scholarly journals AYURVEDA TREATMENT PROTOCOL IN FEMALE INFERTILITY DUE TO PCOS & HYPOTHYROIDISM

2021 ◽  
pp. 65-67
Author(s):  
Chitra G Menon ◽  
Shiny S Raj ◽  
Asha Sreedhar
Keyword(s):  
Blood Sugar ◽  
Blood Sugar Level ◽  
Treatment Protocol ◽  
Female Infertility ◽  
Reproductive Age ◽  
Tissue Formation ◽  
Thin Endometrium ◽  
Pregnancy And Delivery ◽  
History Of

Infertility is a global problem in one among six couples who wishes to conceive. In Ayurveda Infertility is termed as ‘Vandyatwa’ and is explained in detail. Polycystic Ovarian Syndrome (PCOS) is becoming very common in females of reproductive age and Ovulatory Dysfuction due to PCOS is one of the main reasons for female infertility. The factor for a healthy conception, pregnancy and delivery is mentioned as “Garbha Sambhava Samagri” (factors essential for conception). Acarya Susruta explained it as Rtu (ovulation), Ksetra (healthy uterus and associated structures), Ambu (proper nourishment) and Beeja (healthy sperm & ovum). Sukla (sperm) & Arthava (ovum) are considered as “Anthima Dhatus” (final tissues) therefore proper metabolism is essential for the formation of healthy ovum and sperm. Considering the present case the patient had the history of hypothyroidism and bilateral PCOS, both results in improper metabolism which further results in inadequate development of follicles and anovulatory cycles leading to infertility. In this case evidences of defective Dhathuparinama (process of tissue formation) can be visualized like irregular cycles, Thin Endometrium, Infertility and Increased blood sugar level. Ayurveda treatment including Sodhana (purificatory therapies) and Samana (pacification treatments) is adopted to regularise her cycles, improve the quality of ovum, to reduce the blood sugar level and thereby enhancing the chance of conception. After our treatment the patient conceived soon and now, she completed 28 weeks successfully.

scholarly journals CHC for pelvic pain in women with endometriosis: ineffectiveness or discontinuation due to side-effects

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Paul J Yong ◽  
Najla Alsowayan ◽  
Heather Noga ◽  
Christina Williams ◽  
Catherine Allaire ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Side Effects ◽  
Pelvic Floor ◽  
Pelvic Pain ◽  
Health Research ◽  
Reproductive Age ◽  
Surgical Data ◽  
History Of ◽  
Pelvic Floor Myalgia

