10 New Year's Resolutions which can make 2020 a good year for you

If you’re struggling to find out your New Year resolutions, here are some ideas which can make this year better for you.


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it’s New Year and you can make a difference in 2020. Oh yes! You can do it with some positive New Year resolutions. New Year resolutions become completely achievable when you’re sorted with your priorities and can do anything to get these things done. Though, sometimes it becomes difficult to find out ideas which should be in our New Year resolutions.

If you’re struggling to find it out, here are some New Year resolution ideas which can make this year better for you.

1. Consume Healthy Diets

Healthy diet habits in New Year resolutions will demand a change of your mindset about foods that you eat daily. Especially, if you consider yourself as a foodie, it is going to be hard to develop practice. But, have you ever thought of why we should develop this practice?

A good food habit is not only going to benefit your physical, mental and emotional health but also, can combat diseases, boost your energy doing many more wonders. To improve your overall well-being, start practising a good food diet now!

2. Do Digital Detox

You should take a break from the gadgets and spend some time on doing what you love to do. And, it’s important. It’ll be an impractical suggestion to say stay away from technology and social media platforms but, you can always reduce your time there.

Doing Digital Detox will help you to reduce stress, increase attention span, improve your sleeping patterns providing other beneficial things.

3. Try Learning New Hobbies

Finding a new hobby isn’t always an easy thing. But, if you find one, a new hobby can help you to stay present focusing on the moment. Other than this, new hobbies do help to take new challenges, clear visions about your goals allowing you to explore yourself and your talents.

Additionally, new hobbies can give you some additional income as well.

4. Whenever Possible, Travel

Exploring new places can help you to gain a lot of treasure moments in your life. To do this, you just need to plan your work schedule accordingly, mange your weekend plans and be ready with your backpack. When you start travelling, you’ll realise how it can give a better understanding of different cultures, increase eagerness for listening to new stories, reduce workplace stress and enhance your creative abilities.

So, take out some time from your day-to-day responsibilities and travel as much as possible.

5. Start Saving More

Beginning of a year is always the best time to outline a better budget plan to save more money. But, whatever plan you make for the rest of the year, you need to assure that you will stick to it. Apart from saving money, this New Year resolution will help you to fulfil your dreams, at the end of the year.

6. Be Aware of Gossiping

No wonder, every people gossip about something or someone. But, do you know, gossiping about people mostly spreads negativity around you? Not only that, but people can also stop trusting you. They may think several times before telling you something serious if they especially know you love to do gossiping.

This is why, be aware!

7. Practice Yoga and Meditation

We often forget to take out some time to maintain our inner balance. Practising yoga and meditation can help to create mental clarity, increase your body awareness, relaxing the mind sharpening your concentration power.

This should be your one of those priorities which you’ll not fail to do in your daily life. You’ve to make it a priority to improve your mental well-being, this year.

8. Go Green

Going green goals will show your concern for society over increasing pollution. Here, gardening can be one of those ways which can be easy to implement. It does not only have mood-boosting benefits but also, it can help to combat your loneliness.

Plant a tree for a greener future.

9. Read Books

Choose good books and read. Reading good books will surely improve your vocabulary skills and give unique ideas to shape your life.

At the end of the year, be assured, you’ll always be in the gaining side if you adopt this habit.

10. Give to Charity

We don’t live in a world where everyone has everything. For this reason, we should always help people who are in need. 

Donating money to charity will not only give you a sense of pleasure and make you happy, but also, motivate others to do their part to build a better society.

Have a great year ahead!

Also read : Do you have Endometriosis? Consult your gynecologist

About Dr Bedekar Hospital For Women And Children in Thane:

Dr Bedekar Hospital Thane Offers Maternity Hospitals in Thane. Do Get in Touch to Book Appointment With Our Experienced Team of Doctors.

Talk to Us On 022 2542 1438 / 9820913256 Or Email Us At bedekarhospital@gmail.com

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Do you have Endometriosis? Consult your gynecologist

What is Endometriosis?

If you have endometriosis, you know it causes pain and cramping, which can sometimes be severe, especially during your period. It can even create problems when you want to have a baby. But what exactly is endometriosis and what causes all the symptoms that are associated with it?

Endometriosis occurs when tissue that should line the inside of your uterus, the endometrium, grows outside of it instead. Even though the tissue is outside of your uterus, it still acts like it should during your menstrual cycles. That means at the end of your period, this tissue will break apart and bleed.

