Tuesday, 19 September 2017

What are the major causes of increasing men’s sexual problems?

Sexual problems have become very common these days, both men and women suffer from this but its men who go though comparably more trouble. Sexual problems are basically related to dysfunction of reproductive organs which negatively affects the performance during sexual intercourse.

Male Sexual problems can be classified into two categories, first the problems due to physical causes and second the problems due to psychological causes.



Physical causes:


Physical causes of sexual problems can be an injury on penis or testicles, heart and vascular disease which is affecting the blood flow in the penis. Neurological disorders, kidney and liver problems can also cause sex problems in male.   

Alcohol consumption and smoking are also known to negatively affect sex life, alcohol decreases the testosterone levels which is the hormone responsible feeling of excitement and manliness in male which causes loss in desire for sex.

Other reasons include drug abuse and side effects from medications. Common medications like antidepressants and diabetes can cause loss of interest in sex.

Psychological reasons:


Psychological problems like stress anxiety and depression, feeling of guilt, nervousness and concern about performance, over thinking and past sexual trauma can cause problems like premature ejaculation and erectile dysfunction.

So these were the two major causes of sexual problems in male, these problems can also lead to male infertility.  Fortunately most of these problems can be prevented or treated with proper guidance and cure.

Male sexual problem patients are suggested to see an Andrologist who is a doctor specialized in men’s sexual problems and fertility issues. On a visit an Andrologist will perform some physical tests which will include the whole body and the reproductive parts; he could also prescribe lab tests to diagnose the problem. Once the problem is diagnosed the doctor will suggest the right medication, consultations and surgery if needed.

First Step IVF is one of the most trusted Male sexual problem clinic in West Delhi, Apart from male sexual problem west Delhi it is also an infertility and test tube baby center with experienced set of doctors.



Wednesday, 14 June 2017

Some Common Psychological Causes of Sexual Dysfunction in Men


There are so many psychological reasons behind sexual dysfunction in men which includes anxiety or tension about performance while having sex. It also affects marital life and relationship. Guilt, harsh or depressed feelings also affects a man psychologically and results in unsatisfied sexual activities.
There are thousands of males who are affected by stress and work that further results in sexual problems which cannot be cured easily. But, you don’t need to worry about it because one of the best male sexual problem clinics west Delhi will help you in getting out of this chronic disease. Reduced sexual desire in many men has been observed by many specialists. This is due to long working hours, lack of proper diet, over dosage of various medications etc. Major problems nowadays that men are facing are discharge of semen with urine, nightfall, ED, premature ejaculation, lack of sex etc.
The male sexual problem west Delhi clinic always there to help those males who are facing such issues or dysfunction while sexual intercourse. Although for these problems, people prefer least or no discussions with other, they can consult the experts to get the solution to their sexual problems.

How diet affects a men’s sexual life?
There is a major role of diet in men’s sexual life. The balanced diet not only increase males sperm count but it also helps in maintaining the overall nutrition and immune level of the body. 
Fast food or unhealthy diet may affect the quality and quantity of sperm.

Urological problems also affect the sexual life quite adversely. Expert Andrologist inWest Delhi like Dr. Manu Gupta recommends every male to consult immediately with a specialist Doctor if they come across any kind of sexual or urological problems.

Friday, 19 May 2017

How to Reduce the Adverse Effect of Stress on Your Fertility Levels


If you are facing difficulty in conceiving then remember stress may be the first factor for it. If you have had your fertility tests done in the past and still there is not any problem and all tests are OK then this time you should evaluate your lifestyle and discuss about how much stress and anxiety problem you are facing.  So, start working on to control your stress immediately to become fertile.

Diminishing the level of stress in your life is very significant on various levels.  This will not only improve your health, but also increase the fertility ratio of human body.  This is true that many people are facing stress problems because they have stressful profiles in which they are not able to adapt it properly.  So, it’s better to change a job.  Low cost IVF Vikaspuri tells here some useful tips to deal with your stress effectively.

1). You should change your habits on reacting to any stressful or tensed situations. Proper attention should be pay towards your reaction to stressful situation. Do you face sleep problems? Do you have any fear about what could happened in the near future? Getting proper control over this situation on how you react will be having a big impact on your body. It means what will happen inside body when a stressful situation occurs.  This may take some time, but it will help us to better manage our lifestyle in right way.
Many males face sexual problems because of unbalanced lifestyle and use of fertilizers in their diet. This problem has solution. The male sexual problem treatment in vikaspuri is done by experienced experts like Dr. Manu Gupta. He is a renowned andrologist in vikaspuri who provides feasible solution to any problem related to UTIs and Male fertility treatments.

