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Male infertility : An overview of the causesWhy men shy away from infertility tests? However, it is ideal for both the man and woman of a relationship to get infertility tests done. This would not only avoid unnecessary tests and expenditure later and could also result in prompt medical treatment of the problem. Following an appointment with a urologist/andrologist, the patient is instructed to provide a semen sample for analysis of the quantity and quality of the sperms in the semen. An additional semen test might be recommended for confirmation of the initial results. The semen analysis is an effective method of knowing what is going wrong in the reproductive system : No-sperm count (azoospermia) - Absence of production of sperms or the non-appearance of sperms in the semen. Sperm Morphology Issues - Issues related to the structure and form of the sperm. Low-Semen Production (oligospermia) - Production of low amount of sperms. Sperm Motility Problems - Abnormal movement of sperms resulting in incapacity to fertilize egg. Did you know that use of laptops placed on your thighs can result in increase of scrotal temperature? This could lead to abnormality with sperm production. Thus, using laptops is best when they are located on table or desks, away from constant contact with your genital region. There could also be a primary medical condition, the symptom of which could be manifested reproductively. The physician will suggest blood and urine tests, among others, for the same. There can be 10 major causes of male infertility : Semen : Semen refers to the ejaculated fluid containing sperms during sexual intercourse. There could be low or no count of sperm. It is also possible that the mobility of sperm is restricted. Sterilization : The cutting and sealing off the vas deferens (the tubes which carry the sperms from testicles to the semen) ensuring that your semen does not contain sperms is known as vasectomy. Though this process can be reversed, they are mostly not fruitful. Lack of sperms : Even though the testicles are producing quality sperms, it is possible that they do not reach the semen. The lack of sperms in the semen is medically known as obstructive azoospermia. Such a condition could be caused due to the blocking in one of the constitutive tubes of the reproductive system. This could be further resulting from an infection or a previous surgery. Ejaculation issues : Some men might find it challenging to ejaculate normally due to retrograde (ejaculation of semen into bladder) or premature (ejaculation in very short period of sexual activity) ejaculation. Medicine and drugs : Certain medications have been found to catalyze the onset of infertility. These include sulfasalazine, chemotherapy, anabolic steroids, and herbal remedies (for instance, the consumption of root derivates of Tripterygium wilfordii). The quality of semen can also be negatively affected by illegal drugs like cocaine and marijuana. Testicles : The function of production and storage of the semen lies with the testicles. In case of injury to them, the quality of the semen could be negatively affected. Causes of injury to testicles include a congenital defect, testicular infection, physical trauma, testicular surgery or cancer and undescended testicles (case where one or both of the testicles do not descend into the scrotum). Hypogonadism : This refers to the presence of a very low level of testosterone (male sexual hormone) which plays a major role in production of sperms. This could be due to tumors, Klinefelter's syndrome, or consumption of illegal drugs. Sexually transmitted diseases (STDs) : A series of sexually transmitted illnesses can result in male infertility, for example, chlamydia. Alcohol and weight : Consumption of over 3 to 4 units of alcohol per day can result in infertility in men. Both men and women are affected adversely due to obesity. Occupational factors and stress : Contact with certain types of pesticides, solvents, and metals can result in deterioration of sperm quality. Stress has also been associated with the loss of sexual drive resulting in lesser instances of sexual intercourse. Moreover, in case of severe stress, sperm production can be unfavorably affected.
