Top Health Tips on Managing Endometriosis

It is common belief that people are highly interested in sex. However, this is not true. There are a lot of reasons which can reduce this sexual drive, known as libido. The reasons and therefore the causes are slightly different in men and in women. Read on to know some of the most common causes of reduced arousal in men and women and how to deal with it.


Causes of reduced arousal in men:
Physiologically, sex is greatly influenced by the sex hormones and with age, as there is a gradual decline in the amount of these hormones in circulation, the sex drive also takes a dip. This need not be the case though.
Stressed relationships is extremely common and though hormones have a big role to play, the mind is equally if not more important. If the couples are not happy, there is going to be no sex. As plain as that!
Excessive smoking can reduce a person s sexual arousal and even affect performance.


Prescription medicines, lack of exercise, anxiety and depression are other causes that also reduce sexual desire.


Management measures:


Testosterone replacement therapy in males is often used to boost sexual drive.
Lifestyle changes including regular exercise, quitting or controlled smoking, stress management, healthy relationships can go a long way in improving sexual performance.
If there are medications that are affecting the sexual drive, talk to your doctor and switch to an alternative.
Counselling where the partner is also involved also is very important.


Women: The causes for low sexual drive in females is very different from men.
Cultural differences: The cultural background and upbringing contribute in a big way to how responsive a person is. When it comes to sex, we as a country are still not very frank and open, and so there could be a perceived lack of desire. This is of course in the initial stages of a relationship and given some time, things would change.
Relationship issues: Stressed relationships are definitely a big no-no for a physical relationship. Happy relationships definitely invite a lot more intimacy between the couple.
Hormones: Testosterone which is present in both males and females affects sexual drive in women also. This hormone also gradually reduces over age, and causes some loss of libido.
Medical problems: Depression, anxiety, endometriosis, fibroids, thyroid issues also affect a woman s drive.
In managing this issue in women, psychology takes over a bigger role. Talking to the woman first and if required the partner helps in solving the issues in most women. Medical conditions, if present, should be corrected to address this issue. Hormone replacement and medication substitution also may be helpful if required.

Most of us wake up to a cup of hot coffee every morning. Coffee is like an indispensable part of most of our lives. But, there has been a lot of debate regarding the effect of coffee on human health. While some believe that coffee is a performance booster and prevents against certain diseases, others express doubt on the goodness of caffeine in coffee. Rather, the presence of caffeine keeps a lot of us worried about the adverse effects of coffee.

But, one needs to keep in mind that coffee is a complex beverage. It has both its pros and cons. One needs to know all about coffee before ordering the second cup for himself or herself. Reasons for having that second cup of coffee:

Coffee activates your system: It contains caffeine that increases the level of adrenaline hormone in your body. This hormone is responsible for getting you ready for fighting against odds or physical tasks.
Coffee checks your body weight: It contains minerals like magnesium and potassium. These minerals maintain the insulin level in your body. Therefore, by drinking coffee, your appetite for quick snacks gets killed. However, the sugar levels stay intact. It also burns fat.
Protection against cancer: A recent study claimed that coffee can provide protection against cancer. It is said to have the potential to reduce the chances of having prostate cancer in men and endometrial cancer in women.
Guard against other serious diseases: Coffee is believed to provide prevention against some serious diseases Type II diabetes, Parkinson s disease, Alzheimer disease and stroke. It contains antioxidants that boost body s immune system. Caffeine can lower one s sensitivity towards insulin and provides impairment to glucose tolerance, reducing chances of developing Type II diabetes.
Reasons for not having that second cup of coffee:

Toxic: Coffee has the possibility of being toxic. It can be adulterate with a lot of harmful impurities. The cheaper and poor quality coffee can prove to be highly toxic sometimes.
Don t overdrink: Coffee can prove very harmful and even lethal, if taken in larger quantities. It has the potential to kill an individual, if 80-100 cups are consumed in a shorter session.
It gives sleeplessness: Coffee can turn you into an insomniac, if consumed in larger amounts.
Conclusion
Nothing is good, if overdone or overused. The same goes for coffee as well. It is good for your health if taken in small amounts at measured intervals. You can definitely order the second cup of coffee for yourself, provided you keep a check on the number of cups you have consumed in the entire day. A sensible individual will drink less, but drink regularly to get blessed with the goodness of coffee beans. An irresponsible drinker will just get addicted to see the worst in future.

