You’re more likely to get pregnant if you and your partner are both in good health. Making some changes to your lifestyle may improve your chances of getting pregnant and having a healthy pregnancy. Medical conditions such as diabetes, asthma, obesity and other problems can affect your pregnancy. Lifestyle modification to tackle obesity, tobacco smoking and alcohol consumption, have been proposed as crucial in influencing the outcome of both natural and assisted conceptions.

About 84% of couples in the general population will conceive within one year if they do not use contraception and have sex regularly. Of those who don’t conceive in the first year, about half will do so in the second year. For some couples, getting pregnant happens easily. For others it can take time and may even require medical help. If you've been trying to get pregnant for a while and are starting to worry that nothing has happened, don't panic. One in six couples experiences fertility problems so yours is a very common problem.

Following are the points to be kept in mind while you are trying to conceive and should implement as lifetime changes.

1.) It takes two to make a baby, so be honest with your partner about your frustrations and anxiety, and work together. Get it out in the open, get on the same page. Find a way to de-stress (preferably together). Exercise, yoga, acupuncture and counseling all help decrease the stress hormones. Take care of your body, no radical diets or drastic weight loss. Also, gain a little weight, if you're too skinny. It will help.

2.) Balanced Healthy Diet: Diet plays an important role in setting the stage for successful conception. Being overweight or underweight can affect your chances of conceiving. Too much or too little body fat can make your periods irregular or stop them completely, which can affect your ability to conceive. Women whose BMI is more than 30 or under 19 may have problems conceiving. Take multivitamins, including iron, calcium and folic acid for women, and zinc and selenium for men. Foods high in antioxidants are great, like brightly colored fruit, strawberries, cherries, and plums.

3.) Obesity: Obesity is becoming an increasingly common cause for infertility. It is a known fact that infertility and PCOS (Polycystic Ovary Syndrome) are believed to be directly associated with obesity. The reduced ovulation frequency and chances of conception observed in obese women could be attributed to the negative influence of obesity on hormonal and metabolic mechanisms. Such patients undergoing IVF possessed reduced chances of pregnancy (around 30%) as they required increased doses of gonadotropins for ovarian stimulation compared to women with recommended body mass index (BMI). Obesity contributes to anovulation and menstrual irregularities, reduced conception rate and a reduced response to fertility treatment. It also increases miscarriage and contributes to maternal and perinatal complications. Much more attention should be paid to the impact of obesity on fertility in both women and men.

In other words, not only does obesity make it much more difficult to conceive, but it also exposes both the mother and the infant to all manner of risks before and after birth. So if you are longing to fall pregnant or struggle with PCOS, give lifestyle modification a chance and take the first step by consulting a registered dietician.

4.) Smoking: It's a fact that smoking and infertility go hand in hand. Women who are smokers are at a higher risk of infertility complications. Exposure to cigarette smoke for even a few days can cause changes in the health of your eggs and embryos. If you smoke for many years, or smoke many cigarettes per day, your risk for fertility problems is increased. This can lead to fertility problems, including Ovulation problems, Genetic issues, Damage to your reproductive organs, Damage to your eggs or premature menopause and Increased risk of cancer and increased risk of miscarriage. For men, cigarette smoking increases problems such as lower sperm counts and motility, as well as hormonal problems and erectile dysfunction.

The study also reported an increased risk for the following in offspring born through spontaneous and assisted conception to smoker mothers:
• Preterm birth, growth restriction, stillbirth, and early neonatal death
• Low birth weight, oral facial clefts, and sudden infant death syndrome
• Adverse impact on the seminal parameters of male offspring

Smoking and infertility are linked even for women undergoing assisted reproductive technology (ART). Studies show smokers have a reduced chance of success with ART. If you smoke and are able to get pregnant with ART, it may take twice as long as usual. when you stop smoking, your chances of being fertile returns. So quit smoking immediately to conceive faster.

5.) Alcohol:Alcohol will affect both you and your partner. In fact, drinking any alcohol at all can reduce your fertility by half and the more you drink, the less likely you are to conceive. One study showed that women who drank less than 5 units of alcohol a week (equal to 2 standard 175ml glasses of wine) were twice as likely to get pregnant within six-months compared with those who drank more. Research has also shown that drinking alcohol causes a decrease in sperm count, an increase in abnormal sperm and a lower proportion of motile sperm. Alcohol also inhibits the body’s absorption of nutrients such as zinc, which is one of the most important minerals for male fertility.

The study linked prenatal alcohol consumption with enhanced risk for the following adverse effects:
• Reduced chances of conception, low pregnancy rates, and increased miscarriages
• Physical anomalies to behavioral and cognitive deficits in offspring, which can be included under the broad term, Fetal Alcohol Spectrum Disorders (FASD)
• Fetal death, fetal growth restriction and preterm birth

As difficult as it may seem, you should eliminate alcohol from your diets for at least three months in order to give yourself the best possible chance of conceiving.