Preparing for fatherhoodFrom the time you decide to go for a baby, all the attention is concentrated on the mother-to-be. And this is not without reason, since she is the one that's going to bear the child for the next nine months. But that doesn't mean that the man's role is any less important. It is important for the father-to-be to ready himself for the next phase of his life. Following a healthy lifestyle Fertility is a growing problem. As per statistics more than 45% of infertility issues are related to men. Therefore, eating healthy food, exercising and living the healthy way will boost your chances of getting over these problems. Nutrition has an impact on the sperm production. So scrap the junk food for a while and get on to a healthy lifestyle. Men need to get at least 12 to 15 mg of zinc each day. Even short-term zinc deficiencies can reduce semen volume and testosterone levels, much needed for healthy sperms. Good sources of zinc include baked beans (a one-cup serving has 3.55 mg), nuts, cereals, seafood, and chicken meat (2.38 mg per three ounces). Regular intake of vitamins and calcium is a must to improve male fertility and prevent sperm defects. Natural sources of calcium such as fat-free milk and curd can be consumed. Get atleast 90mg of vitamin C daily. This boosts immunity. More will be needed if you smoke. Folic acid is a fuel for healthy sperms. Dads need 400 micrograms of it and green leafy vegetables are good sources of this nutrient. Dads-to-be can take the liberty to grab the extra cup of mocha. Caffeine may help men by stimulating sperm motility. Quit smoking and drinking The party's over for your partner once you start trying for a baby, but what about you? Same goes for men. Now is the time to stop smoking, and to stop any excessive consumption of alcohol. A man who smokes has a lower sperm count and a misshapen sperm, incapable of creating a child. Heavy or binge drinking can seriously affect ability to produce quality sperm. Exercise Add exercise session to your daily routine if you aren't doing them already. Exercise improves general health, stamina, and sperm quality. Start with walking for 15 minutes and increase it gradually if you have never exercised before. If you are trying for a baby, avoid exercising in tight-fitting briefs. It causes damage to sperms. Frequent sessions in a sauna or hot tub, long bicycle rides, or any such activity that could cause the testicles to become overheated can compromise the health of sperm and should be avoided. Medical examinations It is a good idea for the father-to-be to have a complete check-up to assess if there are any issues that need to be addressed before trying for a baby. Some conditions to watch out for include: Varicocele, a condition of varicose veins on the scrotum, the sac of skin that contains the testicles. It can lead to infertility. The condition is entirely treatable, so talk to your doctor about the options. Conditions like erectile dysfunction, diabetes, and prostatitis can cause infertility. Sexually transmitted infections, which may cause male infertility. Your doctor can help you get tested and treated. Your doctor can refer you to urologist or a male fertility specialist if you need additional testing or treatments. Remember to discuss possible hereditary birth defects with your doctor. Share with her the medical history of yours and your wife's family. Get finances organized Plan a baby budget. You surely want to give the best to your child. Start planning now. Consider expenses like baby food, diapers, toys, doctor visits, clothes, and day care. This will help you in the future. And this is the perfect time as you are just in the planning phase of baby making. Take advantage of this time before the baby arrives to get things in order concerning your job, insurance and budget plan. If you and your spouse discuss and agree on expectations, goals and strategies now, you can avoid arguments on money later. After all, you don't want baby to pick up on any tension. Dump your stress Chilling out can increase your potency. So the 'go for a holiday' advice actually works. Practise regular meditation or any exercise that will help bring down your stress levels. Try reading books on fatherhood or parenting and learn tips and advices well in advance. So gear up and start preparing for the change from being the coolest dude to the coolest dad.It is your responsibility to help your partner in all possible ways and make her feel that you are equally excited and keen for having a baby.
Pregnancy and HIVMothers with higher level of viral load have been found to deliver infected babies. However, no amount of viral load can be safe as infections can occur any time during pregnancy. A high level of precaution is necessary during this phase. Mostly infection occurs during delivery but that's not the only way through which it can spread. HIV-infected mothers should not breast-feed, as virus can transmit through breast milk too. Antiretroviral medications are used to reduce chances of transmission of HIV. Keeping delivery time shorter can reduce the risk of transmission. Most of the times babies born to positive mothers are positive for HIV. Babies infected with HIV will have antibodies made in their system and will continue to test positive. But if babies aren't infected, the mother's antibodies in baby's blood will eventually disappear and babies will test negative after about one to one and half year. HIV positive women should consider possible problems with antiretroviral medications for HIV before getting pregnant. Talk to the doctor about choice, indications, and contraindications of these drugs. There's a risk of missing doses due to nausea and vomiting during early pregnancy, hence giving HIV a chance to develop resistance. Some doctors prefer the practice of stopping or modifying medications during pregnancy to lower the risk of birth defects. Short course of treatments can help eliminate or reduce risk of transmitting HIV to a newborn; but, short treatments increase the risk of resistance to the drugs used too. There is a risk of birth defects due to antiretroviral drugs during the first 3 months of pregnancy. Pregnancy does not worsen mother's HIV disease, but any HIV positive woman planning to get pregnant should discuss treatment options thoroughly and all the pros and cons with her doctor.   