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment: Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

Do you consume soy milk on a regular basis? Soy milk is full of essential nutrients and is a source of complete protein for vegns and vegetarians. However, some people avoid taking soy milk as several compounds similar to the female hormone estrogen are present in soy milk. In spite of having several cons, the pros of drinking soy milk are significant and essential for maintaining good health.

Nutrients in soy milk: Soy milk contains protein in large amounts and is fortified with micro nutrients such as vitamin D, calcium, phosphorous, vitamin A, vitamin B 12 and Riboflavin. One cup of soy milk contains about 8 grams of protein. Soy milk also contains Alpha Linolenic Acid or ALA, an Omega-3 fatty acid, which the body requires for proper functioning. The micro nutrients contained in soy milk are similar to those present in cow milk.
It is lactose-free: Cow milk contains lactose, which is a natural sugar and many people find it hard to digest it. Soy milk is completely lactose free. Hence, if you have a milk allergy or are lactose intolerant, soy milk serves to be an ideal nutritional replacement without having any negative side effects on your body.
Health benefits
There are several health benefits, which are obtained by drinking soya milk. It is free of dietary cholesterol, trans fat and saturated fat, which indicates that your risk of heart disease is reduced. Drinking 25 grams of soy milk as a part of a healthy diet prevents the occurrence of heart diseases. Soy contains isoflavones which help in the prevention of hormone associated cancers such as breast cancer, prostate cancer and endometrial cancer.

Concerns
In spite of having several health benefits, there are some potential concerns associated with soy milk and its consumption. According to some studies, soy can affect or impact fertility in men. Soy may also increase the activity of thyroid hormone and reduce thyroid function. Moreover, milk is considered to be more effective than soy protein in boosting lean muscle mass.

Soy milk accounts for being one of the most ideal non dairy milk varieties, if you are concerned about matching its nutrient content with cow s milk. Recently, there have been some controversies regarding the benefits of soy milk as GMOs or genetically modified organisms are used in it. However, there are many soy milk manufacturing brands which do not use GMOs. Moreover, there is no evidence about GMOs being harmful to the body.

According to contemporary medical studies, loss of sexual desire is more common in women than in men. As many as 3 in 10 women have reduced or limited sexual interest in any kind of sexual activity. While the medical term for this problem is Hypoactive Sexual Desire Disorder (HSDD), it is generally understood as a loss of libido.

There are multiple factors that contribute to this problem including psychiatric or physical disorders, relationship issues, hormonal disorders etc. Let us look at the causes of this disorder at length:

1. Medical disorders:

a) There are conditions such as endometriosis, fibroids and thyroid disorders that may have a negative impact on the sexual drive of a woman.

b) Certain medicines such as antidepressants, oral contraceptives, and medicines that lower blood pressure may also negatively impact the sexual drive in women.

2. Hormonal disorders:

a) Dryness of the vagina and pain during sexual intercourse may affect sexual drive both mentally and physically.

b) After menopause, drop in the count of testosterone hormone also affects sexual drive which can result in loss of libido.

c) With advancing age, the level of androgens decrease, and hence results in a lack of sexual desire.

3. Lifestyle disorders:

a) In some of the cases, lack of emotional support in a relationship plays a significant role in the loss of libido. Post baby 'coolness' may also act as a driving force for loss in libido.

b) In today's era, changing lifestyle is drastically affecting our lives. Following an unhealthy lifestyle may result in increased weight that may affect self-image, and indirectly may also affect the sexual desire.

c) Stress and job, family pressure and exhaustion may also influence sexual desire of a woman.

4. Psychological factors

a) Increasing cases of depression, anxiety, frustration, stress is also an important cause of loss of libido in the contemporary society.

b) After childbirth, new moms tend to suffer from lack of sleep, insufficient lubrication of the vagina and exhaustion, which may affect her sexual desire.