However, the blood from this tissue has no place to go. Surrounding areas may become inflamed or swollen, and scar tissue and lesions can develop. The most common site for endometriosis is on your ovaries.

Symptoms

Many times, endometriosis has no symptoms. When symptoms are present, they may include:

  • Abdominal cramps or back pain during menstruation
  • Severe menstrual cramps
  • Painful bowel movements or urination, especially during menstruation
  • Abnormal or heavy bleeding during periods
  • Painful sex
  • Difficulty becoming pregnant

Causes

Doctors don’t know exactly what causes endometriosis. Some experts think that menstrual blood with endometrial cells travels back through the fallopian tubes and passes out into the pelvic cavity where the cells stick to the organs. This is known as retrograde menstruation.

Genetics may also play a role in whether you get endometriosis. If your mom or sister have it, you’re more likely to get it, also. And research shows that when there is a hereditary link, the disease seems to be worse in the next generation.

Some women with endometriosis also have immune system disorders. But doctors aren’t sure whether this is a cause or an effect of the endometriosis.

Diagnosis

If you have any symptoms of endometriosis or are having difficulty becoming pregnant, contact your gynecologist. There are several things she can do to determine if you have endometriosis, including:

  • Pelvic exam and history
  • Ultrasound exam
  • MRI
  • Laparoscopy
  • Biopsy

Treatments

There is no known cure for endometriosis. Treatments usually include surgery or medication to manage symptoms.

  1. Pain medication. If your symptoms are manageable with over-the-counter medications, your doctor will likely suggest you take a pain reliever such as an NSAID like ibuprofen (Advil, Motrin) or naproxen (Aleve). If these don’t relieve your pain, talk to your doctor about other options.
  2. Hormones. Hormonal therapy is used to minimize the amount of estrogen your body creates, and to prevent your menstrual period. This helps lesions bleed less, which decreases inflammation, scarring, and cyst formation. Common hormones prescribed include:
  3. Surgery. For some cases, surgery to remove as much of your endometriosis as possible may be necessary. In some cases, surgery improves symptoms and may increase your chances of pregnancy. Sometimes pain returns, though. Your doctor can perform surgery laparoscopically, which is less invasive, or through standard abdominal procedures, so be sure to discuss all of your options.

    In the most severe cases of endometriosis, a hysterectomy to remove the ovaries, uterus, and cervix may be the best option available. This is usually considered the last option, especially if you still want to have children.

Artificial Insemination : IUI Treatment

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When you and your partner talk to a doctor about getting help for infertility, he may suggest a technique called “artificial insemination.” It’s a simple procedure with few side effects, and it can help some couples who haven’t been able to get pregnant.

In artificial insemination, a doctor inserts sperm directly into a woman’s cervix, fallopian tubes, or uterus. The most common method is called “intrauterine insemination (IUI),” when a doctor places the sperm in the uterus.

Why is this helpful? It makes the trip shorter for the sperm and gets around any obstructions. Your doctor may suggest this method first as a treatment for infertility.

What Type of Infertility Can Artificial Insemination Treat?

The procedure can be used for many kinds of fertility problems. In cases involving male infertility, it’s often used when there’s a very low sperm count or when sperm aren’t strong enough to swim through the cervix and up into the fallopian tubes.

When the issue is female infertility, it’s sometimes done if you have a condition called endometriosis or you have anything that’s abnormal in your reproductive organs.

This method might also be right for you if you have something called an “unreceptive cervical mucus.” That means the mucus that surrounds the cervix prevents sperm from getting into your uterus and fallopian tubes. Artificial insemination lets the sperm skip the cervical mucus entirely.

Doctors also often suggest artificial insemination when they can’t figure out the reason a couple is infertile.

What to Expect During the Procedure

Your doctor will use ovulation kits, ultrasound, or blood tests to make sure you’re ovulating when you get artificial insemination. Then, your partner will need to provide a sample of his semen.The doctor will suggest that your partner avoid sex for 2 to 5 days before the procedure to help make sure his sperm count is high. 

If you live close to the clinic, your partner may be able to collect a semen sample at home. If not, he’ll do this in a private room. The reason it helps if you live close to the doctor’s office is that the sperm must be “washed” in a laboratory within 1 hour of ejaculation.

The process of “washing” the sperm in a lab removes chemicals in the semen that may cause discomfort for a woman, and raises the chances of getting pregnant. Technicians liquefy the sperm at room temperature for 30 minutes and add a harmless chemical to separate out the most active sperm. They use a centrifuge to collect the best sperm.