Menopause and mental health!Menopause is the period in a woman's life when her man claims she is going crazy. It is also the time when her period is on the decline and hormones are in complete disarray. Depression, insomnia, irritability, mood swings and lack of concentration are few symptoms that the lady has to battle with. These symptoms may begin as early as 4 years before the actual menopause and may continue for several years after that! For women, menopause is a significant turning point in their lives. The dropping levels of oestrogen and the resultant physical and mental symptoms can be like a cycle of events, only adding to their woes! Depression: Depression affects every middle-aged woman. An estimated 20% of women have depression at some point during menopause. The peak period for depression is during the perimenopausal years, when the woman is approaching menopause. The reason for this, say experts, is the fact that most women dread menopause. Even though for some it means an end to years of menstrual cramps, for most others it signifies an end to their womanhood. The very idea is sufficient enough to bring on lots of negative thoughts and depression. Not only this, the reason for depression during perimenopausal and menopausal age is the fluctuating hormones. Research shows that the levels of reproductive hormones, specifically oestrogen are responsible for the mental changes. Changes in the sleep pattern: Insomnia is seen in 40 to 50% of women in the menopausal transition phase. Women who spend sleepless nights are more likely than others to show irritability, crankiness, stress and depressive symptoms. Sleep disturbances during menopause have been linked to the decreasing oestrogen levels. Indeed this claim can be held true as several women respond positively to exogenous hormone therapy. One study claims that sleep changes are linked to the Luteinizing Hormone levels, which also results in increased body temperature. Sleep apnea too occurs in the menopausal transition age. This is due to decreased progesterone level, as progesterone plays an important role in respiration. The weight gain that happens during menopause has also been shown to cause sleep apnea. Panic disorder: Panic disorder is commonly seen during the perimenopause stage. Existing disorder may worsen or new disorder may arise. Panic disorder is usually manifested in women who show several physical symptoms of menopause. The panic attacks are usually associated with negative life events, pre-existing medical diseases and decreased daily functionality. Obsessive compulsive disorder: New onset of OCD, worsening of the existing condition or change in the pattern of symptoms is seen during menopause. OCD changes are also observed during pregnancy and during the menstrual changes, suggesting the impact of hormones on symptoms of OCD. Bipolar disorder: Women with bipolar disorder experience an exacerbation of symptoms during the perimenopausal stage. These women are also the ones that are highly likely to experience severe depression in the menopausal phase. Schizophrenia: Schizophrenia usually manifests itself in young adulthood. The rate of new cases decreases gradually thereafter, in both men and women. In women, however, there is a second peak in the 45-50 years age group. This peak is not observed in men. This suggests that oestrogen may play a significant role in triggering schizophrenia or worsening the pre-existing condition.
