NICE ILLUSRRATIIN PRIMARY MALE INFERTILITY 1 OLIGOSPERMIA AZOSPERMIA INVESTIGATIOS HARMONE ANALYSIS SPERM ANALYSIS FOR COUNT AND MOTALITY TESTICULAR BIOPSY
Structural problem has solved by surgery bt we should know about harmonal level because one time she has conceived since 2015,bt fetus is not healthy,so we should investigate Thyroid function,FSH,LH,and Blood suger,RPR,for wife, after that treat her.We should treat husband of oligospermia & treat for increase sperm count.Till start treatment for wife_1.Folvit5mg 1tab daily,2.Metformine(500)_1tab daily,3.Fertyl(100)_5tab start after cycle day5 to day 10 ,Lohasaw +Ashoka rista,For hudband_Chand prava bati,Semento cap.and B.suger&C/S of urine must be done .
प्रथम पुरुष की चिकित्सा संबंधी योग। कपालभाती प्राणायाम कराएं सतावरी 50 ग्राम, सफेद मूसली 50 ग्राम, काली मूसली 50 ग्राम, कोंच बीज 50 ग्राम,शोठ 50 ग्राम लेकर पाउडर बनाकर 10 ग्राम रात को सोते समय दूध के साथ दे स्त्रि के लिए,, सतावरी का पाउडर बनाकर 5 ग्राम सुबह-शाम खाने से पहले दूध में मिलाकर सेवन कराएं पुत्र जीवक जीया पोता का पाउडर बनाकर 5 ग्राम सुबह-शाम खाने के बाद दें यह क्रिया निवृत्ति के बाद 5 दिन तक करें हर महीने जब तक गर्भ धारण न हो जाए कष्टार्तव के लिए,, अशोकारिष्ट दशमूलारिष्ट आपस में मिलाकर सुबह-शाम सेवन कराएं निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं
Uterus is bicornuate so it's quite difficult to conceive .. plz refer the patient to higher centre like AIIMS to treat bicornuation .....then u can give uttarbasti and all other alternatives
Allergic rinnitis... With awarsion to onion.... Think of alium cepa.... Give in 200dose weekly....
yes uttar basti is very effective in such cases along with ayurvedic bhasm , ras chikitsa
For female....Thuja 1m single dose. After three days .sepia 30 weekly dose. Damiana m.t 5drops BD. Male . Lycopodium 1m. Single dose. After three days. Damiana m.t 5drops BD. Avoid onion.
@@Bicornuate has been solved bysurgery Forfemale mensol syp Natrummur Sepia Lyco Magphos ForHusband Damiana avenasat Jinseng Berberisv Takeprotinious diet Take watering bulk n ForThuja1m weekly
Refer to O/G Specialist views
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A 22 years female with itching reddish eruption for 2 months. Associated complain- allergic rhinitis chilly pt tendency to take Cold craving- sour foods thirst-profuse, cold Water perspiration-profuse stool-clear urine- clear menses-delayed leucorrhea- moderate but not corrosive Mind- want company Angry easily , irritable please share your views in that case.Dr. Debasish Sasmal5 Likes29 Answers
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Friends today I am discussing about gale problem known as Pelvic Inflammatory Disease (PID). What is pelvic inflammatory disease? Pelvic inflammatory disease (PID) is an infection of the reproductive organs in women. The pelvis is in the lower abdomen and includes the fallopian tubes, the ovaries, the cervix, and the uterus. According to the U.S. Department of Health and Human Services, this condition is common and affects about 1 million women each year in the United States. Several different types of bacteria can cause PID, including the same bacteria that cause the sexually transmitted infections (STIs) gonorrhea and chlamydia. What commonly occurs is that bacteria first enter the vagina and cause an infection. As time passes, this infection can move into the pelvic organs. PID can become extremely dangerous, even life-threatening, if the infection spreads to your blood. If you suspect that you may have an infection, see your doctor as soon as possible. Risk factors for pelvic inflammatory disease Your risk of pelvic inflammatory disease increases if you have gonorrhea or chlamydia. However, you can develop PID without ever having an STI. Other factors that can cause pelvic inflammatory disease include: having sex and being under the age of 25 having sex with different people having sex without a condom using an intrauterine device (IUD) to prevent a pregnancy douching having a history of pelvic inflammatory disease Symptoms of pelvic inflammatory disease Some women with pelvic inflammatory disease don’t have symptoms. For the women who do have symptoms, these