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Thursday, 31 December 2015

Health Book English

PENIS ENLARGEMENT TREATMENT

PREMATURE EJACULATION TREATMENT

 

During my experience as an Unani Medical Practitioner, in the field of sexual disorders, I have found many of the youths adopting wrong and unnatural means and ruining their lives in the process. This is primarily because of their ignorance about natural sexual behaviour. I have written this book according to the Unani point of view, for the physical and moral welfare of the younger generation. My intention is to give them proper guidance so that they should know the real facts about sex and be able to make their lives happy and healthy. I have used a very simple style in writing this booklet, so that a common man is able to understand it easily. Sometime it may prove very useful for you or your friends.
After 70 years of dedicated service to mankind, today Hashmi Dawakhana grew into a formidable health care centre in North India. We cure not only sexual disorders like impotency, infertility but also chronic ailments such as Diabetes, Arthritis, Piles etc. After years of ceaseless effort and research we come up with successful treatments for Weight loss, Beauty enhancement, Penis enlargement, Breast treatment etc.

Importance of Sex Knowledge

 

Male and female are incomplete without each other. Their lives become really meaningful only when they reach the stage of complete mental and physical harmony. Nature has created man and woman for each other and sex has got a vital role to bring them as close as possible. If the sexual life of married couple is fully satisfactory and blissful, only then they can remain mentally and physically healthy, otherwise a gap of unhappiness and frustration starts developing between them which is a curse of modern society. Ignorance of sexual behaviour can be a cause for this situation. These days it is our ambition to give best possible education to our children so that they achieve the highest goal in their lives. We tell them about every part of their bodies except the sexual organs. Why so? Simply because the society considers it bad? Perhaps they are not aware of the fact that children have natural curiosity about sex. When their queries regarding sex are not answered properly by parents, they revert to their equally ignorant friends, who try to satisfy their curiosity by wrong notions and distorted facts in the tender brains of the children. Therefore it is a moral duty of the parents to impart all necessary knowledge and information to their growing children about sex and its importance in life. This only can save them from wrong notions and disastrous results.

Youth

 

When a boy crosses the childhood and enters into youth, he gets lots of imaginary ideas. This is the most delicate period of his life. Every part of his body blooms. At this age if he controls himself and his passion, he florishes like a flower and his personality shines. He tries to climb higher and higher and he is successful in his life. But I feel sorry to note that many of the youth adopt wrong ways. It may be due to bad company they are keeping or for want of necessary sexual knowledge. Then indulge in some unnatural means to satisfy their sexual urge and ruin the lives. At that time they are not aware of the fact of life but they realise their mistakes when they get married as they unable to perform well in sexual act and unable to satisfy their wives. They repent for what they did in the past, because they cannot fully enjoy the charm of happy married life. They felt a condition of dried up semen, which is the most valuable treasure of life and was wasted by them just for nothing.

Masturbation

 

Ejaculating semen with the help of hand is called Masturbation or Hand practice or self-indulgence. One starts it mostly due to bad company .If parents do not looks after their children properly, they fall in the grip of many bad habits, as a result, they start hand practising whenever they are alone. At that moment they derive a sort of physical enjoyment from this act. Gradually they get so much accustomed to this bad habit, and it becomes very difficult for them to get rid off. They are not aware of the fact that this momentary enjoyment weakens them. When they grow up they feel that they are too weak to enjoy their happy married life. Due to excess Masturbation their genital organ (Penis) does not develop fully. They become mentally and physically weak and lack self-confidence. They develop a very irritating and frustrated temperament and become sick of the society. Excess of Masturbation may lead to frequent night discharges, there after semen may start passing before or after urination. Their digestive system also weakens and even after taking rich diet which do not improve their health. To get rid of this bad habit one needs a strong will power. All the youths of today should note that masturbation is not a good habit and they should always try to avoid it to make their lives happier and healthier.

Night Discharge

 

To discharge semen while asleep is called night Discharge. It is also known as nightfall. The patient in dream feels that some beautiful woman is beside him, he starts doing sexual act with her and the semen is discharged. In the beginning he rises up immediately at the time of discharge but slowly he is so much in the grip of this disease that he fails to know when he has discharged semen while asleep. He comes to know of it only when he gets up in the morning. Nightfall does always occur at night. Occasional night discharges are not a disease but if it happens frequently, it is undoubtedly injurious to ones health. To avoid frequent nightfall young men should not indulge in vulgar talks, see nude photographs and should not read sexual literature, which arouses their sexual feelings. Do not take hot milk at night. In the morning to walk bare foot on green grass is very helpful for those who have frequent night discharges.

Impotency

If a person cannot fully satisfy his wife in the sexual act he is called impotent and the disorder is called as Impotency. It is of many kinds. The person loses his retention power in sexual play, one gets discharged without satisfying the women and she does not reach climax and in the end the penis loses its capacity of erection. These are few sings of Impotency. The main cause of impotency is excess of masturbation, secondly excess of inter course. At this stage the patient has a desire for inter course, but he is helpless because his penis does not erect enough, in other words it can be said that the penis becomes like a paralysed part of the body. Some how or other he achieves some erection in the penis but he discharges before intercourse. This disease ruins the happy married life. The Patient feels disappointed and loses his confidence, he sees gloom and darkness around him and very often he thinks of committing suicide. Impotency not only affects the man; one can easily imagine the mental condition of the women whose husband is impotent. She becomes very much disappointed and frustrated. Not only the satisfaction of the sexual desire, but the desire of having a child which is more important to a woman. To fulfil this desire she may take the help of some other person by which a heaven like home turns into hell.

Premature Ejaculation (Early Discharge)

 

If a person discharges very early at the time of sexual play, it is called ‘Premature Ejaculation’. It would be true to say that sexual capacity varies from person to person. It can be from two minutes to ten minutes. If one ejaculated before the wife is fully satisfied, it should be deemed that he is suffering from ‘Premature Ejaculation’. There are many symptoms to know whether a person is suffering from this disease or not. For instance, to ejaculate at the very start of sexual act, to feel immediately excited when a person is besides a woman, to ejaculate at the very touch of private parts, or to discharge when a person gets a touch of women in the crowed. All these symptoms denote ‘Premature Ejaculation’, which may ultimately lead to impotency. That person who is suffering from ‘Premature Ejaculation’ should not take opium and other intoxicants for enjoyment. Undoubtedly, these intoxicants are of momentary use, but after some time he gets addicted and every time he has to take these intoxicants. In the long run these do not work and he becomes Impotent forever. A person who has done masturbation in excess may suffer from ‘Premature Ejaculation’.

