WHY?? SHY!!! WHY???LOW SPERM COUNT

POSITIVE VIEW IN SIDDHA

A HERBO MINERAL MIRACLE

INTRODUCTION:

In olden days infertility was common among female individual

only. But now, when a couple came for infertility treatment, it

was noted that 33% of male factor involved in it. We are all

surprised to know why? Male infertility, is almost as likely as

female infertility. We all know the common fact , that one motile

sperm is needed for a successful pregnancy. The sperm

should be in the stage of

1.Actively motile

2.In normal shape

3.Devoid of puscells


4.Free from any other infections.

Then only it will lead a normal healthy pregnancy.

MALE INFERTILITY- COMMON WHY??

In modern era male infertility has become a very big social problem. It is not

a matter to shy away. But we should think of it why?? Nowadays

many persons deprived of a balanced diet, rich in minerals, vitamins, etc.All

of us in Hurry!!!For what?Having a healthy diet, homely made foods and

regular exercise can lead one a healthy long life.Most of the men eat fast

food, chat food etc.Nobody knows about the caloric value of this food,

ingredients of these foods. Is it a good way for healthy, long life? Why I am

discussing all these habits in this article? Because sexual ability is closely

related to our food habits.

Plenty of vegetables,spinach,vitamins,minerals like zinc,selenium all should

help in this infertility problem. Social ability and general health are directly

related to nutrition.If food is properly planned and regulated both sexual

ability and health can be maintained and obtained easily.It is not a matter

to shy away. Then only your family will be

HEALTHIER

HAPPIER

HOLIER

My experience in the field of male infertility:

1.When a patient visit my clinic for infertility, my kind advice them ,to come

with your caregiver. Usually all of them came with their old reports.

2.Many patient visit my clinic without hope after taking 7-8yrs of modern treatment.

3.I follow our siddhar’s way ,what ever they told in our literature.

4.First I advice them to come on early morning in empty stomach to note the clear status of the Naadi.

5.After that I follow the Tridhosa theory .According to their Naadi,I prescribe some Laxative

or purgative or emetic medicine before starting treatment.

6.I underwent some preliminary investigations, if needed, Such as Recent semen

analysis.(with in 3 months).

7.Generally I advice all my patients to come on person, then only they can clear all their doubts.

8.According to my experience all the infertile patients were in stress , I choose specific yoga therapy to relieve their stress. I advice them to continue it along with my treatment.

9.In my 15yrs experience in this field, I have seen a lot of cases like

Oligospermia,

Oligoasthenozoospermia,

Oligoasthenoteratozoospermia,

Azoospermia,

Oligozoospermia,

Asthenozoospermia

Asthenospermia

Teratospermia

Asthenoteratozoospermia, etc.

10.According to each individual’s problem, I choose specially prepared herbal medicines to treat them.

11.All herbs were dried and cleaned properly under my supervision.

12.I advice all my patients to continue treatment till 3-6 months, if it is not responding well, I go for next step.

13.All diabetic patients and hypertensive patients were adviced to keep their blood sugar

and B.P. under control.

14.For these patients I choose some special medicines along with my routine treatment.

15.90%of my patients got wonderful prognosis with in 3 months of treatment.

16.All of them know that, Siddha medicines are acting slowly.Yes it is true our medicines

are acting slowly and steadily.We all should remember about the proverb “SLOW AND

STEADY WINS THE RACE”

17.When a patient suffered with infertility either male or female, it is not a sin of an

individual,one of the partner should encourage the other.

18.When my patient comes with their kid to meet me, really I feel very happy. My

happiness has no end.

Birth and Death are God’s gift. Attaining motherhood is also a God’s gift. No one can

reinvent it. But not lose hope. I am here to help you.

WHAT IS WHAT???-MALE INFERTILITY

Oligoasthenozoospermia:

It is one of the term which comes under

male infertility, used to define sperm with low count and low

motility.


Oligoasthenoteratozoospermia:


It is another term, used to define, low sperm count with a high degree of

slow moving and abnormal Sperms in the ejaculated semen.


