Monthly Archives: May 2020

Fertility Test In Men And Women

Whether it is to know when you are most fertile or to prepare for having a child, fertility tests for women allow you to know the period of the reproductive cycle in which you are. In men, they are used to measure the level of sperm. How to properly use male and female fertility tests?

What is a fertility test?

A fertility test makes it possible to know the fertility rate of a person, that is to say, his capacity or not to be able to procreate naturally. Male and female fertility tests are different. They can be done in the hospital, by taking a blood test, after consulting a sexologist in Delhi. But there are also self-tests, sold in pharmacies, to be carried out directly at home. In men, they measure the level of sperm in the sperm, while in women, they provide information on the period of ovulation.

Fertilization, ovulation, menstrual cycle: some reminders of biology

In order to understand the functioning of a woman’s menstrual cycle, that is to say, her menstrual cycle, it is first necessary to define the phenomenon of ovulation and that of fertilization. As best sexologist in Delhi explains each month, during a period of about a day, the ovulation phase takes place. During this, the ovum (or oocyte) is expelled by the ovary. The latter lives approximately 24 hours in the body. In order to maximize the chances of getting pregnant, you must have sex on this day, so that sperm comes to fertilize the woman’s egg (note that the sperm expelled during ejaculation survive between 3 and 5 days in the cervix).

Fertilization of the ovum by the sperm, which corresponds to the fusion of the male and female gametes, if it takes place, is then done in stride, within the uterus. If it does not happen, the rules will reappear the following month to start a new cycle, suggests top sexologist in Delhi.

Why and when to take a fertility test?

Fertility tests can be done for several reasons. For example, if you want to have a child but are having difficulties, a test can tell you about your situation regarding procreation, and whether these difficulties have a cause. If you are looking to have a baby, the test can also tell you which is the best time to have a sex to maximize the chances, that is, if the period is right for fertilization.

In this case, your sexologist doctor in Delhi may order a daily test, which will allow you to have sex on specific dates, which correspond to female ovulation. Finally, a test can, conversely, allow you to know the period when you are least fertile, and when intercourse is less conducive to fertilization (but also does not guarantee 100% not to fall pregnant).

How to do a fertility test in the hospital?

When a couple is having difficulty having a child, it is possible to be prescribed fertility tests, female and male, to check whether one of the two partners is not infertile, or has a low rate of fertility. If you want to obtain reliable results, it is advisable to turn to fertility tests by a blood test, prescribed by a sex specialist in Delhi, which will be carried out in the hospital.

In certain cases, in the event of an anomaly detected, additional analyzes may be prescribed. In men, this test, called a spermogram, is used to assess the quality and quantity of sperm in the semen, and to check for infection. It is carried out with a sperm sample taken after masturbation, in a specialized laboratory, says sexologist in Delhi.

The male and female self-test, to know your fertility rate at home

For women, fertility self-tests are actually ovulation tests. They are used in the same way as pregnancy tests, on the toilet. Thanks to a hormone detected in the urine, which is present in greater quantity during the ovulation phases, the test indicates or not if one is in a period of high fertility. In this case, this is the best time to get pregnant. For men, the self-test makes it possible, as in laboratories, to calculate the quantity of mobile sperm present in the sperm. Be careful though, this system, although quite reliable, provides information only on the quantity and therefore does not allow other important elements to be taken into account, such as the shape of the sperm. The result of the self-test must, therefore, be put into perspective, suggests sexologist in Delhi.

What to do in case of infertility?

The first step is to target the cause of infertility: does it come from a man, a woman, or both? Be aware that below 15 million sperm per milliliter, a man is considered infertile. Then, medical follow-up must be done with a sexologist in Delhi. Indeed, these days, it is quite possible to get pregnant despite an infertility problem: it is possible to consider solutions to help procreation, either by helping natural fertilization or in vitro.

Sexual breakdown: the do’s and don’ts

Sexual breakdown happens. But how do you manage this delicate situation? The impossibility of obtaining a valid or lasting erection can indeed cause discomfort in the woman partner, who often does not know how to react. So, what to do and what not to do: advice from men!

Often in case of erection problems, lovers, who however desire, turn, which causes a cold and freezing of the sexual relationship. Sexologist in Delhi tells you everything so that this punctual impotence does not permanently affect the couple.

Don’t be offended. When a man has erection problems, women often think that he is not arousing or that he does not like him. Witness the reaction of Miss B. who said to her lover: “You must not want me actually. Now, all men say it: you absolutely must not think that there are a cause and effect link between you and this wobbly erection. “Otherwise this man would no longer see you,” notes the best sexologist in Delhi. Eh yes! If he sees you, it’s good that he wants you. But you? Do you hold it against him?

Above all, don’t get angry. Sometimes, to deal with what the woman feels as a vexation, she gets angry … “Clearly it was too much, I told her that we were not compatible, that it was mechanical! “(Miss B.). Once this final sentence has been pronounced, there is no longer any chance that the man will try again because he is too afraid to miss. Just imagine the opposite situation for two seconds: you have no lubrication and your partner drops you for that … Not cool. So, do not add to it … at least for a while, the time to get an idea of ​​the extent and the frequency of this problem, says top sexologist in Delhi.

Don’t try to be more desirable. As it does not come from you, no need to try pseudo-exciting things like baby dolls or sexy striptease, it could make things worse for your lover and make you all the more bogged down in the feeling of humiliation. So, we stay calm!

Do not loosen. Do not start to get into big debates like: “You know, sex is 50% of a couple, and the average reports of the Indian being three per week, I have the right to wonder if you n ‘m not below the average in terms of conjugal obligations, moreover… ” suggests sex specialist in Delhi.

Do not neglect the “ mitigating circumstances … or not!” Problems at work, stress, winter depression, etc., there are several elements that can explain a libido at half-mast! But not only … Drug use, alcohol, porn addiction, etc. Maybe the problem isn’t with sex, says sexologist doctor in Delhi.

Relax the atmosphere. Imagine that it is not easy for your partner to bounce back, he too hesitates between laughing and crying, so relax him! Put yourself in his arms, be cuddly, offer a massage, a bath, a film, sushi … In short, show him that you are not there only for sex. He must have the feeling that having a good time with you does not only depend on the quality of his erection. You have to put yourself in his place: it must be very stressful to tell yourself that the person with whom you are at risk of leaving if you are not at the same level. So, breath to allow him to do the same suggests sex doctor in Delhi.

