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Overall Health

Male/Female Tubal Obstruction

Female Tubal Obstruction

Adhesions are scars which form on the outside of the oviducts. They tie down the tube; it cannot move at ovulation to scoop up the free-floating egg. Adhesions can be due to previous pelvic infections, or surgery. If the scarring is widespread, the open ends of the fimbria may be completely blocked. When liquid is passed through the tubes, it cannot flow out. This is known as hydrosalpinx.

Corrective surgery to free the tubes from external adhesions has a success rate of 60 to 70 percent. However, this high rate only applies if the mucus linings inside the tubes have not been damaged by the scarring. Yet, when the fimbria is blocked, this internal lining is almost always severely damaged.

The pregnancy rate then drops to between 5 and 20 percent. Keep in mind that there is always the risk that an operation to unblock the tubes can produce even more scar tissue. In these cases, one choice is in vitro fertilization.

Male Tubal Obstruction

The epididymes can be felt by gently rolling the testicles between the fingers and thumb. They are small comma-shaped lumps on top of the testicles; “epididymes” is Greek for “upon the twins.” They are, in fact, tightly coiled tubes which, if stretched out, would measure 20 feet.

After baby sperm leave the testicles, they mature in the epididymes, and develop swimming skills. If the epididymes tubes are blocked, the result is tubal obstruction. In rare cases, blocked tubes are the result of a birth defect. The vas tubes which carry the mature sperm to the penis can also be blocked.

Blocked tubes are a common problem in male infertility. They occur for the same reasons as in women; scars from previous infections or surgery. Surgery to repair defective tubes can be successful if the blockage is mild. However, if the degree of scarring is great, the outcome for unblocked tubes is low. One option in these cases is in vitro fertilization.

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Women's Health

Chlamydia

Chlamydia is the most common STD in the U.S. today, with as many as 4 million new cases each year. It causes about half the known cases of NGU (non-gonococcal urethritis) in men. It breeds on the cervix in women. The symptoms are often mild and frequently go unnoticed. They are the same symptoms as gonorrhea and can be confused with it. However, they appear a little later, within 1 to 3 weeks of sexual contact. More rarely, Chlamydia can be passed by a hand infected with the discharge from parent to baby.

If left untreated, chlamydia can lead to PID and infertility. Tests involve taking swabs from the cervix and culturing a specimen. The antibiotic of choice is tetracycline. Protect the cervix.

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Women's Health

Fertility Drugs

There are different kinds of fertility drugs to stimulate the ovaries. Each has advantages and disadvantages in terms of time, negative side effects, cost, and so on. Some are taken orally, others require shots. Still, others are delivered via a pump which is worn at the waist with a drip-feed entering a vein in the arm; this allows for small doses to be slowly and steadily absorbed.

Fertility drugs work in various ways, usually on the pituitary and/or hypothalamus. They stimulate the ovaries in the early part of the cycle to produce more and better follicles. They are very effective; 80 to 90 percent of women will ovulate regularly on the 13th or 14th day. Where the only cause of infertility is poor ovulation, there is a very good chance of pregnancy.

In fact, fertility drugs stimulate the ovaries so successfully that more than one egg is produced. This results in the problem of multiple births. There is a 10 to 25 percent chance of twins and triplets; with higher numbers, some of the embryos die, and/or are severely retarded. Though fertility drugs do involve multiple births, further research may soon reduce this risk.

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Women's Health

Untreated Gonorrhea Can Lead To Pelvic Inflammatory Disease (PID)

Gonorrhea is a bacterial infection that affects one million people each year in the United States. It is believed a further one million cases each year go unreported, because the disease is asymptomatic in 10 to 15 percent of men, and in 50 to 80 percent of women. Of the women with mild symptoms, 40 to 60 percent ignore them, believing that they are due to some other minor problem. The cervix is the most common site of gonorrhea.

Symptoms appear 3 days to 2 weeks after sexual contact. There is a thick, yellowish discharge. The cervix looks red, with small bump-like pits which are erosions. The urine tract often becomes infected, with the classic symptoms of UTI: stinging pain, frequency, and urgency. The infection can spread, to Skene’s and Bartholin’s glands. With oral sex, gonorrhea can spread from the penis to the throat, with sore throat and swollen glands, or it is asymptomatic. Discharge from an infected vagina or anal sex can infect the rectum with itching anus and discharge.