Aspermia:

It is defined as complete absence or lack of semen.


Azoospermia:


It differs from aspermia that, there will be no sperm in the ejaculated semen.


Oligozoospermia:


It is the most commonly used term of male infertility defined as low sperm

count in semen, that is less than 20million/ml.


Asthenozoospermia:


It is a condition in which the percentage of progressively motile sperm is

abnormally low.



Asthenospermia:


The loss or reduction of sperm activity is referred as asthenospermia.



Teratospermia:


It is a condition which denotes sperms with abnormal morphology.


Asthenoteratozoospermia:



Weakness and malformed sperm are called asthenoteratozoospermia.

Dr.SELVA,ANSWERS

1.Question: Dr. can you tell me when one to seek medical advice for infertility?
Mr.Saleem, vellur


Answer : I f you and your partner having trouble in getting pregnant after regular intercourse for one year, you can consult a doctor.


2. What is ovulation period?? When we consult a physician she advice me to have sex on that time, why? Mrs. Yalini, Tiruppur


Answer: For normal menstruating women on the 12-16 th day of (menstruation), egg will release from the ovary, it is called ovulation. On that particular day you may have lower abdominal pain, mild discharge p/v, if you have sex on that time, there may be chance of pregnancy. (This duration is advised for sexual union for getting pregnant).


3. Can you tell me the most common risk factors of Oligospermia?
Mr.Kishore,Kunnoor.


Answer: Smoking, excessive alcohol consumption, obesity, heat, certain drugs like anabolic steroids, marijuana, cocaine and are all the main risk factors of Oligospermia.

4. Sir, Let me know ,What is oligospermia??
Mrs.ArunaRajagopal,Sharjah.

Answer: Normal sperm count is 20 to 120 million/ml. If it is less than 20 million, this condition is called Oligospermia.



5. What are the common causes for male infertility??
Mr.Ganapathy,Bangalore


Answer: Male infertility is a complexed one ,it involves many reasons. Some among them are

1.Oligospermia

2.Azoospermia.

3.Erectile dysfunction.

4.Abnormalsperm morphology.

5.Varicocele.

6.Undecendrd testicles.

7.Chrmosomal defects.

8.Infections such as STD,Prostitis, Urethritis etc

9.Hormanal causes.

10.Retrograde ejaculation.

11.Cystic fibrosis.

12.Alcohol and Drugs.

13.Smoking.

14.Obesity.

15.Emotional stress.

16.Exposure to radiation, etc.


6.Could you please explain Impotency and Loss of Libido??
Mr.Mohammedkhan,Dubai

Answer: Impotency means inability of a male to attain or maintain erection of penis. Loss of libido means loss of sexual interest.

7. Sir,Please tell,what is premature ejaculation….??
Mr.Dinesh,Chennai

Answer: Pre mature ejaculation is a condition where a male ejaculate and reaches to an orgasm before penetration. It is the most common form of sexual dysfunction, may be due to anxiety or intercourse after long intervals.

8. Is there any time limit needed in ejaculation for getting pregnant??
Mrs:KannammalRajeshwaran,Nagercoil

Answer: There is no specific time limit needed in ejaculation for getting pregnant.

9. Can you provide some special tips to prevent male infertility?
Mr.Varma, Mumbai.

Answer:

1.Have regular sex on ovulation period.

2.Frequency of ejaculation more than few times a week will also reduce the sperm count.

3.Avoid heat ,high body temperature will reduce the sperm count.

4. Avoid tight fitting under wears.

5. Eat fresh and healthy foods.

6. Keep your body fit.



10.Sir Can you tell me what is abnormal sperms ?is it affects fertility?

Mr.Sanjeevi,Tiruchy

Answer: Abnormal sperm means , change in sperm morphology. Normally the sperm has a head and tail. The abnormality may be in head or tail. Some time the head may be large or absent or crooked double tail. These defects will impair the ability of sperm to reach the egg. So there may be problem of infertility.