Stress - Even kids cannot escape!Often when we feel overwhelmed with stress, we go back in the past and reflect. We miss our golden days of childhood.We think of those days with fondness, miss the free and carefree times. We feel like becoming kids again. But the truth is that at no age are we free of stress and worries. It is just that with time, we move on to newer situations and every new stressor seems worse than the previous one. Children stress out too, some more than the others. Stressors Simple things like a test in school, a Physical Training class or poem recital could mean a lot of stress for the little ones. The desire to meet the expectations of parents or teachers also creates tremendous pressure on the children. They are eager to do well at all the times and the smallest failures can upset these kids immensely. Peer groups are difficult to manage. In childhood, the social maturity is not sufficiently developed to handle day-to-day conflicts. Trivial fights or comments from classmates and friends can lead to a long-lasting impact on the vulnerable minds. They get easily influenced by their friends. Elder siblings also play a major role. Some act as mentors, some as bullies. Some cause damage unknowingly, some are plain indifferent. Life is full of new things and childhood is a fast-track learning lesson. Every other day, there is something new a child has to do. Meet a new kid, learn a new subject, try to dodge a ball differently or ride a bicycle without side wheels; there is too much to learn. These cause anxiety and may make the child nervous. Performance pressures, technology, precocity, media influences, etc. are some of the other factors that add to the stress in childhood. Signs Watch out for subtle changes in moods and behaviour. With adults, it is easier to identify the stress and hence rectify it. But with children, it is quite a challenge. Most of the children are themselves unaware of the stress they are facing, they don't understand why they are feeling sad or angry or fearful. They are just not at ease. Inordinate crying or screaming is a common sign. Being withdrawn, aloof and quiet is another way by which kids express their tensions. Physical signs can be seen in basic physiological changes - in sleep patterns (oversleeping or inability to sleep), eating habits (not eating or eating too much), frequent aches and pains, especially digestion disturbances and headaches, etc. Managing childhood stress Pay attention to your child. Listen to what he/she is saying, but also try to listen to what he/she is not saying in words, although only in action. Help the kids open up to you, spend quality time with them and talk to them about everything under the sun. Be well connected with their school teachers and parents of their closest friends. If the need be, please don't hesitate to reach out and seek professional help from psychologists and child counsellors. "One of the luckiest things that can happen to you in life is, I think, to have a happy childhood." - Agatha Christie  
Bonding with the babyIt is an immense pleasure to hold a baby in your arms, isn't it? The bonding between amotherand her baby starts within the womb itself. When the baby is born, a few parents bond with the baby within minutes. But for others this may take some time. If the baby is taking time to respond to your affections, don't worry, here are some tips to help you with the bonding. Babies respond to the mother by making sounds, grasping, smiling, or crying. Touching, holding, kissing, cuddling, talking and singing help build a bond with your child. Infants prefer a human face to any other stimuli. So face your child as much as possible. The attention span of a new born baby is quite short. Hang a colorful object on top of the pram, cradle,or cot. Your baby already likes toys of different shapes. Various reflexes develop by the fourth week after birth. These include sucking, grasping, searching for the nipple and blinking. Baby may gaze at you some time. Respond by nodding, smiling, and talking to the baby. Babies are sensitive to their surroundings. They respond to music or the phone ringing by staring at it quietly. They observe toys keenly, spot colours and become happy at times. These are heart warming moments for the parents. Father's care usually builds a protective and secured feeling in a child which he carries for life and prevents building of any unreal fears in him in later life. So dads should care for and make their babies feel secure. You love to touch your bundle of joy, right? Babies love, enjoy, and need it as well. Skin-to-skin touch helps growth and development of the child. Mom's touch soothes the baby when he is irritated. Start reading to your child. It is never too early. It helps the development of reading skills and language. Babies enjoy pictures in the book. Even if baby can't understand words, they love to hear the parents' voices. During the first few months, they understand little of it, but they are thrilled by listening to you. Have a short reading session with your child daily.Dads can try this trick to make the baby sleep. Carry her around while patting her very gently on back.
