Articles on hormonal contraception

The Unmet need for Contraception in India!

Dr. Neelam Nath Bhatia, General Physician
26th September Is World Contraceptive Day & India Needs More Awareness.We were 1 billion in 1999 and we are 1.3 billion now in 2016. Why is one billion figure is worth its might- to cause a scare or to remind us about our depleting resources like water, food, and polluted air?Also because Dev Anand made a movie around same time titled 100 Crore to remind us about our might to Fight Corruption!If a qualified doctor happens to work in a one amongst thousands of rural villages right within Delhi/ NCR ,the harsh reality of numbers stares at us. No family has less than 4- 5 children and women are married at less than 18,the official age ,they have kids one after another every year in a row,by the time they are 25 , they are anemic mothers along with malnourished kids hanging around them but not willing to go to school despite education being made free.Still, it is our duty to guide these people, being visited by Government Vans to give them advice for free.Nobody offers them a Cafeteria approach to choose.Every contraceptive does not suit all women. It cannot be robotic.Why I wrote women here? Do men share no responsibility about family planning matters? The harsh reality is Yes.There are Myths associated with Male sterilizations, though medically it is the Safest for man and his family as Abdomen is Not involved. It is No Cut Vasectomy and the man walks out of clinic as if no procedure has been done, ready to go to work the same very day ,including lifting weights etc.Compare this with keyhole surgery of tubal ligation (safest choice for a woman who has completed her family) It looks like 1 stitch operation , but without sounding scary about the surgery, local anesthesia is given and abdomen is bloated up with gas to see tubes through a machine and bands are tied on both tubes one after another. Like any abdominal surgery, there is pain afterward , the woman is advised Not to Lift heavy weights for about 2 weeks lest the bands come out and Operation is a Failure.For temporary contraception, Pills, Condoms ( protection against STDs also ) are suggested but side effects are - Condoms have 20% failure rate,pills have side effects associated with hormones ( more on that later in another article)IUCD-Intrauterine Contraceptive Device is fairly good provided it is inserted to women under hygienic conditions & she does not suffer from heavy periods.I-pill means Only Emergency pill, it is loaded with hormones and can make regular cycle as erratic.Some girls have become habitual of taking it as a routine.Similarly, OCs should Not be given for more than 6 months at a stretch.A recent introduction is an injection for 5 years. This injection is the one being given every 3 months to avoid pregnancy. It is for women who forget to take a pill every day.Injection has hormone Progesterone. The woman is loaded with a dose for 3 months instead of a low dose to be taken daily. These women tend to get an Early Menopause & other conditions related to high doses of hormones. Motivate as many women as possible for safer procedures like Laprascopic Ligation / IUCD after asking them the details about their complex problems.One Happy woman may Not Share her Experience but another unhappy woman with wrongly fitted IUCD in a Van by Inexperienced Nurse/Health Worker is going to badmouth to entire Mohalla about bad effects of IUCD/Ligations.