Spermatorrhoea

 

While clearing one’s bowels semen starts passing before or after urination, is called spermaorrhoea. In the beginnings it falls only when one urinates or puts pressure at time of passing stool. Slowly the falling develops before or after one urinates, If this situation continues, the patient gets weaker even after having rich meals. In the chronic stage he loses the brightness of youth. When he feels excited, it falls in excess and his male organ (Penis) very soon gets loose. Women hate such type of persons, but due to shyness she keeps mum. The patient is neither in a position to satisfy his wife nor himself but desires for sex always.

Diabetes

 

The less formation of Insulin and non-accumulation of sugar, coming out with urine and mixing up with the blood is called diabetes is a hereditary disease. Due to obesity, lack of physical exercise, ageing and disfunctioning of pancreas, diabetes can happen. Too much of thirst, bad smell in urine, unhealing of wounds, regular decrease in sight, acute weakness and irregular period and infertility in ladies are the main symptom of diabetes. The patient should stop consuming sugar and sweet and minimize the oil consumption. Food should be taken at regular interval. Exercise should be done regularly to control weight. Diabetes, a serious disease in which body metabolism is severally disordered and energy making machinery malfunctions. Though the recorded history of diabetes is very old but modern civilization and its life style are prime causes of this dangerous disease. Excessively starchy diets, the manner in which we eat and drink our intake of tinned or preserves food, the preservatives used in such food and beverages and the mental stress and strain to which a man is exposed today. All these are the aspects of life that modern science and technology have provided to human beings have become a curse in disguise.
A Greek physician, Areataevs, first recorded the name diabetes in the second century AD. Thomas Willis (1621-1675) an English anatomist and physician, reported the sugary taste of urine. The French physiologist Claude Bernard (1813-1878) devoted research to the role of sugar in the body and first provided a rational basis for understanding diabetes arose in connection with a malfunction in the pancreas, a large organ in the gut which produces a number vital hormone and enzyme, but it was not until 1992, that two Canadians, Sir Fredrick Banting and Charles Best, isolated insulin from pancreatic tissue and with the help of John MacLeaod, showed that it is essential for the proper utilization of sugar.
Through, modern medicine or allopathy has scaled great heights in research and treatment; it miserable failed to provide a permanent cure to diabetes. Age-old unani system acknowledged diabetes thousands of years ago and evolved effective and permanent cure for diabetes traditional Hakeems with their vast knowledge and experience evolved potent medicine for a complete relief from diabetes.

Venereal Diseases

 

There should be a complete and vigilant checking for the venereal disease. It may exist in any of the partners or in both of them. It is a disease, which generally is transmitted by the affected person to the another who does intercourse with the former. Generally prostitutes pass on this disease to the man concerned. And from him it automatically transferred to the wife. Venereal diseases are very much harmful. These weaken the sexual potency as well as affect the process of intercourse. Immediately after the symptoms are observed the treatment should be taken from a competent physician. The blood examination is very necessary after the treatment is completed.
Changes in blood due to VD
 
Those who suffer from Gonorrhoea or syphilis and have not taken pains to treat themselves adequately must be prepared to experience all forms of obstructions not only in the treatment of disease in the general but also in the maintaining good health.
According to the medical authorities venereal poison remains active for several year in the body and therefore person who might have contracted it means preserves it in the process of purification for a number of years even though a systematic medical treatment may had been undergone in earlier years. The patients should not have a sense of false security and assume that because they do not see any particular sign of these diseases, they are assuredly sound. We do not wish to frighten people, but it is a grim fact.
Syphilis
 
This is one of the most dangerous diseases and is the result of having intercourse with the prostitute and girl of bad character. The main symptom of this disease is that after a few intercourses with a prostitute a small boil appears on the penis and very soon it takes the shape of a wound. At the first wound is very minor and if one is careless or delays the treatment, it will have the effect on the coming generations. In the first stage some boils come out on his organ. In the second stage some black spots appear on the body and copper coloured boils come out which take the shape of wounds later on. In the third stage the effects of syphilis reaches bones and develop into wounds such as lepers have. If the germs of syphilis reach brain, the patient may suffer from paralysis and at last he falls into the clutches of death. Therefore this disease should be immediately cared for and at the very outcome of the symptoms; one should rush for his treatment.

Spermatorrhoea

 

While clearing one’s bowels semen starts passing before or after urination, is called spermaorrhoea. In the beginnings it falls only when one urinates or puts pressure at time of passing stool. Slowly the falling develops before or after one urinates, If this situation continues, the patient gets weaker even after having rich meals. In the chronic stage he loses the brightness of youth. When he feels excited, it falls in excess and his male organ (Penis) very soon gets loose. Women hate such type of persons, but due to shyness she keeps mum. The patient is neither in a position to satisfy his wife nor himself but desires for sex always.

Important Instruction to youth

  • Always avoid bad company. Do not read vulgar and obscene literature and safe guard yourself from bad talks. Always try to preserve your semen, the gem of life.
  • Do not be afraid of night discharges. If is happens once or twice a month, it is a natural course, but if night discharges happen in frequently, one must consult some qualified and experienced physician.
  • Marriage is a pious co-relation and one should abide by every rule of marriage. Do not treat your wife as if she was only meant for sexual pleasure, but always given full respect to her. Do not have intercourse when she is in her menses periods.
  • Always avoid the company of prostitutes. If you go to them, you will ruin your wealth, health and youth and you may suffer from many dangerous diseases. 5. Do not have intercourse immediately after meals but it should be done 2 to 3 hours later.
  • Always try to avoid too much spicy food, wine tobacco and excess of tea etc.
  • Have your bath daily and don’t forget to clean your male organ (Penis) with sufficient water because some white coloured substance (smegma) collects in the male organ that can develop infections.
  • Always go for urination before going to bed.
  • Get yourself thoroughly examined by an experienced and qualified medical practitioner before marriage and act upon his advice.
  • If you suffer from any contagious disease, you should immediately consult some qualified and experienced physician.
Masturbation starts from bad company, therefore always avoid bad company and try to control this bad habit with a firm determination.