Bet preliminary. The worst thing in these moments is that we don’t dare to do anything anymore: “I couldn’t touch him anymore for fear of another failure, confides Miss B, so it remained platonic on remaining from the night. On the contrary, you have to have a diversion, it is, for example, a good opportunity to work on the preliminaries and all the pleasures without penetration. Kisses, caresses, fellatio, masturbation … There is enough to do! And then a body is big, right? So, explore gently and sensually this immense universe that is the other, suggests the best sex doctor in Delhi.

Discuss (but don’t epilogue). Very often men appreciate the conversation with women, it allows them to express their sensitivity. Chat with your companion in peace, reassuring him, listening to him. He may have existential problems or stress: try to understand him as you would for a friend, without waiting for immediate results, just to support him, says sexologist in Delhi.

Be patient and optimistic. Good things come to those who wait for. A man can be in a difficult period (which he cannot or will not necessarily want to talk about right away), without necessarily ending your relationship in absolute terms. Know that everything changes and that over time things can change in the right direction. How many couples make love better after some time together than at the beginning?

We’re going to see a doctor. Most men think that the causes of impotence cannot be treated when it is not. There are centers specializing in erectile dysfunction. The sexologist in Delhi will check that everything is in good working order, he will define whether the problem is psychological or physical and, once the diagnosis has been established, he will propose the most adequate sex treatment in Delhi. Simple, effective! But you can’t go in the place of the other, so you can only suggest.

You know everything! Now, if it lasts too long, you don’t feel any possible evolution and/or the other doesn’t communicate with you, you have the right to go. Even if we repeat to whoever wants to hear that couple relationships involve permanent concessions, there is no question of being perpetually frustrated either, explains sexologist in Delhi.

Prevention and Early Diagnosis of Kidney Diseases

Most kidney diseases can behave like ” silent killers “: they work undisturbed, without symptoms, for years and, when their effects are revealed, it can be late to run for cover. Attention to them is dictated by the need to prevent chronic renal failure and to reduce cardiovascular risk, which increases significantly already in the presence of mild renal failure.

We cannot therefore think that our kidneys are indestructible, or worse that they do not deserve any consideration; we don’t even have to think that kidney disease is always a deadly trap.

If the diagnosis is early, the treatments can be very effective. A healing is common. In any case, the evolution of the disease can be significantly slowed down, says the nephrologist in Delhi.

So, what can you do to find out about kidney injuries in time?

First of all, be careful of the signs that may indicate their appearance.

Here are the main ones:

  • Emission of dark colored urine (up to a “coca cola” color) or blood red, or with bad smell. Even the formation of a lot of foam can have a meaning of abnormality;
  • Significant increase in urinary volume, especially at night, and persistent thirst;
  • Edemas, in the lower or diffuse limbs;
  • Increase in blood pressure values ​​beyond the maximum normal limits;
  • Pain in the lumbar area (up to real colic), sense of weight in the kidney not referable to lumbosciatalgia;
  • Unexplained anemia, fatigue, significant malaise for no apparent reason;
  • Burning urinating, fever (especially if with chills), need for frequent urination;

First of all, a fresh urine test must be performed (to avoid alterations caused by fermentation).

Most kidney diseases cause urinary changes, with the presence of:

  • blood, mostly not evident to the naked eye, but only on chemical (hemoglobin) and microscopic (micrometry) examination;
  • albumin (albuminuria) isolated, or associated with other blood proteins (proteinuria);
  • white blood cells, a sign of inflammation of the kidney or urinary tract, often, but not always, of infectious origin;
  • other elements, such as the so – called cylinders, which are “molds” of proteins, cells or cellular debris, precipitated in the lumen of the tubules and then mobilized by the flow of urine;

A separate case is that of cancer cells that can be highlighted by the so-called urinary cytological examination.

Abnormal amounts of albumin, blood and white blood cells can be easily searched for by immersing a test strip in the urine. It is this safe and rapid research method that is used in the screening of kidney disease. In case of abnormality, the examination will be supplemented by the microscopic one of the urinary sediments.

Very reliable and rapid automatic equipment is now spreading in the most modern laboratories, which allow to combine the chemical examination with that of the urinary sediment.

As always happens in medicine, there are exceptions to the kidney disease rule = urinary alterations. The most common exception is that of nephroangiosclerosis and some hereditary diseases, at least in the initial phase, such as polycystic kidneys, which can be present without there being obvious urinary changes.

It should also be borne in mind that, in the course of their progression towards an ever more serious renal failure, chronic kidney diseases often cause arterial hypertension.

In turn, kidney damage can be caused by an arterial hypertension that is not initially linked to nephropathy (by far the most common condition is that of the so-called essential arterial hypertension).

Measuring blood pressure is therefore another important step to discover nephropathy in time and, often, to prevent it.

A simple urine test and a blood pressure check therefore allow you to suspect the existence of a kidney disease, but unfortunately the normal results are not enough to rule it out categorically.

For this reason, it is necessary to identify people at risk of developing nephropathy in order to subject them to more detailed investigations.

Detecting the presence of a condition at risk of developing nephropathy, and not rarely if more than one is associated with it, is however very important if you want to prevent the onset of kidney damage.

To prevent kidney disease, the most important risk conditions for their appearance must be taken into account and, if possible, prevented and corrected, suggests the nephrologist in Noida.

Here are the main risk conditions for the development of a kidney:

  • aging (over 60 years)
  • hypertension
  • diabetes
  • prolonged use of medications without medical supervision, especially non-steroidal anti-inflammatory drugs
  • severe hypercholesterolaemia
  • important obesity
  • kidney stones
  • recurrent urinary tract infections
  • lower urinary tract obstruction (e.g. high prostate hypertrophy)
  • previous kidney disease
  • ongoing immunological diseases (lupus, rheumatoid arthritis etc.)
  • presence of kidney disease in family members

Taking these conditions into account, nephrologist in Delhi suggests some good rules for defending our kidneys.

  1. Prevention means first of all treating diseases that can induce kidney damage: first of all arterial hypertension, arteriosclerosis and diabetes. Naturally, first of all, the conditions that can favor their appearance must be corrected, such as obesity, the so – called dysmetabolic syndrome, too sedentary life, varying, if necessary, the lifestyle.
  2. In keeping with the previous rule, avoid diets very rich in calories, sugar, sweets, animal fats and salt, and smoking.

