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Oct16
WHAT IS SEMEN ANALYSIS ?
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DR.NAGI SEXOLOGIST

Semen is a whitish or greyish liquid, but can occasionally appear yellowish,

Emitted from the urethra (tube in the penis) on ejaculation.

Normal Sperm Count Morphology Motility 20 to 150 million/ml

Sperm count below 20 million/ml called Oligospermia.

When a Sexologist (Sex Doctor),advices Semen Analysis of a patient then the patient is require to give the sample for this.

The sample should be collected after 3-4 days of sexual abstinence.
Typically, semen collection will require masturbation and collection of the semen into a sterile container.
Anyone who is having trouble conceiving should have a semen analysis done. In about 40% of infertile couples, the cause of the infertility lies with the males, and this could easily and quickly be diagnosed via a semen analysis.

The various parameters tested are:

Semen volume
Sperm concentration
Sperm count
Percentage motile sperm
Grade of motility
Normal sperm morphology

Semen consists of the secretions of several glands but only 5 per cent comes from the testicles, the remaining part comes in this way:-

46 to 80 per cent of semen comes from Seminal vesicles, 13 to 33 per cent comes from Prostate gland , glands2 to 5 per cent comes from the Bulbourethral and urethral.
Contents of semen are like this

Ascorbic acid (vitamin C, for tissue maintenance)
Blood-group antigens (from immune system)
Calcium (mineral)
Chlorine (oxidizing agent)
Cholesterol (steroid alcohol present in body fluids)
Chlorine (base, part of the vitamin B complex)
Citric acid (occurs during cellular metabolism)
Creatine (a nitrogenous substance found in muscle)
Deoxyribonucleic acid (DNA)
Fructose (sugar used for energy)
glutathione (peptide amino acid)
Glycoproteins (cancer fighting agent)
hyaluronidase (enzyme)
inositol (sugar found in muscles)
Lactic acid (byproduct of muscle use)
Magnesium (mineral)
Nitrogen (gas found in all living tissue)
Phosphorus (mineral)
Prostaglandins (good for pregnancy)
Potassium (mineral)
Purine (compound of uric acid)
Pyrimidine (organic base)
Pyruvic acid (formed from either glucose or glycogen)
Selenium (cancer fighting agent)
Sodium (salt)
sorbitol (body alcohol)
spermidine (catalytic enzyme)
Supermen (ammonia compound found in sperm)
Urea (from urine)
Uric acid (from urine)
Vitamin B12 (for proper function of nervous system and metabolism)
Zinc (mineral)
Normal Semen Characteristics

Volume (ml) > or = 2
PH 7.2-8.0
Sperm concentration (M/ml) > or = 20
Total sperm count (M/ejaculate) > or = 40
Morphology (% normal) > or = 30
Vitality (% live) > or = 75
WBC (M/ml) <1.0
Immunobead test (%sperm with beads) < or = 10 <20
MAR test (%sperm with RBCs) <10
Calorie equivalent in ejaculate 9 calories
Motility Within 1h of ejaculation
Class a (%) > or = 25
Classes a and b (%) > or = 50
Neutral alpha-glucosidase (mU/ejaculate) > or = 20
Total zinc (µmol/ejaculate) > or = 2.4
Total citric acid (µmol/ejaculate) > or = 52
Total acid phosphatase (U/ejaculate) > or = 200
Total Fructose (µmol/ejaculate) > or = 13

drnagi
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Oct10
How to Break the fast
Hi Every one


Fasting means depriving yourself of solid foods. When you are coming out of a fast, it is important to ease your body back into the process of digesting regular foods. Because your digestive system has most likely reduced enzyme production and affected the mucus lining in your stomach, overeating or ingesting certain foods too quickly may cause you to experience health problems such as nausea, stomachaches, or diarrhea.

Introducing regular foods slowly and strategically will help you break a fast safely, without disrupting your digestive system.

Keep yourself hydrated. Continue to drink plenty of water and fresh juices while you are breaking your fast.

Maintain healthy eating habits. Remember that your fast was a cleansing experience for your body. Do not immediately fill it back up with junk food and processed meals. Make your fast the start of a healthy lifestyle

As fasts are going to be over...you must be feeling some what lethargic too as you must be grabbing or grazing on more n more of potatoes (fried) or you must have followed my tips on nutrition during navratris, or literally feeling good and have lost weight....but now towards the end of the fasts you must be craving for wheat or rice or dals...I mean the food which we usually relish. So now what we are going to do after the fasts is grab n eat each n everything of our choice....