Sweetie, I am addicted to you!Research shows sugar can be more addictive than heroin. What was the last thing you ate or drank before reading this? Bread? Banana? Chocolate? Cake? Fries? Wafers? Doughnut? Biscuits? Soda? Juice? Wine? Vodka? Coffee? Tea? They are all sugars ultimately. Some taste sweet, some don't. The first thing we taste as babies is milk. It is naturally sweet. From that young age, we learn that sugar is what we like and what we want. You may be a sugar addict, if: You need 'something sweet' after every meal. You cannot have tea or coffee without that second pinch of sugar. Dessert is a must every time you eat out. You go hunting to the refrigerator looking for cake leftovers. A little bite of that chocolate bar is all you need to be happy. You are the one who finishes off the last piece of laddu in the house. You want ketchup with everything - fries, noodles, pizza, burger, samosa, kachori. You want all the above listed items because you just read their names. When out in the hot sun, water is not sufficient for you, you want flavored sweetened chilled drinks. A mocktail or a soda drink makes your dinner complete. And many more such things. So, you see, almost all of us are sugar addicts. Studies show every person in countries like, USA, UK and Australia, may be a sugar addict. The reasons behind the sugar addiction are manifold. First, beyond doubt sugar tastes awesome. Taste factor cannot be debated with. But do you know, the taste is conditioned? Cravings are not always and entirely natural. They are a result of what you give the body and teach your taste buds. Second, businesses heavily exploit this weakness for sugar. Wherever you go there is unimaginable variety of sugar products. A café, a restaurant, a general store, a superstore, a street cart - they all have several options for you to indulge in. How much can one resist and how much can on filter the menu! Third, sugar creates instant gratification. That does work for it and that does add to our trouble. A sad day at work and some chocolate perks you up. Feeling dull and bored, let's go out for an ice cream. This happens too often. Why sugar isn't that sweet? We feel what harm can little sweet do, being happy is more important. However, sugar is worse than many other food vices. As an experiment, check the contents of everything in your kitchen and count how many of them have sugar, in any amounts. Try skipping everything that has sugar in it for the next three days. You will be shocked. The options to eat cut down to several degrees if you skip sugar. The problem with sugar is it makes you want more. A bit does not satisfy you. Sugar increases the desire for sugar - immediate and long term, likewise. The moment you have a bite of something sweet, you cannot stop there, you need to eat another bite, and another, and another. In the long run, your taste buds are getting deeply conditioned for sugar cravings. Your body learns that every time the mind is feeling low, it should ask for sugar. That is how it has been taught to feel better. You are entering a vicious cycle when you entertain these cravings. Sugar is often defamed as a white poison. It is not an exaggeration. Sugar has no nutritive value, apart from generating energy in the body. It simply increases the risk of numerous health complications. Sugar is a known culprit for diabetes mellitus, obesity, heart disease, hormonal imbalance, sexual dysfunctions, and others. Sugar addiction is the most common addiction of all. It is difficult to leave sugar completely out, but one can always cut the portions. How to beat that addiction? Time for some action? All this information must be making you want to cut down on your sugar intake. Hold on. Alcohol, smoking, drugs - they are understood and accepted as addictions. So, there are support groups, people around us will motivate and help us to de-addict. Getting rid of our sugar addiction is even tougher. It will require tremendous amount of will power and determination. Are you ready for the challenge? Let us see some simple ways to de-addict from sugars: Drink less Cut down on all the artificially sweetened drinks - colas, orange, iced teas, flavored canned drinks, sodas. They have zero health benefit. The only reason why you have them is because of the taste factor. Remember the taste is momentary. Once inside the body, these drinks are creating havoc for your system. One spoon less - Tea or coffee? What do you need to start your day? Whatever it is, try reducing the sugar portions. If you take two spoons, try one. If you take one spoon, try half. It will be difficult in the beginning but eventually you will get used to it and you will even like it. Have whole fruits instead of juices. Anything drinkable in the cans contains sugar. Say no to cans. Eat less Give the ketchup bottles some rest. Decide your weekly chocolate quota. Don't let the moods overpower your decision. Bakery items are loaded with sugar, forget they exist. Turn a blind eye to that shelf when you go grocery shopping. A fan of breakfast cereal? Check the packets for sugar content. The ones that are flavoured have more sugar. Pick the plain ones. You can add your own choice of fruit and dry fruits for nutrition. Desserts should be a onetime thing, only when the occasion calls for it. You don't need them daily. Let the sweetness be in your words, not on your plate.
