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Category : All ; Cycle : May 2016
Medical Articles
Thyroid and Reproduction (Fertility, Sex and Pregnancy)
oday 25th May is the World Thyroid Day. Thyroid disorders are one of the most common disorders of hormones in our body. Thyroid is a small gland situated in front of the neck and secretes hormones like thyroxine (T4) and tri-iodo-thyronine (T3). These hormones control various functions of our body like heart, blood pressure, digestion, metabolism, growth, blood formation, brain function etc. But one of the most important function is its association with reproduction.

In both sexes, T3 and T4 are needed for sexual development during puberty so that full maturation from a child to adult occurs. That means development of hair (pubic and axillary hair), beard and moustache in boys, breast in girls, genital organ development in both sexes and menstrual function are dependent on thyroid gland. Finally production of eggs (rather maturation and release) and sperms are also related to it. In adults, thyroid function is needed to maintain the functions of sex glands particularly ovaries and testes. Desire for sex (libido) and performance of sex are also related to thyroid function.

The thyroid glands in turn is regulated by a hormone secreted from pituitary gland, located inside the brain. That hormone- TSH (thyroid stimulating hormone) controls secretion of T3 and T4., Thyroid gland may be affected by various diseases like autoimmune diseases (body itself destroys its organs), deficinecy of iodine, radiation, tumour, congenital causes (cause present from birth) and certain drugs. The result is that thyroid hormone seceretion may be reduced (hypothyroidism) or increased (hyperthyroidism). As a result, blood tests for TSH, T3 and T4 are commonly done to detect abnormalities of thyroid gland. If abnormalities are detected, further tests may be advised, e.g., ultrasound and scanning of thyroid gland.

So what can happen to reproduction if thyroid function is affected? Thyroid disorders are particularly common in females. Menstrual cycle may be irregular (comin every 2 or 3 months ) or may be scanty in amount or more commonly very excessive flow. These respond well to correction of thyroid hormone levels by drugs.

Thyroid diorder is a common cause of anovlation- that is women cannot release eggs in each month. The result is irregular menstruation and infertility- the inability to conceive a child. Often correction of thyroid hormone levels result in pregnancy. Please remember if you are trying for pregnancy, then your TSH value should not be the same like other people. We usually treat such women if TSH is more than 2.5 (this may be normal for labaoratory standrads for other people but not for those who plan for preganncy and who are pregnant).

It can cause low libido, vaginal dryness, reduced orgasm and painful intercourse.

In case of male, the thyroid disease is not very common but is not rare. It can affect sperm production leading to infertility. Apart from that it can afect sexual performance leading to low libido, easy fatigue and erectile dysfucntion (ED). All these resolve after proper treatment.

Never ignore checking thyroid status for adolescent boys and girls. It may be responsible for delayed puberty (delay in appearance of male like features in boys and female like features in girls) or precocious puberty (early onset of menstruation or breast development in girls; or early development of beard and moustache in boys). These may be associated with serious disorders and need proper attention.

Pregnancy is a condition where there is tremenous pressure on thyroid gland and it is needed to help in proper development of baby inside uterus. Women with thyroid disorders can have miscarriage, premature delivery, death of baby inside uterus or poor growth of the baby. She can experience bleeding in pregnancy, high blood pressure (preeclampsia) and even heart failure. In initial periods babies depend on mother's thyroid gland for its development. If baby does not get proper amount of thyroid hormones, its brain and body deveopment hampers. Particularly the brain development can be affected leading to mentally handicapped baby,as it may not be corrected even after treatment. So proper diagnosis and treatment of thyroid diseases in pregnancy are essential. After birth baby should be tested for thyroid disease and appropriate treatment should be started without any delay.

So, if you feel any of the above problems, please do not hesitate to consult your doctor and request testing of thyroid functions. If drug treatment is started, do not stop the drug without consulting doctor. Uncontroled thyroid disease can lead to heart attack, stroke and emergency situations like thyrotoxicosis or myxoedema- which can be potentially life threatening if not treated in time.