Contraception: The Missed Pill

Dr. Devjani Das (Ganguly), Gynecologist/Obstetrician
In today's busy day and age, ladies want to be in control of their lives. In order to achieve an optimum work-life balance, priorities such as having children, need to be meticulously planned for the right time and when one feels ready to take on the responsibility. Hence contraception plays a very prominent role in the lives of young couples.Many young ladies prefer the combined oral contraceptive pill, i.e. the one that has both oestrogen and progesterone hormones, as their choice of contraception. There are episodes when pills are missed owing to a busy lifestyle or as a result of various other reasons. So what is a "missed pill"?A missed pill is defined as one that is 24 hours late.A pill is "late" if you have forgotten to take it at the usual time.If one combined pill is missed (between 24 and 48 hours of the last pill taken), then the missed pill should be taken as soon as remembered. The rest of the pack should be continued as usual. This means that you may be taking two pills in one day, first the missed pill, and then the usual pill at the usual time of the day that you would have taken.In the event of one missed pill, there is still contraceptive cover, and no emergency contraception is needed, provided there haven't been any other episodes of missed pill in the current pack, or in the last week of the previous pack.If two or more consecutive combined pills have been missed (more than 48 hours late), the last pill missed should be taken immediately, even if it means taking two pills in one day. Any earlier missed pills should be left in the pack. The rest of the pack should be taken as usual and an additional method of contraception (e.g. condom) should be used for the next 7 days. The timing of starting the next pack after missing two or more pills, depends on how many pills are left in the current pack. If seven or more pills are left in the pack after the last missed pill, the pack can be finished in the usual way, with a seven day gap as normal, prior to commencement of the next pack.However, if less than seven pills are left in the current pack after the last missed pill, the pack should be finished, and the next pack should be started the next day, without the seven day gap.There may not be effective contraceptive cover in the case of two or more missed pills in the first week of the current pack of combined pills. If there has been unprotected intercourse within the previous 7 days of the missed pills, in the first week of the pack, emergency contraception is needed, and you will need to see your gynaecologist regarding this.The combined pills are an effective method of contraception, provided they are used correctly and episodes of missed pills are kept to a minimum.

Contraception - Common Myths and Misconceptions

Dr. Sujoy Dasgupta, Gynecologist/Obstetrician
Sex is a basic human right. But to have sex safely and without fear of unwanted pregnancy - should be the priority. Many women across the world die every day as a result of unwanted pregnancy, mostly due to unsafe abortion. So, couples can avoid pregnancy and enjoy sex life fully, only if they can follow safe and effective contraceptive advice. Let me clarify some popular myths and misconceptions abut contraception. 1. Contraception is useful for allWhile the ideal contraceptive is necessary but it does not exist. So, what may seem suitable for a couple may not be useful for another couple. We need to assess various points like a number of children they have, wish to have further children and plan to have children, general health of wife and husband (and any diseases they suffer from), the frequency of intercourse, the chance of infection, the age of the partners etc. 2. Regarding barrier methodsMost popular barrier method is a male condom. But the myths are that" condoms reduce sexual pleasure" and" condoms get easily damaged leading to failure.Condoms are especially useful for those who are at risk of infections, who do not have very frequent intercourse and who are not suitable for other methods. Condoms do not decrease sexual pleasure, some of the condoms have medicated products which can increase the duration of intercourse and also act as a lubricant to facilitate intimacy. But men should know how to use it properly. It should be worn on erect penis expelling all the air and projecting the tip beyond the tip of the penis. While withdrawing penis after intercourse, the condom should be held at the base of the penis. Actually, failure/ rupture of condoms occur because of mishandling of condom or not knowing the proper use of it. So, before use, please make sure that you know its correct use. Definitely, some men can feel latex allergy and they have to use a non-latex condom, which is widely available.There are barrier methods for females also- like female condom, diaphragm, and cervical cap etc. But they are not very easy to use and are not so popular.3. Oral Contraceptive Pills (OCP)Myths OCP causes an increase in weight.OCP cause cancers.Facts CP seldom causes gain in weight. The gain in weight is coincidental, that means you have some other reason of gaining weight- like not having exercise, ignoring diet control and some other diseases. OCP rather reduces risk of cancer- especially ovarian cancer (which is very difficult to diagnose and very lethal), cancer of colon, cancer of endometrium (inner lining of uterus). Of course, there is little risk of breast cancer, but the risk is not very high, it can be easily detected by examination by doctor. So, if you take ocp, get rid of all the fears. Just try to have self- breast examination every month. 4. Intrauterine Contraceptive Devices (IUCD)Most popular is copper T. Medicated iucds are also available, that contains hormonal drugs. Copper T does not increase risk of infection, a common misconception lies among woman.5. Emergency contraceptive pills (i pill etc)Often couple uses these pills regularly after intercourse. Remember these pills contain very high content of hormonal drugs, which can lead to serious side effects like hormonal imbalance, irregularities in periods (and thus can prevent you from getting pregnant in future, even when you want pregnancy), ectopic pregnancy (pregnancy outside tubes that are life-threatening) etc. So, use regular contraception if you want to prevent pregnancy. I pill is not meant to be taken for every time.  6. LigationLigation of male (vasectomy) and female (tubectomy) is done as permanent contraception for couples having more than 2 children. Ligation in male does not disturb sexual activity. It is easier than female ligation. Again, female ligation is also a very safe technique. So, please remove all misconceptions and myths about contraception. Have safe sex, enjoy life.

