IUI (Intra Uterine Insemination) treatment

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Common Questions and Answers

1.     I’m having PCOS. Can I do IUI treatment?

Ans:

Ø IUI (Intrauterine Insemination) can be very successful for women suffering from PCOS.

IUI can be effective treatment with:

Ø Infertility due to ovulation problems.

Ø Unexplained infertility.

Ø Mild male factor infertility.

Ø Infertility caused by mild endometriosis.

IUI is not effective with:

Ø Blockage of both fallopian tubes.

Ø Severe male factor infertility.

Ø Severe endometriosis.

Ø Severe pelvic scarring.

Ø For these conditions’ IVF, in vitro fertilization is the treatment of choice.

How is IUI done?

Ø A semen specimen from the male is processed in the laboratory.

Ø The processed sperm sample is drawn into a sterile catheter.

Ø The catheter is inserted through the cervix and into the uterus.

Ø The sperm is injected into the uterine cavity.

Ø Clomiphene is the current first-line infertility treatment in women with the polycystic ovary syndrome, but aromatase inhibitors, including letrozole, might result in better pregnancy outcomes.

Ø Clomiphene is usually taken for 5 days. Starting on the 5th day of the menstrual period. You should follow your doctor’s instructions.

Contraindications for the use of clomiphene citrate:

Ø Hypersensitivity to clomiphene citrate or components of the formulation.

Ø Breastfeeding.

Ø Hepatic disease.

Ø Uncontrolled adrenal dysfunction.

Ø Pregnancy.

Ø History of hepatic impairment.

Ø Abnormal uterine bleeding.

Ø Non-PCOS related ovarian cyst.

Ø A tumour of the pituitary gland.

Ø Untreated decreased level of thyroid hormones.

 

2.     I am having endometriosis. Can I do IUI treatment?

Ans:

Ø Superovulation and intrauterine insemination are an option for those who have normal fallopian tubes, mild endometriosis, and whose partner has sperm with no fertility issues.

Ø Endometriosis causes abnormal tissue to grow around the reproductive organs, which can affect the ability to get pregnant.

Symptoms of Endometriosis:

Ø The most common symptom of endometriosis is pelvic pain, especially during the menstrual period.

Ø pain during intercourse.

Ø Low back or abdominal pain.

Ø Excessive heavy bleeding during periods.

Ø Constipation.

Ø Fatigue.

Ø Pain with urination or bowel movements.

Ø Diarrhoea.

Ø Bloating.

1.     Ovarian cysts:

Ø Endometriosis can spread to the ovaries and produce cysts.

2. Adhesions:

Ø The overgrowth of tissues can cause adhesions. Adhesions are scarring that form between tissues inside the body and cause them to stick together.

Ø This can prevent an egg from making its way from the fallopian tube to the uterus, or sperm from reaching the egg.

3. Egg quality:

Ø Endometriosis affects the quality of eggs in the ovary.

4. Pain during sex:

Ø Pain during sex is one of the more common symptoms of endometriosis and one that can reduce the odds of getting pregnant by reducing the ability to have intercourse.

Home remedies:

1.     Heat:

Ø Heat can relax the pelvic muscles, which can reduce cramping and pain.

Ø Warm baths, hot water bottles, or heating pads to treat cramping effectively.

2. Castor oil:

Ø Castor oil can be used at the very beginning, when cramping is first felt, to help the body get rid of excess tissues. It is important that this technique is only used before the menstrual flow, and not during.

Ø Castor oil should be massaged directly into the abdomen.

3. Choose anti-inflammatory foods:

Ø This won’t offer fast symptom relief, but it could help manage the endometriosis long term.

Foods to avoid include:

Ø Dairy.

Ø Caffeine.

Ø processed foods high in refined sugars.

Ø Alcohol.

Foods to increase include:

Ø Green leafy vegetables.

Ø Celery.

Ø Broccoli.

Ø Salmon.

Ø Blueberries.

Ø Bone broth.

Ø Chia seeds.

4. Ginger tea:

Ø Some people with endometriosis experience nausea as a result of the condition. Ginger tea is one of the best home remedies for treating nausea.

 

3.     Is anaesthesia given in IUI treatment?

Ans:

Ø No anaesthesia is needed. You also may be given an injection of HCG (Human chorionic gonadotropin) or medications to make you ovulate one or more eggs at the right time. Most commonly, patients will take a fertility medication, such as clomid, to stimulate ovulation.

Ø Most IUIs are done a day or two after detecting ovulation. IUI does not require the bladder to be full. The whole process only takes a few minutes and is usually painless.