Those are placed in a thin tube called a catheter and put through your vagina and cervix into the uterus.

Artificial insemination is short and relatively painles. Many women describe it as similar to a Pap smear. You may have cramping during the procedure and light bleeding afterward. Your doctor will probably have you lie down for about 15 to 45 minutes to give the sperm a chance to get to work. After that, you can get back to your usual activities.

In some cases, before you have the procedure, your doctor will place you on fertility drugs, such as clomiphene citrate (Clomid). This helps your body ovulate multiple eggs.

Success rates for artificial insemination vary. Some reasons why the chances might be lower that it will work are:

  1. Older age of the woman
  2. Poor egg or sperm quality
  3. Severe case of endometriosis
  4. A lot of damage to fallopian tubes, usually from long-term infection
  5. Blockage of fallopian tubes — IUI will not work in this case

Other Issues With Artificial Insemination

The procedure won’t work for everyone. Some couples try it several times before they get pregnant, while others may not have any success at all.

Your doctor may suggest trying it at least three to six times with injectable hormones before moving on to another treatment. If artificial insemination doesn’t help you, there are other approaches you can try, such as in vitro fertilization with your own eggs or with donor eggs.

Be sure to compare costs before you choose a clinic for artificial insemination. Prices vary greatly from one to another. Make sure the estimate includes the costs of hormones and any other drugs you’ll need, as well as the fee for sperm washing. If you’re using sperm from a donor, remember that there will be an extra fee for each dose you use. Ask the clinic in advance which costs could be covered by your insurance.

About Dr Bedekar Fertility Solution and IVF Clinic Thane:

Dr Bedekar Fertility Solution and IVF Clinic Thane is One of Best IUI treatments in Thane, Mumbai. 
We Provide Treatment for IVF, ICSI, (IUI), Surrogacy, Egg Donation, Semen Analysis, TESE / PESA etc.

Does risk of osteoporosis increase with age in menopausal women?

Osteoporosis is a condition in which the bones weaken, increasing the risk of sudden and unexpected fractures.

The term ‘osteoporosis’ means porous bones and the condition results in significant loss of bone mass and strength. There is a direct correlation between the development of osteoporosis and the lack of estrogen during menopause. Estrogen is the hormone which plays a crucial role in overall health, and it declines following menopause. The post-menopausal period is characterized by the resorption or breakdown of existing bones and formation of new ones. Therefore, low levels of estrogen during menopause can cause loss of bone mass.

“Since menopausal women above the age of 50 years are more prone to osteoporosis, it is important for them to understand the onset, warning signs, diagnosis and management of the disease,” says Dr Vineesh Mathur, director – division of spine, Institute of Musculoskeletal Disorders and Orthopaedics, Medanta, The Medicity, Gurgaon.

What causes osteoporosis?

The exact cause of osteoporosis is unknown. Our bones are made of living and growing issues with an outer shell of dense bones wrapping a sponge-like bone. When osteoporosis strikes, the holes inside the sponge part of the tissue increase in size and number, weakening the interiors of the bone. “Till the age of 30 years, our body builds more bones than it loses but this process starts reversing post the age of 35 years leading to a loss in bone mass. When the bone loss aggravates it causes osteoporosis,” he adds.

Warning signs

A calcium-deficient diet, owing to inadequate intake over time, may lead to osteoporosis.

Osteoporosis is commonly known as the ‘silent disease’ because the symptoms cannot be easily detected. A person may be aware of the disease only when a sudden bump or fall causes a fracture due to weak bones. The symptoms include:

  • A collapsed vertebrae
  • Sloping shoulders
  • Back pain
  • Spinal deformities such as hunched posture
  • Curve in the back

Risk factors:

  • Age: This is a significant risk factor as the bone strength and density naturally declines as one grows older.
  • Gender: Women above the age of 50 years are more prone to risk as compared to men. Factors such as having lighter and thinner bones and menopause increase risk.
  • Body weight and structure of bones: Women who are thin and petite are at a greater risk of developing osteoporosis because they have lesser bones as compared to women with more body weight.
  • Family history: A family history of osteoporosis among parents or grandparents increases the risk.

Preventive measures:

Consuming calcium-rich foods such as milk and dairy products is recommended.

