Sunday 18 May 2014

Siddha Treatment For Infertility

Male Infertility :

Azoospermia is the name given to the condition in which there are no sperm in the semen. The semen may look normal, but the condition shows up under a microscope.
Azoospermia , as the name suggests , refers to the condition in which there are no sperm in the semen. This diagnosis can come as a rude shock, because most men with a zero count have normal libido; normal sexual function; and their semen looks completely normal too. The diagnosis can only be made by examining the semen under a microscope in the laboratory.

Azoospermia needs to be differentiated from aspermia, or the absence of semen. This is a rare condition, in which the man cannot produce a semen sample, because he cannot ejaculate. This could be because of a psychologic problem called anejaculation; or a medical problem called retrograde ejaculation, in which the semen is discharged backwards into the urinary bladder, rather than forwards.

If the lab report shows azoospermia, please ensure that you have in fact ejaculated properly. It's also a good idea to repeat the semen analysis it again from an independent lab. The laboratory should be also requested to centrifuge the sample and check the pellet for sperm precursors. Some men will have occasional sperm in the pellet, which means they are not really azoospermic. This is called cryptozoospermia.

There are only 2 possible reasons for the count being zero. One is because of a blockage of the ducts which carry the from the testes to the penis. This is called obstructive azoospermia, because it is a result of a block in the reproductive ducts ( passage). The other is due to testicular failure, in which the testes do not produce. This is called non-obstructive azoospermia ( a mouthful, which simply means that the problem is not because of a block).  
The testicular size ; and a blood test for FSH are useful tools for determining if you have obstructive azoospermia or non-obstructive azoospermia. If your testes are small in size; and if the FSH is high, your chances of having non - obstructive azoospermia are high.

Men with obstructive azoospermia have normal testes which produce sperm normally, but whose passageway is blocked. This is usually a block at the level of the epididymis, and in these men the semen volume is normal; fructose is present; the pH is alkaline; and no sperm precursor cells are seen on semen analysis. On clinical examination, they typically have normal sized firm testes, but the epididymis is full and turgid.

Some men have obstructive azoospermia because of an absent vas deferens. Their semen volume is low ( 0.5 ml or less); the pH is acidic and the fructose is negative. The diagnosis can be confirmed by clinical examination, which shows the vas is absent. If the vas can be felt in these men, then the diagnosis is a seminal vesicle obstruction.

Men with non-obstructive azoospermia have a normal passageway, but abnormal testicular function, and their testes do not produce sperm normally. Some of these men may have small testes on clinical examination. The testicular failure may be partial, which means that only a few areas of the testes produce sperm, but this sperm production is not enough for it to be ejaculated. Other men may have complete testicular failure, which means there is no sperm production at all in the entire testes. The only way to differentiate between complete and partial testicular failure is by doing multiple testicular micro-biopsies to sample different areas of the testes and send them for pathological examination.

Sometimes the clinical examination can provide useful clues as to the reason for the azoospermia. Rarely, the reason for the testicular failure is because of inadequate production of the gonadotropin hormones from the pituitary ( a condition called hypogonadotropic hypogonadism). Most hypogonadotropic patients are hypogonadal - that is, they have low levels of the male hormone, testosterone. This means they have poorly developed secondary sexual characters; an effeminate appearance, scanty hair, decreased libido, and small flabby testes. This can be confirmed by blood tests which show low levels of FSH and LH.
A clinical examination can also provide useful clues. Thus, mean with obstructive azoospermia will typically have normal sized, firm testes, with an epididymis which is swollen and turgid because it is full of.

Analysing the semen analysis report carefully can often provide clues as to the reason for the azoospermia. Thus, if the volume is low ( less than 1 ml; the pH acidic; and the fructose negative), this means the seminal vesicles are blocked or absent, a condition often found in men with congenital absence of the vas deferens. If the vas can be felt on clinical examination, this means the man may have a seminal vesicle obstruction.
The presence of sperm precursors in the semen means that the problem is not because of a block.