Ø During an IUI procedure, sperm is placed directly into the uterus using a small catheter. the goal of this treatment is to improve the chances of fertilization by increasing the number of healthy sperms that reach the fallopian tubes when the woman is most fertile.

Ø Diagnostic tests, such as a SIS (Saline infusion sonogram) or an HSG (Hysterosalpingogram), to make sure the fallopian tubes are open and the uterus appears normal. This information is important to know which fertility treatment will be most beneficial for conceiving.

IUI Process:

Ø The IUI treatment depends on the menstrual cycle and should start on the first day of the period. Doctor will use ultrasound and bloodwork to monitor the menstrual cycle for about 12–14 days. This is to ensure that there’s an egg maturing correctly, ready for ovulation.

Ø When an egg is mature, it breaks free from the ovary and begins its journey through the fallopian tubes for fertilization. The monitoring leads to the actual IUI, which happens on ovulation day.

Ø Sperm donor or male partner provides a semen sample that’s ‘washed’ to prepare it for IUI.

Ø Healthy sperm is picked from the seminal fluid and inserted into the uterus using a thin catheter, leaving fertilization to happen as it would in a natural cycle. It swims toward and hopefully penetrates the egg.

IUI can be helpful for:

Ø Couples experiencing infertility due to medical conditions such as endometriosis or low sperm count or quality.

Ø Decreased sperm motility.

Ø Same - sex female couples using donor sperm.

Ø Mild endometriosis

Ø Couples with unexplained infertility.

 

 

4.     Why do I get a stomach ache after eating papaya?

Ans:

Ø One reason why you might get a stomach ache after eating fruit is because the body has trouble digesting fructose. If you have malabsorption, eating lower-fructose foods and limiting the fructose intake can help curb stomach cramps after eating fruit.

Ø Eating too much fibre. Fibre plays a major role in our bowel health.

Ø Papaya is nature’s sweet treat that’s both nutritious and delicious. But if you get stomach pain when you eat it, that’s not so sweet.

Ø Diet rich in assorted veggies can help lower blood pressure and reduce the risk of heart disease, stroke and some types of cancer.

Ø On the flip side, it is also possible to experience unpleasant side effects like stomach pain after eating fruit.

Ø One reason why you might get a stomach ache after eating fruit is because the body has trouble digesting fructose.

Ø Eating too many may have a laxative effect, causing diarrhoea, stomach ache and an upset stomach.

 

 

 

 

Inflammatory bowel disease symptoms

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Common Questions and Answers

1.    What are the signs of inflammatory bowel syndrome?

Ans:

Inflammatory bowel disease (IBD):

v Inflammatory bowel syndrome refers to several long-term conditions that involve inflammation of the digestive tract or gut.

Signs of inflammatory bowel disease:

v Diarrhoea, sometimes with blood and mucus.

v Rectal bleeding / bloody stools.

v Loss of appetite and weight loss.

v Delayed growth and maturation, particularly with crohn’s disease.

v Abdominal pain.

v Unexplained fever and tiredness.

v Fatigue.

v Skin problems such as rashes.

Irritable bowel syndrome (IBS):

v Irritable bowel syndrome is a group of symptoms that affect the digestive system.

v It is a common but uncomfortable gastrointestinal disorder.

Signs of inflammatory bowel syndrome:

v Abdominal pain.

v Bloating and swelling of the stomach.

v Occasionally experiencing an urgent need to move the bowels.

v Excessive wind.

v Change in the bowel habits - such as diarrhoea, constipation or sometimes both.

v Lethargy.

 

2.     What are common causes for stomach pain?

Ans:

v Abdominal pain is pain that occurs between the chest and pelvic regions.

v Abdominal pain can be crampy, achy, dull, intermittent, or sharp. It is also called a stomach ache.

Types of abdominal pain:

1.     Acute abdominal pain:

v If you are experiencing acute abdominal pain, you’ve most likely only been dealing with the discomfort for about a week, maybe less.

2.     Chronic abdominal pain:

v Chronic abdominal pain, on the other hand, is pain that’s constant or recurring.

v It lasts for a period of 3 months or longer.

v Since there are a number of gastrointestinal and systemic disorders that lead to abdominal pain.

3. Progressive abdominal pain:

v Progressive abdominal pain is pain that gets worse over time. Typically, other symptoms occur as the abdominal pain progresses.

v Progressive abdominal pain is often a sign of something more serious.

