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Category : All ; Cycle : September 2015
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Sep27
Contraception- Myths and Misconceptions
Today 26th september is the world contraceptive day. Sex is a basic human right. But to have sex safely and without fear of unwanted pregnancy should be the priority. Many women across the world die everyday as a result of unwanted pregnancy, mostly due to unsafe abortion.

So, couples can avoid pregnancy and enjoy sex life fully, only if they can follow safe and effective contraceptive advice. Let me clarify some popular myths and misconceptions abut contraception.

1. one contraception is useful for all

While the ideal contraceptive is necessary but it does not exist. So, what may seem suitable for a couple may not be useful for another couple. We need to assess various points like number of children they have, wish to have further children and plan to have children, general health of wife and husband (and any diseases they suffer from), frequency of intercourse, chance of infection, age of the partners etc.

2. Regarding barrier methods
Most popular barrier method is male condom. But the myths are that" condoms reduce sexual pleasure" and" condoms get easily damaged leading to failure.

Condoms are specially useful for those who are at risk of infections, who do not have very frequent intercourse and who are not suitable for other methods. Condoms do not decrease sexual pleasure, some of the condoms have medicated products which can increase the duration of intercourse and also act as lubricant to facilitate intimacy.

But men should know how to use it properly. It should be worn in erect penis expelling all the air and projecting the tip beyond the tip of penis. While withdrawing penis after intercourse, the condom should be held at the base of the penis. Actually failure/ rupture of condoms occur because of mishandling of condom or not knowing proper use of it. So, before use, please make sure that you know its correct use.

Definitely some men can feel latex allergy and they have to use non-latex condom, which are widely available.

There are barrier methods for females also- like female condom, diaphragm and cervical cap etc. But they are not very ease to use and are not so popular.

3. Oral contraceptive pills (ocp)

Myths-" ocp causes increase in weight" ocp causes cancers.

Facts- ocp seldom causes gain in weight. The gain in weight is coincidental, that means you have some other reason of gaining weight- like not having exercise, ignoring diet control and some other diseases.

Ocp rather reduces risk of cancer- especially ovarian cancer (which is very difficult to diagnose and very lethal), cancer of colon, cancer of endometrium (inner lining of uterus). Of course, there is little risk of breast cancer, but the risk is not very high, it can be easily detected by examination by doctor. So, if you take ocp, get rid of all the fears. Just try to have self- breast examination every month.

4. Intrauterine contraceptive devices (iucd)-

Most popular is copper t. Medicated iucds are also available, that contains hormonal drugs.

Copper t does not increase risk of infection, a common misconception lies among woman.

5. Emergency contraceptive pills (i pill etc).

Often couple uses these pills regularly after intercourse. Remember these pills contain very high content of hormonal drugs, which can lead to serious side effects like hormonal imbalance, irregularities in periods (and thus can prevent you from getting pregnant in future, even when you want pregnancy), ectopic pregnancy (pregnancy outside tubes that are life-threatening) etc. So, use regular contraception if you want to prevent pregnancy. I pill is not meant to be taken for every time of sex.

6. Ligation-

Ligation of male (vasectomy) and female (tubectomy) is done as permanent contraception for couples having more than 2 children. Ligation in male does not disturb sexual activity. It is easier than female ligation. Again, female ligation is also a very safe technique.

So, please remove all misconceptions and myths about contraception. Have safe sex, enjoy life.


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Sep18
Stress and Family Life
In our modern life, stress is an indispensable part. Career, jobs, studies, incomes, business, money, property- all are associated with some sorts of stress. The problem gets exaggerated when it affects the family life. Because, at the end of the day, we all want to enjoy a happy family life. And a family life has its sense when the husband and the wife are in harmony. Needless to say, that a family is incomplete without a kid.

How stress affects family life? Effect of stress is not limited to mind. It has serious effects in the body. It affects blood circulation and the heart. It puts pressure on nerves. It also alters the blood sugar level. And he end result is diabetes, hypertension (high blood pressure) and heart diseases. Ultimately these diseases affect all the organs of our body. Some people try to get rid of stress by smoking and alcohol. These will simply put burden on already affected heart and blood.