  1. Exercise and engage in physical activities regularly. This helps make the bones and muscles stronger, thereby preventing bone loss apart from helping you stay active. The best method of preventing osteoporosis to do weight-bearing exercises like walking, jogging, dancing and playing tennis three to four times a week. Strength and balance exercises are also recommended.
  2. Consuming calcium-rich foods such as milk and dairy products, seafood, canned fish like salmon and sardines, dark green leafy vegetables, such as kale, collards and broccoli and breads made with calcium-fortified flour is recommended as calcium helps in increasing bone strength
  3. For those who are lactose-intolerant, consuming lactose-free foods that are high in calcium, such as leafy green vegetables, salmon, and broccoli and lactose-free dairy products is recommended
  4. Our body uses vitamin D to absorb calcium and increasing access to the same is beneficial. Exposure to the sun by being outdoor for 20 minutes daily and consuming vitamin D rich foods such as eggs, fatty fish like salmon, cereal and milk fortified with vitamin D can help.
  5. Limit the consumption of alcohol and smoking. This is because smoking affects the formulation of estrogen hormone which protects the bones.
  6. Avoid certain medications like steroids, certain drugs used to treat seizures (anticonvulsants), blood thinners (anticoagulants), and thyroid medications as they aid bone loss. In case these medications are necessary, they must be supplemented with lifestyle changes and diet to reduce the adverse effects.

Also read : Expert winter skin care tips for your kids

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About Dr Bedekar Hospital For Women And Children in Thane:

Dr Bedekar Hospital Thane Offers Menopause clinic in thane. Do Get in Touch to Book Appointment With Our Experienced Team of Doctors.

Talk to Us On 022 2542 1438 / 9820913256 Or Email Us At bedekarhospital@gmail.com

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Problems with Sleep? You Might Have Problems with Fertility, Too

There’s a long list of “lifestyle” factors that we know can affect the fertility of both women and men. From weight to smoking to stress, you can now add problems with sleep to the list. Sleep disorders likely increase the risk of infertility for both sexes.

According to the Centers for Disease and Control (CDC), lack of sleep – which more than one third of Americans experience – can affect the hormones related to fertility. The part of the brain that regulates “sleep-wake hormones” in both sexes is also responsible for triggering the daily release of hormones that affect ovulation in women and sperm maturation in men.

For women, losing sleep over the long term may have a direct effect on various reproductive-related hormones including estrogen, progesterone, prolactin, luteinizing hormone (LH), and follicle-stimulating hormone. For example, the release of LH is critical as this hormone is responsible for a regular menstrual cycle and ovulation. An irregular cycle may complicate or delay a woman’s ability to conceive.

With men, the hormone testosterone is critical to healthy sperm production. The hormone is released daily, usually during sleep. Optimal levels of testosterone are affected by several factors including sleep and total sleep time has been positively linked to testosterone levels in several studies, according to Lauren Wise, a Boston University researcher and professor of epidemiology.

While most of the research on sleep reveals a link between too little sleep or poor-quality sleep, too much sleep can also make a difference. Men who sleep either too little or too much may have problems with their fertility.

A study from Boston University’s School of Public Health looked at the appropriate level of sleep needed by couples to get pregnant. The results from 790 couples (all trying to get pregnant) showed:

  1. Sleep defined as short – less than 6 hours and as long – more than 9 hours, was associated with a “reduced probability” of pregnancy.
  2. Men who slept too little or too long had a 42% reduction in probability of conception in any given month, using 8 hours as a reference point.
  3. Men who self-reported trouble with sleep half the time also had the greatest problems getting their partner pregnant.

Study author Lauren Wise points out that her study shows an association between sleep and fertility but does not prove cause and effect. Poor sleep can affect libido and health status which can also impact fertility. However, the study did control for additional factors known to influence fertility including age, body mass index (BMI), frequency of sex and more. More research is needed according to Wise.

The research findings are good news according to Peter Schlegel, MD, chair of Urology at Weill Cornell Medicine in New York City and Past President of the American Society for Reproductive Medicine (ASRM), the professional society of fertility specialists. He notes there is little data about how men’s sleep affects their infertility.

To Schlegel, this study “strongly suggests that for men, aiming for the 7 to 9 hours of sleep helps to optimize their fertility and their chances of contributing to a pregnancy.” He also recommends — based on these research results – that doctors talking to couples about infertility should ask how much sleep the male partner is getting.

Another study also showed that sleeping too little (less than 6 hours) or too much (more than 9 hours), as well as going to bed later, can affect male fertility through a reduced sperm count and reduced sperm survival and motility, in part due to the production of an antisperm antibody.