2). Practice Yoga daily to reduce stress. This is one of the powerful natural remedy for everyone to get rid of almost hundred’s of problem together. Because Yoga has power and spiritual conditions which gives positive vibrations in our body and thus it helps in reducing tension and anxiety nicely.

3. Make sure to sleep at least for 8 hours daily. It makes you feel refreshed and strong.

4). Consume green vegetables, fresh fruits and juices daily.

5). Have positive attitude towards life.

6). Meditate on yourself. Recite lord’s name everyday and focus on your work with strong belief in yourself.


The above content is written by the team of First Step IVF. They have discussed about how to control stress effectively by following home remedies. If you are searching for any test tube baby center then contact First Step IVF as they are among the leading IVF clinics in India. 


Saturday, 10 September 2016

Fertility Issues and its Causes

In India and around the world, probably more than 10% of women suffer from fertility issues. This has become a concurrent issue for almost all. Conceiving or sustaining pregnancy has become a fear for maximum woman nowadays. However, these problems are not only due to fertility issue with the woman but could be due to a man’s fertility issue as well. Through this write-up, we would discuss some of the major causes of fertility problems.





1.     Ovulation Problem: This is one of primary problems for infertility. This problem occurs only when the eggs does not complete mature in the ovaries and fail to release mature eggs. Irregular periods, light and heavy menstrual bleeding or other symptoms like breast tenderness and bloating are some of symptoms. It is important to manage body weight in this regard. Apart from this, it is advisable to take fertility drugs given by the doctor.

2.     Endometriosis: This problem arises when the issue that is found in the lining of the uterus grow outside the uterus. It grows usually in the abdominal area or the pelvic region. Some people have symptoms and some do not. However, often painful intercourse or periods, heavy bleeding or untimely spotting are some of the symptoms. A surgery could be an option to overcome this problem. Removal of the endometrial tissue or clearing the Fallopian tube blockage could be the solution to this.






3.     Poor Egg Quality: This is one of the primary reasons behind non-conceiving of a woman. As it is for a woman, the production of eggs reduces after the age of 35. But for some it is from the very start. Poor egg quality does not let fuse with the sperm properly and result in conceiving. There are practically no specific symptom to this but yes, one can take medicines and improve food habit to overcome this issue.

4.     Polycystic Ovarian Syndrome: PCOS or polycystic ovarian syndrome is a problem where the small follicles of the ovaries does not grow to become large to help release eggs. This often happens due to hormonal imbalance and other ovarian problems. Irregular periods is one of the primary symptoms of this problem. Apart from this, excessive body hair, acne are also a part of symptoms. To overcome this issue, it is essential to improve the lifestyle and have a healthy living. Exercise and medicinal treatments are important.

5.     Tubal Factors: Damages or blocked Fallopian tube is another major factor behind fertility issues. This prevents the sperms to reach to eggs and also prevents fertilized eggs reach to uterus. The main reason behind this is pelvic inflammatory or sometimes sexually transmitted infections. It is important to check with the doctor and if required go for surgery to come out of this trouble.

However, Infertility problem is curable and you can get better treatment from FirstStepIVF. Here you can get the treatment for infertility, male sexual problems, female problems etc. You can also find best andrologist in vikaspuri Delhi NCR region.  FirstStepIVF is one of the best IVF center west Delhi especially for infertile couples.