Genital Organs in Man

Penis
 
This is the main male organ of coitus. It is made of three bodies and covered with skin. It varies in size from person to person, Its normal length when in the flaccid condition is 7 to 11.5com and 12 to 21 cms when erect.
Glans
 
The tip of the penis is known as glans. It is an expansion of the corpus spongionum. The base of the glans projects out from the main body of the penis and this projecting margin is called corona.
Prostate
 
This gland appears to be a sexual organ, since in animals that have seasonal sexuality, the prostate enlarges during the mating season and then shrinks until the next. In the adult human male, it is about 4cms across as its base and is the size of chestnut. The prostate is composed of muscular and glandular tissue. Its secretions pass down about 20 small ducts that lead to the section of the Urethra that pierces the prostate gland, but their purpose is not yet fully understood.
Semen
 
This is mixture of secretions from the prostate seminal vesicle and spermatozoa from the testes. When a man reaches climax, semen starts coming out of the penis with pressure. Each time in two days about 2 to 6 ml of semen comes out when man reaches orgasm.
Smegma
 
Smegma is mixture of dead skin cells and skin grease and looks like soap as it hides under the foreskin of the penis. In women it is found near clitoris.

True story of a young man

 

Some time back I was examining patients as usual in my Dawakhana, when a very disappointed young man came to me and started weeping bitterly. In spite of repeated requests he continued weeping. However when he felt lighter after some time he narrated his story in the following words.
“I am the only son from a rich family. My parents used to fulfil my every desire that I used to put before them. Unluckily I fell in bad company, due to which I started masturbating. I use to enjoy this act and it developed like any thing. After some time I felt myself very weak and I decided to give up this bad habit. Anyhow when I suppressed the habit of masturbation, I suffered from Night Discharges and gradually the semen started passing with urine. It ruined me.
Due to over thinking I became mentally weak. My health is deteriorating day by day in spite of rich meals. I have gone lazy and do not take interest in my work. I am very much worried for the only reason that my parents have arranged my marriage with a beautiful and educated girl. But when I think of my marriage, I tremble because I know that I have lost the most important treasure of my life and now I feel that I would be unable to satisfy my would be wife. I do not want that my would-be wife should suffer for the fault of mine. I have heard a lot about you. If you make me fit for marriage, I will be highly obliged to you through out my life.”
I heard the story of the young man very calmly and consoled him. I told him to have faith in God and he would be all right. Then I examined him and his genitals in privacy. Indeed he had ruined his youth. It was a matter of great concern for me that only a month was left for his marriage. Such young men come to me for treatment and my heart is filled with sympathy for these poor fellows.

Genital Organs in Women

Breast
 
Breast is apparent distinction between male and female. It is a mass of fatty tissue. The main function of the breast is to produce milk for the newborn baby. Breasts vary in size and shape. But the shape and size of breasts has nothing to do with women fertility and sexual desires. Breasts become slightly firm during excitement. Whenever a woman feels lumps or bumps, she should immediately consult a competent physician.
Clitoris
 
Situation of the clitoris is on the front of pubic bone and is almost surrounded by labia and consists of erectile tissues and richly supplied with nerves. This is most sensitive parts of the vulva. The size of the clitoris is 3/4 inch. The role of clitoris in sex is still unknown, but it appears to be involved in female excitement.
Egg (Ovum)
 
The name given to female reproductive cell. They vary too much in size but basically they have same shape. Egg is expelled from ovary to fallopian tube, where it is fertilised by the male sperm, otherwise it dies there within few days.
FallopianTubes
 
These tubes extend from the ovaries that are situated on neither side of the womb. Each is about 4″ long. There is a free passage from vagina to womb and womb to fallopian tubes.
Hymen
 
This is an incomplete membrane situated in the vagina and it is closes the vagina partially. Usually there is one hole in the hymen to pass the menses. Some people take it as a sign of virginity, but it is not so. Some women bleed slightly in the course of first intercourse, when the hymen is ruptured.
Vagina
 
It is the female genital passage. Vagina ensheathe the penis during inter course. It is made of modified skin, which covers an elastic fibro vascular structure. From the opening it goes upwards at the angle of 600-700. At the top cervix points in it. It is approximate length is 10 CMS. The vagina undergoes active changes during coitus.
Womb (Uterus)
 
This is a hollow, muscular and thick walled organ connected with fallopian tubes and it is pointed towards cervix. It is about 8 to 9 CMS in length, 6 CMS across in its widest part and about 4 CMS thick in the thickest part. The walls of the womb are about 1 to 2 CMS thick and the length of the internal cavity is about 7.5 to 8 CMS, measured from the external Os.

Gonorrhoea

 

This disease also develops from having intercourse with the women of bad character. After some days after intercourse one feels burning sensation at the time of urination. This burning sensation and pain grow so much that the patient literally cries with pain and hesitates to urinate. After some days pus starts coming out from the penis, sometimes blood may also appear with the pus. When penis, this disease becomes chronic, the irritation reduces. But pus continues to come out. If this pus some now touches the eyes, there are all possibilities of getting blind. If one notice and symptoms of this disease he must immediately consult a good Hakeem and get complete treatment.

Leucorrhoea

 

This is a disease of women, which sometimes ruins their health. In this disease a type of liquid starts coming out of vagina regularly. Normally their wetting of vagina is not a disease but at the times it is so much in excess, that there under wears get wet with the liquid and some stains are clearly visible on here underclothes. When a women desires for sex, her vagina become wet with some liquid. This liquid can be as fluid as water and as thick as the yellowish part of an egg. On account of this excessive discharge, there may be itching in her vagina. Due to heavy itching, vagina may also get swollen. Continuous and excessive discharge from the vagina is called Leucorrhoea. When this disease becomes chronic the women may come to suffer from general weakness, forgetfulness, pain in her waist, paleness on her face etc. Gradually she grows weaker and may find herself unable to produce children.