can include: pain in the lower abdomen (the most common symptom) pain in the upper abdomen fever painful sex painful urination irregular bleeding increased or foul-smelling vaginal discharge tiredness Pelvic inflammatory disease can cause mild or moderate pain. However, some women have severe pain and symptoms, such as: sharp pain in the abdomen vomiting fainting a high fever (greater than 101°F) If you have severe symptoms, call your doctor immediately or go to the emergency room. The infection may have spread to your bloodstream or other parts of your body. Once again, this can be a life-threatening condition. Tests for pelvic inflammatory disease Diagnosing PID Your doctor may be able to diagnose PID after hearing your symptoms. In most cases, your doctor will run tests to confirm the diagnosis. Tests include: pelvic exam to check your pelvic organs cervical culture to check your cervix for infections urine test to check your urine for signs of blood, cancer, and other diseases After collecting samples, your doctor sends these samples to a laboratory. Assessing damage If your doctor determines that you have pelvic inflammatory disease, they may run more tests and check your pelvic area for damage. PID can cause scarring on your fallopian tubes and permanent damage to your reproductive organs. Additional tests include: pelvic ultrasound: imaging test that uses sound waves to create pictures of your internal organs endometrial biopsy: outpatient procedure where a doctor removes and examines a small sample from the lining of your uterus laparoscopy: outpatient procedure where a doctor inserts a flexible instrument through an incision in your abdomen and takes pictures of your pelvic organs Treatment for pelvic inflammatory disease Your doctor will likely have you take antibiotics to treat PID. Because your doctor may not know the type of bacteria that caused your infection, they may give you two different types of antibiotics to treat a variety of bacteria. Within a few days of starting treatment, your symptoms may improve or go away. However, you should finish your medication, even if you are feeling better. Stopping your medication early may cause the infection to return. If you are sick or pregnant, can’t swallow pills, or have an abscess (pocket of pus caused by the infection) in your pelvis, your doctor may send you to the hospital for treatment. Pelvic inflammatory disease may require surgery. This is rare and only necessary if an abscess in your pelvis ruptures or your doctor suspects that an abscess will rupture. It can also be necessary if the infection does not respond to treatment. The bacteria that cause PID can spread through sexual contact. If you are sexually active, your partner should also get treated for PID. Men may be silent carriers of bacteria that cause pelvic inflammatory disease. Your infection can recur if your partner doesn’t receive treatment. You may be asked to abstain from sexual intercourse until the infection has been resolved. Ways to prevent pelvic inflammatory disease You can lower your risk of PID by: practicing safe sex getting tested for sexually transmitted infections avoiding douches wiping from front to back after using the bathroom to stop bacteria from entering your vagina Long-term complications of pelvic inflammatory disease Make a doctor’s appointment if you think that you have PID. Other conditions, such as a urinary tract infection, can feel like pelvic inflammatory disease. However, your doctor can test for PID and rule out other conditions. If you don’t treat your PID, your symptoms can worsen and lead to problems, such as: infertility: inability to conceive a child ectopic pregnancy: pregnancy that occurs outside the womb chronic pelvic pain: pain in the lower abdomen caused by scarring of the fallopian tubes and other pelvic organs The infection can also spread to other parts of your body. If it spreads to your blood, it can become life-threatening. Homeopathic Medicines for Pelvic Inflammatory Disease (PID) Sepia Succus – Natural Medicine for PID with Pain in Lower Abdomen/ Pelvic Area Sepia Succus is an excellent homeopathic medicine for treating