The traps are many. Canned and preserved foods are generally rich in salt; even the bread of some regions is quite rich: in case of need, consuming bread without salt can be useful. It is always good to drink water with a certain abundance: a liter and a half or two a day is a safe dose. The smoke can also be harmful to the health of the kidneys, warns the nephrologist in Gurgaon.

  1. Do not resign yourself to living with high cholesterol and excess body weight, which can promote arteriosclerosis, high blood pressure and diabetes.
  2. Regularly check the blood pressure, knowing that it is considered an optimum pressure equal to or less than 130 of 80 mm of mercury, and that values above 140/90 are defined as pathological, at any age (although in diabetics is suggested keep the pressure at values ​​lower than 130/80), suggests the kidney specialist in Delhi.
  3. If you are hypertensive, have diabetes or signs of arteriosclerosis, also take care to protect the kidneys, by implementing all the measures recommended by the doctor for kidney in Delhi. However, it is not enough to be content with following treatments: it is also necessary to check that the results are really what you want. For example, in the case of high blood pressure, the treatment can be considered effective only if blood pressure values ​​lower than the classic “140 out of 90” are obtained. Today there are many drugs to control arterial hypertension and it is often obtained by combining several medicaments in small doses, with reduction of negative side effects and enhancement of the positive effect. It is also important to know that some of these drugs, such as ACE inhibitors and so-called receptor antagonists, in addition to the antihypertensive effect, also have a specific renoprotective action.
  4. In the case of diabetes, make sure to obtain well-controlled glycemic levels, with values ​​of the so-called glycated hemoglobin as close as possible to the norm, and also in this case check blood pressure very well and resolve any overweight conditions, says the kidney specialist in Noida.
  5. Maintaining a proper diet and careful control of body weight, which is always important: taking medications does not authorize you to neglect dietary rules.
  6. Do not resign yourself to living with urinary tract infections, kidney stones or chronic obstruction of the urinary tract, for example from prostatic hypertrophy.
  7. Avoid prolonged use of potentially nephrotoxic drugs, such as analgesics or anti-inflammatory drugs, especially if taken without medical supervision; this does not mean that those who need it should give it up, but it is advisable, if you use them frequently, to remember to check the kidney situation periodically, advices the kidney specialist in Gurgaon.
  8. Carry out, even if it feels good, a simple urinalysis during other laboratory tests, or in any case with a two-year deadline, and do not neglect any minor anomalies revealed by the urinalysis, such as blood or proteins in very large quantities modest. On the other hand, it should not be forgotten that in some situations, such as in the presence of kidney damage due to high blood pressure or arteriosclerosis, the urine test is often normal for a long time.
  9. Perform, under all risk conditions, a check on renal function with the determination of creatininemia, possibly repeating it at regular intervals, for example annual, or every six months if the risk is high. Creatinine is a muscle mass product which is eliminated by the kidney and accumulates in the blood when kidney function decreases. Blood values ​​above 1.2 mg / dl in women and 1.4 mg / dl in men may indicate functional kidney damage and warrant further investigation. Using simple mathematical formulas and commonly used calculators it is easy to deduce the value of renal filtration from creatininemia. This control, which has supplanted the traditional one of blood urea nitrogen, can constitute a first alarm bell, particularly important when the urine test is normal, for an evolutionary nephropathy.
  10. Be careful of minor and nonspecific signs of kidney disease, such as edema of the lower limbs, hypertension, even if not constant, chronic or relapsing urinary tract infections, the emission of urine of a different color or odor than usual.

All these signs do not always indicate the presence of kidney disease or urinary tract, but it is best to make sure that they are truly harmless, suggests the nephrologist in Delhi.

Knee Tendinitis: Symptoms and Treatment

Tendinitis is an inflammatory condition that develops in the patellar tendon, due to twists, tears, or tendon damage. Tendons are fibers that connect muscles to bones. Knee tendinitis occurs most often due to overuse of the knee joint.

Patellar tendinitis is known as knee tendinitis. Patellar tendon is an injury that occurs in the tendon that connects the patella to the leg, called a patellar tendon. The patellar tendon works with the muscles at the front of the thigh to extend the knee so you can run, kick and jump.

Knee tendinitis is a common condition in athletes whose sports involve running and jumping. But it is not a unique condition of athletes, people who do not perform deportation can suffer from knee tendinitis.

Knee tendinitis can be a serious condition that needs attention and treatment, as they can eventually worsen tendon damage and require surgery for treatment, says the orthopaedic in Delhi.

Knee Anatomy

The knee is composed of 3 bones. The thigh bone that is the femur, the largest leg bone that is the tibia and patella that slides into a groove at the end of the femur.

Tendons are strong tissues that connect muscles to the bone. Its size and shape vary, there are small tendons in the fingers and large in the legs. The patellar tendon plays an important role in maintaining the label in place and in straightening the knee.

Symptoms of knee tendinitis

Pain is the first symptom of knee tendinitis. Pain can manifest directly on the patellar tendon and manifest in cases such as;

  • At first, pain may be present at the start of physical activity or after intense exercise.
  • The pain gets worse that interferes with your activities, whether it’s sports or everyday activities like climbing stairs or getting up from a chair.
  • Pain when bending the knee

In addition, pain may be stiff in the knee, especially when jumping, crouching, sitting, kneeling.

Should I see a specialist?

Sometimes knee pain can improve with self-care measures and over-the-counter anti-inflammatory drugs, but you may need to visit orthopaedic clinic in Delhi if:

  • Pain continues or gets worse
  • Interferes with the realization of your daily activities
  • You have swelling or redness around your knee

Why does knee tendinitis occur?

Knee tendinitis or patellar tendinitis is a common overuse injury caused by constant, repetitive stress on the patellar tendon. Stress causes small tears in the tendon, which as they multiply cause pain and inflammation, explains the sports injury specialist in west Delhi.

Risk factors

Factors that may contribute to the development of knee tendinitis include:

  • Physical activity or sports. Running and jumping are the movements most associated with tendinitis
  • Tight leg muscles. Tightening the quadriceps and hamstrings can increase tension in the patellar tendon.
  • Muscle imbalance. If some muscles are stronger than others, the stronger ones can pull the tendon harder and marry an imbalance. This uneven pull can cause knee tendinitis.