Honeymoon

 

This is a tradition, which prevails in all the countries and among every caste and creed and has got the same importance every where. In Urdu it is called as Suhag Raat. In Hindi known as Madhu Mas and in English it is termed as Honeymoon. This first meeting of husband and wife in the night decides the future course of their married life. This is the union of two souls; therefore its mental and spiritual importance is more than the physical. Previously, only rich and educated people used to go out for Honey Moon, but now it Is become a tradition. To some extent, it is good tradition, because in India during and after few days of the marriages, the house is full with relatives and it become very difficult for the newly couple to understand each other in that crowded atmosphere, for want of time and space. It is true to say that honeymoon is the most important moment of life during which the couple comes to under standing each other. This is the moment of love, not only the meeting of two bodies, but union of two souls, meaning thereby that lives of two persons have united into one for ever.

Sex and Marriage

 

Knowledge of sex is very important, at least for post marital life because at times, lack of knowledge about sex ruins the, marital life of couple. It has been noticed that man have too much of misconception about sex. They fear weather they will able to satisfy their wife during intercourse or not. This feeling develops generally due to 4 factors:
  • When the husband is physically weaker than his wife is.
  • When the wife is more beautiful than she is husband
  • When the husband starts thinking that his organ has become weaker because of masturbation, homosexual intercourse or due to press-push method of intercourse that he had adopted earlier.
Now lets us deal the problem individually. In case first, when the husband is physically inferior to his wife, the couple is not satisfied during sex. Although they are physically healthy but psychologically the are defeated. Actually, enjoyment in the intercourse can be divided into 2 parts. First being the pleasure in the excitement which is generally called as foreplay and the second being the actual performance of intercourse unto the point of climax. The pleasure in the first part is fully dependent on the mental concentration towards the sexual thought and activities, appearance of the body of the both husband and wife. For a brief period after marriage, the physical appearance matters but as life proceeds, this factor becomes meaningless. In the second case when the wife is more beautiful than the husband, then an inferiority complex grips the husband and he does not feel comfortable at the thought of intercourse and does not find full strength in the organ at the time of intercourse. Even the wife gets irritated but hardly understands the problem. But if the wife is matured enough, she can easily trace out the root cause of the problem and sort it out. In most of the cases, the female reaches the climax later than man does. There are some causes behind it. One of them is that the productive organ of a man is outside, while in case of women, it is inside. In case of man, it is touched prior to the women, so the pleasure for the man begins, prior to the women, and hence, even being equally strong in sex, man discharge earlier than the women. One more factors matter. Suppose a man is fully excited when he touches his wife but in many cases, wife at the times of touch will not be so excited. Hence, there will be a phase difference in man and his wife. Sometimes a man think that he is not competent for his wife so far sexual strength in concerned. But it is only a misunderstanding because of aforesaid factor. To remove this misunderstanding, man should try to compensate this phase of difference in their degree of excitement. Here is the second way, that is the medical treatment. For this a man should visit a well-qualified Hakeem. To take pills, drugs and other things, which shows the immediate effect is highly dangerous for the youth. He will loose all potentiality in long run and reach a stage even after taking drugs, man is helpless to achieve the required potential.

A Happy News for Childless Couples

 

Every married couple desires to have a child in their family. For want of a child there is always a disrupted atmosphere in that family. Some cheats posing as monks deceive many innocent persons. The reason for not having a child must be detected first. It is only possible when both wife and husband are thoroughly examined by an experienced physician. At the times men remarry, without knowing the fact that they themselves are the cause of their childlessness. So you are advised to safeguard your interest from deceiving persons and always consult a good, qualified and experienced physician.
If you think if proper, you may come to our Dawakhana get your self fully examined and derive some benefit from our experience. In case your are not in a position to contact us personally or you are living at a distant place, you can post us a letter giving the details of your suffering, we will definitely give you proper and sincere guidance

Body and Joint Pain

Since ages, body pain and joint pain have been a matter of serious concern for people suffering from it. Most affected from it are the people of old age who more or less suffer from it in one way or the other. But not only old, even young people also experience these pains. If young it is mostly the aftermath of any serious injury suffered earlier, which reoccurs from time to time. But it is now to say bye-bye all these pains.

UNANI

It looks there is a mystery surrounding unani. Unani medicine is in fact the least known therapeutic system today. The whole world-seems to be in the dark on unani. If you ask someone about lesser known alternative treatment like Rekei or panic healing or Crystal therapy, the person might be able to give some idea perhaps, buts hardly anything on unani an Indian system of medicine recognizes and respected almost or par with Ayurveda and Siddha. But whoever dares to peer through, is pretty sure to have a glance at the slowly unfolding world off wonders as dazzling as that of an Arabian tale.
Supposed to be an Arab medicine, unani was propagated in India by travellers from Central Asia. It was during the 13th and15th century that unani system thrived in this country, it is believed. A lot of experimentation adding numerous native drugs has been done afterwards to this system to make it as what it looks like today. However, a systematic study and curriculum on this discipline started only in the late half of 20th century till them the entire practice of unani herbs and minerals of preparation of drugs. Its fundamentals are also close to Ayuervdic medicine. Take for example, the four elemental principle of Tibbi discipline that holds all living and nonliving things are produced from al-nar (fire), al-hawa (air), al-ma (water) and al-ardh (earth). It is similar to panchbhuta principal in Ayurveda.
Through both the systems share common platform in terms of certain classical theories, they are different in their themes and temperamental theory is considered the backbone of unani system. Humoral theory presupposes the presence of your (fluids) viz. Blood, phlegm, yellow bile and black bile in the body. Imbalance of humoral constitution is bound to cause disease. The temperament of the person is also determined by these humours. It is believed that the unani drugs too have temperaments. They are classified under four categories they are hot moist, cold moist, cold dry and hot dry. Before treatment a person’s temperament be considered. A hot drug can adversely affect a person with similar temperament.