Abstract STUDY QUESTION What are the use patterns and factors associated with combined hormonal contraception (CHC) ineffectiveness or discontinuation due to side-effects in patients with endometriosis and pelvic pain? SUMMARY ANSWER Worse chronic pelvic pain (CPP) severity and pelvic floor myalgia were associated with continuous CHC ineffectiveness, while poorer quality-of-life was associated with continuous CHC discontinuation due to side-effects. WHAT IS KNOWN ALREADY CHC is a first line of therapy for endometriosis-associated pelvic pain in women. However, some patients state that CHC is ineffective for their pain, while others have to discontinue CHC due to side-effects. STUDY DESIGN, SIZE, DURATION Analysis of a prospective patient database from a tertiary care referral center for patients with endometriosis and pelvic pain between December 2013 and April 2015 was carried out. PARTICIPANTS/MATERIALS, SETTING AND METHODS A total of 373 patients of reproductive age with endometriosis from the database were included in the study. Data included patient self-reported questionnaires, physical examination findings and validated instruments. There were four variables of interest: history of cyclical CHC ineffectiveness (yes/no), history of cyclical CHC discontinuation due to side-effects (yes/no), history of continuous CHC ineffectiveness (yes/no) and history of continuous CHC discontinuation due to side-effects (yes/no). The primary outcome was CPP severity for the past 3 months (score of 0–10), and secondary outcomes were other pelvic pain scores, quality-of-life on the Endometriosis Health Profile 30 (EHP-30) and underlying conditions including irritable bowel syndrome, painful bladder syndrome, abdominal wall pain, pelvic floor myalgia and depression, anxiety and pain catastrophizing. MAIN RESULTS AND THE ROLE OF CHANCE Among the 373 cases in the dataset, prior cyclical CHC use was reported by 228 (61.1%) women, of which 103 (27.6%) stated it was ineffective for their pain and 94 (25.2%) stated they discontinued CHC due to side-effects. Previous continuous CHC use was reported by 175 (46.9%) women, of which 67 (18.0%) stated it was ineffective and 59 (15.8%) stated they discontinued due to side-effects. Worse CPP severity in the last 3 months was associated with a history of continuous CHC ineffectiveness (P < 0.001). Poorer quality-of-life was present in women who reported a history of continuous CHC discontinuation due to side-effects (P = 0.005). Among the underlying conditions, pelvic floor tenderness (as a marker of pelvic floor myalgia) was associated with CHC ineffectiveness. LIMITATIONS AND REASONS FOR CAUTION This study involved patient recall and no longitudinal follow-up. Also, we do not have data on the type of side-effect that led to discontinuation. Medication ineffectiveness was reported subjectively by the patient rather than using standardized criteria. Finally, the diagnosis of endometriosis was based on previous surgery or a current nodule or endometrioma on examination/ultrasound; without prospective surgical data on all the patients, it was not possible to do a sub-analysis by current surgical features (e.g. stage). WIDER IMPLICATIONS OF THE FINDINGS In women with endometriosis, CHC ineffectiveness was associated with worse CPP and pelvic floor myalgia, which suggests myofascial or nervous system contributors to CPP that does not respond to hormonal suppression. A tender pelvic floor, as a sign of pelvic floor myalgia, may be a clinical marker of patients with endometriosis who are less likely to have an optimal response to hormonal suppression. For women who discontinue CHC due to side-effects, research is needed to help alleviate these side-effects as these patients report worse quality-of-life. STUDY FUNDING/COMPETING INTEREST(S) This work was supported by a Canadian Institutes of Health Research (CIHR) Transitional Open Operating Grant (MOP-142273) as well as BC Women’s Hospital and the Women’s Health Research Institute. PY is also supported by a Health Professional Investigator Award from the Michael Smith Foundation for Health Research. MB/CA has financial affiliations with Abbvie and Allergan; the other authors have no conflicts of interest.

scholarly journals Correlation Between Blood Glucose and Estradiol Levels in Women in Reproductive Age

2020 ◽  
Vol 52 (3) ◽  
pp. 139-143
Author(s):  
David Lionardi ◽  
Chrismis Novalinda Ginting ◽  
Linda Chiuman
Keyword(s):  
Blood Sugar ◽  
Blood Sugar Level ◽  
Hormone Level ◽  
Age Groups ◽  
Reproductive Age ◽  
P Value ◽  
Age Group ◽  
Type 2 Dm ◽  
Two Age Groups

Type 2 Diabetes mellitus (Type 2 DM) is a metabolic disorder characterized by an increase in blood sugar caused by decreased insulin secretion by pancreatic beta cells and/or impaired insulin function (insulin resistance). This study aimed to determine the specific levels of estradiol hormone in reproductive age women with diabetes mellitus in different age groups. This was an analytical study in September at Royal Prima Hospital, North Sumatra, Indonesia. Twenty women participated in this study after informed consent and were divided into two age groups: 40–45 years old and 46–50 years old. Blood samples were collected after 10-12 hours of fasting to assess blood sugar and estradiol hormone levels. Data were then analyzed using the dependent t-test dependent and compared. No significant difference in blood sugar level was found between the two age groups (p-value=0.113, p-value> 0.05) that there were no significant differences in blood sugar levels between the two age groups. The estradiol hormone level in the age group 40-45 years was lower than in the age group 46–50 years, and the difference was significant (p-value =0.000, p-value<0.05). No significant correlation was seen between type 2 DM and estradiol hormone level in this study. In conclusion, age is not the main contributing factor for the increase and decrease in blood sugar level, and type 2 DM does not correlate with estradiol hormone.

scholarly journals Role of Argwadha Nitya Virechana in Madhumeha (Diabetes Mellitus-II): A Case Study

2021 ◽  
pp. 170-176
Author(s):  
Shilpa Bhaskarrao Deshpande ◽  
Shweta Parwe ◽  
Milind Nisargandha
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Single Case ◽  
Clinical Syndrome ◽  
Single Case Study ◽  
Number Of Patients