I hear people say I have just finished fasting for 30 days, I’m going out to my favourite restaurant to have my favourite dinner. This is wrong. When on a long fast of about 20 days or more, the digestive system shuts down partially or completely.


Hold on.........

This is not the right time .....

Breaking a fast with vegetables, either steamed or raw, is best. Your stomach is smaller now, so eat lightly. Stop before you feel full.

The stomach and the intestines have been cleaned out. A thorough fast cleans out everything. Therefore, you must allow time for the digestive system to prepare itself for food again.

citrus fruits, such as oranges and grapefruits, and food such as
yogurts, are the best food to take, as they contain “good” bacteria that help to restore the intestinal flora and the digestive system.


If you eat solid food or processed food after a long fast, the first thing that will occur is constipation. Your digestive system will not move that solid food until it starts functioning again. This is because, all along, it has been busy cleaning, not digesting

Other habits you should avoid in the next two weeks are smoking and heavy drinking. The doctors warn that tobacco and alcohol may shock the system after fasting and this may lead to sudden cardiovascular events like a heart attack.

FIRSTLY TAKE CARE OF HOW YOU OPEN YOUR FASTS...HERE ARE SOME TIPS FOR YOU

1. BREAK YOUR FAST WITH LIQUIDS FIRST..LIKE COCONUT WATER OR MILK OR FRUIT JUICES..

2. TAKE 1 PURI ONLY AND TRY TO TAKE CHAPATI INSTEAD OF PURIS OR ANY FRIED THING.

3. TRY TO MAKE CHANAS/BEANS IN OLIVE OIL. USE 2 TSP OF OIL ONLY.

4. TAKE HALWA IN SMALL QUANTITIES ONLY JUST 2-3 TSP ONLY.

5. MAKE SOME DESSERT WITH MILK (LIKE LAUKI KHEER, APPLE KHEER) AND PUT DRY FRUITS IN IT AND HAVE IT INSTEAD OF MORE OF HALWA.

6. TAKE MORE OF VEGETABLE AND FRUITS.

7.DRINK PLENTY OF WATER TO HYDRATE YOURSELF.

8. MAKE SURE YOU SHOULD NOT EAT TO THE FULLEST.

9. HAVE A BOILED CHANA CHAAT WITH VEGGIES AND FRUITS WITH JUICE OR COCONUT WATER..

10. AVOID USING MORE OF SPICES AS THEY WILL IRRITATE YOUR STOMACH.


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Oct05
Healthy nutrition Tips for Navratras
Healthy nutrition Tips for Navratras


Navratras are coming our way and we all plan to go for fasting or feasting this navratras..Surprised by the word feasting…yes that’s true what we all tend to do. We all indulge ourselves into eating fried foods like kuttu ka pakora, puris and fried potato chips, namkeens(vrat ki namkeens), fried potatoes…and so on. So instead of losing weight we end up in gaining weight. but here I m going to provide you a few healthy tips for this navratras to keep you fit and unbloated….


1. Substitute kuttu ki puri or pakodas (fried items) with kuttu ki roti..
2. You can also prepare idlis from the kuttu atta (buckwheat flour) and dosa from the samak rice.

3. Eat a lot of fruits that flush the liver of cholesterol accumulation. Apple, orange, papaya, guava, pomegranate, lemon juice and pear especially help to bring down cholesterol. Fruit chat made with papaya, pear (nashpati), apple, and some amount of potato.

4. Go for skimmed or low fat milk and curd. Add cucumber (kheera), bottle gourd (lauki) or tomato to it. . Fried foods produce a lot of burning sensation in the body. So fruits and curd act as cooling agents.

5. Go for the preparations of lauki, pumpkin, fruits such as apple, pear, cucumber, mashed potato, phul makhane (puffed lotus seed) are advisable.

6. Try saamak rice with bottle gourd vegetable and curd.

7. You can also take sabudana khichdi with curd with fruit.

8. Try to take milk shakes with fruits and nuts it will give you satiety along with good invisible fats and complex carbohydrates.

9. Drink a lot of fluids such as juices, vegetable soups, lassi, and herbal tea. They will detox your body from pollutants..

10. If one suffers from acidity and heartburn problems, be sure to not remain empty stomach for long hours. Eat tiny portions every few hours daily. Cold milk, cream, curd and bananas are effective remedies for acidity.