Tuesday, 29 December 2015

Diabetes and Fertility: How Diabetes Can Affect Your Fertility



Diabetes-Affect-Your-Fertility
If you have been trying with no luck to get pregnant and have not been able to a find a reason for your infertility, it may be time to have a simple blood test to determine if your glucose levels are too high.
With the rates of Type II diabetes rising every year in the U.S., more and more infertility specialists are looking toward this health issue as a main cause of some otherwise unexplained infertility cases they see.
According to the American Diabetes Association, there are more than 200,000 new cases of Type II diabetes diagnosed every year, with another 2.4% of the general childbearing population suffering from the disease but not knowing it.
When it comes to diabetes and infertility the answer is clear: there is a connection. No, in many cases (especially among women), diabetes alone does not keep them from getting pregnant, but it oftentimes keeps them from staying pregnant. In many cases, say fertility doctors, “a woman with higher than normal glucose levels does get pregnant month after month. Unfortunately her diabetes status prevents that embryo from implanting in the uterus, causing a miscarriage before she ever realizes she is pregnant.” In this case, the diabetes isn’t preventing conception, but is preventing an ongoing pregnancy. High glucose levels are reported to increase a woman’s chances of miscarriage by 30-60% according to statistics released by the American Diabetes Association.
Even when implantation does occur, there are other risks to consider, including:
  • An increased risk of birth defects due to damage caused to embryonic cells form the high levels of glucose in the blood
  • a larger baby resulting in a c-section, which increases a mother’s chances of infection
  • An increased risk of gestational diabetes in the mother, which can cause other health concerns for both mother and baby

When Glucose Levels Are Too High

In addition to keeping an embryo from implanting, glucose levels that are too high can also affect hormone levels throughout the body including the all-important estrogen, progesterone and testosterone levels needed for a pregnancy to occur. That is why glucose control is so vital to your fertility.
Types of Diabetes
Most people know how dangerous Type I diabetes can be. In most cases this type of diabetes actually destroys the insulin producing cells in the body, making it necessary to supplement insulin through daily injections. When it comes to diabetes and pregnancy, this is the most dangerous type of diabetes to have for both mother and child.
Type II diabetes, or an inability of the body to produce enough insulin to keep up with glucose levels in the bloodstream, is the most common type of diabetes now experienced in the U.S., and can often be controlled with dietary changes and an increase in exercise. (Do a search for Dr. Gabriel Cousins who has actually cured diabetes through diet changes). Although wrought with its own negative effects, Type II diabetes can be controlled and side effects limited, making a pregnancy safer.

Controlling Your Diabetes

When it comes to controlling their diabetes in order to attain a healthy pregnancy, most doctors urge women to plan ahead for a pregnancy by doing the following:
  • Get their weight to a normal level (the more obese you are, the harder it will be to control your glucose levels)
  • Get your A1C levels below 6.5 before attempting to get pregnant
  • Controlling your daily sugar levels for 3-6 months (the longer the better) to give your body the chance to prepare for a pregnancy

Diabetes in Men

Men too can experience infertility issues due to high glucose levels. For some retrograde ejaculation, where semen backs up into the bladder, making it impossible to get to the woman’s reproductive organs, becomes a problem, as does erectile dysfunction caused by both the diabetes itself as well as medications which may be used to control it.
Still, there is one, more dangerous reproductive side effect to diabetes in men: DNA damage. According to research released y Dr. Ishola Agbaje of the Reproductive Research Group at Queen’s University in Belfast, diabetes can and does cause serious DNA damage to sperm which can inhibit a pregnancy, live birth and even healthy, normal fetus. Among the results of the study include that:
  • Diabetic men have much lower semen levels (just 2.6 compared to 3.3 ml in their non-diabetic counterparts).
  • The nuclear DNA in diabetic man’s sperm cells was more (52 per cent versus 32 per cent).
  • There were more deletions in the mitochondrial DNA of diabetic men’s sperm cells than those of the non-diabetic men.
  • The mitochondrial DNA deletions in the diabetic men’s sperm cells ranged from 3 to 6 and averaged 4, while for the non-diabetic men it ranged from 1 to 4 and averaged 3.
What does all this mean? Simply put, a diabetic man who does not control his glucose levels has less of a chance of impregnating his partner and when he does the risk of miscarriage and deformities are much higher.

Should Diabetic Partners Try and Conceive At All?

All of this may leave diabetic partners wondering if it is even safe to try and get pregnant at all. While it is important to understand the risks involved in high glucose levels and fertility, it is also important to understand that simply controlling your glucose levels, and getting (and keeping them) at a more normal level will reduce these risks and offer the opportunity for a safe pregnancy resulting in a healthy baby. The key to success, of course, is working with your endocrinologist and obstetrician to ensure that your glucose levels remain stable months before trying to conceive as well as during a pregnancy. With a good plan and dedication to eating right and staying healthy, your chances of giving birth are very high, despite a diabetes diagnosis.

Monday, 28 December 2015

Genetic Testing and Male Factor Infertility




genetic-testing-male-infertility

What is a genetic test?

A genetic test is a blood test that looks at a person’s DNA, or genetic information. Some types of genetic tests look at the number and “setup” of a person’s chromosomes, while other types look for changes (mutations) in certain parts of the person’s genetic code.
Chromosomes are tiny structures that contain the DNA that regulates the way the human body grows and functions. Chromosomes are normally found in pairs. Usually, there are 46 chromosomes per cell: 22 pairs of “somatic” chromosomes and one pair of sex chromosomes. The sex chromosomes are the genetic material that determines if a human is a man or a woman. In most cases, women have two X chromosomes, and men have one X and one Y chromosome.
It is important to know that most genetic tests do not examine all of a person’s genetic material. There are different ways to examine genetic material. Your healthcare provider can explain the type of genetic test that is being considered for you, and why.

Who should undergo genetic testing for male factor infertility?

Male factor infertility” is the name for any condition in the man that may be a reason why a couple cannot have a baby. A male factor is found in half of all couples seeking treatment for infertility.
A large number of couples have male factor infertility. Unfortunately, the overall chances of actually finding a genetic cause for male factor infertility are very low. Certain conditions, however, can increase these chances. Your fertility specialist may recommend genetic testing if you have one or more of the following conditions:
  • very low sperm count, or no sperm seen in the semen;
  • physical features that suggest a genetic cause (for example, small testicle size, or if the doctor cannot feel the sperm tube called the vas deferens);
  • several miscarriages (unexpected end of a pregnancy).