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नाम आणि आनंद: डॉ. श्रीनिवास कशाळीकर
नाम आणि आनंद: डॉ. श्रीनिवास कशाळीकर

गुरु म्हणजेच ईश्वर. तो अंतर्बाह्य सर्व काही व्यापून आहे. कालातीत आहे. आनंदमय आहे.
पण अहंकाराने आपण त्यापासून वेगळे होतो. वेगळेपणात अस्वस्थता, असुरक्षितता, धडपड, फरपट, दुबळेपणा, दु:ख आणि भीती आहे.

दुसऱ्या शब्दात सांगायचे तर; अस्वस्थता, असुरक्षितता धडपड, फरपट, दुबळेपणा, दु:ख आणि भीती ही अहंकाराची लक्षणे आहेत. स्वत:चे असो वा जगाचे; दु:ख घालवण्यासाठी आपण तळमळतो आणि धडपडतो! पण ज्याप्रमाणे कितीही मीठ घातले तरी “गोडी” वाढू शकत नाही, त्याप्रमाणे नुसते तळमळून आणि धडपडून स्वत:ला किंवा जगालाआनंद मिळू शकत नाही.

पण अहंकाराने धडपडता धडपडता आणि तळमळता तळमळता गुरुकृपेने नामस्मरणाचा मार्ग मिळतो आणि गुरुकृपेने नामस्मरण वाढत वाढत जाऊन गुरुकृपेची म्हणजेच परिस्थितीनिरपेक्ष अशा नामानंदाची अधिकाधिक प्रचीती येत जाते!

श्रीराम समर्थ!

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इलाज बेचैनीचा: डॉ. श्रीनिवास कशाळीकर
इलाज बेचैनीचा: डॉ. श्रीनिवास कशाळीकर

मुले दूर परदेशी राहत असली, आई-वडील लांब मायदेशी राहत असले, तर आपल्या मनांत एक सल असतो. हुर हूर असते. अगदी जवळच्या व्यक्तीच्या आजारीपणात आपण डॉक्टरचे उपचार करतो हे खरे, पण ते देखील कसलीच खात्री देऊ शकत नाहीत, त्यामुळे आपण असहाय्यच असतो! अगदी आपल छोटं बाळ कळवळून रडू लागल, तर देखील आपण हतबल होतो. एवढच नव्हे तर, आपल्या स्वर्गवासी आईवडिलांची आठवण आली तर देखील आपण कासावीस होतो! वाटत, आपण काहीच करू शकत नाही त्यांच्यासाठी!

अश्या सर्व वेळी काय करायचं?

सद्गुरू म्हणतात, अश्या असहाय्य वेळी फक्त नामस्मरणच आपल्याला आधार, सामर्थ्य, स्थैर्य, आणि स्वास्थ्य देते. सदा सर्व काळी, सर्व परिस्थितीत फक्त नामस्मरणच आपल्याला संजीवनी देते!
कितीही कठीण वेळ आली तरी न डगमगता; नामस्मरण करावेच करावे; हेच खरे!
श्रीराम समर्थ!

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कुटुंबाचे स्वास्थ्य: डॉ. श्रीनिवास कशाळीक
कुटुंबाचे स्वास्थ्य: डॉ. श्रीनिवास कशाळीकर

आपले आई वडील, आपले मित्र-मैत्रिणी, आपली पत्नी, आपला पती, आपली मुले, आपली नातवंडे, आपले शिक्षक, आपले डॉक्टर, आपले विद्यार्थी; सर्व जण सुखी आणि स्वस्थ असावी असे आपल्याला वाटते ना? म्हणजेच आपल्या अवती-भोवती प्रसन्न वातावरण असावे असे वाटते ना?