PID with marked pain in lower abdomen or pelvic area. Along with pelvic pain, a prominent bearing down sensation in the pelvis assist. In some cases needing Sepia Succus, burning or griping in the uterus is present. Vaginal discharge of yellowish or greenish may also arise that may be offensive. Merc Sol – Effective Homeopathic Medicine for PID with Vaginal Discharge Merc Sol is a natural medicine for PID with excessive vaginal discharge. The symptoms that indicate the need for Merc Sol include acrid, excoriating, and itchy discharges that cause a burning sensation in the vagina. The discharges may be purulent, yellow or green. The discharges tend to get worse upon urination. In some cases, a stitching uterine pain may be present. Additionally, there may be a stinging ovarian pain. Phosphorus – Natural Remedy for PID with Bleeding from Uterus between Periods Phosphorus is a beneficial homeopathic medicine for treating PID cases where there is bleeding from the uterus between periods. The uterine bleeding tends to be profuse. Weakness usually follows the menstrual bleeding. Other symptoms include ovarian pain (specifically left-sided). The ovarian pain is felt the most during menses. Leucorrhoea of white or watery mucus may be present. A weak sensation in the abdomen may be present along with leucorrhoea. Sabina Officinalis – Effective Homeopathic Treatment for PID with Heavy Periods Sabina Officinalis is a well-indicated homeopathic medicine for pelvic inflammatory disease with heavy periods. The periods are profuse and gushing in nature. The bleeding is bright red colored with dark clots in it. The blood may have an offensive odor. Motion tends to worsen the blood flow. Pain in the sacral back extending to pubes is a primary accompanying symptom. This remedy is also recommended for inflammation of uterus and ovaries that may occur following childbirth or an abortion. Medorrhinum – Natural Homeopathic Medicine for PID with Painful Periods Medorrhinum is a significant homeopathic medicine for PID where the woman experiences intensely painful periods. There is an excruciating pain the pelvic area along with ovarian pains that get better with pressure. The menstrual bleeding is copious, dark and offensive. Vaginal discharge of acrid nature and a fish-like odor is also present in some cases. Kreosotum – Natural Treatment for Pelvic Inflammatory Disease with Pain during Intercourse Kreosotum is a natural medicine PID when there is pain during intercourse (dyspareunia). Burning in the genitalia is felt along with pain. Kreosotum is also useful in cases of pelvic inflammatory disease where there is bleeding after intercourse. Along with the above symptoms, there may be offensive, itching, corrosive leucorrhoea. The leucorrhoea worsens in between menses and often leaves a yellow stain on clothes.Dr. Rajesh Gupta24 Likes28 Answers
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HOMOEOPATHIC REMEDY AGNUS CASTUS Agnus Castus is a powerful homeopathic remedy to solve lower mental depression, weakness of penis, low sexual vitality and premature ejaculation. From the ancient time this remedy uses to solve both male and female problems. Especially it was used by the Roman woman. For several effective quality Agnus castus uses to solve some male diseases and it is popularly known as a seminal remedy. Core Symptoms of Agnus castus Main Symptoms 1,Head Symptoms of erotic melancholy, nervous about demise are very common.We also see despair together with effect regarding fast demise,absentminded, forgetful, insufficient daring. Optical illusion associated with smell-herrings, musk. Anxious depressive disorders in addition to mental forebodings 2,Face Pupils dilated and itching about eye 3,Nostril conditions Give an impression of sardines or musk, painful around dorsum better stress are the symptoms forNostril conditions. 4,Stomach ailments Symptoms of Agnus castus for stomach are - A sick stomach, spleen puffy, uncomfortable, stools soft, diminish, hard, deeply fissures in anal sphincter. 