High heels can walk you to the hospital bedHigh heels make a fashion statement which makes us look tall, elegant and good but they cause injuries on a regular basis. High heel shoes have been luxury item once upon a time; today high heels have made themselves a part of every girl's life thanks to supermodels and stars. You will not find any health warning on shoes but they ought to, as they seriously put you at a high risk of numerous health problems. How are high heels and low back painrelated? High heels significantly affect your natural posture and your spine. The natural arch of spine becomes acute when walking in high heels. This poses high risk to the spine getting injured. This not only wears  and tears intervertebral cushions called discs but cause injury to the nerves too.  High heels put strain on muscles of lower back causing pain after a long day of wearing high heels. Nerve trapping, nerve pain and radiculopathy can result from wearing high heels for a long period. This is exhibited     as tingling, numbnessand pain. Arthritis, nerve pain, hammer toes, ingrown toenails and bunions are all common problems due to high heels. Calf muscle shortens and tightens after prolonged use. Jogging, playing, running with high-heeled shoes can tear and rupture calf muscles. What can you do to prevent damage? Firstly ensure your body is in top shape before you start. There is a much less chance of developing low back pain if you are strong and fit. So do activities like swimming, pilates, circuit class, box-exercise and whatever else thatmakes you feel good. Focus on activities that make the abdominal area strong includingyour deep core muscles. Secondly a regular regime of stretching will prevent a lot of problems occurring. Either get involved in a yoga class or make sure you do 10-15 minutes of stretching every day. Stretch your back, your calves and hamstrings especially. Thirdly get sports massage at leastonce-a-month. This will loosen the tightened structures, realign the spine and lengthen the hamstrings, calves and Achillestendon
Aerobics: dancing your way to healthAerobic exercise is any comprehensive activity that makes you breathe hard while exercising your large muscle groups at a standard, even pace. The body uses stored carbohydrates and fats for energy. What is aerobics? Aerobic literally means having or providing oxygen or an activity that takes place only in the presence of oxygen. What is aerobic exercise? Aerobic exercise is any comprehensive activity that makes you breathe hard while exercising your large muscle groups at a standard, even pace. The body burns stored carbohydrates and fats for energy. Thus aerobic exercises help the body to utilize oxygen efficiently with increase in respiration and heart rate. What are the best ways to do aerobic exercises? There are number of ways by which you can exercise aerobically. Some easy and best ways are: walking, running, biking, using stationary bike, using stair stepper, elliptical machines or rowing machines, or joining an aerobic exercise class Benefits of aerobic exercises Fat reduction: Aerobics burns calories and body fats directly while using oxygen to produce energy. So this is the healthiest way to get rid of extra fat.  Strong heart: Aerobic exercises not only use your larger muscle groups like hamstrings, but also strengthen the heart muscles. This improves heart function resulting in improvement of blood and oxygen supply to all body parts, which provides healthy nourishment to body cell and removes toxins. Improves breathing: Exercises improve your lung capacity and function,which improves oxygenation, or competence of respiratory system to deliver oxygen to all body parts. It also improves overall health of the respiratory system. Cholesterol control: LDL cholesterol is bad cholesterol mostly responsible for clogging of arteries and HDL is good cholesterol. Aerobic exercises invariable increase the amount of HDL and lower LDL cholesterol thus preventing fat deposition and plaque formation and maintaining optimal blood supply to heart. Other benefits: Aerobics is the best exercise when it comes to prevention of various diseases like hypertension, diabetes, stroke and arthritis and osteoporosis. It helps to keep mood elevated and cures depression and boosts immunity. Make sure to incorporate some form of aerobic exercise in your daily routine.  