पण आपली शारीरिक क्षमता, आपली आर्थिक कुवत, आपली सामाजिक प्रतिष्ठा, आपले राजकीय वजन इत्यादी कमी कमी होत चालल्या की आपण निकामी झाल्याच्या जाणीवेने आपण असहाय्य आणि खिन्न होत जातो! आपले आप्त आणि स्वकीय जर दूर राहात असले तर आपल्याला हे अधिकच जाणवते!

पण ह्या क्षणी सावरले पाहिजे! आपले आई-वडील, आपले मित्र-मैत्रिणी, आपली पत्नी, आपला पती, आपली मुले, आपली नातवंडे, आपले शिक्षक, आपले डॉक्टर, आपले विद्यार्थी; थोडक्यात सर्व जण सुखी आणि स्वस्थ व्हावे यासाठी अगदी असहाय्य अवस्थेत देखील आपल्याकडे साधन आहे!

ते साधन म्हणजे नामस्मरण! त्यानेच आपल्या हृदयातील ईश्वर प्रगट होऊन ह्या सर्वांच्या जीवनामध्ये स्वास्थ्याचा वसंत अंतर्बाह्य फुलवतो!

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जग सुधारणे म्हणजे काय? डॉ. श्रीनिवास कशाळीθ
जग सुधारणे म्हणजे काय? डॉ. श्रीनिवास कशाळीकर

आपल्या अंतर्मनात पुष्कळदा एक प्रकारची हुरहूर असते. आहे त्यापेक्षा काही तरी भव्य-दिव्य आणि रोमांचक असू शकेल आणि असावे असे वाटत असते.

पण आपण जर हे लक्षात घेतले की हे जे आपल्याला वाटत असते, ते ईश्वरेच्छेने (म्हणजेच गुरुच्या इच्छेने) “वाटत” असते, तर मग जगाला काय “वाटावे” हे देखील ईश्वरेच्छेनेच नाही का ठरणार?
तसेच आज आपल्याला जे जग दिसते ते क्षणभंगुर असून, आपल्या कल्पनेच्या पलिकडे, आपल्या मनाच्या वेगाहून अधिक वेगाने आणि आपल्या बुद्धीपेक्षा अधिक अचूकपणे ईश्वरेच्छेने “सुधारत” असते हे खरे नाही का?

म्हणूनच; “जग सुधारणे” म्हणजे “आपले आकलन, आपली मते, आपल्या कल्पना, आपली आवड आणि आपली बुद्धी बाजूला ठेवून ईश्वरेच्छेशी तद्रूप होणे” होय.

ईश्वरेच्छेनेच आपण नामस्मरण करीत असल्यामुळे आणि त्याचा प्रसार करीत असल्यामुळे; कुणी काय करावे, कसे करावे आणि केव्हा करावे हे ईश्वरेच्छेनेच ठरते; आणि हे नामस्मरण करता करता समजते आणि आपण अधिकाधिक स्वस्थ आणि समाधानी होतो!

श्रीराम समर्थ!

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स्वत:ला सुधारणे म्हणजे काय? डॉ. श्रीनिवास कश&
स्वत:ला सुधारणे म्हणजे काय? डॉ. श्रीनिवास कशाळीकर

श्रीराम समर्थ!

स्वत:ला सुधारणे म्हणजे काय?

सद्गुरु श्री. गोंदवलेकर महाराज म्हणतात, “जग सुधारायच्या नादी लागू नका; स्वतःला सुधारा की त्या मानाने जग सुधारेलच. आपण सुधारलो नाही तर मग जग सुधारले नाहीच !”
“जग सुधारायच्या नादी लागू नका”; म्हणजे जगाबद्दल बेपर्वा, बेफिकीर राहा असे नव्हे. उलट जग सुधारणे अत्यंत महत्वाचे आहे! पण आपण जग सुधारणे म्हणजे “जे” समजतो ते नाही आणि “जसे” समजतो तसेही संत समजत नाहीत!