Complications

If no care is received and despite the pain continues to perform activities, it can attract ever larger tears in the patellar tendon. Pain and reduced knee function can persist, if the problem is not addressed, and more serious patellar tendencies can progress, warns the orthopaedic surgeon in Delhi.

Get ready for your appointment

If the pain persists during or after certain activities and does not improve with self-care measures. Your orthopaedic doctor in Delhi may refer you to a sports medicine specialist.

Before you go to your appointment with your orthopaedic in Delhi, you can prepare with:

  • List of their symptoms, how they manifest and when they started.
  • Medical information such as medications and supplements if you take them.
  • Duration and intensity of your sports practice
  • Resentful injuries
  • Questions you want to ask your doctor

Diagnosis

Knee tendinitis can be diagnosed by reviewing your clinical history, physical knee exam, and performing imaging tests.

During the physical exam, your doctor may apply pressure to your knee to determine where you feel pain and may ask you to perform certain movements against resistance. Knee tendinitis pain is usually felt in the front of the knee under the patella.

Image testing

Some tests that may be suggested to you include:

  • Radiography. They can be used to exclude bone problems that can also cause knee pain.
  • Ultrasound. They may reveal tears in the patellary tendon.
  • Magnetic resonance imaging. Create detailed images that can show changes in the patellar tendon.

Knee tendinitis treatment

It is usually started with non-surgical treatment. There are several treatment options that can help reduce pain and inflammation.

Small tears can be treated with non-surgical treatment. A splint, or brace may be required to provide rest to the tendon and to heal the tendon. But treatment will depend on different factors such as age, level of physical activity, size and type of tendon tear.

Therapy

Physical therapy can help restore function, decrease pain and prevent future injuries.

  • Stretching exercises. These types of exercises can reduce muscle spasm and help lengthen the muscle-tendon unit.
  • Strengthening exercises. Weak muscles contribute to the tension of the patellar tendon.
  • Patellar tendon strap. Apply pressure to the tendon to help distribute strength away from the tendon.

Other treatments

If nonsurgical treatments don’t help, your orthopaedic in Delhi may suggest other therapies such as:

  • Corticosteroid injections. Corticostoirdes are ultrasound-guided around the patellar tendon and help relieve pain. They are, however, this treatment can have consequences, such as weakening tendons and making them more prone to ruptures.
  • Surgery. Surgery may be necessary for repair of tendons that rupture as a result of chronic degeneration and inflammation. Most people with tendon tears may require surgery to reattach the patella tendon. The surgical technique used varies depending on the condition. Some procedures may be performed through minimally invasive surgery, through small incisions around the knee, explains the best knee surgeon in Delhi.

Prevention

To reduce your risk of developing or worsening knee tendinitis, you may:

  • Don’t play with the pain. As soon as you feel pain, apply self-care methods such as applying ice and rest until your pain is silky, and avoid activities that cause stress on your tendon.
  • Strengthen muscles. Strong muscles are better able to handle the tendon that can cause knee tendinitis.
  • Improve technique. Make sure you are doing your activities in the right way, consider taking classes to better learn your technique when you are starting a new sport.

Recovery

Full recovery can take half a year to a year, depending on the extent of the injury and the treatment required.

Dental Malocclusion: Causes, Consequences and Treatment

What does the aesthetics of a smile refer to? In addition to the color of the teeth and the health of the gums, we must not forget to have a correct occlusion. The bite, known as dental occlusion, refers to the alignment of the teeth or, in other words, the relationship established between the upper and lower teeth. Conversely, the causes of a malocclusion may have certain consequences for the development of the teeth, jaw, and even the face, explains the best dentist in Delhi.

Correct Dental Occlusion

A perfect dental occlusion is said to be very difficult to find. We can say that a dental occlusion is optimal when the molars and premolars of both arches have perfect contact with each other when the mouth is closed, and the upper incisors cover the lower ones, supporting each other properly, says the dentist in Delhi.

The malocclusion (or abnormal bite), on the other hand, appears when for one reason or another, it does not respect that contact. It is enough that a single tooth is not in correct relationship with those around it to reach malocclusion.

Causes of Dental Malocclusion

The causes of dental malocclusion can be divided into general and local causes.

General causes

General causes include:

  • Hereditary causes (such as the shape of the jaws)
  • Genetic syndromes (e.g. Down syndrome, Turner etc.)

Local causes

The local causes are many and depend on a variety of factors.

  • One of them could be the disproportion between the size of the maxilla and the teeth.

That is, if a child’s jaw is very small, his teeth may become crowded. An example of this would be when the extraction of a baby tooth (caused by caries or trauma) at the dental clinic in Rani Bagh, and the neighboring teeth take their place. Later when that permanent tooth comes out it won’t have enough space.

  • Another possible cause could be the disproportion between the maxilla and mandible.

If the maxilla is larger than the jaw, the upper teeth may grow larger than the lower teeth, leading to an overbite. Otherwise, when the jaw is larger, the lower teeth cover the upper teeth, which is called the anterior crossbite.

  • Other causes

Other factors that lead to malocclusion are the habit of sucking, whether during prolonged breastfeeding, of the finger, tongue, lip or pacifier and also bruxism.

The mouth breathing associated with adenotonsillar hypertrophy or allergic rhinitis can also be causes of malocclusion, explains the dentist in Rani Bagh.

Symptoms and Signs of Malocclusion

Dental Malocclusions

The most typical signs of malocclusion are mainly aesthetic due to dental crowding or an abnormal bite (upper or lower overbite) with visible consequences on the face.

On the other hand, mild malocclusions do not produce any type of symptoms. However, the bass can affect bite, chewing, speech, or eating problems, says the dentist in Saraswati Vihar.

Consequences of Malocclusion

Although a large number of malocclusions do not seriously affect health, they should be treated during adolescence so as not to distort the appearance of the teeth and the shape of the face in the future. We are not only talking about functional but also aesthetic consequences that could lead to psychological and emotional problems such as lack of self-esteem, anxiety or depression, says the dentist in Delhi.

In severe cases, the functionality of the teeth, mouth or jaw could be affected since malocclusion could cause difficulty chewing certain foods and proper cleaning cannot be carried out. From here periodontal diseases appear, such as gingivitis or periodontitis and/or dental caries, warns the best dentist in Delhi.