6.) Caffeine

There is plenty of evidence to show that caffeine, particularly in the form of coffee, decreases fertility. Drinking as little as one cup of coffee a day can halve your chances of conceiving and just two cups a day increases the risk of a miscarriage. One study showed that problems with sperm: sperm count, motility and abnormalities, increase with the number of cups of coffee consumed each day. Once again, it’s important to eliminate all caffeine-containing food and drinks for at least three months before trying to conceive. That includes colas, chocolate, black teas and coffee, among other things.

Considering the negative impact of these lifestyle factors it is recommended that the the infertility specialists practicing in the ART field must make aware the complications arising out of it to the patients. Fertility treatment should not be provided to womens who consume alcohol more then moderate levels or are unwilling or unable to control consumption of alcohol. For the womens who are obese, Weight loss is reported to exert a positive effect on the reproductive potential. If the ART treatment is made conditional upon lifestyle changes, the physicians should assist the patients in achieving the required results.Scientific research are mandatory to substantiate the reproductive effects of alcohol consumption, obesity, smoking, and other lifestyle-related factors.

Lifestyle modification should be the preferred as initial treatment of infertility. A healthy lifestyle in general is key to making sure your fertility is in tip top shape. That includes eating well and exercising to make sure you’re a healthy weight. And of course, drinking within the limit or stopping altogether is part of this. The importance of a healthy lifestyle can’t be overstated.

Author of the article is an IVF Fertility infertility specialist and runs fertility centre and provides the best affordable quality infertility,fertility treatments with advanced reproductive technologies like IVF,ART, GIFT, ZIFT, TET, ICSI,donor egg,surrogate and surrogacy services for all nationalities.

With advancement in today’s assisted reproductive technology, it has become possible for the infertile couples to attain parenthood with the help of IVF, ICSI, IUI, IMSI, Surrogacy and other available fertility treatments.For starting a successful ivf treatment you can contact IVF Doctors or Fertility specialist at Rotunda Fertility Clinic at http://rotunda.co.in or http://www.testtubebabyclinic.com

HIV /AIDS DEVELOPMENT IN YEAR 2103 :ZERO GOAL & TREATMENT TO ALL: NO DISCIMINATION,NO SHAME NO STIGMA : TAKE TREATMENT AND CURE IT ;INSURANCE CARE TO EVERY HIV/AIDS IN USA UNDER PEPFAR ND TREATMENT FOR EVERYBODY AND ENSURING ADHERANCE OR COMPLIANCE OF TRETENT AND MAKING HIV TO ZERO LEVEL : TO ERADICATE HIV NOT FROM USA BUT WHOLE WORLD ALONG WITH TB AND MALARIA;DOES IT WORKING NORMALLY ?

HAPPY NEW YEAR 2104 TO ALL MY FRIENDS,HIV/AIDS FRIENDS/MEMBERS OF LGBT

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
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HIV /AIDS treatment has markedly changed s after when the World Health Organization established the first World AIDS Day on December 1, 1988, treatment options for people living with HIV were practically nonexistent, and AIDS was almost invariably fatal. Hope was in short supply, and there seemed to be little reason for optimism. I am grateful that the world is a very different place for the 25th annual World AIDS Day.
In between whole world united to put much slogans for HIV/AIDS care as disease cannot be eradicated and it was reporteed tht death is very painful nd is the ultimate fte and widespred sex activites are really a greatt danger to world .
In US first time realised that HIV/AIDS patients are very much neglected and due to lack of education most persons discriminatte and stigmtise HIV/AIDS patients and further push them for no care and as treatment and diagnosis being very costly so often patient donot seek treatment or leave treatment.US Subsequently, in late 2011 CDC did its own analysis of HIV surveillance datasets, viral load and CD4 laboratory reports, and other published data to develop national estimates of the number of HIV-infected persons at each step of the treatment cascade. Their findings, published in CDC’s Morbidity and Mortality Weekly Report (MMWR), were similar to those of Dr. Gardner and his colleagues and can be summarized as follows:
For every 100 individuals living with HIV in the United States, it is estimated that:
80 are aware of their HIV status.
62 have been linked to HIV care.
41 stay in HIV care.
36 get antiretroviral therapy (ART).
28 are able to adhere to their treatment and sustain undetectable viral loads.
In short, CDC estimated that only 28 percent of the more than 1 million individuals in the U.S. who are living with HIV/AIDS are getting the full benefits of the treatment they need to manage their disease and keep the virus under control. Put another way, nearly 3 out of 4 people living with HIV in the U.S. have failed to successfully navigate the treatment cascade.
Therefore before 10 yrs,The President’s Emergency Plan for AIDS Relief (PEPFAR) was aanounced.After 10th yrs This Yer OBAMA hs further added to PEPFAR which now directly supports life-saving antiretroviral treatment for millions of men, women, and children worldwide. Together with the Global Fund to Fight AIDS, Tuberculosis and Malaria and partner nations, we are working toward an AIDS-free generation around the world.
Now it hs been adopted that treatment and diagnosis should be done as soon as possible and now treatment in US is not important treat every patient of world to make HIV/AIDS TO ZERO LEVEL.Now in USA from year 2014 EVERY HIV/AIDS patient will be provided INSURANCE FOR DIAGNOSIS,FULL TREATMENT AND COMPLICATION AT VERY AFFORDABLE PRICES.Here in the U.S., guided by the National HIV/AIDS Strategy, (NHAS), agencies and offices across the Department of Health and Human Services are working to strengthen HIV prevention, care and treatment efforts. As President Obama directed earlier this year when he established the HIV Care Continuum Initiative, we are accelerating efforts to increase HIV testing as well as improve access to and retention in HIV care. That way, we can better address drop-offs along the continuum of HIV care, from diagnosis to receiving optimal treatment. Fewer than half of the people living with HIV are getting the medical care they need, and only about 25 percent have achieved control over their HIV infection with medication. Such control both benefits their health and reduces the likelihood of HIV transmission.
SO TREAT ALL APTEINTS AND GIVE THEM FREE MEDICINES,CARE AND INVESTIGATION IRESPECTIVE OF THEIR NTIONALITY CASTE,CREED OR COLOR TO CURB HIV COMPLETELY.