11. Make sure to go for healthy cooking methods such as roasting, boiling, steaming and grilling like substitute fried potato chat with adequately boiled potato chat and kheer with fruit, preferably mixed fruit curd.

12. Try to make chilla with kuttu ka atta or singhare ka atta or samak ka atta or ramdane ka atta with green chillies and ghia (grated). serve it with tamarind and dhania chutney or curd.

13. Consume more of dairy products (low fat).

14. Try yogurts with fruits and fruit purees salads.

15. Drink coconut water.


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Oct04
How to make groundnut milk?
Groundnut milk can be used for the infants suffering from intestinal lactase deficiency, infantile eczema, gastroenteritis and in gastric ulcers.

How to make groundnut milk?

100gm groundnuts are roasted slightly on tawa and outer skins are removed. The kernels are soaked in water for 5-6 hrs and then ground in a mixer with 30ml of water which is then filtered.
The milk obtained is then boiled and can be used.


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Oct01
Nutrients needed but usually deficient in our diet
Nutrients needed but usually deficient in our diet

Potassium: Lower Blood Pressure
Studies show that potassium can help keep blood pressure healthy. Potassium also supports fertility and muscle and nerve function. But while potassium is in lots of foods naturally -- like milk, potatoes, sweet potatoes, legumes, avocados, and bananas --
Magnesium: Prevent Disease

Low magnesium levels have been linked with health problems like osteoporosis, high blood pressure, diabetes, muscle cramps, and heart disease. Some people, such as the elderly, people with stomach or intestinal problems, or those who regularly drink alcohol, are at risk for having low magnesium levels. So eat your spinach -- and your beans, peas, whole grains, and nuts (especially almonds). They could do a lot for your health.

Vitamin A: Up Your Beta-Carotene
There are two types of vitamin A: retinol and carotenoids, like beta-carotene. Beta-carotene is a carotenoid found in many orange and yellow foods -- like sweet potatoes, carrots, and winter squash -- as well as spinach and broccoli. Vitamin A is key in supporting good vision, healthy immunity, and tissue growth.

Vitamin D: Strong Heart and Mind
Vitamin D is important in the development of healthy bones, muscles, and nerve fibers as well as a strong immune system. Though our bodies can make it by exposure to sunlight, experts recommend getting vitamin D in other ways. A few foods naturally contain D, such as fatty fish such as salmon and mackerel, mushrooms, liver, cheese, and egg yolks do. Milk, some brands of orange juice, and many cereals are fortified with vitamin D.

Vitamin C: Immunity Booster?
some studies suggest it can shorten the duration of symptoms of common cold. This vitamin, found in many fruits and vegetables, has other benefits, too. It boosts the growth of bone and tissue. As an antioxidant, it might also help protect cells from damage

Fiber: Bulk Up
Fiber from grains, beans, and produce has loads of health benefits. It helps lower cholesterol and improve bowel regularity. It might lower the risk of heart disease, diabetes, and some cancers. And it's great for people trying to lose a few pounds. High-fiber foods are often filling and low in calories. Fiber supplements may, however, decrease the absorption of medications and supplements if they are taken at the same time

Calcium: More Than Strong Bones
You probably know that calcium is good for teeth and bones. But that's not all. Calcium helps maintain muscle function and heart rhythm. It might even help prevent high blood pressure. Dairy is a good source, but foods like salmon, kale, and broccoli are too. One tip: Without enough vitamin D, your body can't absorb the calcium you take in


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Oct01
TAKE CARE OF YOUR COOKING OIL
TAKE CARE OF YOUR COOKING OIL

The cooking oils like olive, canola, rice bran are really healthy oils and contain antioxidants. but these superheroes too are vulnerable foods as they get rancid easily as they are either monounsaturated or polyunsaturated. they have the double bonds which when receives oxygen go for rancidity.

If you have noticed foods that are prepared in refined oils get a peculiar smell after a certain period of time, this is because of rancidity.
NOW THINGS YOU SHOULD TAKE CARE OF:
PROTECT THEM FROM:

LIGHT:These oils get rancid if exposed to direct light. always keep them in dark color containers or ceramic containers. light color bottles which allow light to absorbed don't provide provide needed protection.

HEAT:Heat is another factor that these oils cannot withstand. never keep your oil container near gas stove. keep them at cool place or dark dry cupboard. if they are the reused oil try them to keep in refrigerator. they sometimes emulsify during refrigeration but re liquefy at room temperature.

OXYGEN: They cannot withstand air or oxygen and get rancid very easily so its better to keep them in tight containers to avoid rancidity n that particular odor.