11. Sir I have pus cells in my semen report? Do I need treatment??? Is it curable
Mr.Moheeth, Srilanka.

Answer: Few pus cells in the semen are common. It will not require any treatment. But many pus cells may be due to any infection of genito urinary tract, such as Chlamydia, Gonorrhea, prostitis etc. It must be treated with antibiotics. It is easily curable.


12.Sir,We have regular intercourse for two years, but still I couldn’t get pregnant? I am very much frustrated about it? What to do? Kindly advice me.
Mr.Ram, Bangalore

Answer: No need to frustrate about this matter. Better to consult a physician with your partner.


13.Sir, I have masturbation habit from my 13 yrs old. Now I am 27, I used to masturbate once or twice daily. Is it affecting my family life?
Mr.Pandiyan,Tiruppur.


Answer: Masturbation habit will not affect your family life normally. But masturbating once or twice daily for many years lead to defect in sperm concentration. So you are advice to minimize the frequency of masturbation for a successful family life.

14.Sir,I have problem of Oligospermia. I smoke 10-15 cigarettes per day? Now I reduce it to 8-10 cigarettes. Can you tell me this habit may stop or not?
Mr.Subramaniyan, Thisayanvillai.

Answer: Smoking habit will kill the sperms DNA. My kind advice better to stop this habit as early as possible.

15.Sir, If any position needed ,while ejaculation, for getting pregnant??
Mr.Ramkumar,Coimbatore

Answer: No specific position needed. You can ejaculate on comfortable position.
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AZOOSPERMIA—A DISCUSSION

What is Azoospermia?

Azoospermia is one of the most severe forms of male infertility. It is a



condition in which a man has complete absence of sperm in his



ejaculate.



Is it a common problem?


It is not a common problem. It affects only 2% of general population. But



it is thought that 10% -20%of men under treatment of infertility suffer



from Azoospermia.



What will be the cause for


Azoospermia?


Normally the sperm is produce in testicles, from the testes it passes



through epidydimis, ductus deferens, seminalvesicle, ejaculatory duct



and urethra.From the urethra the sperm to be implanted.So whatever the



problem in sperm production,transport or any infections of male



reproductive organs will cause azoospermia. Let us briefly discuss about



it. According to the cause azoospermia is divided in to two categories.



They are



1.obstructive cause.


2. Non obstructive cause.


Obstructive cause:


Obstructive azoospermia accounts for 40% of all cases of azoospermia.


The main causes are the following.



Genetic:


Genes may affect the sperm transport; the obstruction may be in


vasdeferens or epidydimis. For Ex: congenital absence of vasdeferens.



Infections:


Infections male reproductive organs such as

• Orchitis (infection of the testicles)

• Prostitis (infection of prostate)

• Balanitis(infection of glanspenis) etc.

Trauma:


Any trauma of male reproductive system including injury spine, lower


abdomen, pelvis, inguinal hernia repair may induce obstruction and cause

azoospermia.

Varicocele:

It is a condition in which the blood vessels of the scrotum, gets dilated


and enlarged.


Vasectomy:

It is a surgical procedure of birth control in male. Vas deferens is a tube

carrying sperm from the testes to seminal vesicle it was cut or tied.


Nonobstructive azoospermia:

Drugs:

Drugs, such as steroids, antibiotics, and drugs to treat inflammation or



cancer may affect male fertility.

Genetic:


Some genetic cause involve in non obstructive cause also. They are


Klinefelter's syndrome.


Kallmann's syndrome.


Hormones:


Disorders of the testicles may produce abnormal levels of hormones that



may cause azoospermia.


Radiation:


Radiation, used for the treatment of cancer, may affect sperm


production.



Retrograde ejaculation:


Retrograde ejaculation is a problem in which the semen will go inside the


bladder instead of coming out. It is due to spinal cord injuries, medicines,


diabetes and neck of the bladder injury.