The first and foremost step towards dealing with it is to make your partner understand your problem. Then, it is important to consult a doctor to find out the underlying cause, thereafter, treatment of the cause can normalize the condition. Since there are multiple causes of the problem, there are different ways by which the loss of libido can be easily managed and treated. Some of them are discussed below:

1. Treatment of hormonal disorders: The doctors will suitably treat problems like thyroids or recommend surgical treatment for fibroids to manage HSSD.

2. Change in medications: Since some of the medications are responsible for the lack of libido, the doctors will replace the medications to reverse this lack.

3. Addressing the psychological factors: Your doctor will either arrange for suitable psychiatric sessions or ask your partner to coordinate mutually.

4. Sex therapy/Relationship counseling or Testosterone therapy: While sex therapy or relationship counseling brings back the interest by effectively counseling the individual, Testosterone therapy involves off-label usage of testosterone hormone since it is not recommended by FDA.

Every woman desires to experience the sweetness of motherhood but unfortunately, some fail to get it. It is because either they have low fertility or because they have developed a disease or disorder like endometriosis and Polycystic Ovary Syndrome (PCOS) due to which they fail to conceive.

Endometriosis is always associated with infertility to get relief from the troublesome problem. Endometriosis is conditions which lead the womb cells (endometrial cells) to develop in other parts of the body because of which women experiencing this disease fail to release the menstrual blood and also fail to conceive. But these days nothing is impossible it this medical advancement era. There are many ways and methods by which one can conceive.

So here we are providing a useful set of information on some of the best Fertility treatments.

Intrauterine Insemination or Artificial Insemination: It is a normal process in which the sample of a prepared sperm from the husband or the partner is injected directly into woman s uterine cavity during ovulation.
In Vitro Fertilization: In this process, specific medication is used for the stimulation of the ovaries which lead them to produce more eggs in a while. Then eggs are then removed and fertilized with the husband or partner s sperm in a laboratory. The fertilized eggs are placed for 3-5 days to develop an embryo and then the embryo is transferred to woman s uterus.
It is considered one of the best and last stop infertility solution which proves to be a boon for a sterile couple. As in this process, fertilization takes place outside the body because of which there is no problem of conception even in the condition of any blockage and also minimizes the risk of endometriosis-related infertility. The endometriotic deposits produce and releases toxin into the uterus, fallopian tubes and ovaries thus the egg gets toxic and fail to fertilize the sperm.

In such condition, many patients rush for many other infertility treatments like fertility medications, intrauterine insemination, etc and when they lose hope of getting the desired result then they find a ray of hope by this ultimate treatment. There are five times more chances of conceiving by this method regardless of the age of women and the stage of endometriosis. The treatment is a boon not only for woman grappling with endometriosis but also for other critical issues like severe male infertility factor, blocked fallopian tubes, and reduced ovarian reserves. In such cases instead of wasting the money on other treatments doctors advice for IVF.

IVF minimizes the chances of miscarriage and also increases the chances of having a healthy baby. So if you are grappling with any such infertility issue than this informative guide may aid you in the journey from infertility to hearing child squeal at your home.

It has been more than 3 decades since IVF procedures are being practiced, and they have refined a lot over time, but still, more traditional procedures like Laparoscopy and Hysteroscopy are often required. These are primarily used to diagnose the causes of infertility and can also sometimes be used in operative role to cure some of the causes and help treat infertility. In fact, in many of the cases, diagnostic and operative role is played in conjunction; so, if a doctor detects an abnormality during the diagnostic procedure using Laparoscopy or Hysteroscopy, he/she can also choose to treat the condition immediately, if the situation warrants. The purpose of Laparoscopy or Hysteroscopy is to perform internal examination of pelvic organs, so as to examine the conditions causing infertility. This is something that cannot be performed from outside, and needs a more thorough look at the organs inside. Even though Laparoscopy or Hysteroscopy sound similar, there is a marked difference between both. Let s find out what separates them.

What is Laparoscopy?
A Laparoscopy is a procedure used to detect gynecological problems. This involves inserting a telescope through the navel to see the internal parts. The images from the telescope are visible on a monitor. The patient is placed under general anesthesia during this time, but this is an outpatient procedure and the patient can leave for home the same day. Some of the problems that can be detected by Laparoscopy are cysts, scar tissue, endometriosis, fibroids and ectopic pregnancy.