आपण स्वत: उथळ आणि स्थूल असल्यामुळे जग सुधारायची आपली कल्पनाही उथळ, स्थूल आणि भ्रामक असते. जग सुधारणे म्हणजे जगाने आपले म्हणणे मान्य करणे नव्हे! जग सुधारणे म्हणजे जग आत्मज्ञानी होणे!

“स्वतःला सुधारा” याचा अर्थ काय?
स्वत:ला सुधारणे म्हणजे नेमके काय? ते कसे शक्य होईल? सुधारणे म्हणजे दोष काढणे म्हणावे तर आपल्यातले हजारो दोष आपल्याला दिसत देखील नाहीत आणि दिसले तर त्यांचे मूळ उपटून काढू म्हणता काढता येत नाही!
स्वत:ला सुधारणे म्हणजे अंतर्मुख होणे आणि आत्मज्ञानी होणे! आत्मज्ञानाचा मार्ग नामस्मरण!

“की त्या मानाने जग सुधारेलच” याचा अर्थ काय?
आपण आणि जग तत्वत: भिन्न नसल्यामुळे जगाला सुधारणे आणि स्वत:ला सुधारणे ह्या दोन्ही बाबी भिन्न भासल्या तरी वास्तविक भिन्न नाहीत! जग खऱ्या अर्थाने सुधारायचा मार्ग स्वत:च्या अंतरंगातून होणाऱ्या अखंड नामस्मरणातूनच जातो!

“आपण सुधारलो नाही, तर मग जग सुधारले नाहीच!” म्हणजे काय?
आपण आत्मज्ञानी नसताना भ्रमात असतो. त्यामुळे आपल्याला जग बिघडले (आपले न ऐकल्यामुळे) किंवा सुधारले (आपले ऐकल्यामुळे) असे वाटले तरी तो भ्रमच असतो! त्यामुळे जग बिघडले किंवा सुधारले असे म्हणणे पूर्णत: भ्रामक असते! म्हणूनच आपण सुधारलो नाही तर जग सुधारले नाहीच!

स्वत:ला सुधारणे म्हणजे जमेल तसे आणि जमेल तितके नामस्मरण करीत राहणे!

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8 ways to avoid Irregular Menstruation
How to make your menstrual cycles regular- 8 simple ways
How to make your menstrual cycles regular?

In our clinics everyday some patients at different ages will come with complaint of irregular menstrual cycles. But there are other patients who feel embarrassed to seek doctor's help for this problem. While it seems to be a simple problem related to reproduction only, often it is associated with diseases that are matter s of concern.

First, you should know what is meant by the word "irregular"? In most women period movvurs at interval of 28 to 30 days. But it is said to be normal if it happens every 21-35 days. That means you should have periods not more frequently than every 3 weeks or not less frequently than every 5 weeks. But if you had previous cycles at interval of every 4 weeks but now you are having periods every 5 weeks, that is ABNORMAL, although it is occurring every 35 days. In other words change in interval upto 7 days is normal, nit beyond that. For example, if you had periods every 30 days previously and for ladt 2 months it is happening every 33 days or every 25 days, then it's normal. But if it happens at interval of more than 37 days (30 + 7) or les than 23 days (30- 7) then it's of course abnormal.

So what are the things you can do for regular periods.

1. Normal weight
Ideal weight varies according to the height. We express it in terms of BMI (Body Mass Index) that is the weight in Kg divided by square of the height in centimeters. Ideal BMI should be between 19 to 25. If it's more than 25, reduce weight by diet and exercise. IT can resume normal menstruation without any drugs. IF despite your sincere efforts, you are unable to lose weight or even after normalization of weight menstruation remains irregular, you must consult your gynaecologist for treatment.
On the other hand very low BMI can also cause irregular menses. Treatment is weight gain. Tjis is often seen in athletes and they are even at risk of losing bone calcium because if excessive exercise and strict diet control. If gaining weight does not help, you must consult your doctor for having regular periods.