10 Things About Emergency Contraceptives Women Must Know

Dr. Jyotsna Gupta, Gynecologist/Obstetrician
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy.Many youths in India are using ECPs like I pill & Unwanted 72 without caring about their after effects on the health of the girl.Most youngsters have unprotected sex depending on these emergency contraceptive pills. However, i-pill or any other emergency pill is not a contraceptive pill you can depend on daily. With the fabulous marketing that these pills do, it has succeeded in making it one of India’s most favored ‘emergency contraceptive pills’. In a country like India where people only expect you to have sex after getting married, these advertisements are highly misleading.But before you think of it as a miracle pill, you should know about the dangerous side effects of these emergency contraceptive pills. Given below are 10 facts about the emergency pill that every sexually active woman must know about and ask their partner for a much safer option like condom.The emergency contraceptive pill is not an abortion pill. It stops pregnancy but cannot terminate it. Therefore it is ineffective if a woman is already pregnant.The pill is to be taken soon after unprotected sex. It should be taken preferably within 24 hours and before 72 hours or else the pill may turn useless. Emergency contraceptive pill is about 96-98% effective only if taken in time.It does not offer protection against HIV/AIDS or other sexually transmitted diseases.If you are on long-term medication for any ailment, consult a doctor before taking the emergency contraceptive pill.Nausea, breast tenderness, delayed menstruation, lower abdominal ache, headache, vomiting and irregular menstruation are some of the temporary side-effects of the emergency contraceptive pill. However, these effects subside within a day or two depending on the metabolism of the woman.The emergency contraceptive pill is to be used only as an emergency contraceptive method. It should not be used as a regular contraceptive method and is quite unhealthy if taken more than twice a month.According to researchers, emergency pill can reduce sexual interest; lead to skin allergies and also prepone periods in some women. Other women complain of severe headache which is a result of hormonal imbalance.A woman who has an allergy to Levonorgestrel (contraceptive pills) must consult a doctor before taking the contraceptive pill.The emergency pill is only safe for women between the ages of 25 and 45. It is not the best contraceptive method for teenagers. With the rate of teenage pregnancy growing in India, there is need to educate the youth about the harmful side effects of the i-pill on a developing reproductive system.The emergency contraceptives are hormonal pills and its long time usage can lead to severe menstrual problems or even ovarian damage.