Diabetes Mellitus is now considered a pandemic. Especially in India, the number of patients increased at 14% prediabetic, becoming the capital of Diabetes. It is a clinical syndrome which is characterize by an increased level of blood sugar. In Ayurveda, the ṁadhumeha is explained as a type of prameha. The kinds of madhumeha is of two. One is dhatukshaya, and other is avaranjanya. The avaranjanya type of Madhumeha is allowed to be treated with the shodhana process. In which vamana and virechana are effective. Objective: The objective of this study was to study the efficacy of Nitya Virechana in the management of madhumeha. Case report: A single case study of a 59 yrs old male patient who was already diagnosed with madhumeha before 21 days. Symptoms such as pippasa, shramdaurbalya, Bahumutrata were present; after investigation, he was advised for Nitya Virechana. Result: Symptomatic assessment of the patient was carried out after treatment i.e. after Nitya Virechana and outcome was satisfactory, and the quality of life of patient was significantly improved. Conclusion: Nitya Virechana brought about good relief in symptoms in patients with Madhumeha and controlling the blood sugar level.

scholarly journals A Case of Gallstones Causing Pelvic Pain

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Aizat Drahman ◽  
Kaushi Arulpragasam ◽  
Lilach Leibenson ◽  
Frank Sardelic
Keyword(s):  
Abdominal Pain ◽  
Pelvic Pain ◽  
Diagnostic Laparoscopy ◽  
Reproductive Age ◽  
Gallbladder Perforation ◽  
Pelvic Cavity ◽  
Surgical History ◽  
History Of ◽  
History Presentation

Introduction. Assessing abdominal pain, particularly in women of reproductive age, requires thorough history taking, clinical examination, and investigations to obtain an accurate diagnosis. Both surgical and gynecological causes need to be considered, particularly previous relevant surgical history. Presentation of case. We report a case of pelvic pain secondary to multiple gallstones found within the pelvic cavity postlaparoscopic cholecystectomy. Thorough investigations have been conducted without any obvious cause found. The pain was debilitating and largely affecting the patient’s quality of life. Therefore, decision to perform diagnostic laparoscopy and gallstones was found all over pelvic cavity and retrieved. Her pain resolved post operatively. Conclusions. Gallbladder perforation and stone spillage are the most common complications of laparoscopic cholecystectomy that arise during the removal and dissection of gallbladder and can cause significant morbidity if not managed early, especially retrieval of the stones intraoperatively. Therefore, patient with history of previous cholecystectomy with stone spillage presenting with undifferentiated abdominal pain and early diagnostic laparoscopy should be considered.

scholarly journals In Hospital Outcome of Myocardial Infarcton in Nondiabetic Patients with High on Admission Blood Glucose Level

1970 ◽  
Vol 3 (2) ◽  
pp. 143-148
Author(s):  
M Ullah ◽  
LA Sayami ◽  
MR Khan ◽  
A Jahan ◽  
Z Rahman ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Blood Glucose ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Diabetic Patients ◽  
Hospital Outcome ◽  
Coronary Syndrome ◽  
History Of ◽  
St Elevation ◽  
The Impact

Background: Patients without a history of diabetes often develop hyperglycemia during an acute coronary syndrome (ACS). Our aim was to evaluate the impact of admission hyperglycemia on in hospital outcome of non-diabetic patients admitted for acute coronary syndromes. Methods: The retrospective study was conducted in National Institute of Cardiovascular Diseases among the patients with acute myocardial infarction without history of diabetes. 50 patients with ST elevation MI (STEMI) with complications, 50 patients with STEMI without complications, 50 patients with non-ST elevation MI (NSTEMI) with complications and 50 patients without complications were included in the study. Every patient got the treatment as per protocol of the institute. On admission blood glucose of the patients was recorded. Level of blood glucose was correlated with the frequency of complications. Results : Average on admission blood sugar level was higher in patients who developed complications with STEMI (11.4 vs 8.78 mmol/L). On admission blood sugar level was also significantly higher in patients with NSTEMI with complications (10.6 vs 8.6 mmol/L). The frequency of individual complications had no significant relation with the blood sugar level. Conclusion : Higher level of admission blood glucose is related to poor in hospital outcome in both STEMI & NSTEMI even in nondiabetic patients. It may be used as a predictor of poor outcome of patients with myocardial infarction. Keywords: STEMI; NSTEMI; Blood glucose. DOI: http://dx.doi.org/10.3329/cardio.v3i2.9183 Cardiovasc. J. 2011; 3(2): 143-148

scholarly journals Pre-menstrual Dysphoric Disorder: A Review

2019 ◽  
Vol 1 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Dahuja Malvika ◽  
Agarwal Supriya
Keyword(s):  
Treatment Protocol ◽  
Premenstrual Dysphoric Disorder ◽  
Reproductive Age ◽  
Sexual History ◽  
Cochrane Library ◽  
Significant Implication ◽  
Women Of Reproductive Age ◽  
Indian Women ◽  
Reproductive Age Group