Causes:

v Infection.

v Inflammation.

v Intestinal disorders.

v Diseases that affect the organs in the abdomen.

v Obstruction.

v Abnormal growths.

v Acid reflux - When stomach contents leak backward into the oesophagus, causing heartburn and other symptoms.

v Diarrhoea.

v Vomiting.

v Constipation.

v Gastroenteritis.

v Pain on the right side of the abdomen can be caused by conditions such as appendicitis, hernia, kidney issues, reproductive system issues, irritable bowel syndrome, indigestion, or even gas.

 

3.     Is it okay to take a shower after a meal?

Ans:

v Take shower 2 1/2hours after having.

v Eat after 3/4hour after shower.

v Drink water 1/2 hour after having.

v If you pour water in an earthen pot and drink it after 2 hours, the pot will absorb the germs in the water.

v To know more details

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4.     What should we eat in dengue?

Ans:

v Papaya leaf juice will help increase platelets, white blood cells, prevent blood clotting and heal wounds. Papaya is rich in vitamins, fibre, zinc and folate so it is very good for health.

Breakfast (8:00 – 8:30AM)	Rice flake pulav (1cup) with peas and carrots.
Mid-Meal (11:00 – 11: 30AM)	Tender coconut water (1cup) + 1orange.
Lunch (2:00 – 2: 30PM)	Mashed potato (2) and boiled rice (1/2cup) + Boiled egg (1) + Ghee (2tsp) on warm rice.
Evening (4:00 – 4: 30PM)	Chicken soup (1/3cup).
Dinner (8:00 – 8: 30PM)	Boiled rice (1/3cup) + Fish (1pc) Stew (1/3cup) + Warm Rasgolla (2)

5.     What are some common complications of pregnancy?

Ans:

1.     Urinary tract infections.

2.     Mental health conditions.

3.     High BP.

4.     Gestational diabetes.

5.     Obesity and weight gain.

6.     Infections.

7.     Infections with HIV, Viral hepatitis, STDs, and TB.

8.     Hyperemesis Gravidarum.

9.     Preeclampsia is a condition that causes dangerously high blood pressure - Life-threatening complication.

10. Stillbirth.

pregnancy problems and solutions:

Solutions:

v Eat small, frequent meals - this will also help with morning sickness.

v Don’t lie down for at least half an hour after meals.

v Stay away from greasy or fried food, coffee, cola, and smoking - Which you should avoid during pregnancy anyway.

Problems:

1.     constipation.

2.     Heartburn.

3.     Nausea.

4.     Gas.

5.     Extreme tiredness.

6.     Swollen hands, ankles and feet.

7.     Leg cramps.

8.     incontinence.

9.     Backaches.

10. Acne.

11. Stretch marks.

12. Nasal congestion.

13. Insomnia.

14. Dry mouth.

15. Haemorrhoids.

6.     Can Marfan syndrome be cured?

Ans:

There is no cure for Marfan syndrome.

Marfan syndrome:

v Marfan syndrome is a rare genetic disorder of the connective tissue, affecting the skeleton, lungs, eyes, heart and blood vessels.

v The condition is caused by a defect in the gene that tells the body how to make fibrillin-1, often from a patient who is also affected. one quarter of cases may be the result of a spontaneous gene mutation.

v Fibrillin-1 is a protein in the body’s connective tissues. The genetic defect of fibrillin-1 leads to an increase in the production of another protein, transforming growth factor beta, or TGF-B.

v It is this protein’s overproduction that is responsible for the features present in a person with Marfan syndrome.

Signs and symptoms that may appear in the skeletal system:

v Long limbs with thin and weak wrists.

v Very long and slender fingers and toes, or both.

v Stooped shoulders.

v Extremely flexible joints.

v The sternum or breastbone protrudes or caves in.

v Small bottom jaw that may cause speech disorders.

v Long and narrow face.

v Slim body and taller than averages height.

v Overcrowded teeth.

v High palate that may cause speech disorders.

v Flat feet.

v Pain in the joints, bones, and muscles.

v Stretch marks on the skin not due to pregnancy or weight gain.

problems related to the eyes:

v Astigmatism.

v Near sightedness.

v Detached retina.

v Dislocation of the lens.

v Marfan syndrome may also lead to early onset glaucoma and cataracts.

The aortic irregularities in Marfan syndrome can lead to the following cardiac issues:

v Shortness of breath.

v Fatigue.

v Angina, with pain in the chest spreading to the back, shoulder or arm.

v Palpitations or heart murmur.

v Dilated aorta.

v Prolapse of the heart valves, including the aorta.

v Aortic aneurysm.