Likewise, if the teeth are misaligned and there is not a correct bite, the temporomandibular joint disorder (TMJ) develops, accompanied by severe pain and the inability to open the mouth sufficiently.

Finally, a malocclusion can lead to conditions at the cranial level (migraines, headaches, etc.) or the spinal column, states the best dentist in Pitampura.

Treatment of Malocclusion

The orthodontist in Pitampura is the one in charge of treating the malocclusion. Before starting treatment, the orthodontist will need to conduct a case study with:

  • Questions about current health status.
  • Examine both teeth and tissues.
  • Dental X-rays and photos (extraoral and intraoral).
  • Intraoral scanner to carry out the digital impression, preview the movements of the teeth and also the duration of the treatment.

Depending on the type of malocclusion, traditional brace orthodontics may be recommended by the best orthodontist in Pitampura (do not worry because there are different aesthetic types from which you can choose) for a period of 2 years (or more) or invisible orthodontics.

Men Betrayed By Their Hormones

Women would not be the only ones to experience a decrease in their hormonal activity with age. Even if the decrease in testosterone is not as abrupt in humans, it would not be without consequences. Should we use substitution treatment? Who to book it for? All these questions are at the heart of a lively debate.

Decreased libido, fatigue, increased cardiovascular risk, irritability, increased waist size … All of these common symptoms in older men could hide testosterone deficiency. 

Andropause, an inappropriate term

Like women, would men see their hormones drop to their fifties? Much less brutal than the upheaval of menopause, the deficit in testosterone linked to age would translate a progressive reduction of this hormone. Not constituting a male fatality (unlike menopause which affects all women), this slow transition allows most men to maintain their reproductive function until an advanced age. This is why the term deficit in testosterone linked to age is preferred to that of andropause.

According to sexologist in Delhi, this decrease in testosterone begins at the age of 30 at a rate of 1 to 2% per year. But important personal factors come into play since some men will maintain high testosterone levels throughout their lives, while others will have very low testosterone levels. Apart from aging, other causes can lead to such a deficit: damage to the testicles (trauma, surgical removal, irradiation, chemotherapy, etc.), hormonal disorders (certain diseases of the pituitary gland), certain drugs and genetic abnormalities.

The number of men involved is the subject of controversial assumptions. According to the best sexologist in Delhi, “at least 20% of men over the age of 60 (…) and about 50% of those over the age of 80 have abnormally low testosterone”. Figures to be compared with the aging of the population.

Deficit in testosterone linked to age, your unforgiving world

Produced by Leydig cells in the testes, testosterone acts on many organs: muscles, vessels, liver, prostate, genitals, brain, bones, skin, hair, etc. Settling insidiously, the disorders are difficult to dissociate from the natural manifestations of aging.

Sexologist doctor in Delhi reminds that deficit in testosterone linked to age can manifest itself by symptoms of banal appearance after 50 years:

  • Sexual disturbances with impaired libido, sexual activity, erectile function, pleasure and ejaculation deemed insufficient;
  • Functional symptoms such as asthenia and increased fatigability, sleep disturbances but also sweating, hot flashes;
  • Modification of the body diagram: decrease in muscle mass and strength, increase in visceral fat, pubic and axillary depilation, testicular hypotrophy;
  • Character disorders: irritability or indifference, loss of self-esteem, lack of motivation and fighting spirit, disturbances in concentration, recent memory;
  • The development of osteoporosis.

However, it is neither compulsory nor frequent that all of these events be simultaneously present. The assimilation of these symptoms frequently associated with physiological aging could lead to an underestimation of the problem or to a medicalization of a natural phenomenon.

A difficult diagnosis

“Faced with these uncharacteristic symptoms, it is the concordance of these signs that will cause the top sexologist in Delhi to think of a deficit in testosterone linked to age, whose sexual problems cover only about a third of the cases” declares sex specialist in Delhi. But in the end, only a hormonal assessment can confirm the diagnosis. The dosage should be done on an empty stomach in the morning between 7:00 a.m. and 10:00 a.m., the time of day when testosterone levels are highest. Normal values ​​are usually between 3 and 10 ng / ml, but results may depend on the laboratory and the results of other dosages. In the event of an abnormally low result, the dosage should be repeated to confirm the permanence of the hormonal deficit. Additional dosages are sometimes necessary to verify the functioning of the pituitary gland, explains sex doctor in Delhi.

But here again, the rub, since it is not easy to determine the threshold value of testosterone below which it makes sense to treat. The value of testosterone sufficient to maintain libido or muscle tissue could vary from one man to another, says sexologist in South Delhi

As the list of harms attributed to low testosterone (an increase in cardiovascular disease, a decrease in bone density) grows , the rationale for hormone therapy remains the subject of debate, says sexologist in East Delhi.

When to treat?

Many products already offer different methods of administering testosterone (tablets, oily and intramuscular injections, patches, gel, etc.). Despite this amazing diversity, there are few scientific studies to confirm that these hormonal supplements can help older men. Most studies are only extrapolations from work carried out on young men suffering from an early testosterone deficiency (hypogonadism).

In addition to their small number, studies on deficit in testosterone linked to age argue in favor of such a treatment with a restoration of libido, sleep, spatial memory, an improvement in mood, a reduction in fat mass and an increase of muscle mass and strength… Knowing that this androgen deficiency is a usually permanent condition, the treatment would therefore be treatment for life. A period to be compared with the slight decline in these products which does not exceed 4 years, explains sexologist in Delhi.

A difficult assessment of the benefit-risk balance

Side effects include an increase in the number of red blood cells, worsening of sleep apnea, a moderate increase in prostate size, and a risk of advancing micro-cancer of the prostate.

Currently, the long-term effects of androgen replacement therapy remain unknown, particularly with regard to prostate and cardiovascular risk. Scalded by the dangers of HRT of menopause, some scientists fear that these treatments encourage the occurrence of hormone-dependent cancers (whose growth is promoted by hormones). In men, prostate cancer is androgen-dependent and high levels of testosterone could rapidly progress micro-cancers. Consequences which could be thwarted by more regular screening.

Such a prescription can therefore only be made after analysis of the benefits and risks specific to each patient who must be clearly informed, suggests sexologist in Delhi.