Other factors:

Other factors include

• Smoking
  
  


• Drinking alcohol
  
  


• Pesticides
  
  


• Heavy metals
  
  


• Heat
  
  


• Un descended testes (testicles that did not move from the abdomen)
  
  
  

How is azoospermia diagnosed?

Azoospermia can be diagnosed, when a couple came for infertility

treatment. Once azoospermia was diagnosed, They may need the following

investigations.

Physical examination:

During the physical examination, the physician can examine one’s external genitals

and also examine about Varicocele. The common signs of hormonal imbalance are,

Increased body fat, body hair, and breast tissue.The size and shape of your testicles

will also be examined.

Biopsy:

To determine the ability of the testicles to produce normal sperm.

Blood investigations:

Genetic screening:

Genetic testing may be done to look for abnormal genes. To determine the

abnormal genes, it may cause Problems with sperm production, sperm transport, or

formation of the male reproductive organs.

Imaging tests:

Imaging tests may include the following:

• Magnetic resonance imaging scan:
  
  


• Spermatic venography:
  
  


• Ultrasonography:
  
  

Semen analysis:

To check a man's fertility

Urinanalysis:

To check retrograde ejaculation.

Azoospermia treatment:

It can be treated according to the cause.

Medicines:

Antibiotics may be given to treat an infection of the reproductive system.

Hormones are used to treat a hormonal imbalance.

Percutaneous embolization:

This procedure is for Varicocele.

Sperm extraction:

It should be more useful for obstructive case. The Sperm may be extracted

(removed) from the testicles or epidydimis. It can be extracted by following


methods.

MESA (Micro Epididymal Sperm Aspiration), in which sperm is removed from the

epididymis.

PESA (Percutaneous Sperm Aspiration), in which sperm is taken from directly from

the epididymis.

TESE (Testicular Sperm Extraction), in which a small tissue sample is taken from the

testicles in order to retrieve viable sperm.


Surgery:

It is also needed for obstructive cause.

How will you find support when you have

azoospermia?

Having azoospermia may be hard for each and every individual. One may feel angry,

depressed, or frightened. These are all normal feelings. Freely talk to your


caregiver,family, or friends about your feelings. You may need support from them


to share your feelings.

My experience about azoospermia

• In my clinical practice treating azoospermia is a challenging and interesting one.But it was very difficult for me to manage the patient’s feelings.

• All the patients are mentally depressed and frightened about the future. So they need more care and expect more love from their family members.

• Treating them and teaching them about their medical problems are important in my practice.

• Treatment for azoosperma is a step by step procedure according to every patient condition and cause.

• The procedure should be explained to all the patients and their family members.

• For all the patients routine investigation were done properly and they are adviced to maintain diet regimen and pathiyam.

• If there is any surgical cause,a secondary opinion was taken from a surgeon.

• Most probably 3-6 months period may be needed to treat azoospermia. For non obstructive causes such as infections can be treated successfully.

• In the treatment of azoospermia, we need not only the patient’s cooperation but expect full suport from the all family members.
  
  
  

HAVING AZOOSPERMIA IS NOT A SIN FOR THE INDIVIDUAL,WE

HAVE TO SUPPORT THEM MORALLY AND MENTALLY!

ROLE OF SIDDHA MEDICINE IN BRONCHIAL ASTHMA

What is Asthma?


Chronic inflammatory disease of the airways followed by wheezing, shortness of breath,

cough and tightness of chest.

What are the symptoms of asthma?

• Frequent Cough especially at night.
  

• Short ness of breath.
  

• Sleep disturbance.
  

• Feeling tired.
  

• Whistling sound during exhaling.
  

• Recurrent infections like sneezing, running nose, sore throat etc.

• Difficulty in speaking.
  

What are all the triggers of asthma?


Asthma, probably due to genetic and environmental allergic factors. Following are the

triggers of asthma.

• Allergies due to various causes, like house dust, pollens, dander, feathers, hairs of pet animals, perfumes, chemicals, etc.
  

• Smoke.
  

• Respiratory infections.(viral and bacterial)
  

• Physical exercise.
  