Hormones in Sex

Dr. Ramesh Maheshwari, Sexologist
In regard to sex and reproduction the most important endocrine glands are pituitary gland and the gonads or sex glands –Testes in male and ovaries in female. The anterior pituitary gland secretes two gonadotropic hormones:Follicle stimulating  Hormone (FSH) and Luteinizing hormone (LH).They play major roles in the function of male and female function. During pregnancy placenta secretes human chorionic gonadotropic hormone that has the same property as LH. This hormone stimulates the interstitial cells of fetal testis and  produces testosterone which promotes formation of male sexual organs. No testosterone is produced during childhood until the age of 10 to 13 years and lasts throughout life. On stimulation by LH from anterior pituitary, Testosterone is produced by the interstitial cells  of Leydig in the testes. FSH from anterior pituitary stimulates conversion of primary spermatocytes into secondary spermatocytes in the seminiferous tubules of testis. However, for complete formation of spermatozoa testosterone is needed. Thus FSH iniates proliferative process of spermatogenesis and testosterone does final maturation of spermatozoa. Testosterone secretion, after puberty, causes the penis, scrotum and testis to enlarge until the age of 20. Testosterone causes secondary sex characteristics of the male. In female, the anterior  pituitary produces gonadotropic hormones FSH and LH which act on ovaries and produce estrogen and progesterone. During the reproductive years there is monthly rhythmic changes in the rate of section of female hormones and as menstrual cycle, is of 28 days.Variation from   20 days to 36 days is taken as normal. At the age of about 8, the anterior pituitary begins secreting gonadotropic hormones, FSH & LH. These act on the ovaries. One of the follicles grows and ovulation takes place on the 14th day (counting from the first day of menstruation). During the growth of the follicle, estrogen is secreted. Following ovulation, the follicle develops into corpus luteum degenerates. The ovarian hormones, estrogen and progesterone decrease greatly and menstruation begins. Estrogen is responsible for secondary sex characters of the female. Progesterone is concerned with final preparation of uterus for pregnancy and the breasts for lactation. Male’s capacity to be stimulated sexually shows a marked increase  with the approach of adolescence. The frequencies of response to the point of orgasm reach the peak within three or four years after the onset of adolescence. Frequencies of sexual response in the male begin to decline after early thirties and drop steadily into old age. Among females, the median frequencies of sexual activities remain constant from late teens into the fifties and sixties. In maximum incidences of sexual response are not approached until some time late twenties and thirties. Individuals who are physically exhausted or in ill health are not easily aroused sexually if aroused they may not be capable of effective action and may fail reach orgasm. Estrogen occurs in equal amount in pre-adolescent female and male. But at the time of adolescence, estrogen increases abruptly in female. At the onset of adolescence there is no upsurge of sexual activities in the female. It is the male who suddenly becomes sexually active at adolescences. Androgen are found in both males and females. Adrenal glands also produce androgens. In preadolescence, the androgen levels begin to rise more markedly in the male. There is sudden upsurge of sexual  responsiveness and sexual activity are among males. In females, the levels of sexual  response and sexual activity are much lower than the levels in the males.When Testosterone is given to normal male, there is increase in frequency of morning erection, the frequency of erotic response to various stimuli and the frequency of masturbation. Testosterone is also used to increase the low rate of coitus which results in infertility. Sperm count also may increase by administration of Testosterone. However, indiscriminate use of testosterone may involve some danger like inhibited pituitary function and damage to the gonads. It may accelerate malignancy of prostate. Serum prostatic specific antigen estimation and  a digital examination of prostate are mandatory prior to administration of Testosterone. Both, androgen occur simultaneously in both the female and male bodies. There is a theory that estrogens counteract the effectiveness of androgens. Some clinicians use estrogen in effort to reduce the levels of responsiveness of males convicted as sex offenders. Though estrogens reduce the amount of androgens, the use of estrogens to lower sexual responses is debated. The adrenal cortex produces androgens and estrogens in both the males and females . In menopause when the estrogen level falls, the androgen produced by the adrenal glands is responsible for the growth of hair on the face females. Similarly, When the level of androgen falls in elderly males, the estrogen from the adrenal glands dominate and produce enlargement of breasts in the males. Hormonal levels may affect the intensity and frequency of response, the frequency of sexual activity , but there is no relationship between the hormone and individual response to particular sort of psychological stimuli. There is no evidence to prove that the patterns of sexual behavior can be modified by hormone therapy.