5,Men ailments Impotence, sections frosty, relaxed male organ, sexual weakness, Diminished prostatic fluid about pressuring, Testicles, cold, enlarged, tricky, and painful organ are the symptoms for Men ailments 6,Female problems Scanty menses, Abhorrence involving intercourse, Pleasure with reproductive organs, along with leucorrhoea, having dismay, Sterility, Leucorrhoea discoloration yellowish; obvious, Hysterical palpitations by using nose lose blood are core symptoms of Agnus castus for Female problems. Uses of Agnus castus Agnus castus is a God blessing for the newly married person. It removes the initial tension, nervousness and anxiety about sex. The people who are unable to perform a sexual intercourse Agnus castus helps them to restore their lost vitality. This homeopathic remedy is also used for troubles of the women’s reproductive process. It acts directly around the pituitary gland of the body and it normally helps to balance in the women’s hormone cycle. Some ailments including depression, fibroids, amenorrhea at the same time as irregular bleeding, spotting, weighty and regular bleeding, cystic hyperplasia with the womb lining, , any swelling of the physique around women’s period time and , breast pains must be removed using Agnus castus. This remedy was popularly used from the ancient time. Other illnesses which can react to this Agnus castus consist of mouth ulcers, acne and infertility. Victims of hormonal acne must get nice result when taking homeopathic mother tincture of this remedy in excess of a period of months. We also use Agnus castus for the following problems: 1. Ulcers 2. Worms 3. Acne 4. Colic 5. Diarrhea 3. Female infertility 7. Fever 8. Headache 9. Amenorrhea 10. Catarrh 11. Cholera 12. Dysmenorrhea 13. Indigestion 14. Ear disorders 15. Endometriosis 16. Heart Disease 17. Hemicrania 18. Rheumatism 19. Skin diseases 20. Malaria 21. Menopause 22. Nausea 23. Hemorrhoids 24. Liver disorders According to the suitable symptoms we use Agnus castus in various problems. Most of them I have mentioned above. But it is popularly used for making the sexual organ strong and to restore the lost vitality. It’s mother tincture and 200 potency is most powerful to solve any sexual weakness of married persons.Dr. Md Shahbaz Ali7 Likes17 Answers
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A PRACTICAL APPROACH TO THE DIAGNOSIS OF PELVIC INFLAMMATORY DISEASE: The diagnosis of PID is usually based on clinical criteria.Although diagnostic accuracy is advocated,antibiotic therapy should be instituted if there is a diagnosis of cervicitis or suspicion of acute PID. The clinician should maintain a high index of suspicion for the diagnosis as she evaluates the lower genital tract for inflammation and pelvic organs for tenderness in women with genital tract symptoms and a risk for sexually transmitted infections. This approach should minimize treating women without PID with antibiotics and optimize the diagnosis in a practical and cost effective way. Acute PID is associated with cervicitis, endometritis,salpingitis and peritonitis. The sigificant sequelae are tubal factor infertility,ectopic pregnancy and chronic pelvic pain. If pelvic examination fails to reveal evidence of inflammation(if there is no leukorrhoea),then the diagnosis of PID is much less likely and antibiotic treatment can be withheld while the remaining diagnostic workup defines the diagnosis. EVIDENCE OF LOWER GENITAL TRACT INFLAMMATION AND PELVIC ORGAN TENDERNESS SUGGESTS THE ADVISABILITY OF INITIATING THE ANTIMICROBIAL THERAPY SYMPTOMS: 1.Abdominal pain. 2.Abnormal discharge. 3.Metrorrhagia. 4.Post coital bleeding. 5.Fever. 6.Dysuria. 7.Low back ache. 8.Nausea,vomiting. CLINICAL CRITERIA: The diagnosis of PID should be considered in all sexually active women. Abdominal tenderness may/may not be present. Bimanual pelvic examination reveals pelvic organ tenderness. Uterine tenderness=endometritis. Adnexal tenderness=salpingitis. Cervical tenderness=cervicitis. Per speculum examination:look for green/yellow mucopus and friability. Microsopy of vaginal secretions should be performed looking for leucorrhea. (>>1 LEUCOCYTE/EPITHELIAL CELL) Evaluation of bacterial vaginosis (vaginal pH,clue cells&whiff test) Nucleic acid amplification test(NAAT) for gonorrhea and chlamydia should be performed. Empiric antibiotic treatment should be initiated in sexually active women,especially those at risk for STDs with lower abdominal or elvic pain ,if no other causes other than PID can be identified and if the following minimum criteria are present on pelvic examination. 1.Lower genital tract inflammation. cervicitis on clinical examination. More than one leukocyte/epithelial cell on microscopy of vaginal secretions. 2.Pelvic organ tenderness. cervical motion tenderness. Uterine tenderness. Adnexal tenderness.Dr. Suvarchala Pratap10 Likes10 Answers