Men at particular risk of prostate cancer (men of color, men over 40 with relatives with prostate cancer and people in their fifties will need to undergo specific screening before treatment is started. -indicated for men who have had a history of prostate or breast cancer, this management requires strict monitoring, carried out in consultation with a blood test (PSA test), first at 3 months and then at a rate variable which will never be more than 12 months Finally, the treatment can be interrupted at any time without any particular risk, except the return to the initial situation, says sexologist in Delhi.

kidney cyst

Kidney Cancer: General information and treatment

Kidney cancer is the third in frequency among malignant tumors of the uro-genital apparatus, after those of the prostate and bladder. They are, in their great majority, originated in the kidney itself, although exceptionally they can be an extension of tumors from other locations.

If not treated in a timely manner, it can be fatal. If it is diagnosed in a localized stage (before it has expanded outside the kidney), the probability of 10-year survival is greater than 90%, and it decreases depending on the extent of the tumor, says urologist in Dwarka.

What is the cause of this disease?

As in other malignant diseases, it is believed that damage to DNA (the substance within the cell that determines its biological activity) generates a cascade of events that ultimately translate into unregulated and aggressive cell growth and reproduction that make up a tumor.

A type of cancer is the family kidney, which occurs when some mutations (changes in DNA) are passed from one generation to the next. Corresponds to 3-4% of all cases of the disease. If there is a family history of kidney cancer, the person must be strictly controlled.

Another form of cancer is sporadic kidney cancer, which corresponds to the vast majority of cases and is caused by changes in the cells after birth, probably due to external factors that cause DNA damage, explains urologist in Janakpuri. Some of these factors are:

Smoking habit

It increases the probability of developing kidney cancer by 40%, making it the highest risk factor for this disease. Many of the chemicals inhaled by smoking are believed to be absorbed into the bloodstream and concentrated in large quantities, where they can cause DNA damage and tumor formation. By quitting smoking the risk decreases, but it can take many years to reach the risk of a non-smoker.

Occupation

Studies indicate that people exposed to some chemical agents like asbestos, cadmium, some herbicides and organic solvents like trichlorethylene, have a higher risk than people who do not have this contact.

Obesity

Some scientists believe that it is a factor in 20% of cases. It can alter the balance of hormones in the body, which affects the normal growth of kidney tissue.

Sedentary lifestyle

Several studies indicate that inactive people are more likely to develop kidney cancer than those who exercise regularly.

Hypertension

Statistics suggest that, added to excess weight, they can triple the risk of kidney cancer.

What are the symptoms of the disease?

According to the best urologist in Janakpuri in its early stages, it is rare to cause symptoms. A significant proportion of cases are detected as a finding in a routine checkup or for an unrelated problem. There is no blood test that allows investigating kidney cancer in its early stages; therefore, it can reach a significant volume before being found. Some of the symptoms that can be experienced are:

  • Blood in the urine
  • Low back pain
  • Mass or bulge in the abdomen
  • Fatigue
  • Lose weight
  • Fever
  • Lower limb edema

It should be noted that in the vast majority of cases these symptoms are not caused by cancer, but by benign conditions such as cysts or infections. However, a study is necessary, as tumors diagnosed in a timely manner can be successfully treated, suggests the best urologist in Dwarka.

How do you make the diagnostic?

In addition to the physical exam, one or more of the following studies are done to confirm the diagnosis:

  • Urine test
  • Blood tests (CBC, plasma creatinine)
  • Ultrasound
  • Computed axial tomography (Scanner)
  • Magnetic nuclear resonance
  • Biopsy puncture

Staging

Once the diagnosis of kidney cancer has been established, other laboratory and radiological examinations are used to determine if the tumor is confined to the kidney or presents evidence of local or distant extension. This information is extremely valuable for planning the best kidney cancer treatment.

Treatment

Kidney cancer treatment will depend on two factors: the degree of extension and the general health condition of the patient. Nephrectomy (surgical removal of the kidney) is the standard therapy for “localized” tumors, that is, confined to the kidney, its adjacent tissue, or peri-renal lymph nodes, says urologist in West Delhi.

Radical nephrectomy

It is the most commonly performed surgical procedure for this type of cancer. It consists of the removal of the kidney, adrenal gland, lymph nodes, and perirenal fatty tissue. The remaining kidney allows the patient to lead a normal life.

Partial nephrectomy

It is the removal of only the part of the kidney that includes the tumor. It allows preserving a greater reserve of kidney tissue. It has been used more commonly in recent years, especially for small tumors (4 cm or less), in which a radical nephrectomy may be unnecessary. It is the preferred strategy in patients who have only one kidney or, having both kidneys, their overall function is impaired.

Laparoscopic surgery

Both total and partial removal of the kidney can be performed laparoscopically. The surgery is performed using small instruments and a camera that are inserted through three to four holes of approximately 1 cm. on the abdominal wall. It meets the objectives with the same efficiency as open or traditional surgery, providing the advantages of less pain in the postoperative period and a faster recovery.

Advanced tumors

Treatment of advanced tumors is gradually improving, but an optimal strategy does not yet exist. Some patients may benefit from kidney removal.

Alternatives include immunotherapy, which is the use of drugs that stimulate the patient’s immune system to try to control the tumor. More recently, other drugs have been incorporated that can attack the tumor, reducing its vascularity and other targets. The latter appear to be more promising, but there are no long-term follow-ups yet.

Chemotherapy and radiotherapy do not play a role in the management of kidney cancer, except in very rare cases.

Tracing

Like all malignant tumors, even when the tumor has been completely removed, it requires regular monitoring, since malignant cells can appear in other parts of the body. Control includes physical examination, laboratory and radiological examinations. A change in lifestyle is recommended that includes a balanced diet with high fiber intake and low animal fat, regular exercise and smoking cessation.

CKD TREATMENT IN DELHI

The therapeutic objectives of referral to a nephrologist in Delhi are aimed at reducing and treating the associated complications of CKD, and preparing adequately and sufficiently in advance, the replacement treatment for renal function. Early detection and appropriate referral to Nephrology of patients with CKD reduces complications and improves long-term survival, since it allows early identification of reversible causes, decrease the rate of progression, decrease associated cardiovascular morbidity and mortality, and prepare the patient adequately for dialysis if necessary.

The improvement of the care and the prognosis of CKD must be made through early detection plans in the population at risk, which implies close coordination and collaboration between Primary Care and Nephrology, says the nephrologist in Noida.

According to the nephrologist in Delhi, the treatment of Chronic Kidney Disease aims to avoid or reduce risk factors for disease progression, prevent the onset of symptoms and minimize complications.