All About Contraception, a Man or Women Must Know

Dr. Jyotsna Gupta, Gynecologist/Obstetrician
There are different methods of contraception, including:Long-acting reversible contraception, such as an implant, or an intra uterine deviceHormonal contraception such as contraceptive pills – “the pill”, the injection and vaginal ringsbarriers methods, such as condoms and diaphragmsFertility awarenessEmergency contraceptionpermanent contraception, such as vasectomy and tubal ligation.LONG-ACTING REVERSIBLE CONTRACEPTIONLong-acting reversible contraception (LARC) is a contraceptive that lasts for a long time. You don’t need to remember it every day or even every month.an intrauterine device (IUD) that lasts five or more yearsan implant under the skin that lasts either three or five years.These types of contraception last longer so are more effective at preventing pregnancy because you don't have to worry about forgetting pills or a condom breaking or coming off.They are “fit and forget” contraception.HORMONAL CONTRACEPTIVES“The Pill" is one of the most popular contraceptive methods The Pill comes in two forms:combined oral contraceptive pillprogestogen-only contraceptive pillBoth are taken daily and are over 99% effective at preventing pregnancy when taken correctly.BARRIER METHODSBarrier methods stop sperm from entering the vagina. There are three main barrier methods of contraception:male condomsfemale condomsdiaphragms.Condoms protect against sexually transmissible infections (STIs) as well as unwanted pregnancy.A diaphragm (with spermicide) is inserted into a woman’s vagina before intercourse. It must always be used with spermicide.FERTILITY AWARENESSFertility awareness is recognising the signs of fertility in a woman’s menstrual cycle. It can be used to understand your own menstrual cycle, plan a pregnancy or avoid a pregnancy.Knowing when you ovulate (release an egg from your ovary). Avoiding intercourse during ovulation periods and knowing your safe days also helps in avoiding pregnancy.For a regular period of 28 days, it is considered that ovulation takes place in mid of the cycle and day 8th to 19th days are considered fertile days.  If your menstrual cycle is irregular, the success rate of this method decreases drastically.  EMERGENCY CONTRACEPTIONWe have two options for emergency contraception - the emergency contraceptive pill (ECP) or a copper IUD.Emergency contraception can be used to prevent pregnancy after you have had sex when:you haven't used protectionyour normal contraception fails e.g. condom splitsyou have missed more than one contraceptive pillyou have been vomiting or had diarrhoea while on the pillyou have been forced to have sex without contraception.WHAT IS PERMANENT CONTRACEPTION?Permanent contraception is sterilisation that permanently prevents pregnancy. The procedure for men is a vasectomy and for women it is tubal ligation.

Nutrients and Hormonal Imbalance in Men

Dr. Priyam Sharma, Dietitian/Nutritionist
Do you feel tired and irritated, suffer from a low libido and low testosterone levels, and seem to be losing hair along with your temper? Often people confuse these symptoms with signs of aging, but they can also be the cause of a hormonal imbalance in men.Though aging is a known trigger of hormonal imbalance, a poor diet, lack of exercise and an unhealthy lifestyle can also trigger hormonal imbalance. The good news is the hormones can be controlled and imbalances can be set right with a few changes to your diet. Getting the right amount of food and nutrition in the body can reverse your hormonal problem, and help you optimize your health. So, start making the following changes now.Include calcium-rich, healthy foods like milk, cheese, leafy veggies, almonds, broccoli and kale to your diet.Hormonal imbalances can cause kidney stones, fractures, and weakened bones; by increasing the intake of calcium-rich foods, you can keep all these side effects away.Increased consumption of Omega 3 fatty acids like oily fish, flaxseeds, chia seeds, walnuts, soybeans, tofu, winter squash and olive oil will help in maintaining the balance of the hormones in the body.Vitamin D is an essential nutrient which can help maintain a healthy balance of hormones in the system. Milk, eggs, fish and cod liver oil are rich in vitamin D. You can also get Vitamin D by standing under direct sunlight for a few minutes every day.Increase intake of small, medium and long chain fatty acids. Avocados, coconut oil, salmon and some dairy products contain essential fatty acids in abundance, which are the building blocks for male hormone production in the body.These are some safe and natural ways to balance and restore hormones in the body. The right balance of micronutrients and macronutrients will help produce optimal hormone levels, so eat up and be healthy!