What are the chances of finding a genetic abnormality for male factor infertility?

The chances of identifying a genetic cause for male factor infertility depends on the man’s laboratory results, physical exam findings, ethnic and racial background, and family history. Overall, the chances of finding a genetic abnormality are very low; however, in men who have very low sperm count or no sperm in the ejaculate, the chance of a successful abnormal genetic test may be as high as 15%.

What genetic tests are recommended for men with male factor infertility?

The three most common genetic tests are:
  • Karyotype (also known as a chromosome analysis). This test examines the number and “set-up” of the chromosomes, and can detect if a person is missing or has extra copies of entire chromosomes, or very large pieces of the genetic code.
  • Y chromosome microdeletion test. This determines if genetic information is missing from parts of the Y chromosome that are necessary for normal sperm production.
  • Cystic fibrosis (CF) gene test. Cystic fibrosis is a genetic (inherited) condition that mainly affects the lungs. Recent research has uncovered “variant” forms of cystic fibrosis that affect male fertility only. Cystic fibrosis gene testing looks for misspellings (mutations) in the cystic fibrosis genes that can cause male infertility. (Please see the discussion below for more information about cystic fibrosis mutations.)
The results of genetic testing may help your fertility specialist learn how likely it is to find sperm in the testicles. Healthcare providers in the genetic disorders specialty can also give people their genetic test results and advise them if they are likely to pass along a genetic abnormality to future children.

What conditions are found by genetic tests for male factor infertility?

  • Klinefelter syndrome is a common genetic cause for male infertility. Klinefelter syndrome occurs when a man inherits an extra “X” chromosome, giving him XXY sex chromosomes instead of the XY seen in the typical male. Approximately 1 out of every 500 to 1,000 males have Klinefelter syndrome. In men who have who have a very low sperm count or no sperm in their ejaculate, however, the chances of finding Klinefelter syndrome may be as high as 10%. Men with Klinefelter syndrome typically have small testicles and infertility, may be tall, and can have larger breasts than expected. A lower-than-expected testosterone level is common in men with Klinefelter syndrome. If you have Klinefelter syndrome, you may be referred to a genetic counselor and/or endocrinologist to discuss how this condition will affect your health and potential to have children. This is not a life-threatening condition, but you should follow up with your doctor to help manage this condition.
  • Y chromosome microdeletion is diagnosed when portions of the Y chromosome DNA are missing–specifically, the areas of the Y chromosome that “code” for male fertility. If areas are deleted or missing, it can affect male fertility. Which portion of the Y chromosome DNA is missing is important, as it may predict the chances of finding sperm in the testicle. This genetic abnormality can also be passed on to children.
  • Cystic fibrosis gene mutation. Cystic fibrosis is seen in about 1 in 3,200 people in the Caucasian ethnicity. Recent research has identified “variant” forms of cystic fibrosis that can affect fertility in men only. This is one reason that fertility specialist will recommend the CF gene test. If you are found to have this condition, your doctor will recommend that you meet with a genetic counselor to discuss how your child may be affected. Cystic fibrosis can cause other health issues, and follow-up with your doctor is important.
  • Other chromosome abnormalities may be found during a karyotype test. In about 2-4% of couples who have several miscarriages and/or unexplained infertility, one member will have a “balanced translocation.” A balanced translocation is a difference in chromosome setup that does not necessarily cause health problems, but can lead to miscarriage, infertility, and/or having a child with developmental difficulties/mental retardation. Because these other conditions are rare, the treatment for these conditions is decided on a case-by-case basis while seeing a genetic specialist.

What happens when a couple with a genetic cause for male factor infertility wants to have a baby?

When the man has a genetic cause for infertility, some couples will decide not to use the man’s sperm to create a pregnancy. These couples can choose a procedure called intrauterine insemination using donor sperm, adoption, or fostering. Some couples will choose to not have children.
When sperm are found in men with a genetic cause for infertility, the number of sperm is usually very small. In many cases, these sperm can be used to fertilize the woman’s eggs in the laboratory using a technique call intracytoplasmic sperm injection (ICSI).
The techniques for finding sperm are called “sperm retrieval.” The options most appropriate for the genetic causes for male infertility are the following:
  • Klinefelter syndrome: Most men with Klinefelter syndrome will not have sperm in the ejaculate. It may be possible, however, to find sperm in the testicles using a technique called microsurgical testicular sperm extraction (MTESE). In some cases, hormone medication may increase the chance of finding sperm during MTESE.
  • Y chromosome microdeletion: The chances of finding sperm in the testicles in men with a Y chromosome microdeletion depends on the part or parts of the Y chromosome that are missing. If your fertility doctor thinks that there is a chance of finding sperm in the testicle, he or she may suggest the MTESE procedure.
  • Cystic fibrosis gene mutation: Because CF gene mutations do not appear to affect sperm production, most men with this condition will make sperm normally. In many cases, sperm can be retrieved using a technique called percutaneous epididymal aspiration (PESA).