AGE: These oils have shelf life of maximum 3 months to use it within 3 months of opening the container.

QUIZ: THIS IS THE REASON WHY FOODS COOKED IN DESI GHEE STAY FOR LONGER TIME...
CAN YOU NAME ANY FIVE PREPARATIONS MADE FROM DESI GHEE AND KEPT FOR A LONG TIME?????


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Oct01
Raw Beet root Juice
Raw Beet root Juice

It cleanses the system and is a great beverage when a patient has experienced symptoms of Cholecystitis. Drinking approx. 100ml of beet root juice twice daily will help to reduce the possibilities of developing Acute Cholecystitis.


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Oct01
HYPOTHYROID AND HYPERTHYROID
HYPOTHYROID AND HYPERTHYROID

1.Symptom: Weight Gain or Loss

An unexplained change in weight is one of the most common signs of a thyroid disorder. Weight gain may signal low levels of thyroid hormones, a condition called hypothyroidism. In contrast, if the thyroid produces more hormones than the body needs, you may lose weight unexpectedly. This is known as hyperthyroidism. Hypothyroidism is far more common

2. Symptom: Swelling in the Neck

A swelling or enlargement in the neck is a visible clue that something may be wrong with the thyroid. A goiter may occur with either hypothyroidism or hyperthyroidism. Sometimes swelling in the neck can result from thyroid cancer or nodules, lumps that grow inside the thyroid. It can also be due to a cause unrelated to the thyroid.

3. Symptom: Changes in Heart Rate

Thyroid hormones affect nearly every organ in the body and can influence how quickly the heart beats. People with hypothyroidism may notice their heart rate is slower than usual. Hyperthyroidism may cause the heart to speed up. It can also trigger increased blood pressure and the sensation of a pounding heart, known as heart palpitations.

4. Symptom: Changes in Energy or Mood

Thyroid disorders can have a noticeable impact on your energy level and mood. Hypothyroidism tends to make people feel tired, sluggish, and depressed. Hyperthyroidism can cause anxiety, problems sleeping, restlessness, and irritability.

5. Symptom: Hair Loss

Hair loss is another sign that your thyroid hormones may be out of balance. Both hypothyroidism and hyperthyroidism can cause hair to fall out. In most cases, the hair will grow back once the thyroid disorder is treated.

6. Symptom: Feeling Too Cold or Hot

Thyroid disorders can disrupt the ability to regulate body temperature. People with hypothyroidism may feel cold more often than usual. Hyperthyroidism tends to have the opposite effect, causing excessive sweating and an aversion to heat

Other Symptoms of Hypothyroidism

Hypothyroidism can cause many other symptoms, including:
• Dry skin and brittle nails
• Numbness or tingling in the hands
• Constipation
• Abnormal menstrual period

Other Symptoms of Hyperthyroidism

Hyperthyroidism can also cause additional symptoms, such as:
• Muscle weakness or trembling hands
• Vision problems
• Diarrhea
• Irregular menstrual periods


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Sep28
world heart day
HI ALL

AS TOLD YOU THAT WORLD HEART DAY IS COMING LETS TAKE PLEDGE THIS HEART DAY THAT WE WILL KEEP OUR HEART HEALTHY BY FOLLOWING TIPS..AND PROMISE TO YOURSELF THAT I WILL TAKE CARE OF MYSELF ...LOVE THYSELF AND DO THE BEST FOR KEEPING MYSELF HEALTHY.....

1. I WILL DO 30 MINUTES WALK DAILY EITHER CONTINUOUSLY OR 10 MINUTES WALK 3 TIMES A DAY. ALSO I WILL DO 10 MINUTES WALK AFTER EVERY MEAL.

2. I WILL GET MY BLOOD TESTS DONE WHICH INCLUDE
*WHOLE BODY CHECK UP OR AT LEAST
*BLOOD SUGAR-PP, FASTING
*BLOOD PRESSURE MONITOR
*LIPID PROFILE
*THYROID PROFILE(IF HYPOTHYROID OR HYPERTHYROID)
*LFT
*KFT
EVERY SIX MONTHS

3. I WILL CUT DOWN MY SALT INTAKE TO 1 TSP PER DAY

4. I WILL CUT DOWN SUGAR INTAKE TO 2 TSP PER DAY

5. I WILL CUT DOWN MY FAT to 2 TSP PER DAY

6. I WILL TAKE ONE MEAL SALT FREE AND FAT FREE AS IDLI, DALIA, OATS,CORNFLAKES.

7. I WILL CUT DOWN MY EATING OUTS. IF POSSIBLE I TRY TO GO FOR SOMETHING HEALTHY RATHER THAN FAT LOADED OR SUGAR LOADED.

8. I WILL INCLUDE AT LEAST 3-4 FRUITS AND VEGETABLES IN MY DAILY DIET.

9.I WILL TAKE 6 ALMONDS EVERYDAY ALSO FLAX SEEDS 1 TSP EVERYDAY.