• Cold air.
  

• Emotions and stress.
  

• Changes in the weather.
  

• Gastro esophageal reflux disease.etc.
  

Complications of asthma:

• Status asthmaticus.(repeated bouts of asthma attacks without interval)
  

• Secondary infections of the lung.(Ex: tuberculosis, bronchitis)
  

• Emphysema.(abnormal enlargement of air spaces, distal to terminal bronchiole)
  

• Asphyxia
  

• Pneumothorax.
  

• Cardiac arrest.
  

• Esnophilia.
  

• Respiratory failure.
  

• Hospitalization.
  

• Death.
  

If any hospitalization need for asthma?

• Indicative signs of hospitalization in asthma are
  

• Persistent cough.
  

• Persistent sweating.
  

• Cyanosis.(bluish coloration of lips, finger nails and tongue)
  

• Fast heart rate .
  

• Difficulty in breathing, breathing by rib and neck muscles.
  

• Rapid respiration.
  

• Severe wheezing.
  

• Confused stage of mind.
  

In Siddha System of Medicine Asthma is defined as Eraipunoi or

swasakasam , which was characterized by

• Tightness of chest
  

• Difficulty in breathing
  

• During breathing the sound is like ( குழல், யாழ்)
  

• Cough without expectoration
  

CLASSIFICATION:


It is classified in to five catagories.They are


1.Vali eraippu


2.Iyya eraippu


3. Iyya vali eraippu


4.Mukkutra eraippu


5.Mel nokku eraippu


VALI ERAIPPU:


All the symptoms are followed by indigestion of food. The main symptoms are

• Tightness of chest and wheezing .It can be cured easily.
  

IYYA ERAIPPU:


All symptoms are followed by sudden changes in the weather. The symptoms are

• Severe cough
  

• Rhinits
  

• Sneezing
  

• wheezing
  

• Sweating
  

• Dryness of the tongue
  

• Sleep disturbances
  

It is also called as Tamaka swasam.



IYYA VALI ERAIPPU:


It is otherwise called as Vitchina Swasam.The symptoms are combination of Vali and Iyya

eraippu .


MUKKUTRA ERAIPPU:


It is otherwise called as Maha Swasam. The symptoms are

• Tightness of the chest .
  

• Sweating .
  

• Difficulty in breathing.
  

• Rigor.
  

• Giddiness.
  

• Abdominal distension.
  


• Irregulariy in speech.
  

• Body pain.
  

MEL NOKKU ERAIPPU:


It denotes the severity of asthma. In this condition immediate hospitalization should be

done. The symptoms are

• Inability to breathe.
  


• Dryness of mouth.
  

• Inability to speak.
  

• Breathing through mouth.
  

• Tears in eyes.
  

MY CLINICAL EXPERIENCE:

• I have come across lot of cases of bronchial asthma in my medical practice.
  
  


• For all the patients routine investigations and proper history were taken.
  
  


• Usually they contact me in the chronic stage, 80%of them, were had history of asthma for the past 10yrs.
  
  


• Siddha Medicines were prepared especially according to each and every individual condition.
  
  


• For all patients Siddha medicines, given under proper anupanam and pathiyam.
  
  


• Response to Siddha medicine and relieve of symptoms are excellent during treatment.
  
  
  


• All patients are advised to avoid dried fish, packed food, tinned food, and refrigerated food, bottle drinks etc.
  
  


• All are advised to take fresh foods and healthy food to improve their immunity power.
  
  


• After 40 days treatment, in acute stages, they got very good relief in symptoms and they have no episodes of wheezing. If it occur, it should be tolerable.
  
  


• After 90 days treatment, 80% of them got successful results .
  
  


• After that I advised them to take some preventive medicines with regular interval according to each individual condition and severity of symptoms.
  
  


• The interval may be 3months once or 6 months once or yearly once 40 days according to their severity of the disease.
  
  

It is true in my practice, that Siddha medicine have a

Wonderful effect on bronchial asthma.