Thursday, 17 December 2015

6 Ways To Boost Male Fertility Naturally


“Where modern medicine has developed its own technical solutions for assisting infertile couples in getting pregnant, complementary medicine can also offer its own assistance in increasing male fertility.
The presence of couples unable to conceive is an increasingly common scenario in my clinic compared to two decades ago. About 15 percent of couples experience conception problems, and this percentage is growing. Infertility is defined as the absence of conception after one year of regular intercourse without the use of any contraceptive. Men are responsible for this problem at least 40 percent of the time. Where modern medicine has developed its own technical solutions for assisting infertile couples in getting pregnant, complementary medicine can also offer its own assistance in increasing male fertility. Before attempting natural remedies, it is important to rule out any underlying treatable medical conditions.
1. Improve sperm count
The average sperm count is between 120 and 350 million per cubic centimeter. A low sperm count is below 40 million per cubic centimeter. Low sperm counts or poor sperm motility may be due to environmental toxins such as chemicals, radiation, drugs, heavy metal exposure, cigarette smoking, excessive alcohol use, street drug use and pollution.
Heat can also reduce sperm production. Hot baths, sitting for long periods of time and tight-fitting underwear that constricts the testes can all elevate temperatures long enough to suppress sperm production.
The anti-ulcer drugs cimetidine and ranitidine have both been reported to decrease sperm count and produce impotence.
2. Reduce chemical exposure
The semen of the average man today has half the sperm, and of poorer quality, than 50 years ago.
This is believed to be caused by exposure to xenoestrogens (PCBs, DDT, dioxin, other pesticides, plastics and industrial pollutants) that mimic the effects of estrogen. You can prevent or minimize the impact of xenoestrogens on your health by doing the following:
  • Avoid plastic containers for food storage, plastic bottles, wraps and utensils.
  • Use office paper products whitened without chlorine.
  • Use only non-bleached coffee filters, paper, napkins and toilet tissue to reduce dioxin exposure.
  • Avoid chlorinated tap water, chlorine bleach and other chlorinated products; use hydrogen peroxide as an alternative.
  • Eat organic food as much as possible to avoid pesticides and herbicides.
  • Avoid synthetic deodorants and cosmetics; use only organic products whenever possible.
  • Avoid animal products with a high fat content that contain hormones, especially conventional milk and dairy products, chicken, beef and pork.
  • Avoid alcohol and caffeine.
  • Avoid fried, charcoal-broiled or barbecued forms of cooking.
  • Eat lots of foods high in antioxidants (carotenes, vitamins A, C, E and selenium) such as green leafy vegetables, kale, carrots, citrus, broccoli, cauliflower and yams.
3. Improve diet
Getting plenty of fresh fruits, vegetables, whole grains and legumes can help boost fertility. Also avoid tobacco, refined carbohydrates, coffee, tea, alcohol and foods with artificial additives.
Maintain your ideal weight. Food deprivation in men leads to a loss of sex drive and structural changes to reproductive tissue leading to infertility.
Obesity, on the other hand, can be associated with a low sperm count and impotence, possibly because of higher temperatures caused by excess fat near the testes.
4. Exercise regularly
According to the American Society of Reproductive Medicine, regular exercise (five times a week for at least 45 minutes) and a healthy diet enhance fertility by keeping body weight at normal levels and relieving stress and anxiety.
Excessive amounts of exercise (marathon running and associated training) can be a cause of infertility because it can lead to amenorrhea (absence of menstruation) in women and a lowered sperm count in men.
If you are not sure what type of exercise is best for you, get yourself a personal trainer. He or she can give you an exercise program to bring your weight and fitness levels into the ideal range.
5. Take nutritional supplements
For men, the most important supplemental nutrients to enhance fertility are vitamin C and zinc. Vitamin C (2,000 to 6,000 milligrams daily) helps prevent sperm from clumping or sticking together, thus improving the chances for fertility.
Zinc supplementation (100 to 200 mg daily) has been shown to increase testosterone levels, sperm count and sperm motility. High zinc sources include oysters, organ meats, lean beef, turkey, lamb, herring, wheat germ, legumes and nuts.
Arginine is an amino acid the body produces from the digestion of protein. It is found in high amounts in the head of the sperm. Although not available as a supplement in Canada, arginine has been shown to help low sperm counts and poor motility. In high doses, arginine is also a potent dilator of arteries, leading to better erections. Food sources of arginine include nuts, chocolate, meat, poultry, fish and dairy.
Other nutrients that have been shown to improve sperm counts include essential fatty acids (9 to 12 grams daily), chromium (1,000 mcg daily), selenium (200 mcg daily), copper (2 mg daily), vitamin E (800 IU daily), coenzyme Q10 (400 mg daily) and B-complex vitamins (50 mg daily), especially vitamin B12 (1,000 mcg daily).
6. Try herbal helpers
The herbs listed below may be effective for improving erections, sexual desire, blood flow to the sexual organs and general sexual health with virtually no side-effects:
  • panax ginseng (Korean ginseng): 500 milligrams, 1 to 3 capsules daily
  • saw palmetto berry: 80 mg, 1 to 2 capsules daily
  • muira puama: 500 mg, 3 to 6 capsules daily
  • ginkgo biloba extract: 250 mg, 1 to 3 capsules daily
  • rhodiola rosea: 500 mg, 1 to 3 capsules daily
  • nutmeg: 500 mg, 1 capsule daily
  • horny goat weed: 500 mg, 1 capsule daily
  • elk antler velvet: 500 mg, 1 to 3 capsules daily
  • Tribulus terrestris: 500 mg, 1 to 3 capsules daily
Since sperm formation takes almost three months, it will take at least this amount of time before experiencing the benefits of a nutrient supplementation program.
Causes of Male Infertility
  • inadequate sperm production by the testes
  • poor sperm motility
  • varicocele (dilated veins in the scrotum)
  • undescended testis/testes
  • excessive xenoestrogen (environmental estrogen) exposure
  • infectious disease of the epidydimis (storage tube for sperm), testes, seminal vesicles, urethra, prostate or vas; benign prostatic hypertrophy (enlargement)
  • endocrine (glandular) diseases affecting the hypothalamus, pituitary, thyroid, adrenals and the testes (e.g. low DHEA and low testosterone levels)
  • congenital abnormalities
  • urethral stricture
  • malnutrition, especially protein deficiency
Infertility Statistics
  • Ten to 20 percent of all men have low sperm counts.
  • Two to three percent of all men are completely infertile, producing no sperm at all.
  • Infertility affects at least 15 percent of the reproductive age population, with roughly 40 percent of the cases attributable to men.
  • Eighty-five percent are treated with conventional medications (synthetic hormones) or surgery to repair diseased reproductive organs.
  • Less than five percent of infertile couples attempt in vitro fertilization, which has a 10 to 20 percent success rate at a cost of $10,000 per attempt.

Natural Remedies

Men suffering from this problem can increase their potency by taking an effective herbal treatment for male infertility such as Baby capsules. In addition to this, there are several natural remedies which are very helpful in enhancing male potency. Dairy food items, oysters, pomegranate juice, pumpkin seeds, fruits and vegetables should be included in diet.