10. I WILL INCLUDE ALL THE HEART FRIENDLY FOODS (WHICH I MENTIONED IN MY PREVIOUS POST) IN MY DIET.

11. MOST IMPORTANTLY I WILL QUIT SMOKING...N LIMIT MY ALCOHOL INTAKE OR QUIT IT TOO...

12. I WILL LOVE MY SELF AND TRY TO BE STRESS FREE...TAKE A GOOD SLEEP.

BE HEALTHY LOVE YOUR HEART...LOVE YOURSELF...


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Sep26
Poly Drug Use (Multople Drug Use)
Combining Drugs (Polydrug user)

Polydrug use refers to combination of more than one substance (psychoactive drugs) to achieve some particular effect. One drug is used as a primary drug with additional drugs to compensate for the side effects of the primary drug and/or make the experience more enjoyable with drug simulating effects or to supplement for primary drug when supply is low.

Drug abusers have historically tended to abuse more than one drug. However, over the last few years there has been an increasing tendency to combine narcotics, alcohol, sedatives, and/or stimulants. Polydrug use encompasses wide variations in user populations and patterns of use: from occasional alcohol and cannabis use to the daily use of combinations of heroin, cocaine, alcohol and benzodiazepines



Why do people use multiple drugs?

There are a lot of different reasons for mixing one substance with other drugs at one time. Substances, which when taken together may have cumulative or complementary effects, may be mixed to increase the overall psychoactive experience. Sometimes one drug is used with other to counteract the effect of first consumed substance, say for example, benzodiazepines (sleeping pills) is taken after consuming some stimulant to induce sleep (without being aware that using these drugs together is hazardous.). Other reasons includes, use of several substances by an individual over a longer period of time might reflect the replacement of one drug by another, due to changes in availability of drugs in particular region, legal problems, price or current trends. For instance, methadone substituting heroin, cocaine replacing ecstasy. Use of 2 or 3 drugs at a time also shows that in different settings (like age groups, type of party etc), or simply reflect regular multiple drug use due to drug dependence. Cannabis (bhang) use mainly occurs during adolescence and young adulthood, ecstasy can be associated with certain lifestyles and activities, and heroin use frequently results in major health problems. Intensive alcohol use is often a major, but overlooked, component of polydrug use. For example, stimulant drugs such as cocaine may enable users to consume large quantities of alcohol over longer periods than would otherwise be possible.

This has become particularly apparent in recent years, as increasing prevalence levels of drug use (e.g. alcohol, cannabis and cocaine) have translated into additional populations of drug users, and as an increasing range of available substances has resulted in additional drug combination possibilities.

Simultaneous/combinations tend to increase the risks of adverse health effects. Such effects can occur (generally as acute toxicity) shortly after the consumption of several substances, or within a short time. They can also occur following a long period of use, affecting body systems, including the liver and the central nervous, cardiovascular or respiratory systems.

Many drugs taken together have the potential to interact with one another to produce greater effects than either substance taken alone. The combination of drugs may produce a new or unexpected effect. For example, alcohol, opioid analgesics (like morphine, fortwin) and benzodiazepines (like alprazolam, diazepam) are all depressant drugs. When taken alone, they can cause relaxation, loss of inhibition, loss of coordination and sleepiness. If these depressant drugs are taken at the same time, these effects are increased many folds. These combinations may result in altered mental status, confusion, depressed breathing, injuries from falls, coma and death.

Many other medicines taken for treatment of other diseases like for epilepsy, nausea, allergies common cold, heart problems, blood clotting disorders, fungal, bacterial infections and diabetes when taken with other depressants like alcohol, they can also be dangerous. Combining drugs may also seriously impair a person’s ability to operate a motor vehicle or other machinery.

Medical interventions: It is not possible to arrive at a single definition of polydrug use, which would be necessary to develop standardized measures. Understanding polydrug use also requires a focus on the use of a range of drugs by the individual; but most drug monitoring information remains substance-specific and reported as aggregated national data.


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