2. Stress, Anxiety, Tension, Depression
These are inevitable part of modern lifestyle. These may noy only cause mental problems but will also cause physical problems by altering the hormone levels. The result is abnormal menstrual cycle. Try to avoid them by relaxation, counseling and if necessary by taking help of doctors.

3. Thyroid disorders
Problem of thyroid gland is common in females and causes abnormal weight and changes action of many hormone s. The result is irregular menstruation. So if you feel lethargy, extreme cold, weakness ir ibcreased weight, do not forget to check thyroid status after consulting doctor.

4. Pituitary disorders
Pituitary gland is a gland situated inside the brain that controls hormone of other gland s of the body. If there is soMe tumour or soNe abnormalities in its function, there will be high lebel of prolactin hormone secretion or there will be deficiency of hormones like FSH and LH. As a result ivaries cannot produce enough hormones and you will have irregular menstruation. So in case of abnormal menstruation, pkease Check your prolactin level.

Polycystic Ovarian Syndrome is common nowadays. Apart from causing abno menstruation, it increases risk of infertility, high blood pressure, diabetes, heart disease and even cancer. It is diagnosed byclinical feature s, hor tests and ultrasonography. It may also xause weight gain, male like growth of hairs in body and oily skin. The treatment is weight control and drugs to regularize menses. This is particular ly important in young women an teenagers, in whom timiely treatment xan prevent many serious consequences.

6. Premature Ovarian Failure
In some women menopause can come earlier and irregular menstruation may be the early indication of this. This may be followed by permanent cessation if periods. So if you are planning for family expansion but have irregular menses, do not delay pregnancy.

7. Problems in uterus
Excessive trauma to uterus by repeated surgical abortion or infections lije STD r tuberculosis xan damage the lining of uterus. The result is irregular menses folliwed by total cessation of menses. But this problem can be easily treated if you consult your gynecologist in time.

8. Systemic diseases and drugs
Irregular menSes should never be ignored. Sometimes it may be because if so e undiagnosed diseases like diabetes, diseases if heart, liver, kidney, chest etc. Often it may be the side effect if the drugs you are taking- like antacids containing domperidone, psychiatric drugs, Steroid s or chemotherapy.

In conclusion, irregular menstruation may sometimes warn you about serious disease s and may be associated with infertility and early menopause. Stay health y, have health y diet and lifestyle, maintain normal weight, get rid of tension and attend your doctor's clinics in time.

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षड्रिपु आणि नामस्मरण: डॉ.श्रीनिवास कशाळीक
षड्रिपु आणि नामस्मरण: डॉ.श्रीनिवास कशाळीकर

षड्रिपु म्हणजे काम, क्रोध, लोभ, मद, मोह आणि मत्सर.

शरीरक्रियाशास्त्रीय दृष्ट्या पाहिल्यास षड्रिपु नसणे शक्य नाही. म्हणून षड्रिपु त्याज्य आहेत असे म्हणून आपण त्यांच्या पासून मुक्त होऊ शकत नाही. पण हे देखील खरे की आयुष्यभर त्यांच्या मागे लागून आपण तृप्त मात्र होत नाही! समाधानी होत नाही!

असे का होते?
कारण षड्रिपुंची पूर्ती स्थूल आणि मंद असते! स्वतंत्रपणे ती अंतर्मनापर्यंत आणि अंतरात्म्यापर्यंत पोचत नाही! धग मंद असेल तर ज्याप्रमाणे स्वयंपाक शिजत नाही, तसेच हे आहे!

जीवनातील सर्व सुख दु:ख्खाना नामस्मरणाचा अग्नी मिळाला तरच अनंतरात्म्याची तृप्ती होऊ लागते! आणि समाधान होऊ लागते! म्हणूनच समाधान मिळवायचे असेल तर जीवनामध्ये नामस्मरणाची तीव्र गरज आहे! अर्थात ह्याचा अनुभव नामस्मरणानेच येऊ शकेल. केवळ विचाराने, वाचनाने किंवा अन्य कोणत्याही मार्गाने नाही!

