more complex than a vasectomy?

     It is definitely considered to be more complex than a vasectomy because women undergoing this surgery are prone to have more complications because it is a major abdominal surgery. In a vasectomy, the semi vesicles are cut. These tubes are much closer to the skin and do not require a major surgery. Also, these tubes can be accessed easily and be done under local anesthesia.

Women undergone tubectomy may develop bladder infections and abnormal bleeding. Some may have post-tubal sterilization syndrome. This includes irregular and painful periods, mid-cycle bleeding or no periods at all. Women who get pregnant after the reversal surgery have more chances of ectopic pregnancy.

 

Advantages:

  • Immediately effective method of contraception
  • Permanent birth control
  • It is cost-effective in long run
  • Allows sexual spontaneity as well
  • Does not require regular attention

Disadvantages:

  • Does not protect against Sexually transmitted diseases
  • Requires major surgery
  • There are complications associated with the surgery
  • May not be reversible in some cases
  • It is more complicated than male sterilization

Tubal ligation is permanent sterilization and one has to be mentally prepared before making a decision. A woman undergoing tubectomy is susceptible to have more complications since it is considered to be a major abdominal surgery. So one has to think wisely and consult a doctor before making a decision.

VASECTOMY:

A vasectomy is a surgical procedure that is considered as a permanent birth control method. It is solely meant for men and makes him permanently unable to get a woman pregnant. It prevents the release of sperms when the man ejaculates. This procedure involves cutting or blocking the two tubes called as vas deferens. This makes it impossible for the sperm to enter the semen.

How is vasectomy performed?

During a vasectomy:

  • The testicles and scrotum are shaved and cleaned with antiseptic.
  • You will be given an oral or IV medicine that makes you sleep. So that you will not feel the pain.

The surgical procedure takes about one hour and you will be provided a local anesthesia to numb your scrotum. Once the area is numbed, the doctor makes a small hole on one side of the scrotum and pulls the vas deferens on the other side. The hole made is very small in size so that it heals by itself without stitches. A small portion of the vas deferens is removed and is sealed with clamps. This prevents the sperms from entering into the semen which then ejaculated through the penis. The testicles produce sperms continuously but it is reabsorbed by the body. The eggs cannot be fertilized if there are no sperms in the semen. The doctor then performs the same thing on the other side.

No-scalpel vasectomy is a technique that uses small clamps with pointed ends instead of a scalpel. These clamps are used to cut open the skin of the scrotum. This method is more beneficial as it causes less bleeding, only a small hole is made that heals by itself without stitches, and has fewer complications. This method is as effective as traditional vasectomy.

Vasclip implant procedure: In this procedure, a device called vasclip is used to lock the vas deferens. In this technique, the vas deferens is not cut which reduces the pain and complications of the surgery. However, studies show that clipping is not that effective compared to other methods of sealing the vas deferens.

How effective is vasectomy?    

It is the safest and effective method of birth control. About 1 or 2 out of 1000 people might give rise to pregnancy after vasectomy.

Can a vasectomy be reversed?

Some vasectomies can be reversed but the surgery is very difficult and is more expensive. So, one should not undergo vasectomy unless he is sure not to have children in the future.

After the surgery;

  Most men will return to the doctor to have a sperm count check but these days there is also home test available. A vasectomy will not interfere with the sex factor, ability to have an erection, sensation of orgasm, etc. one may have mild itching in the testicles during sexual intercourse for few months after the surgery.

Possible risks of the surgery: The complications are very minimal. It includes

  • Bleeding under the skin which may cause swelling
  • Infection at the site of the incision. In rare cases, the infection may enter into the scrotum
  • Inflammation of the tubes that move the sperms from the testicles

 Advantages:

  • It is a permanent method of birth control
  • It is safer, cheaper and also has fewer complications
  • It is only a one-time cost and is usually covered with medical insurance

Disadvantages:

  • It cannot prevent sexually transmitted diseases.
  • There are complications associated with the surgery
  • May not be reversible in some cases.