Stress also alters important hormone levels in our body. The hormones needed for basic reproductive function (sex, conception and pregnancy) are either increased or decreased. Prolactin hormone is increased. Normally prolactin is needed to secrete milk from breast to fed the baby. But abnormally increased prolactin leads to milk secretion from breast (even without pregnancy) and irregularities in periods. Very high prolactin may even lead to problems with ovulation (at middle of each period, the egg gets released from ovary) and as a result, the woman cannot conceive a baby. Even in male, high prolactin leads to difficulty in erection of penis. In some male, it can lead to gynaecomastia (growth of male breast). Excessive high dose of prolatin leads to loss of sex desire in male and interferes with spermatogenesis (sperm production).

Apart from increasing prolactin, stress can directly affect the hormones secreted from the pituitary gland of both male and female, the testes in male and the ovaries in female. As a result, all the reproductive functions get disturbed leading to problems in sex (loss of desire in both male and female, problems in erection and ejaculation in male), irregular periods in female and ultimately pregnancy cannot occur.

The diseases occurring as a result of stress (diabetes, hypertension etc) also affect the normal functions of ovaries causing irregular periods, even no periods at all. There may be problems in ovulation and thus difficulties in achieving pregnancy. Even if pregnancy occurs, it may be aborted because of these diseases. Similarly in male, diabetes and hypertension will cause sexual dysfunction and will affect sperm production.

The lifestyles accompanying stress are also responsible for harmful effects on family life. Smoking and alcohol have been mentioned earlier. Stress may be associated with abnormal weight gain and that will affect the woman’s life in badly manner. There will be disturbances in periods, ovulation problems, infertility and even pregnancy loss. Sitting for long time while driving or keeping laptops on laps, will increase the temperature of scrotum in male and thus will decrease the sperm production.

Again there is a vicious cycle- stress leads to family problems like problems in sex and in having pregnancy. That will in turn increase pressures from family (especially in-laws) and the society. This will simple aggravate the stress.
So, what can be done to avoid these problems? The answer seems to be simple- that is avoiding stress. But it’s very easy to say and difficult to commit. First thing is try to bring stress at home just keep it at your workplace. Avoid smoking and cut down alcohol consumption. Avoid sitting long time in front of computers and take periodical rests when you are working continuously. The rest does not mean that you have to lie down in bed; just have a short walk. Start exercise that will keep you healthy and reduce your stress. Yoga is an Indian culture that taught the Western world how to reduce stress. Take plenty of water and green vegetables and fruits. Avoid fast food. Always put on comfortable dresses. And if all of these do not work, try if you can do something to avoid the stress- like changing the workplace, talking directly to your co-employees or the employer. If still all these cannot help, consult psychological counselor. A timely counseling will reduce stress significantly. In very few cases, drugs may be needed to reduce stress. But remember, drugs can only be useful if you are trying all the other measures. Simple dependence on drugs won’t help much.

Now regarding family problems associated with stress follow simple measures. Often we feel embarrassed to discuss these issues. Try to enjoy time of personal intimacy to the fullest. Don’t think of any problems during that time. If still there are problems, don’t hesitate to take medical help. And please remember, the drugs used to solve sexual problems may have side effects. So, these should be taken only after medical consultation.
In case of female, maintain optimum weight. Avoid fast food, alcohol and smoking. If periods are irregular, maintain a menstrual diary. Consult a doctor to find out if there are some serious issues associated with these problems (like hormonal problems, thyroid diseases, even some tumours). You doctor will then decide the best treatment for you. If there are low desire for sex, don’t hesitate to take help of doctor. It may be a symptom of hormone deficiency that can affect your different systems (like bone, heart, blood etc). Now a days, there are lots of treatment options available for this.

For male, if there is low desire, consult your doctor to find out the cause of this problem. At the same time, avoid any anxiety, alcohol and smoking. Sometimes there are problems with erection. Instead of trying drugs shown in media or newspaper, feel free to talk to your doctor; because erection problem may be caused by some serious issues like heart disease, diabetes etc. So, if you have erection problems, consult doctor. He/ she will counsel you and give you the best treatment. Now if the problem is with ejaculation (like early loss of semen or very low semen), that issue can also be solved in the same way.

What’s about infertility problems? Stress and infertility are inter-related, as described before. Now, if there is problem with fertility, please remember few facts. Even in totally healthy couples, the chance of pregnancy after regular intercourse in fertile period (in the middle of menstrual cycle, usually) is only 20%. Though it appears disappointing, majority of couples conceive in course of time. So, couples are requested to report to doctor only if they tried regularly for one year without any protection. Then your doctor will assess you and try to find out the problem. And again, treatment of infertility is also depending on chance. Hat means we have to increase the chance above the natural chance (which is 20%). So, even one treatment fails, there is enough scope, so no need to lose hope. In other words, there is no need to increase the stress.