Women reporting sleep problems – other than sleep apnea – were 3.7 times more likely to be at risk for infertility than women with normal sleep patterns according to a large study of more than 16,000 women in Taiwan over a ten-year period. The risk was highest in women aged 26-30. Sleep apnea has previously been linked to fertility problems for women and is also associated with other health conditions including obesity, heart disease and diabetes, all of which affect fertility.

There were a number of limitations to the Taiwan study including that results were not adjusted for other factors that may affect infertility including smoking, exercise and family medical history. Also, the women with sleep disorders were also more likely to have irregular menstrual cycles, thyroid issues, depression and anxiety which can all have a negative effect on fertility. Poor sleep may help contribute to these conditions and vice versa.

“Although we do not yet know whether treating sleep disorders improves fertility, treatment may help and is not likely to hurt,” says Jennifer Felder, a UCSF clinical psychologist who studies sleep disorders, depression and interventions. She adds that to treat insomnia – which is the problem most often cited in the study – cognitive therapy is first recommended. This can be done with a therapist in-person, using a digital app or with self-help workbooks.

Knowledge is powerful for any couple or individual trying to conceive and that includes a complete assessment of each person including their lifestyle habits. There are many factors you can control on your fertility journey – what you eat, not smoking, how much exercise you get, controlling stress levels and the quality of your sleep. Achieving some of these healthy habits may call for consulting experts.

In the meantime, here’s what the experts recommend for a good night’s sleep:

  1. Get outside and exercise every day
  2. Be consistent about when you go to sleep and when you wake up
  3. Make sure your bedroom is dark
  4. Relax before bedtime – don’t watch an upsetting program or pay bills
  5. Limit or eliminate stimulants and alcohol or have at least 5 hours before bedtime

And, our advice? Get your quality sleep now to help conceive because once the baby arrives, all bets are off… at least for a while!

Also read: Semen Analysis in Thane – Semen Analysis – Everything about sperm & infertility (Part 2)

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About Dr Bedekar Fertility Solution and IVF Clinic Thane:

Dr Bedekar Fertility Solution and IVF Clinic Thane is One of Best Infertility treatment Clinic in Thane, Mumbai. 
We Provide Treatment for IVF, ICSI, (IUI), Surrogacy, Egg Donation, Semen Analysis, TESE / PESA etc.


Expert winter skin care tips for your kids

Baby’s skin is naturally hydrated and moist and natural products provide gentle care required to preserve the softness of the baby’s skin.

During winter, your baby needs extra care and attention to prevent seasonal illness as the cold season is known to make their skin dry that can lead to diaper rash, rough cheeks, flaky skin and scalp. So, give your little bundle of joy extra care. Ranjan Pejawar, Bangalore based paediatrician outlines the common skin problems that babies face during winter:

Diaper Rash:

Wearing a diaper of the wrong size and friction generally causes diaper rashes.

Rough, Red Cheeks:

Chapped skin is basically dry skin that becomes inflamed due to irritation caused by friction from clothing and runny nose.

Eczema:

Babies with eczema have insufficient skin surface for holding moisture. Like regular dry skin, dermatitis tends to erupt during winter.

“Baby’s skin is naturally hydrated and moist and natural products provide gentle care required to preserve the softness of the baby’s skin,” says Prathibha, Ayurveda Expert, R&D, The Himalaya Drug Company.

She suggested few methods that can protect your baby’s skin from the harsh winter:

  • Give an oil massage to your baby before a bath to nourish your baby’s skin
  • Give your baby a massage 2-3 times daily with an oil infused with Winter Cherry to improve skin tone and soothe baby skin.
  • During winter, avoid giving baby a head bath every day and use only lukewarm water for the daily bath. Hot water may hurt the protective layer of your baby’s skin.
  • Choose a moisturiser that contains the goodness of Olive oil and Almond oil which improves skin softness.
  • Use a diaper rash cream infused with Almond Oil and Yashada Bhasma to protect your baby’s bottom from the irritating rashes.
  • Choose a mild and gentle shampoo/soap which is enriched with herbs and is from parabens and alcohol.
  • Use a baby bath with ingredients like Chickpea, Fenugreek and Green Gram to retain the natural oils in baby’s skin.

Also read : Benefits of Yoga Therapy

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About Dr Bedekar Hospital For Women And Children in Thane:

Dr Bedekar Hospital Thane Offers New Born Baby care clinic in Thane. Do Get in Touch to Book Appointment With Our Experienced Team of Doctors.

Talk to Us On 022 2542 1438 / 9820913256 Or Email Us At bedekarhospital@gmail.com

Happy to Help!