Vasectomy reversal is possible but is very difficult and expensive. The results of reversal are not guaranteed at all. So before one makes a decision, you will have to think wisely about the risks and complications of vasectomy as well as the benefits. You may also consult your doctor for a second opinion. So far there are no new methods with relatively lesser side effects and risks for male sterilization.

What are the natural methods of contraception?

Natural methods are typically very inexpensive compared to other methods of birth control unless a woman chooses to purchase ovulation test kits.

Advantages of natural birth control

  • A woman does not need to take medication or use hormonal manipulation.
  • No procedures or fittings by a physician are required.

Disadvantages of natural birth control include

  • It can be difficult to estimate or know precisely when a woman is fertile, allowing increased chances for unplanned conception.
  • Natural methods are not as effective as some forms of contraception.
  • Ovulation test kits are used by some couples using natural methods of contraception, and the cost of these kits is another potential disadvantage.
  • Being unable to have intercourse at certain times of the month is a disadvantage for some women.

Calendar rhythm method:

The calendar rhythm method to avoid pregnancy relies upon calculating a woman’s fertile period on the calendar. Based upon her 12 previous menstrual cycles, a woman subtracts l8 days from her shortest menstrual cycle to determine her first fertile day, and 11 days from her longest menstrual cycle to determine her last fertile day. She can then calculate the total number of days during which she may ovulate. If a woman’s menstrual cycles are quite irregular from month to month, there will be a greater number of days during which she might become pregnant.

The calendar method is only about 80% effective in preventing pregnancy and when used alone, it is considered outdated and ineffective.

Basal body temperature method:

 

The basal body temperature (BBT) method is based on the fact that a woman’s temperature drops 12 to 24 hours before an egg is released from her ovary and then increases again once the egg has been released. Unfortunately, this temperature difference is not very large. It is less than 1 degree F (about a half degree C) when the body is at rest.

The basal body temperature method requires that a woman takes her temperature every morning before she gets out of bed. A special thermometer that is more accurate and sensitive than a typical oral thermometer must be used, and the daily temperature variations carefully noted. This must be done every month. Online calculators are available to help a woman chart her basal body temperature.

To use the basal body temperature as a birth control method, a woman should refrain from having sexual intercourse from the time her temperature drops until at least 48 to72 hours after her temperature increases again.

Mucus inspection method:

The mucus inspection method depends on the presence or absence of a particular type of cervical mucus that a woman produces in response to estrogen. A woman will generate larger amounts of more watery mucus than usual (like raw egg white) just before the release of an egg from her ovary. This so-called egg-white cervical mucus (EWCM) stretches for up to an inch when pulled apart. A woman can learn to recognize differences in the quantity and quality of her cervical mucus by examining its appearance on her underwear, pads, and toilet tissue; or she may gently remove a sample of mucus from the vaginal opening using two fingers.

She may choose to have intercourse between the time of her last menstrual period and the time of change in the cervical mucus. During this period, it is recommended that she have sexual intercourse only every other day because the presence of seminal fluid makes it more difficult to determine the nature of her cervical mucus. If the woman does not wish to become pregnant, she should not have sexual intercourse at all for 3 to 4 days after she notices the change in her cervical mucus.

To in detail about other types of contraception or to know which type suits you the best, log on to Free Doctor Helpline or call us at +918010555444.

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3 years ago Health , Medical , Pregnancy , Women Health

Womb on sale: Surrogacy in India

A large section of population wants to have their own children, most preferably. But in some cases, that is not possible. It can be because of inability to conceive in the wife or the husband, or the couple being gay or a single man or woman desiring to have his or her own child. In such cases, those people can go for In Vitro Fertilization (IVF) surrogacy in India. They can easily opt for India as the costs are much lower here and also chances of finding a surrogate mother here are quite high.

So, evidently there are many such unfortunate couples and individuals out there who cannot bear their own children. But they can still become parents by opting for surrogacy. And hence the demand graph for surrogacy peaks inevitably. Regardless of this great demand, there are moral issues surrounding this surrogacy debate, a kind of moral conflict turning this great opportunity into a great controversy. As a matter of fact, there are various laws in the US defining exactly what is acceptable about IVF and what goes against the law and should not be practised. Turning towards India for surrogacy can in such situations boost hopes of such unfortunate couples.