So, stay healthy, keep your mind healthy by avoiding stress and keep your family relationship totally stress-free.


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Sep15
Care before Pregnancy- The "Pre-conceptional Care"
Most of us have an idea that the couple should go to gynecologist only after they fall pregnant or when there is difficulty in conceiving. But we all know that "PREVENTION IS BETTER THAN CURE". Then why should not we take precaution to avoid complications in pregnancy so that we can have healthy mother and healthy baby.

Some of the diseases can manifest during pregnancy, like some diseases of heart, blood pressure, blood sugar etc. But if the couple comes to doctor when they are planning pregnancy, then we can diagnose it and start treatment so that pregnancy can be safe to both the mother and the baby.

On the other hand, some pre-existing disease may turn serious during pregnancy and endanger life of both mother and baby. This includes thyroid disease, hypertension, epilepsy, renal disease, cardiac disease etc. If taken care of properly, the disease can be controlled before pregnancy so that the risk can be reduced. Again all the drugs are not safe for the baby. So, if treated before pregnancy, the mother can be put on safer but effective drugs before pregnancy.

Some diseases may run in family and often goes undetected and can affect the baby. Thlassaemia, hemophilia etc are the best examples. So, if the couple comes to us before pregnancy, we can screen them to diagnose whether they are bearer of the disease or not and then we can take care to prevent birth of defective baby.

Some diseases indicate that there may be problems in having pregnancy, like problems in periods or abdominal pain in female, sexual problems in male and female etc. If treated properly, it will avoid unnecessary time wastage for trying for pregnancy.

The woman can be instructed how to remain healthy to have normal baby, before pregnancy. She can be advised some drugs (like folic acid), can be asked to avoid harmful drugs and substances (like drugs, excessive vitamin A, excessive vitamin D, excessive caffeine, smoking etc). Even the husband can be asked how to improve his fertility (by avoiding heat exposure to his scrotum).

Again some infections can be dangerous for the baby. So, before pregnancy we can treat the women for the infections and in some cases we can vaccinate her to prevent infection.

"A STITCH IN TIME SAVES NINE". So, why don't you consult your gynecologist when you are planning for pregnancy? have smooth journey throughout pregnancy and enjoy parenthood.


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Sep11
NAMASMARAN IS THE WAY: DR. SHRINIWAS JANARDAN KASHALIKAR
NAMASMARAN IS THE WAY: DR. SHRINIWAS JANARDAN KASHALIKAR

• NAMASMARAN is the way to know that NAMA is beyond time (past, present and future)!
नाम हे कालातीत (वर्तमान, भूत आणि भविष्य यांच्या अतीत) आहे; हे नामस्मरणाने कळू लागते!

• NAMASMARAN is the means to restore the inherent and eternal innate support of NAMA (true self)!
स्वत:चा अजरामर मूलाधार पुनर्स्थापित करण्याचे साधन म्हणजे नामस्मरण!

• NAMASMARAN is the process of consolidating link between us and Guru!
स्वत:च्या गुरूबरोबरचे नाते भक्कम करणारी प्रक्रिया म्हणजे नामस्मरण!

NAMASMARAN is the process of invoking the Guru from deep within!
नामस्मरण ही आपल्या अंत:करणातून गुरुतत्व प्रगट होण्याची प्रक्रिया आहे.

• NAMASMARAN is the essential characteristic of a truly advancing civilization.
खऱ्या समाजसुधारणेचे व्यवच्छेदक लक्षण म्हणजे नामस्मरण!

• NAMASMARAN with its increasing intensity and spread is the signal of an incoming holistic renaissance!
अधिकाधिक प्रमाणावर आणि अधिकाधिक उत्कटतेणे नामस्मरण होणे हे संपूर्ण क्रांतीचे निदर्शक आहे.

• NAMASMARAN is God’s ultimate personal grace; and its globalization is God’s ultimate global grace!
आपल्याकडून नामस्मरण होणे ही आपल्यावरील आणि जगाकडून नामस्मरण होणे ही जगावरील ईश्वरकृपा आहे!

• NAMASMARAN is the process of freedom from illusion and realization of reality!
• नामस्मरण ही भ्रमातून मुक्त होत; होत सत्य अनुभवण्याची प्रक्रिया होय!