The low protein diet delays the appearance of excess urea symptoms (pruritus, insomnia, neurological, neuromuscular, gastrointestinal and other disorders), by reducing its generation. Although controversial, it is suggested that protein restriction slows the progression of CKD. This concept is not applicable to patients with polycystic kidney disease, but protein restriction is especially beneficial in diabetic nephropathy, says the nephrologist in Gurgaon.

Before prescribing the diet, the patient must undergo a nutritional evaluation. Also, the diet must include an adequate energy supply. There is a favourable circumstance that phosphorus restriction is proportional to protein restriction, so both guidelines are consistent.

In addition, the low protein diet prevents part of metabolic acidosis, by reducing the generation of acids in the body. A low protein diet is especially useful in patients with CKD grade 4 and 5, although it is less important if the patient has very well controlled blood pressure. The low protein diet can cause malnutrition, so it should be provided between 0.6 and 0.8 g / kg / person / day, in those with moderate-severe or severe kidney failure, and some parameters should be evaluated periodically corporal like the index of corporal mass, the triceps fold or the circumference of the arm, and biochemicals (in the analytical ones) like albumin and serum cholesterol, or lymphocyte levels. On the other hand, the diet must contain 35-40 kilocalories per kilogram of weight per day, suggests the kidney specialist in Delhi.

With a low protein diet, acid production is reduced, but despite this, in an advanced CKD situation, the kidney is not capable of producing the bicarbonate necessary to replace what is lost, and it is necessary to replace it as a supplement (3 -4 grams daily in the form of oral stamps or bicarbonated water). This amount depends on kidney function and the animal protein content of the diet, explains the kidney specialist in Noida.

The water intake depends on the diuresis that is conserved. Diet salt is often limited to control excess fluids and high blood pressure. However, the loss of the ability to dilute urine associated with CRF implies that a minimum intake of salt is necessary to guarantee that the patient can eliminate, for example, 2 liters of water; otherwise water is retained, and sodium in the blood drops too low (hyponatremia). This process is frequent during hospitalization, in which very restrictive diets can be indicated in salt and liquids are provided in the form of glucose serum.

Salt restriction reduces the sodium load reaching the end places of the nephron where sodium is exchanged for potassium (the tubule reabsorbs sodium and expels potassium), thus favouring the dangerous increase in potassium in the blood (hyperkalemia), says the kidney specialist in Gurgaon.

The different alterations in bone-mineral metabolism (hyperphosphoremia, hypocalcaemia, hyperparathyroidism, osteoporosis, etc.) are secondary to the progressive loss of mass and kidney function. As glomerular filtration decreases, a discrete but significant decrease in calcitriol can be seen secondary to the loss of renal mass, and to phosphate retention, which in turn decreases the renal synthesis of calcitriol. Furthermore, with this deficit of calcitriol synthesis, intestinal calcium absorption decreases, producing hypocalcemia. The positive balance of phosphorus, the deficit of calcitriol and the hypocalcemia, lead to an increase in PTH and trigger a situation of secondary hyperparathyroidism. Control of the phosphocalcium balance is essential to prevent it, and its values ​​must be kept in range according to the degree of renal failure of the patient. The basic treatment is with phosphorus chelating drugs, which manage to “catch” it from the diet and eliminate it with the faeces. A normal diet provides about 1,200 mg of phosphorus a day; When urinary phosphorous excretion is less than 700 mg / day, hyperphosphoremia and stimulation of PTH secretion begin to occur. At this time, emphasis should be placed on restricting foods rich in phosphorus, and if necessary, combining chelators and vitamin D, suggests the doctor for kidney in Delhi.

People with Chronic Kidney Disease have a much higher cardiovascular risk than the general population, and it is essential to fight all the factors that increase that risk. It is as important to try to slow down the progression of CKD as to combat factors such as high blood pressure, excess cholesterol, obesity, which multiply the complications in these vulnerable patients. Most patients with CRF have anemia, due to the relative deficit of renal synthesis of erythropoietin. Specific treatment improves survival, decreases morbidity, and increases quality of life in both dialysis and pre-dialysis patients, says the nephrologist in Delhi.

Tobacco use is the most common cause of preventable cardiovascular mortality worldwide. The immediate deleterious effects of smoking are related to activation of the sympathetic nervous system, which increases myocardial oxygen consumption through an increase in blood pressure, heart rate, and myocardial contractility.

Furthermore, smoking induces a progressive increase in arterial stiffness and is a major risk factor for cardiovascular disease, coronary heart disease and cerebrovascular disease. Furthermore, tobacco induces and accelerates the progression of CKD. In patients with advanced CKD, smoking is a cardiovascular risk factor and is associated with an increased risk of developing heart attacks, peripheral vascular disease, heart failure, and mortality. Quitting smoking is an essential therapeutic goal in CKD patients.

Decreased Libido In Men: How To Boost Your Libido?

Lack of libido does not only affect women. Erectile dysfunction or simply lack of desire, a man’s libido fluctuates according to mood, time, and loss of libido can also have hormonal causes. For a fulfilled sexuality, simple solutions exist to regain your male libido, says sexologist in Delhi.

Male libido: the factors behind a loss of sexual appetite

The loss of libido materializes in men by a sexual desire at half-mast, and sometimes breakdowns of erection. These disorders are partly of medical origin, partly of psychological origin, explains best sexologist in Delhi.

The medical causes of loss of libido

A low testosterone level can cause a decrease in libido in men. With age, in particular, hormone production decreases and the intensity of male sexual desire suffers. But other factors of a medical nature can influence the lack of libido: drug treatments, illness, unhealthy lifestyle – regular intake of psychotropic substances or alcoholism, for example – are often singled out, point out sexologist doctor in Delhi.

Psychological factors of lack of libido

Under too much professional or family pressure, the man who feels stress or fatigue is less inclined to have sex. Similarly, the wear and tear of the couple over time or the arrival of a child can jeopardize their libido.

How to regain your male libido?

Personally, men have at their disposal several solutions to test to boost their libido.

Lack of libido of medical origin: the means to remedy it

When the loss of sexual desire is induced by taking medication, there is no question of stopping treatment on a personal initiative. Man has every interest in this scenario to consult his doctor to find with him a therapeutic alternative with less harmful side effects on his libido. If the disorders are of hormonal origin, it may be beneficial to have blood tests and then set up a suitable testosterone therapy. Finally, adopting a better lifestyle can help regain your male libido, suggests sex specialist in Delhi.