My winter blues
For few days I was wondering why am I feeling so sad, low and somehow depressed sort…as there was no personal enmities with anyone…professionally too I am doing well….what????
Then suddenly one word came to me “winter blues”…oh yes it could be…yes I got it is winter blues ….oh no…
But I have the solution to enlighten myself and get out of this winter blues…now all of you must be wondering what I am talking about …yup…let me explain that now…
Some symptoms include depression, marathon napping, low self-esteem, obsessiveness over little things, irritability, shyness, and panic attacks. People with seasonal affective disorder may also sleep poorly (although for many hours), partly because they don't have enough serotonin to convert to the sleep substance melatonin.

Winter depression is still a mystery to scientists who study it. Many things, including brain chemicals, ions in the air, and genetics seem to be involved. But researchers agree that people who suffer from winter depression -- also known as "seasonal affective disorder," a term that produces the cute acronym SAD -- have one thing in common. They're particularly sensitive to light, or the lack of it.

As the days get shorter most of us do not feel going after a particular time say 6 p.m. we tend to remain indoors because of cold weather so as aresult most of our outdoor chores remain unaccomplished…result feel irritated…do not get time to meet friends result loneliness…

Many studies have shown that people with seasonal affective disorder feel better after exposure to bright light. It seems simple enough: In higher latitudes, winter days are shorter, so you get less exposure to sunlight. Replace lost sunlight with bright artificial light, and your mood improves….
Have your bedroom lights turn on a half hour before you're supposed to wake up.
Expose yourself to sunlight as early in the morning as you can.

Use artificial light. You can use the light box to effectively lengthen the day: use it before daylight, after the sun sets, or a combination of the two. Increasing the day length by two hours should be effective.
Get Moving

Did you know that one hour of aerobic exercise outside (even when it's cloudy) has the same therapeutic effects as 2.5 hours of light treatment indoors? This is because it raises serotonin levels, which tend to get low when you have the winter blues.

Research has proven that exercising regularly can help ward off depression. Every little bit helps--a mere thirty minutes of daily physical activity can decrease symptoms of mild to moderate depression by upwards of 50 percent.
Watch your cravings! When your serotonin levels are low, one of things your body tends to do is to crave food high in carbohydrates, especially high-sugar foods like junk food and soda, because they raise serotonin levels.

Eat wisely. This means, pushing away the leftover cake and eating sensible carbs to stimulate serotonin. Sweets and simple carbs, like white rice and white bread, quickly raise blood sugar, flood you with insulin, and then drop you in a hole. Eating wisely also means watching the caffeine, which suppresses serotonin.

Take a multivitamin containing vitamin D-3 daily. Vitamin D is created by the sun's rays on the skin, and therefore declines during the winter. Although studies on the effect of vitamin D supplements on seasonal depression have come up with varied results a good multivitamin will also help with energy levels.

Take up a winter activity

Do not be a couch potato: I know you will crave for paranthas, ladoos, panjiri and other desserts to make yourself happy….beware it will all add up calories and increase weight…so please eat healthy options like
Popcorn
Oatmeal
Nuts
Egg whites for omelets
Peanut butter
Prewashed veggies
Fruit
Whole grain crackers and bread
Cottage cheese
If you really want to munch on…do not stuff yourself.