Balance Your Hormones to Lose Weight

Ms. Swati Kapoor, Dietitian/Nutritionist
Routinely cheating on your eating plan or shying away from physical activity may explain why your weight loss has come to a screeching halt - or failed to take off in the first place. If you’re not burning more calories than you take in, pounds will stick around. But if conscientious calorie counting and regular gym sessions get you nowhere, consider another factor at play in the feud against fat—your hormones. Though as yet there is no proven miracle combo of foods or behaviors that will jump-start those internal executors into setting our fat on fire, we can give our hormones a better chance by creating a stable environment in which they can work.Eat Whole FoodsThink a diet high in fiber, complex carbs, and low-glycemic-index foods like whole grains and fiber-rich vegetables and fruit, as well as unsaturated fats, which will take longer to metabolize and help you stave off cravings, says Alice Chang, M.D., assistant professor of endocrinology and metabolism in the department of internal medicine at UT Southwestern.Eat foods in their intact form, Greene adds: whole oranges, for instance, instead of juice. "One glass of juice might take three oranges, plus the added sugar," he says, "but if you were eating oranges themselves, you'd probably stop after one-and-a-half." Having five or six small meals of lean protein and complex carbohydrates throughout the day will help keep your blood sugar stable.MoveCameron recommends exercising an hour per day, five days a week, to combat hormonal weight gain. But that doesn't have to mean a solid hour of running: "Park the car at the end of the lot," she says. "Take the stairs."Strength-training can also help with hormonal balance, says Brian McFarlin, Ph. D., associate professor of exercise, physiology, nutrition, and immunology at the University of Houston: "It alters the cortisol level, helping you burn calories and fat. Even at rest, muscle burns more calories than other tissue."Check Your StressFor most people, basic stress-relief measures, such as getting a massage or seeing a counselor, "will lead to better hormonal balance," Gluck says. A variety of research shows that people who practice yoga three times a week tend to gain less weight; one study published last year by the Journal of the American Dietetic Association found that middle-aged people who did yoga gained less weight over a 10-year period than those who didn't.Get  Plenty  Of  SleepA 2004 study at the University of Wisconsin-Madison revealed that subjects who slept less had lower levels of leptin [satiety hormone] and higher levels of ghrelin [hunger hormone]. Other research has shown that just three days of sleep disruption increases insulin resistance in humans.These 10 hormones hold the secret to losing weight and feeling great.InsulinIn essence, insulin governs your body, and it has a profound effect on aging.GlucagonGlucagon performs the exact opposite function of insulin—it melts fat.LeptinIf a person is having trouble in controlling appetite, it is always a leptin imbalance problem.Human Growth HormoneHuman growth hormone (HGH) is the quintessential anti-aging hormone.ThyroidThe thyroid hormone keeps us fit, provides energy, improves thinking abilities, boosts the immune system, decreases bad cholesterol, and lowers blood pressure.TestosteroneTestosterone makes men masculine, but it is also present in small amounts in women, and aids libido in both genders.EstrogenEstrogen increases alertness, lowers body fat, protects against heart and Alzheimer’s disease, and more.ProgesteroneProgesterone reduces anxiety and has a calming effect on mood - it makes women happy.Dehydroepiandrosterone (DHEA)DHEA is gaining ground as a hormone that improves one’s sense of well-being, relieves fatigue, fights depression, and plays a role in the prevention of osteoporosis in postmenopausal women.CortisolCortisol, a stress hormone, gives us energy. This major hormone keeps us alive thanks to its three essential and powerful properties: it increases blood sugar levels (and thus energy levels), raises blood pressure, and neutralizes inflammation.

Side Effects and Risks of Going on the Pill!