Wednesday, 8 June 2016

Intrauterine G-CSF in a women with thin endometrium -- Lessons to be learnt


A 55 years old lady, para 1 with no living issue was desperate to have her own baby. Despite extensive counselling regarding the risk to her life, the complications that could arise during pregnancy, and the problems of bringing up a baby later, she was not willing for surrogacy or adoption. The social stigma attached to infertility in India was probably the reason she was not willing for anyother option.
She was postmenopausal for the last 8 years and had no history of postmenopausal bleeding. There were no other medical problems which would otherwise contraindicate pregnancy. She was married since 35years. She spontaneously conceived a year after her marriage. It was an uneventful pregnacy till 30weeks when she had PPROM and delivered a preterm baby at home. The baby expired an hour after birth. She had secondary infertility. She complained of heavy periods and was diagnosed to have fibroids and underwent myomectomy at a private nursing home 25 years back. Since then, her periods were scanty until her menopause.On examination, there was a vertical midline infraumbilical scar.  An ultasound examination revealed a 3 x 3 cm fibroid on posterior wall of uterus.
A hysteroscopy was planned. On hysteroscopy, there were grade 3 adhesions. Hysteroscopic adhesiolysis was done under general anaesthesia. Cyclic estrogen and progesterone was started for 3months. A relook hysteroscopy was done which showed adequate cavity and minimal adhesions at the fundus.  Consent for embryodonation was obtained as her husband was azoospermic. After giving her a cyclic estrogen and progesterone for inducing withdrawl bleed, we started her on oral estradiol 2mg per day for three times a day. On day 8, her endometrial thickness on a transvaginal scan was 4mm and not well defined. The dose was increased to estradiol 12mg per day, but ET on day 12 was still the same. Vaginal siladenafil 25mg four times a day was added. The day 14, ET was 5mm and not well defined. Her cycle was cancelled.  In the next cycle, she was given the same dose of estradiol, but siladenafil was addded earlier on day 7. However, the ET was 5mm and illdefined. She was counselled for surrogacy, but refused to agree.
Intrauterine G-CSF use to improve endometrial thickness was thought as the next step. A fully informed, detailed consent of the off-label use of G-CSF, the lack of knowledge about the possible side-effects to the mother and the fetus were explained to the couple.
In the next cycle, besides the dose of estradiol and siladenafil, intauterine G-CSF  0.5ml was instilled with the intrauterine insemination cannula under ultrasound guidance on day 7. Her ET on day 10 was 5.6 mm, but not well defined. A repeat instillation was done the same day and a day 13 ET was 6.2mm, illdefined. A third instillation of G-CSF was done. Her day 15, ET was 7mm and still illdefined. Progesterone in the form of intramuscular injection was added on day 15 and day 16. A day 2 transfer was done on day 17. Luteal support with progesterone was continued. On day 14, her β-hcg was 1013IU/l.  An ultrasound done 2 weeks later showed twin gestational sac. She had bleeding at 7 weeks, was given injectable progesterone and bleeding stopped. Pregnancy continued uneventfully. Her blood pressure at 14weeks was 140/100mm Hg on two occasions. She was started on alphamethyldopa 250mg three tines a day which was later increase to 500mg four times a day and labetolol was added at 20 weeks. The level II scan was normal except for placenta anterior and reachng os.  At 26 weeks, she complained of breathlessness and diagnosed to have heart failure. She was referred to a tertiary level hospital where she was admitted in the Intensive Care Unit. A cardiologist referral was done. Fetal monitoring was done. At 30 weeks, she developed severe pre-eclampsia and her blood pressure was 200/120mmg with proteinuria of 3+. She was taken up for an emegency Lower segment Caesarean Section with a high risk consent. Both babies were delivered by breech extraction. The first baby was 1300mg and the second baby was 800gms. At the time of removal of placenta, she was discovered to have placenta percreta for which a hysterectomy was done. She received 2 units of blood transfusion.  Her post operative course was uneventful. The second baby expired a week after birth because of sepsis. The first baby was kept in the NICU for 2 weeks. Presently the baby is 2.2 kg and is healthy. The lady is doing well on antihypertensives.


Discussion
This case teaches us many lessons. First, pregnancy in a 55 year old lady could be life threatening. Second, a childless women in India suffers ostracism, stigma and so much discrimination that she is driven to take extreme steps and even risk her life to get a child.
Third, in a women with resistant thin endometrium, intrauterine G-CSF could be an option, although it has to be proved by larger studies. G-CSF has many roles in human reproduction. It is present in follicular fluid, plays role in ovulation1 as well as in implantation2. It has been studied in recurrent implantation failure, in poor responders 3and in repeated pregnancy losses4.
The role of G-CSF in resistant thin endometrium has been studied in a case series of four women.5 All four women did not respond to maximum dose of estrogen and vasodilators in an IVF cycle and were given a single dose of intauterine G-CSF. In all the four women, the endometrial thickness improved to 7mm and all of them conceived.
Similar to this study, the result in our case was absolutely unexpected and a miracle to us and the lady, because despite giving her three doses of G-CSF in contrast with just a single dose in the above study, her endometrial thickness did improve but was not a triple layer pattern and was never clearly discernible. Hence, besides the proliferative action of G-CSF on the endometrium, it has probably an action on blood flow or other parameters, thereby leading to better implantation. Both the effects, however need to be confirmed by larger well designed, double blinded studies and the safety seems to be established, before drawing any conclusion. In addition, the effects of G-CSF needs to be elucidated at a molecular level.   If this is proved, it will be a breakthrough for these few yet important group of women with thin endometrium who do not respond to anything.
And the last lesson to be learnt is as said by Patricia Neal that “a strong positive mental attitude will create more miracles than any wonder drug”. 

Dr. Priti Gupta is the Senior Consultant in Fertility & IVF Specialist in Delhi. She is trained and worked at the Best IVF Center in West Delhi, which is quite prominent & popular in west Delhi.