What are the Advantages of choosing India for IVF Surrogacy?

  • It will cost you only a fraction of that in the US or anywhere else.
  • Medical tourism is a large and well organized industry in India, and hence India is well equipped to cater to your needs.
  • Legitimate, and well prepared IVF centers in India and specialists are set up with various screened and tried surrogate mother in their documents. The ladies comprehend, and have concurred that conveying another family’s youngster is a job for which they are being enlisted, and that when the infant is conceived it will be given over to its appointing guardians.

Also read: Male Infertility and Erectile Dysfunction- Symptoms and Causes

What are the various laws guiding the IVF Surrogacy in India?

 

  • There is no law confining any outsider originating from another nation and enlisting surrogate mother in India to give birth to their babies.

 

  • The outsiders opting for IVF surrogacy can be either married or unmarried, gay, or single.

In any case, in light of the fact that there is likewise no international law with respect to surrogacy, now and then the legitimate nationality and lawful parentage of the kid can bring about perplexity when the new family returns home.

Also read: Sexual Dysfunction in females | Symptoms, Causes & Treatment

Another law is as of now being discussed in the Indian parliament. In addition to other things, it contains arrangements for:

  • An independent agency that will monitor and take care of the Assisted Reproductive Technology (ART) banks. Instead of the clinics, these banks are designated to recruit the surrogate mothers in India. This move also empowers the mothers with greater independence to negotiate their own fees.
  • Each mother is limited to only 5 surrogate pregnancies.
  • Each surrogate mother is entitled to an age limit of 35 years.
  • An earlier assurance that the nation of origin of the charging guardians will acknowledge the child as theirs once it is conceived
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Ask a Doctor  Consult a Doctor

What things you ought to Consider Before Planning your Trip to India for IVF Surrogacy?

Research the capabilities of the IVF specialists in India and their centers, so you know the ones you need to work with. Additionally, investigate the laws in regards to surrogacy in your nation or state on the accompanying:

  • Will you be legitimately perceived as a parent or guardians of the newborn?
  • Will your newborn be perceived as yours and be issued a passport to come back to your nation of origin?
  • Will you need to experience adoption procedures before the newborn will be viewed as yours?

A few nations require a DNA test to demonstrate that the newborn is identified with one of the authorizing parents. A few nations would need consent from the birth parent (the surrogate mother) before the commissioning parent  is permitted to travel to his or her own country with the child.

You are highly advised to get an agreement made covering every one of these issues signed by every one of the members . It is likewise fitting for the commissioning parents to employ a legal counselor in their nation of origin who can work with an attorney in India to draft the agreement.

Click: Low Sperm Count- Signs, Causes And Treatment

Why should you Travel for IVF Surrogacy to India?

Since a large number of individuals as of now have and are content with their newborns, you should travel to India for surrogacy for the following reasons:

  • India already has the mastery and the experience, needed to deliver surrogacy.
  • The nature and quality of surrogate moms working with the best IVF specialists in India is the finest.
  • The expenses will be much lower.

Going to your pregnant surrogate and being there at the birth of your child additionally, will give you the chance to encounter the marvels of a rich, delightful, old culture. IVF surrogacy in India is turning into the favoured choice for unfortunate childless couples and individuals all around the world.

3 years ago

Answer for I had sex withy bf yesterday.. altough he did not ejaculate inside me … butfor 60 secs or so his penis was inside the vagina & he took it out at d right moment .. few secs before d cum cameout ..I wanna ask , is their any chance of pregnancy because of d pre cum ..I m too afraid , all d web wages I scrolled through r giving diff.. point of views ..please ams as soon as possibleI have my exams and I m not able to concentrate on that ..I have even taken a pill .. unwanted 72 , on prescription from d doctor, she did not guide me properly .. I hope ur panel of doctors will surely do ..

Although pre-cum has very negligible amount of sperm cells. So, practically, the chance for pregnancy is very less if ejaculation hasn’t taken place inside vagina. Still, the chance of pregnancy cant be surely ruled out as few sperms are there in the pre-cum which can lead to pregnancy in rare circumstances.

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