Introduction: Premenstrual dysphoric disorder (PMDD) is a distressing disorder amongst women of reproductive age group with significant implication in the productivity and quality of life of women who suffer from it. It is generally neglected as it is mostly undifferentiated from premenstrual symptoms—milder presentation of the same spectrum of problem but of lesser intensity and impairment. Objective: Here, in this article, we aim to highlight various studies and the research done on PMDD in the context of Indian women. Method: Reviewing the last 40 years’ database including Medline (PUBMED), Cochrane Library, EMBASE, Trip, Psych INFO, CINAHL, the Allied and Complementary Medicine Database (AMED), and the British Nursing Index. Results: PMDD is a troublesome disorder, often underdiagnosed. A thorough history including menstrual and sexual history, conducting a thorough physical examination, assessing the comorbidities, and finally using a proper and structured treatment protocol for managing the condition are recommended. Sertraline is the most widely studied drug which is found to be effective in PMDD.

scholarly journals AYURVED APPROACH TO DIMINISHING OVARIAN RESERVE (DOR) IN FEMALE INFERTILITY - CASE STUDY

2020 ◽  
Vol 8 (8) ◽  
pp. 4297-4302
Author(s):  
Divya Pawar ◽  
Sameer Gholap
Keyword(s):  
Ovarian Reserve ◽  
Treatment Protocol ◽  
Modern Science ◽  
Antral Follicle ◽  
Antral Follicle Count ◽  
Female Infertility ◽  
Reproductive Age ◽  
Wide Range ◽  
Female Baby

According to Ayurveda Having no Baby is described as Vandhyatva and Infertility in Modern science. In-fertility is a main issue in today’s era. Many couples go for IVF, Surrogacy and many more with very little benefits. Nearly 10-14% of individuals are belonging to the reproductive age group are affected by Infertil-ity. Infertility caused by Diminished Ovarian Reserve (DOR) results from an endocrinological imbalance. The rise in follicle stimulating hormone (FSH), decrease in Anti Mullerian hormone (AMH) and Antral fol-licle count (AFC) etc. for women age more than 35 years can lower pregnancy rates to less than 5 % and increases miscarriage rates to more than 75%. Ayurveda explained wide range of protocols and medicines for the management of Vandhyatva. In Ayurveda its appropriate correlation can be done with Dhatukshaya Vandhya explained in Harita Samhita. Ayurveda states four factors are mentioned Rutu, Kshetra, Ambu, Beeja should be in proper state in order to achieve conception and complete the pregnancy successfully. Aim & Objectives: To evaluate the efficacy of Shamana Aushadhi, Yog Basti, Uttarbasti in the manage-ment of Diminishing Ovarian Reserve (DOR) induced Female Infertility. Materials & Methods: It is the single arm, open labelled case study of the subject of 35 yrs age with pri-mary infertility of Diminishing Ovarian Reserve (DOR) from Ayurveda College who has been treated with Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Chikitsa simultaneously. Results & Discussion: There was improvement in hormonal assay with increase in Anti Mullerian hormone (AMH) and Antral follicle count (AFC) followed by conception later on. The Patient delivered with full term normal healthy female baby. Samshodhana and Shamana Aushadha helped to pacify Vata Dosha by Dhatukshaya Vandhya Chikitsa thus restored the fertility. Conclusion: The selected treatment protocol i.e. Samshodhana and Shamana Aushadha is very effective in the management of Diminishing Ovarian Reserve (DOR) induced Female Infertility.

scholarly journals THE PROFILE OF CORONARY HEART DISEASE PATIENTS IN DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA

2021 ◽  
Vol 31 (1) ◽  
pp. 6
Author(s):  
Ogiska Chaherfa Nadasya ◽  
Johanes Nugroho Eko Putranto ◽  
I Ketut Sudiana ◽  
Agus Subagjo
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Chest Pain ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Leg Pain ◽  
Academic Hospital ◽  
Descriptive Research ◽  
History Of ◽  
Male Patients