• NAMASMARAN is shifting our reliance from deceptive to ever dependable!
नामस्मरण म्हणजे फसव्या बाबींवरील भरंवसा काढून; तो; भरंवश्याच्या बाबींवर ठेवण!

• NAMASMARAN is going from falsity, darkness and death to truth, light and immortality!
नामस्मरण म्हणजे; असत्य, अंधार आणि मृत्यू कडून सत्य, प्रकाश आणि अमृतत्वाकडे जाणे!

• NAMASMARAN is the only way to complete; the otherwise incomplete life.
एरवी अपूर्ण आणि अस्वस्थ असलेले जीवन; पूर्ण आणि स्वस्थ करण्याचा मार्ग म्हणजे नामस्मरण.

• NAMASMARAN is the way of experiencing ecstasy even amidst agony.
नामस्मरण म्हणजे वेदनेमध्ये देखील उल्हसित राहण्याचा मार्ग होय!

• NAMASMARAN is the way to fulfillment in otherwise unfulfilled life.
अन्यथा अतृप्त आणि असमाधानी असे जीवन; तृप्त आणि समाधानी करण्याचा मार्ग म्हणजे नामस्मरण!

• NAMASMARAN is the way to know that NAMA is always victorious i.e. “NAMA EVA JAYATE”!
नाम हेच सर्वथा विजयी असते अर्थात “नाम एव जयते” हे जाणण्याचा मार्ग म्हणजे नामस्मरण!


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Sep11
OUR NEED: DR. SHRINIWAS JANARDAN KASHALIKAR
OUR NEED: DR. SHRINIWAS JANARDAN KASHALIKAR

• Practicing NAMASMARAN and promoting it; through our aptitudes, in born skills and professional expertise; is our innate need.
अधिकाधिक नामस्मरण करणे आणि त्याचा स्वत:च्या क्षमतेनुसार व कौशल्यानुसार प्रसार करणे ही आपल्या अंतरात्म्याची निकड आहे.
• NAMASMARAN is the way to listen, recognize and follow the inner voice called SWADHARMA.
आपल्या अंतरात्म्याचा आवाज ऐकणे, ओळखणे व त्यानुसार वागणे; म्हणजेच स्वधर्माचे पालन करणे; नामस्मरणाने जमू लागते..
• NAMASMARAN is the panacea to go beyond diseases and debility!
नामस्मरण ही व्याधी आणि विवशता दूर करणारी संजीवनी आहे.
• NAMASMARAN is the straight expressway to merge with NAMA (true self) and be totally and permanently free!
नामस्मरण हा नामाशी तद्रूप होण्याचा म्हणजेच पूर्णत: आणि कायमचे स्वतंत्र होण्याचा सरळ महामार्ग आहे.


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Sep11
NAMA MAHATMYA: THE GRANDEUR OF NAMA DR. SHRINIWAS JANARDAN KASHALIKAR
NAMA MAHATMYA: THE GRANDEUR OF NAMA: DR. SHRINIWAS JANARDAN KASHALIKAR

• NAMASMARAN is the way to know that NAMA is the only truth amidst all other fleeting experiences!
इतर सर्व नश्वर आणि क्षणभंगुर अनुभवांमध्ये; नाम हेच अंतीम सत्य आहे हे प्रत्यक्ष अनुभवण्याचा मार्ग म्हणजे नामस्मरण.

• NAMASMARAN is the way to know that NAMA is the ultimate controlling central source of all power!
नाम हे सर्व विश्वाच्या संचालक शक्तीचे मूळ केंद्र आहे; हे नामस्मरणाने अनुभवाला येते.

• NAMASMARAN is the way to know that NAMA is the true self, God, Guru, Brahma and ultimate truth!
नाम हेच स्वत:चा खरा स्व, ईश्वर, गुरु, ब्रह्म वा अन्तीम सत्य आहे हे जाणण्याचा मार्ग म्हणजे नामस्मरण.

• NAMASMARAN is like eating pulp of mango and rest all occupation is like eating its skin!
नामस्मरण म्हणजे आंब्याचा रस ग्रहण करण्यासारखे आणि त्याविरोधी इतर सर्व काही म्हणजे; साली खात बसण्यासारखे आहे.

• NAMASMARAN is the way to realize the true self, experience immortality.
नामस्मरण हा अमृतत्वाचा अनुभव घेण्याचा म्हणजेच आत्मानुभवाचा मार्ग आहे.