Source: www.indiatvnews.com


Semen Analysis – Everything about sperm & infertility (Part 2)

Sperm Motility:

(whether the sperm are moving well or not ). The quality of the sperm is often more significant than the count. Sperm motility is the ability to move. Sperm are of two types – those which swim, and those which don’t. Remember that only those sperm which move forward fast are able to swim up to the egg and fertilise it – the others are of little use. Motility is graded from a to d, according to the World Health Organisation (WHO) Manual criteria , as follows. Grade a (fast progressive) sperm are those which swim forward fast in a straight line – like guided missiles. Grade b (slow progressive) sperm swim forward, but either in a curved or crooked line, or slowly (slow linear or non linear motility) . 

Grade c (nonprogressive) sperm move their tails, but do not move forward (local motility only). Grade d (immotile ) sperm do not move at all . Sperm of grade c and d are considered poor. Why do we worry about poor motility ? If motility is poor, this suggests that the testis is producing poor quality sperm and is not functioning properly – and this may mean that even the apparently normal motile sperm may not be able to fertilise the egg.

Sperm shape:

(whether the sperm are normally shaped or not – what is called their form or morphology. Ideally, a good sperm should have a regular oval head, with a connecting mid-piece and a long straight tail. If too many sperms are abnormally shaped (round heads; pin heads; very large heads; double heads; absent tails) this may mean the sperm are abnormal and will not be able to fertilise the egg

Many labs use Kruger “strict ” criteria ( developed in South Africa ) for judging sperm normality. Only sperm which are “perfect” are considered to be normal. A normal sample should have at least 15% normal forms (which means that even upto 85% abnormal forms is considered to be acceptable!) Some men are infertile because most of their sperm are abnormally shaped . This is called teratozoospermia (terato=monster).

Sperm clumping or Agglutination:

Under the microscope, this is seen as the sperm sticking together to one another in bunches. This impairs sperm motility and prevents the sperm from swimming upto through the cervix towards the egg.

Putting it all together, one looks for the total number of “good” sperm in the sample – the product of the total count, the progressively motile sperm and the normally shaped sperm. This gives the progressively motile normal sperm count which is a crude index of the fertility potential of the sperm. Thus, for example, if a man has a total count of 40 million sperm per ml; of which 40% are progressively motile, and 60% are normally shaped; then his progressively motile normal sperm count is : 40 X 0.40 X 0.60 = 9.6 million sperm per ml. If the volume of the ejaculate is 3 ml, then the total motile sperm count in the entire sample is 9.6 X 3 = 28.8 million sperm.

Whether pus cells are present or not:

While a few white blood cells in the semen is normal, many pus cells suggest the presence of seminal infection. Many labs will mis-report round cells seen in the semen as being pus cells and doctors will then try to treat this “infection” with antibiotics !

Some labs use a computer to do the semen analysis. This is called CASA, (computer assisted semen analysis). While it may appear to be more reliable (because the test has been done “objectively” by a computer), there are still many controversies about its real value, since many of the technical details have not been standardised, and vary from lab to lab.

A normal sperm report is reassuring, and usually does not need to be repeated. If the semen analysis is normal, most doctors will not even need to examine the man, since this is then superfluous. However, remember that just because the sperm count and motility are in the normal range, this does not necessarily mean that the man is “fertile”. Even if the sperm display normal motility, this does not always mean that they are capable of “working” and fertilising the egg. The only foolproof way of proving whether the sperm work is by doing IVF (in vitro fertilization) !

Overtreating a semen analysis report

Sadly, we see many men with completely normal semen analysis reports who have taken months of futile treatment ! Some doctors will “treat” a few pus cells in the semen with antibiotics – claiming that the pus cells suggest an infection ! Others will even try to treat a normal sperm count with medicines, claiming that their treatment will help to “boost” the sperm count and thus the man’s fertility !

Azoospermia (no sperm in the semen)

About 10% of infertile men will have no sperm at all in the semen. This is called azoospermia . The conditions which cause azoospermia can be classified into 3 groups – pre-testicular, testicular and post-testicular. An example of azoospermia because of pretesticular disease is hypogonadotropic hypogonadism, where the testis does not produce sperm because of the absence of production of gonadotropins by the pituitary.