Untreated gonorrhea can lead to pelvic inflammatory disease (PID). Some 1 to 3 percent of women develop “disseminated gonorrhea,” which spreads throughout the system. It can cause arthritis and, in rare cases, heart disease. The infection can be passed to a baby during birth, causing serious infection and possible blindness. Therapy is by antibiotics. Protect the cervix.

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Men's Health

Self-Care Suggestions On Dysmenorrhea

The perception of pain is an individual issue. Stress has been shown to increase pain perception by about 30 percent per hour. Tension, whether mental or physical, makes any pain feel worse. A woman who is worried and has cramps will almost certainly feel more pain. Some find they are less aware of PMS irritability if they have a number of specific things to do. Put exercise high on this list.

The following suggestions may not work for all women. They may not work for all PMS or dysmenorrhea. Yet they have helped many girls and women reduce the need for analgesics.

  • Exercise: Vigorous exercise releases endorphins, the body’s natural pain killer. Higher endorphin levels may be the reason why exercise can be effective against dysmenorrhea and PMS.
  • Massage: Massage helps practically everything. The rhythmic strokes soothe and ease tension, reducing the bunching up against the pain.
  • Heat: A warm bath can be effective against cramps. A heating pad or hot water bottle cradled at the sore spots often helps.
  • Supplements: Some physicians recommend vitamin and mineral supplements. Others believe that these chemicals should be obtained only through a varied diet.
  • Diet: Eat small, high-protein snacks every few hours to combat fatigue and weakness.
  • Caffeine: Reduce tea, coffee, or chocolate intake to reduce mild dysmenorrhea and PMS.
  • Salt: Follow a low sodium diet for seven to ten days before the start of a period to reduce water retention.
  • Yoga: The gentle stretching and strengthening of yoga bring soothing relief. Enroll in a class, or learn from a book.
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Men's Health

Male Factor Infertility

The first and simplest fertility test involves a specimen of the male ejaculate. An average ejaculate contains one-half to one full teaspoon of semen. The average ejaculate volume after 3 days of abstinence is 3 to 5 cc. Sperm make up only about 3 percent of the average ejaculate. The other 97 percent consists of fluids made in the prostate gland and the seminal vesicles.

Sperm Count (millions per cc)Pregnancy Rate (%)
5 – 1027.8
10 – 2052.9
20 – 4057.1
40 – 6060.0
60 – 10062.5
Over 10070.0

100 million sperm per cc is very high; 15 million is very low. The lower the counts, the higher the risk of infertility. There is no general agreement on the lower limit; some specialists believe that even a very low sperm count does not rule out the chance of fertilization, providing the sperm are well-formed and have good swimming skills.

In an average ejaculate, there will always be defective sperm. About 20 percent will lack proper structure or motility. They can have three tails but no head, ahead but no tail, and so on. They can lack all sense of direction, clump together, swim feebly, or not swim at all. To reach the oviducts, sperm must move forward, and at fairly high speed.

Sperm Washing: When sperm are deposited at the top of the vagina, they have great distances to travel before they reach the oviducts. This allows time for “capacitation”, the enzymes in the head become activated to help sperm enter the tube and penetrate the wall of the egg. Sperm washing is a high-tech procedure that allows capacitation for poor-quality sperm. It can be used in combination with in vitro fertilization.

Hormone drugs can stimulate under-active testicles, and raise the sperm count. If the problem is found to be that the man produces antibodies to his own sperm, steroids can suppress this immune reaction. When planning for intercourse at specific ovulation dates, keep in mind that it takes 72 days altogether for sperm to mature in the testicles and epididymes, before they are ready to be ejaculated.

A recent study found that men who were not under stress to “perform” produced higher sperm counts than those who were. Many women can sympathize with this. It is much the same “performance pressure” as feeling “obliged” to always have an orgasm. Keep a partner from feeling such pressure at specific ovulation dates. One way could be by more frequent intercourse. Studies on college athletes showed that abstinence appears to have little effect on sperm quality.