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Endometriosis Symptoms You Should Never Ignore health.com Mar 16, 2017 9:30 PM ￼ Doctors often brush off endometriosis symptoms as something less severe, but the condition affects up to 10% of women of childbearing age. Most women cope with heavy periods, killer menstrual cramps, and painful sex once in a while. But for up to 10% of women of childbearing age, these symptoms signal something more serious: endometriosis. Endometriosis is a condition in which endometrial tissue—the lining of the uterus—migrates outside the uterus and adheres to nearby body parts, such as the fallopian tubes, bladder, or bowels. Every month during the menstrual cycle, it becomes inflamed and swells. “Endometriosis is a war zone,” says Tamer Seckin, MD, founder and medical director of the Endometriosis Foundation of America (EFA) and author of The Doctor Will See You Now: Recognizing and Treating Endometriosis. “If it’s not treated, it’s a wound that never heals throughout the reproductive life of a woman.” Problem is, doctors frequently mistake endometriosis for other conditions that can cause pelvic pain, such as irritable bowel syndrome (IBS), pelvic inflammatory disease, or even premenstrual syndrome(PMS). And although many women with endometriosis experience severe, debilitating symptoms, some have none at all. If you’re experiencing these signs of endometriosis—severe or not—make an appointment with an endometriosis specialist. ￼ Painful periods Gut-wrenching cramping that doesn't go away after popping a couple NSAIDs is one of the hallmark signs of endometriosis. The abdominal pains can begin a few days before your period and last beyond the first few days of your flow, says Dr. Seckin. The pain can be so debilitating that it takes you away from daily activity, he says. Heavy periods With endometriosis, unrelenting pain isn't the only thing your menstrual cycle brings. Excessive bleeding is another common endometriosis symptom. You may soak through your tampon or pad every hour or two throughout your period, and may see clumps of blood, Dr. Seckin says. Long periods Your period shouldn’t be longer than six days, Dr. Seckin says. With endometriosis, periods can go on for over a week. Painful sex When renegade endometrial tissue that travels outside the uterus, it can stick to different organs and freeze them in place. The lack of flexibility can make sex very painful. “In early cases, intercourse just before your period is painful,” says Dr. Seckin. “In advanced cases, sex is painful all the time.” Arousal and orgasms both hurt—even during masturbation, he says. Painful bowel movements and urination Endometrial tissue can adhere to the bowels, making something as simple as going to the bathroom a wince-inducing experience. Bowel symptoms can vary from patient to patient, and may include constipation, diarrhea, intestinal cramping, nausea, rectal pain, and rectal bleeding. Nausea and fatigue Imagine your worst bout of PMS ever—you probably had a few days of feeling unusually tired, a little achy, and maybe even a little queasy. Now, amplify that hundredfold, and you have a better idea of what it's like to deal with endometriosis around your period. Endometriosis can cause persistent nausea, vomiting, and exhaustion that's worse around that time of the month. Infertility Approximately 30 to 40% of women with endometriosis experience fertility issues, according to the EFA. In fact, many women don't even realize they have endometriosis until they seek fertilityDr. Tapan Kumar Sau2 Likes10 Answers