Dr. Disha Sridhar, Gynecologist/Obstetrician
The Pill seems to be the easiest method of preventing an unwanted pregnancy, but it is also one of the riskiest ones.  Despite warnings by an increasing number of health officials about the strong side effects of the drug, it is still regarded as the “best and safest” method of contraception.It is estimated that 150 million women worldwide take birth control pills. Why?If women knew the true dangers of birth control pills, would the numbers be so high? Not a chance.Sadly, in spite of knowing the devastating risks of birth control and lack of long-term safety especially for teenagers, pills are still being used for the treatment of hormone imbalances and acne.  Massive amounts of damage are being caused by handing out these pills like candy and too many heads are turned to ignore the obvious truth.  Unfortunately, we are talking about the lives of women and future generations.  If you read the following side effects, would you be concerned if your teenager was recommended to take birth control for controlling acne, per the doctor’s orders? Yet millions do it and unknowingly take a huge risk with their health and livelihood.  Many of these changes occur because of your body’s response to synthetic estrogen:Larger breastsWeight gain or lossReduced or increased acneSlight nauseaEmotional sensitivity right before your periodMood swings throughout your cycleIrregular bleeding or spottingBreast tendernessAnd even scarier than the “mild” side effects are the serious health risks that accompany birth control pills. These include:Increased risk of cervical and breast cancersIncreased risk of heart attack and strokeMigrainesHigher blood pressureGallbladder diseaseInfertilityBenign liver tumorsDecreased bone densityYeast overgrowth and infectionIncreased risk of blood clottingCancer, heart disease, stroke, infertility.  Surely these side effects make birth control pills a less than desirable option for contraception, and even less desirable for acne. Some facts about contraception pills that people don't talk about enough-Women who continually use contraceptive pills are more likely to develop circulatory problems, liver tumors, headaches, depression, and cancer than those who don’t use them. The risk increases with age. Women taking the Pill who are between 30 and 40 have a three times higher risk of dying from a heart attack than women of the same age group who are non-users. Women who are over 40 and still using the contraceptive pill have a 6 times higher risk of developing high blood pressure, a 4 times higher risk of having a stroke, and a 5 times higher risk of developing thrombosis and embolism, a condition where a blood clot may form and then lodge in an artery close to the heart. The risk of suffering thrombosis is greatest among short-term users.One of the most disastrous side effects of birth control pills on the body is the destruction of the beneficial bacteria in your intestines, making you more susceptible to yeast overgrowth, lower immunity, and infection. This little-known fact is never discussed and unfortunately, women are battling yeast overgrowth and yeast infections (candida) that are particularly dangerous to your overall health.How do birth control pills work?Let’s understand how birth control pills work in your body.  Typically, your body ovulates once a month, ripening a new egg that will then journey down a fallopian tube.  Eventually, it reaches the uterus, where it would implant if fertilized.If not fertilized by a sperm, then the lining of the uterus that had built up in preparation for the fertilized egg is unnecessary.  Both egg and uterine lining leave your body, cleansing your system and preparing for a new month.When you take birth control pills, you impose synthetic hormones on your natural cycle.Many birth control pills contain high levels of estrogen that effectively convince your pituitary gland that you are pregnant (this explains some of the side effects of the drugs) and that you don’t need to ovulate.  Because your body thinks you are pregnant, the uterine lining thickens. Once you start the placebo pills , however, your estrogen level drops suddenly, and your body menstruates “normally”.This abnormal cycle is what millions of women experience every month, and yet few doctors discuss the consequences of taking these prescriptions year after year.If you are taking birth control pills for a reason other than contraception, please reconsider.  Whether you are trying to clear up your skin or ease disruptive and painful PMS, keep in mind that birth control pills are merely addressing the symptoms and are not solving the problem.  Your body is actually trying to tell you something!Acne may indicate that your colon, lymph, and liver need cleansing. It may be that your hormones are out of balance, that you are not managing stress and/or, that your thyroid and adrenals are fatigued.  Acne is also a common symptom of a yeast infection or candidiasis.As you can see the underlying cause of something as seemingly simple as acne can be more complex than you might realize.  Although birth control pills may improve your symptoms for a short time, the imbalances in your body and its overall health continues to decline and the risks of oral contraceptives only compound the problem.   There is no condemnation here if you are taking, have taken or thought about taking birth control pills. Our heart is to educate people about the dangers of choosing synthetic solutions to our health over the natural creations of God.  Instead of learning about our own bodies, we have trusted a man-made, synthetic option to regulate our hormones.  Sadly, most of it is completely wrong and contrary to our bodies design.   We need to learn about our hormones, our natural menstrual cycles, ovulation cycles, and fertility.  As we do this we will find that becoming healthy in mind, body and spirit often means getting back to basics and finding ourselves closer to nature.We at Truhealing believe addressing the root cause of your acne and or menstrual issue without masking the symptoms with synthetic hormones. Wishing you health and happinessDr. Disha