Easy tips for fresh breathBrushing your teeth twice daily is not enough for fresh breath. How well you brush, and how long you brush are equally important, as are flossing regularly and eating right. 19 year-old Rita suffers from bad breath. It is a huge drawback for her. No one at college wants to be her friend. Her doctor suggested that she brushes twice daily, and also prescribed a good mouth wash for her. Following this advice has not helped her much. There must be millions of us who identify with Rita's problem. Halitosis, or bad breath, is a huge embarrassment not only for the person who has it, but also for the person who has to bear it. It can be a cause of social isolation, as seen in Rita's case. A fresh smelling breath is a sign of good hygiene. A fresh breath makes you more confident of yourself, and you feel ready to face any challenge that life throws your way. So, what do you do to keep your breath minty fresh all day? Brush twice a day, and use a good mouthwash regularly, would be your reply. But is this enough? Let us start by busting a few myths here! Mouthwash will give you fresh breath all day long. It won't. It will only make your breath fresh temporarily. As long as you brush your teeth regularly, you need not worry about bad breath! Brushing your teeth is necessary. The key here is how long and how well you brush. Most of us brush for 35 to 40 seconds, which is just not enough. One needs to brush properly over all the surfaces of the teeth to clean them well. This should take you not less than two minutes! And you thought brushing twice daily was enough! Here are a few tips to keep your breath fresh: Bad breath is the result of bacterial activity in your mouth. One of the reasons for bacteria to grow is due to dryness. So, never let your mouth go dry. Keep your mouth well hydrated. Drink loads of water. One of the other reasons for bacterial activity in the mouth is the food particles that get accumulated in the cracks between your teeth. Be sure to rinse your mouth well every time you finish eating something. Flossing is an activity you should never ignore. Flossing does what regular brushing cannot do; It removes the food stuck between your teeth. Avoid foods that cause bad breath-like coffee, tea, sugary drinks, garlic, onions, or broccoli. Sugarfree gums are a good way to keep your mouth hydrated, as they increase the flow of saliva. Gel based toothpastes may give you a fresh breath, but the effects are temporary. Go for fluoride toothpaste that is good in the long run. Yoga poses like the Kapal Bhati Pranayam, Sheetali Pranayam, Sheetkari Pranayam, Yoga Mudra, Simha Asana are effective in combating bad breath. Visit your dentist regularly, and get your teeth cleaned professionally. Avoid junk food, and foods that are rich in sugar and fats. Instead, go for fresh fruits and vegetables. Quit smoking and alcohol consumption. Simple things like brushing daily, flossing daily, rinsing your mouth after every meal, and eating right can help you keep your breath smelling fresh all day long.
Bile block - Understanding gallbladder problemsRavi was a young intern working the night shifts in a government hospital when he was asked to examine a patient who had just been brought in. The patient was a 45-year-old, a fat man, who was complaining of pain in the right side of the abdomen along with nausea and vomiting. On inquiry it was revealed that he had eaten a very heavy fat-laden dinner. Remembering what his surgery professor had taught him about cholelithiaisis, Ravi immediately guessed what the diagnosis could be. He, however, sent the patient for a blood test and an abdominal scan. The reports confirmed Ravi’s suspicions- cholelithiasis, gallstones. The gallbladder is a tiny pear shaped organ that lies just below the liver. It is responsible for storing the bile that is produced by the liver for digesting food. It ensures the smooth outflow of the bile from the bile ducts. When the bile components aggregate in the gallbladder, they build up to form gallstones, similar to kidney stones. The gallstones are usually small enough to pass on to the intestines and be eliminated without causing too much trouble. At times, these stones may be big enough to block the outflow of the bile and give rise to a variety of symptoms depending on the size of the stone and severity of the block. The symptoms include -  Intermittent colic. A bloated sensation with constant nausea. Inability to tolerate fats. Vomiting.  Fever with chills if the stone becomes infected. Gall stones though found in both sexes, is more common in females. The risk factors for developing gallstones include - Diabetes. Organ transplant. Diseases like hemolytic anemia, sickle cell anemia. Liver cirrhosis. Failure of the gallbladder to empty properly, e.g., during pregnancy. Rapid weight and nutrition loss due to any reason. Gallstones are confirmed by a blood test to check the liver function and by an abdominal scan. Medications to dissolve the stones, and surgery in case of large stones that do not dissolve with medications, are the treatment options.