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Women's Health

Generic Terms Nonspecific Vaginitis and Vulvitis

There are many other organisms that can attack the area. They come under the generic terms nonspecific vaginitis and vulvitis. Nonspecific refers to conditions in which the cause is uncertain. They may be due to sexual infection, or they may not. The symptoms are often the same as for yeast and trich, with a profuse, foul-smelling discharge, intense itching, soreness, and in some cases, severe pain. Again, like yeast and trich, none of these attacks seem to affect the cervix. Yet they can cause real misery, and greatly reduce the quality of life.

Have a test for diabetes or a prediabetes condition first. Check diet and general health; try to boost the immune system by getting more rest, more profound sleep. Many women are run down and exhausted without realizing how deeply tired they are. Once yeast and trich are ruled out, a course of antibiotics may be the answer, though yeast overgrowth may then have to be treated. If attacks of vaginitis or vulvitis do recur, be extra scrupulous with genital hygiene. Keep the entire area cool and dry.

Categories
Women's Health

Fertility Self-Help

The following are suggestions that can be helpful during the time of waiting for pregnancy to occur:

  • Know the time of ovulation, and the entire fertile period.
  • Check that love-making is sufficiently frequent.
  • Avoid the “female superior” position; it allows the male ejaculate to spill out of the vagina.
  • The missionary position, man on top, is the most appropriate for fertility needs.
  • Avoid moving after ejaculation to allow the semen to pool in the fornix areas around the cervix.
  • Remain on the back for at least half an hour with the knees drawn up and a pillow under the hips.
  • Eschew the douche. The fluid can upset the ecology of the vagina and hence upset the motility of the sperm.
  • If lubrication is required, avoid the use of water-soluble jellies which can be spermicidal.
  • Eat a balanced diet, with fresh vegetables and fruits, low-fat proteins, and unrefined grains.
  • Maintain normal body weight. Avoid all crash diets and slimming programs.
  • Exercise in moderation. Exercise abuse upsets ovulation and causes irregular periods.
  • Avoid alcohol and marijuana. Both reduce sperm production and can affect the female reproductive system.
  • Avoid cigarettes. Couples who smoke have a significantly lower fertility rate than couples who do not.
  • Hot baths and jacuzzis affect sperm production. Avoid tight-fitting pants and jockey-type underwear. Keep the groin cool.
  • Relax. Stress is a factor in infertility problems.
Categories
Women's Health

Trichomonas Vaginalis

Trichomonas Vaginalis, or trich, is caused by a one-celled protozoan that grows rapidly within the vagina. Some women have an immediate and painful reaction to trich. Many more have asymptomatic trich; it is often only found if there are tests for other problems. The symptoms include a thin, foamy discharge that is yellow, green, or grey; there is intense itching and soreness, especially if the vulva is scratched. Trich can infect the urinary tract, causing burning, urgency, and frequency. No tiny, one-celled creature should be able to cause such misery. But it does.

Trich can be passed on damp material: towels, bathing suits, washcloths, and toilet seats. This is rare. In most cases, it is transmitted by direct sexual contact. Metronidazole in Flagyl destroys trich. It has side effects, and should not be taken if there is any risk of pregnancy. A partner must be treated. Eschew douches and tampons. Avoid a flare-up recurrence by following the sarne “cool and dry” regime as for yeast overgrowth.

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Women's Health

Painful Periods

Dysmenorrhea can range from mild to severe cramps in the lower abdomen, pulling pains at the inner thighs, backache, fainting, nausea, actual vomiting, hot and cold flashes, diarrhea, or dizziness with headaches. Prostaglandins are hormones made in abundance during menstruation. They are produced by the uterus and other body tissues and control the contractions of blood vessels and smooth muscle in the uterus and gastrointestinal (digestive) tract.

If a specific cause for pain is found, dysmenorrhea is said to be secondary. If no specific cause is found, it is primary dysmenorrhea. This is not an insignificant term. Women with primary dysmenorrhea tend to be extra sensitive to prostaglandins. The uterus contracts too strongly and cramping pains are felt. Because prostaglandin constricts the blood vessels, it can upset blood flow and cause headaches, hot and cold flashes, diarrhea, and nausea of dysmenorrhea.

One interesting point: the male ejaculate, semen, is rich in prostaglandins. However, the uterus is protected from any undue effects. After a male orgasm, semen pools in the fornices at the top of the vagina. It remains here while the sperm struggle through the cervix. The seminal plasma does not flow through into the uterus.