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Sep01
ICSI Fertility Treatment for Male Factor Infertility
Intracytoplasmic sperm injection (ICSI) can be used as part of an in vitro fertilisation (IVF) treatment to help you and your spouse to conceive a child. ICSI is the most successful form of treatment for men who are infertile and is used in nearly half of all IVF treatments.
ICSI is primarily indicated for men with male factor infertility: The important thing for most couples is to realize that the sperm actually do play a very significant role in the fertility process.If someone has an abnormal semen analysis; the recommendations are that the man should get evaluated before they undergo any sort of fertility treatments. Both parties have to improve their health, especially if there are parameters that show there was a sperm quality issue.
Find out what ICSI is, who the best candidates are, and what you should consider before opting for treatment.
What is ICSI?
Unlike conventional fertilization, whereapproximately 30,000 sperm are dropped onto the egg in a Petri dish, during ICSI, a single sperm is injected into the egg in order to improve the chances of fertilization.It has allowed many couples to have children who otherwise wouldn’t be able to have one.ICSI is primarily indicated for men with male factor infertility.
When it comes to infertility, most people immediately think about in-vitro fertilization (IVF), but there’s a lesser-known fertility treatment that is used along with IVF. It’s called ICSI (pronounced ik-see) or intracytoplasmic sperm injection.

Although ICSI has been around since the early 1990s, it’s increasingly being used to help couples struggling with infertility. As with any new technology, some experts have concern about its overuse as well as how it may affect the health of the babies born to it?
An Intracytoplasmic Sperm Injection (ICSI) is a form of In Vitro Fertilization (IVF) which is used to treat severe cases of male factor infertility. This procedure involves the injection of a single sperm directly into a mature egg,making it different from conventional IVF wherein fertilization takes place by placing many sperm near an egg in a dish.
Read more about Miscarriage and Successful Pregnancy at https://rupalhospital.wordpress.com/2015/08/11/miscarriage-and-successful-pregnancy
Male factor infertility problems include low sperm count and issues withmotility (movement), or morphology (shape) of the sperm. Men may also use ICSI if they don’t have sperm in their ejaculate either because of a production problem or a blockage. Their sperm would then be extracted from the testicle. ICSI can also help men who had a vasectomy or who were born without a vas deferens.

What are the advantages of ICSI?
• ICSI may give you and your spouse a chance of conceiving your genetic child when other options are closed to you.
• If your spouse is too anxious to ejaculate on the day of egg collection for standard IVF, sperm can instead be extracted for ICSI.
• ICSI can also be used to help couples with unexplained infertility, though experts haven't found that ICSI makes pregnancy any more likely than standard IVF.
• ICSI is also used when couples opt for pre-implantation genetic testing (PGD), which screens embryos for chromosomal abnormalities or genetic conditions.
• ICSI can also help couples that attempted IVF but had what’s known as “failed fertilization or Failed IVF"

Is ICSI the answer for all male fertility problems?
ICSI isn't the solution to every male fertility problem. If your spouse has a low sperm count as a result of a genetic problem, this could be passed on to any sons you have together. Your doctor will usually recommend that your spousehas a blood test before you start the ICSI cycle.

You and your spouse may find should be offered IVF ICSI counselling before and after taking the test, to help you through both the decision and the process. Your doctor could to refer you to a fertility counsellor.
How long does ICSI treatment last?
One cycle of ICSI takes between four weeks and six weeks to complete.
Its known now that success rates for ICSI are similar to IVF alone. When looking at ICSI for male factor infertility, the percentage of cycles that resulted in a live birth were about the same as those cycles who didn’t use ICSI and had no diagnosis of male factor infertility.ICSI overcomes many sperm problems but it doesn’t overcome all problems.
The first step ICSI Treatment
The first step is usually the hardest - making that initial call. But remember, you are not alone; simply phone us in the strictest confidence and one of our friendly team will help guide you through the options open to you.

Whether you have recently become concerned about your fertility or have had treatment elsewhere and want another opinion, we will do our best to help you achieve a successful outcome. Fertility Experts at Rupal Hospital in Surat have renowned female Doctors and each one of them is outstanding in their own field of expertise. Rupal Hospital is dedicated to provide the highest quality of services in women's health. It is the result of years of experience, knowledge,understanding and constant updating and effort that has made the Rupal Hospital the best amongst all.
Get more information on pregnancy, Infertility causes, male infertility symptoms at http://www.rupalhospital.com or you can contact us on 91-261-2599128-9


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