What is Hysteroscopy?
A Hysteroscopy is also carried out by a telescope-like device, mounted with a camera at the front, and projecting the images on a monitor. The device used to perform Hysteroscopy is called a hysteroscope. The hysteroscope is passed through vagina and cervix into the womb. This does not require any cuts. In some cases, it does not even require anaesthesia, though some doctors might choose to give local anaesthesia. A Hysteroscopy is primarily carried out in conditions like heavy bleeding during periods, difficulties in getting pregnant, miscarriages, etc. It is also used to diagnose fibroids and non-cancerous growths (polyps in the womb).

Apart from diagnosis and investigation, Hysteroscopy is also useful for surgery of fibroids to remove fibroids and treat that as a condition of infertility, and removal of polyps.

Specific Use Cases of Laparoscopy and Hysteroscopy in Infertility Treatment-
Here are some specific conditions in which the doctor can choose to go with Laparoscopy or Hysteroscopy for treating the underlying condition that might be causing infertility:

Hydrosalpinx-

In this condition, Fallopian tube is filled with clear fluid (called serous) and the tube is blocked.
The diameter of this blocked tube can increase to many centimeters, and lead to infertility.
This situation can be diagnosed using Laparoscopy. While performing Laparoscopy, it can be identified that the condition is present, and also identification of the impacted area as well as adhesions that might be affecting other organs.
During Laparoscopy, the surgeon can also choose to intervene and manage this situation by performing surgery.

Bicornuate Uterus-

A Bicornuate Uterus is a condition in which the uterus becomes heart-shaped. Even though uterus has only one cavity, a Bicornuate Uterus has two conjoined cavities. This condition can lead to complications during pregnancy.
A doctor can diagnose this condition using Hysteroscopy. The doctor can choose to further confirm the diagnosis using Laparoscopy.
A Bicornuate Uterus does not have to be corrected but should be regularly watched for preterm dilation. In case a surgical procedure is required, a cervical reconstruction surgery can be carried out via Laparoscopy.
In case the condition is a septate uterus (single cavity, round on the top), then hysteroscopic surgery can be used to treat this.

Conclusion-
Laparoscopy and Hysteroscopy can sometimes present easier outpatient procedures for identification, treatment, and management of some of the conditions that might be causing infertility. In other more serious conditions, IVF could be recommended by the gynaecologist.

What is endometriosis?

The endometrium is the tissue that lines the inside of the womb (uterus).

Endometriosis (en-doe-me-tree-O-sis) is an often painful disorder in which tissue that normally lines the inside of your uterus - the endometrium - grows outside your uterus (endometrial implant). Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region.

In endometriosis, displaced endometrial tissue continues to act as it normally would - it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form.

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual pain that's far worse than usual. They also tend to report that the pain has increased over time.

Common signs and symptoms of endometriosis may include:

Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days into your period and may include lower back and abdominal pain.
Pain with intercourse. Pain during or after sex is common with endometriosis.
Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.
Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).
Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.
Other symptoms. You may also experience
Fatigue,
Diarrhea,
Constipation,
Bloating or nausea, especially during menstrual periods.

Menstruation is a healthy experience of a woman s life, and it must come habitually every 28 days, for a period of 3-4 days without coagulating, and the blood loss should correspond to about a quarter of a cup. For a woman, menstrual cycle is a virtuous indicator of her overall wellbeing. Some women get irregular periods that appear at longer intervals, an unpredictable discrepancy in the duration of the cycle and the normal twenty-eight day cycle is missing. Some women have very insignificant problems with menstrual cycles, while others experience a monthly torture.

Irregular menses is typical in early puberty and not generally perturbing. Women should be alarmed when periods are spaced out for more than two months, as this may suggest hormonal imbalance and ovulation problems. A woman s customary hormonal cycle is contingent upon a subtle equilibrium between different hormones. Several potential triggers can stimulate hormonal imbalance leading to irregular menses. If a woman fails to ovulate, her ovaries will not receive a signal to produce a hormone called progesterone. Progesterone is essential in regulating the Uterine lining called endometrium, which is discarded during menstruation. Without progesterone, the endometrium persistently grows until it starts to break down and is disposed off as a very heavy uterine bleeding. The endometrium may also shed partially and intermittently, and bleeding becomes irregular or prolonged.