Ortho Facts You Should Be Aware Of!

Dr. R.N.Premkumar M.S.(Ortho), Orthopedist
Most orthopaedic problems can be managed by simple means. Improper execution of latest Hi-tech treatment is worse than simple treatment.Fractures - Don't panic! Only a very few fractures are real emergency - eg. Displaced fractures around elbow in children, fracture neck of femur at hip, fractures with big wounds over it etc. All Fractures need immediate splinting - Fractures are like broken wood, the edges are sharp and damage the surrounding tissues on every movement.Any amount of pain killers will not relieve fracture pain but splinting will do it. Some fractures heals even without rigid splinting like Clavicle (Collar bone), Ribs, fractures around shoulder etc. Functional recovery of nearby Joints and Muscles are equally important as fracture union. Splinting in improper position or duration leads to severe functional handicap. Hence native bone setters splinting has deleterious functional impairment.Sprain means stretching or tearing (partial or complete) of Ligaments which connect and hold the bones around the Joints. Severe sprains also need splinting. Haemarthrosis is collection of blood within a Joints usually following injury. It also need splinting. Aspiration needed very rarely only in very severe cases to relieve severe pain.Commonest splinting material Plaster of Paris has no medicinal value. It just molds and sets to the shape of the body part there by distributing the pressures evenly and avoid high pressure points over hard protruding bony points - which is not possible by the native bone setter's rigid splints.Local application of medicines, ointments, sprays, household materials, egg, green-leaf paste etc. has absolutely no role in either relieving pain or healing of fracture.Fractures which are high benefited by Surgical Fixations are:Displaced fractures around the elbow in Children.Fracture of Forearm bones (Radius & Ulna) and Thigh bone(Femur).Displaced fracture in and around Joints in Adults.  Fractures in the Upper end of Thigh bone at the Hip (Trochanteric or Neck of Femur fractures) in elderly people. However old they may be (even in 90s), the benefit of surgery with early mobilization from the Bed always out-weights the risks of anaesthesia and surgery because non-surgical management mostly end up with large bed sores, respiratory infection and renal failure with slow and suffering end (sometimes end up more expensive too).Displaced fractures around the elbow in Children. Fracture of Forearm bones (Radius & Ulna) and Thigh bone(Femur).Displaced fracture in and around Joints in Adults.  Fractures in the Upper end of Thigh bone at the Hip (Trochanteric or Neck of Femur fractures) in elderly people. However old they may be (even in 90s), the benefit of surgery with early mobilization from the Bed always out-weights the risks of anaesthesia and surgery because non-surgical management mostly end up with large bed sores, respiratory infection and renal failure with slow and suffering end (sometimes end up more expensive too).Don't get confused with Bone weakness (Osteoporosis) with Joint wear (De-generative arthritis) - Osteoporosis is like weakness of axle/wheel but Joint wear is like tyre wear - both are totally unrelated. Bone weakness (Osteoporosis) is related to Fractures in Elderly people due to decreased calcium level in the bone. Blood calcium level is not related to Bone calcium level or osteoporosis. But Degenerative Arthritis mainly involves knee joint in elderly causing crippling pain leading to severe restriction of activity. It is not at all related to bone calcium. It is a problem of Joint lining Cartilage.