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Tuesday, April 28, 2009

male infertility- causes & treatment

Infertility is a serious problem & considered as social stigma in 3rd world countries like India. People don't understand that sexual relation between couple may be normal & infertility is due to other causes related to sperms & fallopian tube anomalies, etc. They just think that man is impotent.
1st one has to find out the cause.

Cause of male infertility -


1. Low sperm count
2. Poor quality of sperm - reduced motility, defective morphology, etc
You should get sperm count done & let me know. Get it done in a well reputed laboratory. Consult andrologist ( urologist specialized in male sexuality & infertility).
Follow following simple measures
1. Don't wear very tight & very dark underwears
2. Quit smoking, bear & alcohol. All these reduce sperm counts
3. Don't use very hot water for bath. Have bath with cold water
1, 2 & 3 can reduce sperm count.
Avoid stress in any form.
The doctor whom you have consulted has told you that you can have normal intercourse. This is good thing. You can read more at --

Sex Education - Erectile Dysfunction And Treatment


Sex-related-issues-solutions
Treatment of infertility takes a long time & needs evaluation of both. husband & wife. So don't be nervous otherwise this can affect your sex life also. Be patient. In spite of all tests reports showing normal values, 10% of couples remain infertile due to unknown reasons.

Read more -

Infertility

Thursday, April 23, 2009

Headache- Causes & treatment

Headache is one of the most common symptoms reported. in medical practice. Every individual gets it at some time during life. From adults to old age, everybody gets it. Nowadays children are also getting headache. Let us try to know about it in detail.
Types of headache
1)Migraine – This is a very severe headache. It may or may not be preceded by ‘Aura”
Aura means –may see some figures,etc which indicate that he is going to get an attack.
It is called as “hemicranial headache’i.e. half-sided headache. It may be associated with vomiting, giddiness. After vomiting, patient may feel better. It is caused by changes in dimensions blood vessels in the brain.
Rx options-
1) NSAID-nonsteroidal anti-inflammatory drugs – for milder pain
2) ergot alkaloids- for acute attacks
3) calcium channel blockers like flunarizine- for prophylaxis of acute attacks. These will not help in relieving pain during acute attacks

2) Headache due to serious conditions like brain tumors-

3) Headache due to eye problems- can be due to
1) uncorrected refractive errors - Mainly hypermetropia (hyperopia)i.e "+" glass power
2) glaucoma especially acute attacks
3) keratitis
4) excessive eye strain - This is again due to uncorrected refractive errors, excessive use of computer

4) Tension ,Mental stress
5)Serious body diseases – septicemia, encephalitis, meningitis, vasculitis –giant cell or temporal arteritis
6) ENT conditions- deviated nasal septum , sinusitis, cold
Management
Talking to the patient, taking detail history, asking about causes of stress is important part of management. Referral to physician , ENT specialist is required depending on the case.
Routine tests like hemoglobin, blood cell counts,urine exam, check up for refractive errors are needed. In some cases CT scan brain is required. Headache which is long lasting, severe & not relieved by analgesics needs investigations.

Analgesics like- paracetamol, combiflam may help in relieving symptoms but they don’t cure the basic cause.