Causes of Irregular Menses:

Puberty.

Birth control pills.

Stress.

Poor diet due to anorexia, bulimia can influence your hormones.

Excessive weight loss or gain.

Intense exercise.

Breast-feeding.

Anxiety regarding pregnancy.

Anemia.

Menopause.

Excessive production of Androgen (a steroid hormone such as testosterone that controls the development and maintenance of masculine characteristics).

Uterine fibroids, cysts, polyps.

Polycystic Ovarian Syndrome (in this condition the ovary does not make all the hormones needed for any egg to mature fully, due to which some follicles remain as cysts, ovulation does not occur and the hormone progesterone is not made. Without progesterone a woman s menstrual cycle is irregular or absent).

Endometriosis (this is a condition where cells similar to those found inside the uterus grow and are attached outside the uterus forming implants. This can lead to infertility and irregular menses).

Pelvic infection.

Ovarian cancer.

Inflammatory Bowel disease.

Thyroid disease.

Heart disease.

Symptoms of Irregular Menses:

Inconsistency in the length of menstrual cycle.

Acne.

Bloating.

Low energy levels.

Sore breasts.

Fever.

Chills.

Changes in sexual desire.

Infertility.

Depression.

Osteoporosis.

Uterine cancer.

Endometrial Hyperplasia (excessive cell growth in the inner lining of the uterus due to excessive estrogen production as a result of delayed ovulation).

Homeopathic Approach to Irregular Menses:

Homeopathy offers an extensive range of options than conventional medicine. Homeopathic treatment for Irregular Menstruation is very competent, non-invasive, safe and inexpensive. Homeopathy treats the patient as a whole and looks deeper into the problem, promotes the immune function and maintains uterine health by eliminating the causative factor. Homeopathic Constitutional treatment based on the holistic approach stimulates the natural hormonal balance without administering any harmful hormone preparations. The goal of this Homeopathic approach is to enliven the body's natural healing and self-repair ability to treat the underlying condition, to prevent it and to create the highest state of health and well-being.

Constitutional Homeopathic treatment with the management of an experienced and professional Homeopath is an excellent choice for Irregular Menstruation. Some Homeopathic remedies that are commonly used to treat Menstrual Irregularities are given below. These are just a few of the commonly used Homeopathic remedies and are mentioned only to create awareness about the effectiveness of Homeopathic medicines in Menstrual Irregularity. It is not advisable to resort to self-medication for any disease.

Homeopathic remedies for Irregular Menses:

Pulsatilla: Pulsatilla is one of the first remedies thought of, in affection, peculiar to women. It's essentially feminine disposition of gentleness timidity, mildness, docility excellent thing in woman is most characteristic of the drug; even tearfulness, another feminine attribute, strongly points to Pulsatilla. Then, we have fickleness, indecision and changeableness, which are certainly characteristic of Pulsatilla and of some women. Dark menses which are delayed and accompanied with this severe menstrual colic and the characteristic temperament will be the indications. The menses of Pulsatilla, besides being scanty, are quite apt to appear too late.
Caulophyllum: This is a valuable remedy in treating irregular periods, difficulty becoming pregnant or slow childbirth due to weak muscle tone of the uterus. The patient feels menstrual discomfort with heavy bleeding and drawing pains in the pelvic region, thighs, and legs. These patients complain of habitual abortion due to uterine debility.
Cimicifuga Racemosa: This remedy is intended for irregular and painful menses, with shooting pains that go down the hips and thighs, or cramps similar to labor-pains that are felt in the pelvic area. Women become restless, fearful, and depressed before a menstrual period. These women are strong, talkative, depressed, they try to injure themselves, and have dreams of impending evil, with fear of riding in a closed carriage.
Lachesis: This remedy is suggested to women who are passionate, with a tremendous need for an outlet, both physically and mentally. The menstrual flow is irregular, heavy and brings relief of tension. These patients are very outspoken with strong feelings of suspicion or jealousy. They have an intolerance of restrictive clothing around the waist or neck.
Lycopodium: This is an outstanding remedy for delayed menses that follows a heavy flow lasting more days. These patients have a ravenous appetite with a strong craving for sweets. They complain of abdominal bloating and flatulence, and always have a worried look with lack of confidence, though they may be bossy with their family.
Murex Purpurea: This remedy works amazingly in Irregular Menstruation with large clots and feeling of protrusion. These patients feel very weak, are very conscious of a womb, and feel as if something is pressing on a sore spot in the pelvis. This sore feeling is worse on sitting, hence the patient always sits with legs tightly crossed. Least contact of parts causes violent sexual excitement in these women.
Secale Cornutum: This is a useful remedy for Irregular menses in thin, shriveled skinned women. Their whole body is pervaded by a sense of great heat and they have burning pains in the uterus. Menses is irregular, dark and at times, there is continous oozing of watery blood until the next period. Their pregnancy concludes in a threatened abortion in the third month
Sepia: This remedy is best suited to women who feel weary and dragged-out, and are indifferent to their own family members. She feels taken for granted and overworked, becomes irritable and sarcastic if demands are made. Menses is delayed with a feeling that the pelvic floor is weak, or as if the uterus is sagging.
Self-care measures for Irregular Menses:

Relax and ease stress.

Avoid exhausting physical exercise.

Eliminate any eating disorders.

Eat a balanced diet with lots of fresh fruits and vegetables.

Reduce your intake of salt and caffeine.

Hence, appreciate a natural way to a healthy uterus, convalesce healthy living and curtail the changes that happen during your menstrual years.

Laparoscopy is one of the most common procedures for diagnosing and removing endometriosis. Instead of giving a big incision, this procedure of surgery uses lightweight instrument through a small hole or incision. There could be one or more incisions based on the number of instruments that require access inside the body. This procedure involves the use of a camera to ascertain endometriosis as well as treat it in the same sitting. This brings drastic improvement in infertility as well as pain associated with the endometriosis. If a cyst is found in the ovary, laparoscopic surgeon removes it very delicately without causing any harm to the normal ovary, as a part of the Laparoscopic Surgery for Endometriosis.

How does the procedure go?

Eating and drinking should be suspended before 8 hours of the laparoscopic surgery. The doctor takes a call on whether to give a general or local anesthesia. Mostly, General anaesthesia is given during such procedures. A person specialised in Gynecological Endoscopy ( Gynaec Laparoscopic Surgeon) is the best to perform such a procedure.

How is the procedure performed?

The abdomen is first inflated with gas with the help of a needle. It pushes the abdominal wall from the organs to give a clear visibility to a surgeon. The laparoscopic Camera is then pushed through an incision or a set of incisions to examine the internal organ. If the scar tissue or endometriosis needs to be removed, a doctor can use one of the several laparoscopic techniques such as electrocautery, excision etc. Post the surgery, the incision is closed with stitches. The whole procedure usually takes 30-60 minutes depending upon the severity of endometriosis.

Why is laparoscopy done?

If the endometriosis pain has returned after a hormone therapy
If there is a growing endometriotic cyst
If the scar tissue found on the pelvic wall poses a threat on fertility
If the endometriosis interferes with other organs such as the bladder etc.
If the pain during menses ( dysmenorrhoea) refuses to subside
Duration of hospital stay:
Operations such as these are usually conducted at the outpatient facility owing to their less risky nature. A patient need not spent more than a day in the hospital. Rarely in severe cases of endometriosis overnight hospitalisation may also be required. One can successfully return to normal work within 1 week of the surgery.

Post-surgical recovery: Once the laparoscopy is done, the next steps of treatment are decided based on the patient's age and severity of endometriosis. Few hormonal medicines are advised according to the desire for fertility etc. If a patient is over and above 35 years of age, the risk of miscarriages double. Since the quality of egg declines by the year, it makes sense to undergo infertility treatment such as the in vitro fertilization, intake of fertility drugs, insemination etc. If, however, the patient is below 35 years of age, makes sense to conceive naturally first and consult a doctor simultaneously. A routine check-up post-laparoscopic surgery on alternate six months for a year will keep any risks at bay.