Background: Coronary heart disease is a deadly disease for human. The incidence of coronary heart disease is different, so that this research reported the profile of coronary heart disease patients in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Objective: To analyze the profile of CHD patients in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia from February to September 2018. Materials and Methods: A descriptive research based on the medical records. Results: There were 65 male patients and 20 female patients. There were 58% patients aged 50-60 years old, 24% patients aged more than 60 years old, and 18% patients are under 50 years old. The patients’ occupations were as follows: 42% civil servants, 36% private employees, 9% housewives, 5% retirees, 3% entrepreneurs, 1% for teacher, driver, fisherman, priest, and merchant. The complaints included chest pain (40%), shortness of breath (23.5%), PCI (4.6%), thump chest (1.2%), lower right abdominal pain (1.2%), right leg pain (1.2%), nausea (1.2%), vomitting (1.2%), cough (1.2%), dysentry (1.2%), and no complaint (23.5%). CHD patients in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia had the history of hypertension (30.6%), heart disease (22.6%), diabetes mellitus (21.9%), smoking (5.6%), COPD (0.8%), and no history of disease (12.9%). Sixty-one percent of the patients had blood sugar level of  ≥100 mg/dl, 19% patients had blood sugar level of <100 mg/dl, 20% patients did not have data. Conclusion: There were 85 patients, predominantly males of 50-60 years old. The most common occupation of the patients was civil servant and they came with major complaint of chest pain with the history of hypertension.

scholarly journals AYURVED APPROACH TO ENDOMETRIOSIS – A CASE STUDY

2020 ◽  
Vol 8 (8) ◽  
pp. 4271-4277
Author(s):  
Divya Pawar ◽  
Sameer Gholap
Keyword(s):  
Quality Of Life ◽  
Treatment Protocol ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Chief Complaints ◽  
The Subject

Endometriosis is the most upcoming disease that affects the quality of life of millions of women and their families worldwide. It is one of the obscure and captivating benign gynaecological disorders defined by implantation of functioning endometrial tissue outside the uterine cavity. Endometriosis is associated with a broad range of symptoms including Dysmenorrhoea, Dyspareunia, Chronic intermenstrual pelvic pain, and Infertility. The prevalence of Endometriosis in women of Reproductive age is 6-10%. It can be compared as a syndrome complex of Paripluta Yonivyapada in Ayurveda. Thus, Vata evum Pitta shaman treatment along with regimen is given in it. Aim and Objectives: To evaluate the efficacy of Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Aushadhi, in the management of Endometriosis. Materials and Methods: It is the single arm, open labelled case study of the subject of 36 yrs. age with Endometriosis who has been treated with Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Chikitsa simultaneously. Observation and Result Chief complaints of Patient i.e. Adhodarashula (Lower abdominal pain) and Kashtartava (Pain during menstruation) were relieved. USG reports confirms and substantiates the clinical symptom free evidence. Conclusion: The selected treatment protocol i.e. Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Aushadhi, are found very effective in the management of Endometriosis.

scholarly journals Analysis Characteristics of Pregnant Mother With Preeclampsia in Agronursing Area

2019 ◽  
Vol 3 (1) ◽  
pp. 33-38
Author(s):  
Dini Kurniawati ◽  
Eka Afdi Septiyono ◽  
Peni Perdani Juliningrum ◽  
Ira Rahmawati
Keyword(s):  
Blood Pressure ◽  
Human Resources ◽  
Pregnant Women ◽  
Maternal Mortality Ratio ◽  
Reproductive Age ◽  
Pregnant Mother ◽  
Characteristic Analysis ◽  
Mortality Ratio ◽  
History Of

Background: Maternal Mortality Ratio (MMR) is an indicator of health and quality of human resources. One of the causes of MMR is preeclampsia. Preeclampsia is an increase in blood pressure during pregnancy, which it cannot yet be determined. Purpose: Aims of this study are to analyze the characteristics of pregnant women with preeclampsia in seven hospitals in the agriculture area. Methods: Respondents obtained were 441 pregnant women with preeclampsia and analyzed by frequency distribution. Results: The results of the study show that the distribution of patient preeclampsia was most often found at RSU Dr. Abdoer Rahem that is a number of 125 patients (28.3%). The most characteristic mothers with preeclampsia on reproductive age (75.5%), primipara (54.6%), no have a history of the contagious disease (95.9%), no have a history of preeclampsia (83.2%). The most prevalent preeclampsia have a history of preeclampsia. Conclusion: Nurses conduct studies on pregnant women to prevent preeclampsia through a characteristic analysis of pregnant women with preeclampsia.

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