It is also a good idea to give a second sample within 1 or 2 hours after the second. This is called a sequential ejaculate; and in some men who have non-obstructive azoospermia because of partial testicular failure, there may be no in the first ejaculate, but there will be some in the second, because it is "fresher".
For most men with a confirmed diagnosis of azoospermia, the next test is a testis biopsyto determine what the reason for the azoospermia is, so that an appropriate treatment plan can be formulated.

Female Infrtility :


WHAT IS INFERTILITY?
  • Infertility is a condition not a disease affecting the reproductive system that prevents successful pregnancy. It is typically diagnosed after a couple has had 6 to 12 months of unprotected, well-timed intercourse.
TO GET PREGNANT:
  • A woman must release an egg from one of her ovaries (ovulation)
  • The egg must go through a fallopian tube toward the uterus (womb).
  • A man's sperm must join with (fertilize) the egg along the way in fallopian tube.
  • The fertilized egg must attach to the inside of the uterus (implantation).
  • Infertility can result from problems that interfere with any of these steps able to carry a pregnancy
CAUSES:
  • Fallopian tube damage or blockage
  • Endometriosis
  • Ovulation disorder
  • Elevated prolactin
  • Polycystic ovary syndrome(PCOS)
  • Early menopause
  • Benign uterine fibroids
  • Pelvic adhesions, of other causes can lead to infertility.
  • Other causes.
Medications.
  • Excessive caffeine intake.
  • Other medical conditions :
    Cushing's disease
    Thyroid problems
    Cancer and its treatment
    sickle cell disease
    HIV/AIDS, kidney disease and diabetes can affect woman's infertility.
RISK OF INFERTILITY IN A WOMAN:
  • Woman can also be affected by certain lifestyle and environmental factors, including (but not limited to):
  • Age
  • Stress
  • Poor diet
  • Beingn overweight or underweight
  • Smoking, drugs, and alcohol
  • Medication
  • Environmental toxins
  • Genetic conditions, such as being a carrier of Fragile X syndrome
    Other health problems, such as sexually transmitted diseases
HOW WILL DOCTORS FIND OUT?
  • No matter how old you are, it's always a good idea to talk to a doctor before you start trying to get pregnant. Doctors can help you prepare your body for a healthy baby. They can also answer questions on fertility and give tips onconceiving.
  • Doctors can find the cause of a couple's infertility by doing a complete fertility evaluation. This process usually begins with physical exams and health and sexual histories. If there are no obvious problems, like poorly timed intercourse or absence of ovulation, tests will be needed.
  • Finding the cause of infertility is often a long, complex and emotional process. It can take months for you and your doctor to complete all the needed exams and tests. So don't be alarmed if the problem is not found right away.
INVESTIGATION:
For a woman: .
  • Hormone test
  • Ovulatory scan.
  • HSG,TT,Laproscopic examination,etc
TREATMENT:
Doctors recommend specific treatments for infertility
1.Test result
2.How long the couple has been trying to get pregnant
3.The age of both the man and woman
4.The overall health of the partners
5.Preference of the partners
Medicine:
Usually there are a variety of ways to treat infertility, including:
1.Medication
2.Surgery
3.Intrauterine insemination/artificial insemination (woman is injected with carefully prepared sperm from the husband, partner, or a donor)
4.Assisted reproductive technology (ART), such as in vitro fertilization
IN SIDDHA SYSTEM :
Infertility is denoted as MALADU in siddha system of medicine. It is defined as inability to pregnant .
MAIN CAUSES:
The common causes of Maladu are
1.Anovulatory cycle
2 . Immature follicles
3.Any infection of endometrium
4.Salphingitis
5.Chronic cervicitis: In chronic cervicitis the dischargefrom p/v will kill the sperms.
6.Discharge P/V due to any infection.
7.Inflammationreproductive organs orga(uterus, ovary , fallopiantube).
8.Uterine fibroids.