Your questions about contraception, answeredFew couples want to have babies as soon as they are married. Most want to enjoy their sex life without having to worry about conceiving a child in the process. If you are in this group, then here are answers to the most commonly asked questions about contraception. What is contraception? Contraceptionis use of various methods to control and prevent the pregnancy. It allows you to choose when you want to have a baby. What are the various methods of contraception? There are two main methods. Temporary contraception: Caps, combined pills, male condoms, female condoms, contraceptive implant, contraceptive injection, contraceptive patch, diaphragms, intrauterine device (IUD), intrauterine system (IUS), natural family planning, progesteron-only pill, vaginal ring. Permanent contraception: Female sterilisation(tubectomy), Male sterilisation (vasectomy). No contraceptive is 100% reliable and some can have side effects. Find out about all the methods listed here, so you can decide which method is right for you. How soon can I conceiveafter stopping the birth control pills? It is difficult to predict exactly how long it will take for a woman to start ovulating again. Some women are fertile as soon as the pills are stopped and others might take couple of months. Once the periods return and are normalised with normal ovulation, you can conceive a child. What if my period doesn't resume after I stop taking oral contraception pills? If you don't get your periods for several months, you may have what's known as post pill amenorrhea. The pill prevents your body from making hormones involved in ovulation and menstruation. When you stop taking the pill, it can take some time for your body to return to normal production of these hormones. Normally, periods should start again within three months of stopping the pill. But some women, especially those who took the pill to regulate their menstrual cycles, may not have periods for many months. If you don't have a period within three months, take a pregnancy test to make sure you're not pregnant, and then see your doctor.
Sex during pregnancy? It's possible!One of the questions that arise when a woman gets pregnant is whether it is safe for the couple to have sex. We'll try to answer the most common questions couples tend to ask. Is sex safe during pregnancy? Sex is considered safe if the pregnancy is normal in all stages. However, even if it is safe, it doesn't mean the woman would want to have it. Desire for sex fluctuates during the various stages of pregnancy and sex becomes plain uncomfortable as the body gets larger. What is not safe? Two types of sexual behaviors are not safe during pregnancy. While having oral sex, the man should not blow air into his partners' vagina. It can lead to air blockage of blood vessels by an air bubble, which is called air embolism, and can be lethal for both mother and baby. The pregnant woman should strictly avoid sex with a partner with unknown sexual history or who may have a Sexually Transmitted Diseases (STD). What are the common risk factors? In case of significant complications with pregnancy, abstinence from sexual intercourse is advised. Common risk factors can be: Threat of miscarriage. One can have pre-term labor or signs indicating the risk of pre-term labor (such as premature contractions). Unexplained vaginal bleeding, discharge, or cramping. Leakage of fluid surrounding the baby, called as amniotic fluid. Placenta previa, a condition in which the placenta (the cord connecting mother to the baby and nourishes the baby) is located low down and covers the opening of the uterus. Cervix incompetency, a condition where cervix is weak and dilates before full term, increasing the risk of miscarriage or premature labor and delivery. Can sex during pregnancy harm the baby? The baby is always protected by the amniotic sac (a bag-like structure that holds the fetus and surrounding fluid) and uterine muscles. A thick mucus plug seals the cervix and protects the baby from infection. The penis does not come into contact with the fetus during sex. So, sex can't harm the baby directly. Can orgasm lead to miscarriage or contractions? The contractions felt by pregnant women during and just after orgasm are totally different from the contractions of labor. Therefore, in cases of normal and low-risk pregnancies, orgasm can't cause contractions and miscarriage, but always check with the doctor and make sure that your pregnancy is in the low-risk category. What are the safe positions for sex during pregnancy? The old standby missionary position for intercourse may not work for you now. Instead, try these options: Spooning: Lie side by side with him behind you. This will not put pressure on your belly, and makes for more shallow penetration. Female on top: There's no pressure on the belly, and the female can control the speed and depth of penetration. Side of the bed: The female lies on the back on the edge of the bed with knees bent and feet on the edge. The male stands facing her. It's like classic missionary, but the male won't be resting his body weight on the pregnant female. However, remember 'normal' is a relative term when it comes to sex during pregnancy. You and your partner need to discuss what feels right for both of you and take advice from the doctor.
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