Tommorrow we will talk more about foods that help you in combating winter blues.

for further queries you can consult our e clinic
sunainakhetarpal.zest.md

HIV /AIDS DEVELOPMENT IN YEAR 2103 :ZERO GOAL & TREATMENT TO ALL: NO DISCRIMINATION,NO SHAME NO STIGMA : TAKE TREATMENT AND CURE IT
HAPPY NEW YEAR 2104 TO ALL MY FRIENDS,HIV/AIDS FRIENDS/MEMBERS OF LGBT
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,07838059592, DELHI –NCR,marriage & sex counseling
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FEW SUCCESSFUL STORIES OF HIV TREATMENT OF YEAR 2013 IS AS FOLLOWS:----
HIV research and development achieved several discoveries in 2013 - from drug therapy to unconventional and risky methods to eliminate the virus. Some of them found new things about HIV and plans to put them into trial. Here are some of notable anti-HIV results for this year to know what we can expect for 2014.
Saving Infected Cells
Two new discoveries are revealed by researchers at Dresden Technical University in Germany and Gladstone Institutes in California to save infected cells from HIV viral load. German scientists found out that there is a way to restore infected cells back to normal by cutting HIV viral load using an enzyme on the DNA of host cells. Scientists in California figured out that HIV host cells are killed by the immune system by Pyroptosis and stopping the process will prevent the body to eliminate infected cells in order to stop further spread of viral loads.
Vaccine Research
Scientists from Spain and United Kingdom are expected to begin clinical trials against HIV in the coming years. Spanish Hospital researchers announced an upcoming plan in 2014 regarding a new drug to treat the disease instead of preventing it. Experts and clinicians from five leading universities in United Kingdom aim a functional cure for HIV by starting clinical trials. It will be a combined therapy of antiretroviral drugs and two additional components to wipe viral loads completely.
Genetic and Transplant
Bone marrow transplant has been used as an unconventional method to cure or treat HIV/AIDS. Timothy Brown is the only survivor with no reoccurrence of HIV viral load after a successful transplant to treat his blood cancer. The genetic mutation called CCR5 delta 32 from his donor provided resistance against the virus which prevented HIV from killing off T cells in Brown's blood.
Scientists are looking into a solution to engineer drugs or methods to replicate such genetic mutation to allow HIV/AIDS patients to resist the viral effects. CCR5 delta32 genetic flaw will prevent HIV to attach on T cells and allows the immune system to cleanse out the entire body.
HIV just got a new strain that can put someone into AIDS stage in just five years. Since there is no cure or vaccine against the usual strains, it is going to be more dangerous if HIV mutates again and developed another dangerous strain. Hopefully, all clinical trials receive positive results and reach commercial markets next year.

Mississippi baby cured of HIV!: A BREAK THROUGH RESEARCH OF YEAR 2013 :

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In what could be termed the biggest medical breakthrough in the last century, a baby born with the AIDS virus has been cured of the diseases after following an aggressive regime of drugs. This is the second documented case of a person being completely cured of the virus after an adult known as the Berlin Patient was cured as a result of bone-marrow transplant.This startling piece of information was discovered when the baby’s mother stopped treatment and doctors lost track of the baby who was given a bout of heavy drugs (current procedure suggests only a modest daily dose of antiretroviral treatment) about 30 hours after she was born at a rural Mississippi hospital, doctors said at a medical meeting in Atlanta.

The baby was born to an HIV positive mother who didn’t know she had the virus so hadn’t taken any antiretroviral treatments before giving birth. The infant was immediately put on anti-HIV medication regime which lasted for 18 months after which the mother disappeared. When the child returned for care five months later, it was found that she had an ‘undetectable viral load’ – the baby was no longer considered HIV-positive.Researchers and experts have cautioned against taking this as a standard case and it has no bearing on most people who contract the virus in adulthood. However, further studies could spur widespread use of such an aggressive regimen in babies born with HIV, most of them in low and middle income countries.

Current WHO guidelines suggest treating infants with a modest daily dose of antiretroviral treatment for four to six weeks, in part because extensive studies haven’t been carried out on the subject yet. There’s however some evidence to suggest that the doctor’s approach of aggressive antiretroviral treatment within 30 hours of the infant’s birth may have led to this cure. Experts hypothesize that the heavy dose prevented the formation of the viral reservoirs that harbour the virus. These viral reservoirs are the key hurdle to treatment because even though AIDS drugs prevent the virus from replicating, it continues to lurk in the reservoirs and usually surge back when the treatment is stopped. The baby was constantly tested for the virus and has now been virus-free for one year.