Take care of yourself to fight a loss of libido

Like a woman, a man who feels bad about himself does not feel desirable. It’s time to highlight its seductive assets: new wardrobe, hardsports sessions, facials … so many ideas to regain your self-esteem and have the feeling of pleasing again. In the same vein, regaining your libido can go through rest and a cure of vitamins: an optimal physical form allows to overcome fragile psychological states, directly influencing the libido of man, explains sex doctor in Delhi.

Loss of male libido: the couple in question

Often, the lack of libido in men has its origin in the couple. In this hypothesis, the partners must become aware of it to find together effective means to re-boost sexual desire.

Reserve moments for two

The arrival of a child at home, an intense professional rhythm, or a busy social life can keep lovers away. For fulfilling sexuality, lovers can plan special moments for their couple. An evening, a weekend, or a vacation for two allows you to find yourself as in the first days of the relationship, during which the libido of the man is generally at the top. By reconnecting in this way, the couple can also revive love, essential for some to sexual desire says sexologist in Delhi.

Renewal and the unusual to regain your libido

Time has a detrimental effect on the sexuality of most couples. When the routine replaces the surprise, sexual arousal suffers immediately and the man can find himself subject to erectile dysfunction or a breakdown of desire for his partner. The lovers, to face it, must show imagination and spice up their sexual relations: by renewing their positions, by trying libertine practices, by adding accessories and sex toys, by realizing fantasies or by surprising the other with sexting … there are many ways to fight against a loss of libido, says sexologist in Delhi.

When a man’s libido depends on a woman

It can happen that the lack of male libido is caused by the neglect of the partner. In this context, the man can suggest to his companion to leave him the big game. Naughty underwear, taking initiative or erotic games: when the woman surprises her lover, the libido of the man is likely to go up sharply, explains sexologist in Delhi.

HIP PINCHING: SYMPTOMS, TREATMENT AND RECOVERY

If you have repeat (inguinal) hip pain and are an athlete or frequently engage in physical activity with discomfort during or after this activity, you may have a hip pinch or hip impingement. A lesion or incipient cartilage can give the first symptoms, explains the orthopaedic in Delhi.

The problem is in the case of those who are sedentary, because it is a disease that can appear silently. It has no symptoms, as it does not generate stress on the hip. Here the pain can appear late when the cartilage of the joint is totally worn, causing osteoarthritis of the hip.

This disease was discovered 20 years ago. Before its existence, most hip ailments were diagnosed as mono arthritis, causeless inflammation, idiopathic osteoarthritis, unknown cause, or joint wear and tear in late cases.

Over time, it was discovered that about 80% of these patients had an alteration in relation to the shape of the bones of the acetabulum with the femur. They already called this hip pinching.

This disease contains a lot of different pathologies, it is a set of alterations in the joint, which can be the deformity of the acetabulum or the femur.

Symptoms

The symptoms of hip impingement can be pain in the groin, discomfort in the hip area around a pain type C, after exercise or appears daily without physical activity. Patients who have been with the disease for a long time and have never had discomfort, the main sign is loss of mobility in the hip.

Also, knee pain that you don’t have any findings may be from hip problems. “The knee cries for the hip,” says orthopaedic doctor in Delhi.

Symptoms depend on the deformity and physical activity.

If there is a lot of deformity and a sedentary lifestyle, symptoms may start. In as much, if there is little anatomical alteration, but the patient is very active, it is more probable that the hip pinch is manifested. And finally, those who have minimal deformity and do little physical activity, it is likely that they can reach the age of 65 and their hip will never hurt.

Exams and Diagnosis

In the first instance, the orthopaedic doctor in Delhi performs a clinical examination, accompanied by the patient’s symptoms, in which he will move the patient’s leg and, specifically, the hip joint to assess pain and range of motion.

To make an accurate diagnosis, the traumatologist indicates a plain radiograph of the pelvis and hip, and an MRI or Artroresonance study. With the radiologist’s evaluation, it is possible to determine where the lesion is, what its size is, if there is a ruptured labrum, tendon injuries, among other types of specifications.

What is the Labrum?

The labrum is the ring of cartilage, which is located on the outside of the hip joint. It works as a “glue” between the femur and the acetabulum.

Hip-Labrum-Tear

A labrum tear can occur from high-impact sports or physical activity. Also due to hip abnormalities, says the orthopaedic in Delhi.

Treatment

The treatment for hip pinching in patients with little deformity, elderly and do not have a significant burden of physical activity, is palliative. That is, it seeks to reduce symptoms, before opting for hip surgery in Delhi, with anti-inflammatory drugs, kinesiotherapy, which has an effect on periarticular inflammation.

The other intermediate option is to inject the hip with anti-inflammatory drugs, such as corticosteroids. Which seeks to eliminate acute hip pain. It is a transitory treatment, because the pain will return. If you do little exercise, it will most likely last 1 to 2 years. However, in the case of active people, the hip ailment may go away for 1 month or 1 week.

Patients who have a lot of deformity, are athletes and young people, the treating doctor will probably indicate a surgery.

Hip arthroscopy

Hip arthroscopy in Delhi is a minimally invasive surgery that corrects acetabular and femoral deformities through two holes of 1 centimeter each. Damage is repaired, which is usually the labrum and cartilage. “The surgery lasts around 1 hour and a half. What we do is à la carte”, says the orthopaedic surgeon in Delhi.

In addition, in 10% of patients, the muscle area can be intervened, if there is a highly inflamed tendon that has not regenerated, a tenotomy is performed. If there are gluteal problems, the tendon is cleaned.

Recovery

Once the hip surgery in Delhi is performed, the patient must be hospitalized overnight in the clinic. However, recovery from a hip pinch is slow. During the first 2 or 4 weeks you should use canes.

The most important thing for an optimal recovery is the rehabilitation that expert hip kinesiologists must carry out.

“People who do poorly rehabilitation can have pain between 6 to 9 months. Those who do a good rehabilitation should not be more than two months with significant pain. Even so, the global rehabilitation to return to play sports, play ball -for example- is six months. If after 6 months I have significant pain, we must start looking for causes of why and treat it, “warns orthopaedic in Delhi.

In a year, the patient may have minimal or some periarticular discomfort, but should not have joint pain.