Wednesday, 16 December 2015

Male Factor Infertility


Approximately 25% of all infertility is caused by a sperm defect. About 40-50% of infertility cases have a sperm defect as the main cause, or a contributing cause. This is the legacy of male factor infertility. It can be difficult to know whether sperm is the sole problem, or just a contributing cause of infertility. Partly this is because ‘numbers are just numbers’. For example, we know that men with very low sperm counts can sometimes have children – and some men with normal sperm counts can be infertile. What matters most is not how many sperm there are or how fast they swim – but whether they can fertilize the female partner’s eggs. Sperm defects are a biochemical issue at the molecular level. A sperm defect is present when sperm are irregularly shaped, have poor motility or low sperm count. It takes more than looking at sperm under the microscope to assess the ability of the sperm to fertilize the female’s eggs.
In nearly 30% of all infertility cases the cause is attributed to the male. An additional 30% of infertility cases are attributed to both male and female factors. In the cases of male factor infertility, more than 90% of the time it is caused by poor sperm quality. Other causes of male infertility may include anatomic, hormonal or genetic imbalances. Less than a decade ago, treatment for a severe male factor infertility was limited to inseminations or IVF using donor sperm. Today, significant advances in male infertility have introduced innovative therapeutic options that offer men, including those with no sperm in their ejaculate due to genetic conditions, a greatly improved chance to conceive their own biological offspring.
At Male Fertility & Sexual Medicine Specialists we understand that couples seeking treatment for infertility are in search of a program that will provide them with the best chance possible for conceiving a child. Male factor infertility is a specialty of this practice. In order to maximize the chances for conception, Dr. Hashmi will work with each couple to determine exactly what their goals are and establish a treatment plan to maximize all resources in an effort to reach those goals.

Semen Analysis

The semen analysis is the central testing component to determine possible male factor infertility. The values of these guidelines only increase the probability that there is a case of male factor infertility, but it does not provide any guarantees. Guidelines for normal semen levels have been defined as follows:sperm_shapes
  • Volume: 1ml to 5ml or more
  • Concentration: 20 million/ml or more
  • Motility: 50% or more
  • Morphology: 30% or more normal shapes (WHO criteria) or 14% or more (by Kruger strict criteria)
  • Clumping: minimal
  • Presence of white or red blood cells: minimal
  • No hyperviscosity (Thickening of seminal fluid)

Natural Remedies

Men suffering from this problem can increase their potency by taking an effective herbal treatment for male infertility such as Baby capsules. In addition to this, there are several natural remedies which are very helpful in enhancing male potency. Dairy food items, oysters, pomegranate juice, pumpkin seeds, fruits and vegetables should be included in diet.

Saturday, 5 December 2015

Fertility Diet | Food and Infertility | Preganancy Foods

Eat a lot of organic vegetables and fruits
Conventional produce contains harmful herbicides and pesticides which have been shown to negatively effect both male and female fertility. Studies have also shown organic vegetables and fruits to have more nutritional value.
Eat organic, grass-fed, whole fat, raw dairy
Organic, grass-fed, whole fat, raw dairy is the best choice of dairy sources. But take note that dairy foods such as milk and cheese may be congesting to the body. In cases of congesting fertility issues such as PCOS and Endometriosis, they may aggravate the imbalance. Observe how your body does with it. Dairy that is not organic should be avoided as it contains added hormones and antibiotics which can contribute to increased estrogen levels in the body. There are many healthy alternatives to dairy such as fresh almond or hemp milks.
Try to eat mostly cold water fish
Fish supplies important essential fatty acids (omega 3) to our diet. These fatty acids aid in the production of hormones, reduce inflammation, and help regulate the menstrual cycle. Fish is also a great source of protein and vitamin A. Avoid large deep water fish such as ahi tuna, swordfish, and Chilean sea bass due to there potential concentrations of mercury, and focus on cold water fish such as wild Alaskan salmon, cod, and Alaskan halibut. Also when choosing salmon, avoid north Atlantic farmed salmon and choose wild salmon instead. Farmed salmon contains antibiotics and toxic food dyes.
Choose meat that is Grass Fed and Organic
Conventionally raised cattle contain high levels of added hormones and antibiotics which can contribute to estrogen dominate conditions. Grass Fed meats, on the other hand, are a great source of essential fatty acids, are low in saturated fat, and are a great source of protein. If you are experiencing endometriosis you may want to reduce the amount of red meat that you eat as a study has shown a connection between high red meat consumption and endometriosis.
Choose only free range/Organic chicken
Conventionally raised chicken are kept in uncleanly, cramped housing conditions and are fed non-organic and often, genetically modified feed. When shopping for chicken, look for the words “cage free”, “free range”, or “organic” on the label. Ideally purchasing your chicken from a local farm with free-range practices is best.
Eat only grains in their whole, natural form
Whole grains are filled with fiber, important vitamins, and immune supporting properties. Fiber is important for helping the body to get rid of excess hormones and helps to keep the blood sugar balanced. Avoid processed and refined white foods and grains such as white bread, semolina pastas, and white rice. Instead choose whole wheat or sprouted bread, rice or whole wheat pasta, quinoa, and brown rice.
Eat high fiber foods with each meal
Fiber helps to regulate the blood sugar levels which helps to reduce fertility issues such as PCOS, immunological issues, and promotes healthy hormonal balance. Some examples of high fiber foods are fruits, vegetables, dark leafy greens, and beans.
No soy of any form unless fermented such as miso and tempeh
Soy foods have been shown to contain estrogen mimicking properties. It is best to avoid processed soy foods such as soy milk, soy burgers, soy protein powder, soy chips, soy meats, and soy cheeses to avoid a negative impact on your hormonal balance. If you have hypothyroidism avoid soy completely.
Avoid refined sugars or fruit juices (unless freshly juiced)
Pasteurized juices such as bottled apple juice, orange juice, and other bottled fruit juices contain concentrated sugar, which can throw off your blood sugar levels and negatively effect your immune system. Also avoid any processed/refined and artificial sugars. Some great alternatives are stevia, honey, and maple syrup.
Drink lots of clean water
Be sure to drink at least half your body weight in ounces of clean, purified or filtered water daily. It is best to avoid bottled water as some of the plastics in the bottle can contribute to hormonal imbalance due to there estrogen mimicking chemicals. The best waters to choose from are reverse osmosis and distilled. Avoid tap water, as many recent studies have shown tap water to be laced with harmful pesticides from agricultural runoff.