POLYCYSTIC OVARY SYNDROME (PCOS)

Every woman’s life is filled with some sort of stress and emotional pressure. Menstrual problem and uterine disorders are very common today. Ovarian cyst is one among them, which need medical care. An ovarian cyst is any collection of fluid, surrounded by a very thin wall, within an ovary. PCOS happens when a woman's ovaries produce high levels of male hormones. PCOS is a condition characterized in many patients by “Polycystic” ovaries (multiple tiny ovarian cysts), lack of normal ovulation (anovulation) and elevated amount of male hormones (androgens) manifesting in hirsutism (excessive hair growth), often associated with obesity and insulin resistance (affecting about 50% of women with PCOS). High insulin level (insulin resistance) triggers excess male hormone production by the ovaries, interfering with normal egg production and preventing pregnancy. This creates an imbalance in all of her hormones, which can impede egg production. Cysts can then form in the ovaries, causing a decrease or stoppage in ovulation. 

Types of cysts:
All of the following conditions are noncancerous and a woman may develop one or more of them.
1. Follicular cyst: This type of simple cyst can form when ovulation doesn't occur, and a follicle doesn't rupture or 
release its egg but instead grows until it becomes a cyst, or when a mature follicle involute (collapses on itself).
2. Corpus lutetium cyst: This type of functional cyst occurs after an egg has been released from a follicle.
3. Hemorrhagic cyst: This is also called a blood cyst, hematocele, and hematocyst. 
4. Dermoid cyst: This is an abnormal cyst that usually affects younger women and may grow upto 7 inches in diameter. It is a type of benign tumor sometimes referred to as mature cystic teratoma.
5. Chocolate cyst or endometrial cyst: This is caused by endometriosis, formed by a tiny patch of endometrial tissue.
6. Poly cystic-appearing ovary: Poly cystic-appearing ovary is diagnosed based on its enlarged size - usually twice that of normal - with small cysts present around the outside of the ovary. This condition can be found in women with endocrine disorder (hormonal imbalance). 

Most common symptoms are heaviness, pressure, swelling, or bloating in the abdomen, Irregular periods, Constant or intermittent pain in the pelvis, Breast tenderness during beginning or end of menstrual period. Several conditions are associated with this diagnosis, including infertility (as a result of a lack of normal ovulation), bleeding problems, increased facial hair growth (hirsutism) and acne (due to increased male hormone levels), increased risk of uterine and possibly breast cancer and increased risk of obesity. Untreated women with PCOSPCOS, especially those with insulin resistance, have three times the risk of diabetes and seven times the risk of heart disease compared with women without PCOS. Even with hormone treatment, many patients were not getting regular menses, and the bleeding is very scanty.

Uniqueness of Our Treatment:
Specially made Siddha- Herbal medicines along with Chinese Acupuncture help to recovery from the problem of hormonal imbalance thereafter-menstrual cycles became normal and all hormone therapy can be stopped. Acupuncture may also help rebalance the body's systems and increase blood flow to the reproductive organs, which restores ovarian function. Though PCOS is neither a malignant disorder nor aLIFE THREATENING PROBLEM, a period of 4 months will be needed for TREATMENT. The clinical symptoms like pain in the abdomen and fullness in the abdomen will subside in the first 14 days of the treatment. The patient gets almost a normal menstrual flow during the course of treatment. Even Surgical corrections like Hysterectomy or Oophorectomy in PCOS patients, is not needed or given up, when the exact condition is thoroughly analyzed by investigations. The DIGITAL ULTRA SONOGRAM scanning report before and after treatments are documented in all of the patients. The success rate for ovarian cyst patients in our Siddha treatment is more than 90%.



For More Details & Appointments
Contact  Jeeva - (+91)-7299314449
Visit our Website : http://agathiyarhospital.in/

2 comments:

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