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श्रीराम समर्थ! डॉ. श्रीनिवास कशाळीकर
श्रीराम समर्थ! डॉ. श्रीनिवास कशाळीकर
केवळ प्रारब्धजन्य- देहाबुद्धीजन्य - भ्रमजन्य भोगामुळेच मी नामेतर बाबींमध्ये गुरफटत व खितपत असतो.

वास्तविक मला; तीव्र कामना नामाचीच असते, चित्ताचा क्षोभ नामवियोगानेच होतो, हवेपणा नामात न रंगल्यामुळेच असतो, असुरक्षितता आणि चिंता नामाचे "घर" नसल्यामुळेच वाटत असते आणि नामाच्या परम वैभवाच्या अज्ञानामुळेच क्षणिक व क्षुद्र हानि-लाभामध्ये मद व मस्ती;वाटत असते!

गुरुकृपेनेच नाम घेत राहता येते आणि समाधान वाढत जाते!
श्रीराम समर्थ!

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Premature Ejaculation (Early Discharge during Intercourse)
Often many men come to our clinic with complaint of early discharge to such extent that they cannot enjoy sex. Often the partners are also disturbed by this short duration of intercourse. We call it Premature Ejaculation (PE). The problem of premature ejaculation occurs either prior to or a few moments after sexual penetration, leading to unsatisfactory sex for both you and your partner.

What is Premature ejaculation?

You are having PE if you ejaculate within one minute or before penetration and thus unable to enjoy intercourse and may try to avoid intercourse due to this fear and you have lost ability to control the ejaculation. The problem may even occur during masturbation.

Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems. But whatever be the problem, it is easily treatable although for some men it can take some time.

What are the causes of PE?

It may be due to anxiety or stress. Many men with relationship problems with their partners or wives feel this problem. Nut make sure that it's not due to Erectile Dysfunction (ED). Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change. Smoking and alcohol can worsen the problems. Some other diseases may sometimes be responsible- like prostatitis (infection of the prostate gland), problems in nerves supplying the penis, problems in some hormones and rarely diabetes. So, it's important to pinpoint the cause so that the treatment can be started sooner and easily.

Is it a serious illness?

Unlike erectile dysfunction, PE is not usually related to any serious diseases (remember erectile dysfunction can be sign of early heart disease or diabetes). But it can affect your family relationship. In severe cases, it may be responsible for infertility.

What to do?

Initially you can try home-remedies. Avoid anxiety and stress. Reduce alcohol and stop smoking. Other simple strategies are avoiding intercourse for 2-3 days so that you can achieve better control in it. Alternatively you can try masturbation one or two hours before actual intercourse so that the discharge can be delayed. You can try squeeze and release technique (squeezing the penis when you feel urge to ejaculate). Using thick condoms can help some men by reducing sensitivity. If these do not work, you should consult your doctor.

Why should I consult doctor for PE?

There are advertisements of various untested drugs in newspaper and TV. If you try these, you can damage your sex organs or sex life as a whole. Because, we do not know what are the contents of these medicines or oil and how do they work. Moreover we do not know how far they are safe. So if home-strategies do not work, get rid of hesitancy and consult doctor. Your doctor may ask you some questions but please be free to reply to them, however embarrassing these might be. He may examine you to find out the cause of this PE. It is important to be sure that you are not having any ED, for which separate treatment is needed. Often counseling and talking to doctor help a lot. He may help you to perform some exercises and follow some tips properly. If you cannot do these exercises properly, these will be of no benefit. Finally your doctor may give you some drugs or ointments to improve your performance. It is important to follow doctor's advice properly- to take drugs in prescribed doses and timing. Usually men with secondary or acquired PE improve faster than men with primary PE.


You and your partner have full right to enjoy sex for the duration as you want. Do not disappoint you and your partner. If you feel that you cannot control your early discharge, do not feel embarrassed. Consult doctor and get cured.

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