Consequently, even though the testes are normal, no sperm are produced because of the absence of the needed hormonal stimulation. In testicular conditions, the testis does not produce sperm because of testicular failure (end-organ damage). In these men, the testicular damage is so severe that no sperm are found in the semen. This is also called non-obstructive azoospermia, and an example of this is Klinefelter’s syndrome. In post-testicular conditions, even though sperm are being produced normally in the testes, the outflow passage is blocked (ductal obstruction or obstructive azoospermia)

If a semen report shows azoospermia, then it needs to be rechecked. The lab should be instructed to centrifuge the sample in order to look carefully for sperm. A close analysis of the report will often help the doctor to differentiate between non-obstructive and obstructive azoospermia . Thus, if the semen volume is low, the pH is acidic and the fructose is negative, then this is likely to be due to an obstruction at the level of the ejaculatory duct. If sperm precursor cells (immature sperm cells) are seen in the sample on careful microscopic examination, then this clearly means that the problem is not because of an obstruction.

We request men with azoospermia to provide a sequential ejaculate for semen analysis – two samples, produced 1-2 hours apart. Occasionally, in men with non-obstructive azoospermia, the second sample may show a few sperm, because it is “fresher”.

A FSH level test in the blood ( as described in the next chapter) is also helpful in differentiating between obstruction and testicular failure. If the FSH level is high, it means the problem is testicular failure. If, on the other hand, the FSH level is normal, then a testis biopsy is needed to come to the correct diagnosis.

Rarely, some men will not be able to ejaculate at all. This is called aspermia , and their semen volume is zero. While this is sometimes because of a psychologic problem (because the man cannot achieve an orgasm inspite of being able to get an erection), the commonest reason for this is condition is retrograde ejaculation.

Poor sperm tests can result from incorrect semen collection technique, if the sample is not collected properly, or if the container is dirty too long a time delay between providing the sample and its testing in the laboratory too short an interval since the previous ejaculation recent systemic illness in the last 3 months (even a flu or a fever can temporarily depress sperm counts)

If the sperm test is abnormal, this will need to be repeated 3-4 times over a period of 3-6 months to confirm whether the abnormality is persistent or not . Don’t jump to a conclusion based on just one report – remember that sperm counts do tend to vary on their own ! It takes six weeks for the testes to produce new sperm – which is why you need to wait before repeating the test. It also makes sense to repeat it from another laboratory to ensure that the report is valid.

Also read: Semen Analysis in Thane – Semen Analysis – Everything about sperm & infertility (Part 1)

About Dr Bedekar Fertility Solution and IVF Clinic Thane:

Dr Bedekar Fertility Solution and IVF Clinic Thane is One of Best Semen Analysis in Thane, Mumbai. 
We Provide Treatment for IVF, ICSI, (IUI), Surrogacy, Egg Donation, Semen Analysis, TESE / PESA etc.

5 Common Signs of Infertility in Men and Women

Signs and Symptoms of Infertility

Signs and symptoms of infertility are often related to other underlying conditions. For example, 10 to 15 percentTrusted Source of untreated chlamydia cases will lead to pelvic inflammatory disease (PID). PID leads to a blockage of the fallopian tubes, which prevents fertilization.

There are numerous conditions that can contribute to infertility in men and women. The signs and symptoms of each can vary greatly. If you’re concerned, it’s important to consult with your doctor.

Common symptoms of infertility include the following.

Common Signs of Infertility in Women

1. Irregular periods

The average woman’s cycle is 28 days long. But anything within a few days of that can be considered normal, as long as those cycles are consistent. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods.

But a woman whose cycles vary so greatly that she can’t even begin to estimate when her period might arrive is experiencing irregular periods. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). Both of these can contribute to infertility.

2. Painful or heavy periods

Most women experience cramps with their periods. But painful periods that interfere with your daily life may be a symptom of endometriosis.

3. No periods

It’s not uncommon for women to have an off month here and there. Factors like stress or heavy workouts can cause your period to temporarily disappear. But if you haven’t had a period in months, it’s time to get your fertility checked

4. Symptoms of hormone fluctuations

Signs of hormone fluctuations in women could indicate potential issues with fertility. Talk to your doctor if you experience the following:

  1. skin issues
  2. reduced sex drive
  3. facial hair growth
  4. thinning hair
  5. weight gain

5. Pain during sex

Some women have experienced painful sex their entire lives, so they’ve convinced themselves it’s normal. But it’s not. It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility.

Common Signs of Infertility in Men

1. Changes in sexual desire

A man’s fertility is also linked with his hormone health. Changes in virility, often governed by hormones, could indicate issues with fertility.

2. Testicle pain or swelling

There are several different conditions that could lead to pain or swelling in the testicles, many of which could contribute to infertility.

3. Problems maintaining erection

A man’s ability to maintain an erection is often linked to his hormone levels. Reduced hormones may result, which could potentially translate into trouble conceiving.

4. Issues with ejaculation

Similarly, an inability to ejaculate is a sign that it might be time to visit a doctor.

5. Small, firm testicles

The testes house a man’s sperm, so testicle health is paramount to male fertility. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner.

Also read: Best Fertility Clinic in Thane explains the FAQs of Infertility

About Dr Bedekar Fertility Solution and IVF Clinic Thane:

Dr Bedekar Fertility Solution and IVF Clinic Thane is One of Best Infertility Treatments for Women and Men in Thane, Mumbai. 
We Provide Treatment for IVF, ICSI, (IUI), Surrogacy, Egg Donation, Semen Analysis, TESE / PESA etc.

Mastitis

An increasing number of women in their late 30s and early 40s are presenting to me with mastitis. Very often, these ladies have received treatment with no results, or have undergone abscess drainage following mastitis, with recurrent symptoms.

One needs to know what mastitis really means.

Mastitis refers to any inflammation in the breast.

It is generally unilateral and may or may not be associated with the typical signs accompanying an inflammation, such as redness, fever or malaise.

Pain and swelling are the only findings. Sometimes, a patient may have these symptoms occurring insidiously over quite some time, with some relief after taking medicines.

Mastitis may be infective (less common) or non infective (more common).

Infective mastitis requires antibiotics and abscess drainage if there is pus formation.

If the pus culture shows tuberculosis, then anti- tuberculosis therapy has to be started.

Newer tests, like the Gene- expert test for tuberculosis is helping us in improving our diagnostic capabilities.

In non infective mastitis, a biopsy may be required along with the other microbiological tests to rule out infective etiology.

Idiopathic granulomatous mastitis (IGM)

This difficult term is used to denote an even more difficult problem to treat.

IGM is a diagnosis of exclusion, once we have ruled out all other causative factors.

The diagnosis is solely based on the pathology findings which is similar to that seen in tuberculosis, minus the hallmark findings of tuberculosis ( caseation necrosis and acid fast bacilli).

The treatment of IGM is quite different as well. To simply put it, IGM is a condition where there is chronic inflammation in the absence of an infective agent, similar to some autoimmune diseases.

Treatment of IGM consists of steroid administration, which may be prolonged.

In some patients, surgery may be required, especially if there is abscess formation.

The treatment is often long drawn and requires a lot of patience and compliance. Inadequate treatment can often lead to recurrence, which may be even more difficult to treat.

Also read: Gynaecomastia

About Dr Bedekar Fertility Solution and IVF Clinic Thane:

Dr Bedekar Fertility Solution and IVF Clinic Thane is One of Best Breast Cancer Hospital In Thane, Mumbai. 
We Provide Treatment for IVF, ICSI, (IUI), Surrogacy, Egg Donation, Semen Analysis, TESE / PESA etc.

Gynaecomastia

As the name suggests, gynaecomastia refers to an abnormal enlargement of the male breasts.

Normally, men tend to have some amount of breast tissue, which increases in proportion to overall body fat. An obese person will hence have more breast tissue, compared to a thin individual.

Gynaecomastia becomes a problem when it starts interfering with a person’s body image, making him uncomfortable around his peers, while swimming, gymming or may interfere with his relationship with his spouse or fiancee.

​This condition may be secondary to several causes, or may be completely idiopathic (cause unknown).

  1. In either case, we may need to perform a few tests, to come to a diagnosis.
  2. More often than not, gynaecomastia is idiopathic ie, the exact cause is unknown.
  3. Sometimes, it may be secondary to long term medications, hormonal disturbances, or less commonly, testicular tumors. In such cases, the cause needs to be treated first.
  4. In idiopathic gynaecomastia, surgical treatment is very successful and extremely satisfying. It is often performed as a day care procedure and the recovery is generally very quick.
  5. However, care should be taken that the person continues to be physically active post surgery and maintains his weight, in order to prevent a recurrence.

Also read: Breast Cancer! I can’t possibly get it!!

About Dr Bedekar Fertility Solution and IVF Clinic Thane:

Dr Bedekar Fertility Solution and IVF Clinic Thane is One of Best Gynecologist in Thane, Mumbai. 
We Provide Treatment for IVF, ICSI, (IUI), Surrogacy, Egg Donation, Semen Analysis, TESE / PESA etc.

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