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Dr. Sangeeta Popli
Treatment of Mirena (Hormonal Iud)
Reproduction Treatment
Pap Smear Procedure
Oophorectomy Treatment
Dilatation And Curettage (D C) Procedure
Ovariectomy Procedure
Proton Therapy Treatment
Preimplantation Genetic Diagnosis (Pgd)
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Multiload Contraception
Ovarian Ablation Procedure
Oophorectomy Treatment
Treatment Of Female Sexual Problems
Egg Donation Procedure
Treatment Of Menstrual Problems
Treatment Of Menopause Related Issues
Treatment of Polycystic Ovary Syndrome In Adolesce
Pre And Post Delivery Care
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Colorectal cancer is otherwise known as cancer of the colon or the rectum. This can affect both men and women with age being a major risk factor. Majority of such cancers are seen to occur after age of 50 years.
Type: Colorectal cancers can present as one of the following types:
Adenocarcinomas are the most common type of colorectal cancers. These cancers begin in the cells making mucous and other fluids. Certain colorectal cancers begin as adenomatous polyps (adenomas) that turn cancerous over a period of time. This is precisely why the adenomas are regarded as pre-cancerous or pre-malignant.
Gastrointestinal (GI) carcinoid tumors, GI stromal tumors, primary colorectal lymphoma, leiomyosarcoma, melanoma & squamous cell carcinoma are certain other colorectal cancers
Carcinoid tumors: start in specialized cells that produce hormones, in the intestine.
GI Stromal tumors: start in the interstitial cells of Cajal (ICC), in the wall of the colon.
Lymphomas: start typically in the lymph nodes but they may also start in colon or rectum.
Sarcomas: can start in the muscle and the connective tissue in the walls of the colon and rectum.
Gender: It affects both male and female populace.
Etiology: Mostly, the factors that are associated with increased risk of colorectal cancer include the following –
Age exceeding 50 years.
Racial & ethnic background such as African Americans, in the USA, are known to have the highest incidence of colorectal cancer, and mortality rates.
Low fibre and high fat diet. Excessive consumption of red meat (e.g. goat meat, beef, pork, lamb, or liver), processed meats, butter, refined grains, sweets, sugary drinks etc all can increase the risk of colorectal cancer.
Personal history of inflammatory bowel diseases (IBD) (e.g. ulcerative colitis), Crohn's disease, adenomatous colorectal polyps, colorectal cancer etc all.
Family history of colorectal cancer or adenomatous polyps etc all.
Inherited syndromes such as familial adenomatous polyposis (FAP) and Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC).
Sedentary lifestyle/ associated Obesity.
Tobacco and alcohol abuse.
Features or symptoms can vary from person to person depending on the size and location of the tumour. Following are the signs & symptoms mainly -
Changes in bowel habits, diarrhea or constipation or an alternating diarrhea and constipation.
Occult/ blood in the stool, and
Problems related to blood loss (e.g. anemia, weakness, fatigue, intolerance to exercise, shortness of breath, increased heart rate, chest pain etc all),
Abdominal discomfort (frequent gas/ flatulence, bloating, fullness, cramps, and pain), vomiting etc.
Unexplained weight loss,
Pain with bowel movement,
Feeling that bowel does not empty completely,
Stools are narrower than usual.
- Diagnosis: Following are the diagnostics employed. Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for accurate diagnosis.
- Blood: fecal occult blood test, Carcinoembryonic Antigen (CEA) assay values are raised, Hb/ RBC counts may be low.
- Imaging: Colonoscopy, Endorectal Scan/ CT Scan followed by Biopsy clinches the diagnosis and the nature of the disease.
- Apart from the above-mentioned barium enema X-Ray, USG, Chest X-ray, PET CT scan etc all help detect metastasis, if any. An increase in level of the serum tumor marker 'CEA' is indicative of metastatic spread/ proliferation that can be ascertained through a PET CT scan.
- Treatment: Conventional treatment includes surgery, radiation and chemotherapy as contextually appropriate. Simultaneously, an adjunctive/ integrative naturopathic treatment with suitable complementary & alternative medicines (CAM)/ therapies too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for better prognosis and efficient/ effective therapeutic management. Usually, the chances of cure for an early stage cancer are more. Above-mentioned apart, recovery chances are influenced by the grade, stage of cancer, recurrence and the patient's general health & vitality etc all too.
Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for prevention or reducing the risks of colorectal cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly or are best avoided too. Apart from the generic preventive measures as mentioned above, certain pre-malignant conditions, of which adenomas are the most common, can be successfully treated with complementary and alternative medicines too. If you wish to discuss about any specific problem, you can consult a doctor.
Minimal invasive spine surgery possesses numerous benefits over the traditional spine surgery that includes :
- small surgery scar
- less blood loss during the surgery
- quick recovery
- quicker return to work and normal activities
- less postoperative pain
- shorter hospital stay
These are the xray of a patient with l4l5 grade 1 listhesis operated by minimal invasive tlif.
Benign prostatic hyperplasia or BPH is a condition where the prostate gland gets enlarged. This is mostly common in men who are ageing. When the prostate gland gets enlarged, the flow of urine through the urethra gets blocked, and hence, several problems related to urination may occur. BPH occurs as a result of hormonal imbalance. If untreated, BPH can lead to severe bladder and urinary health conditions.
There are several symptoms and signs of benign prostatic hyperplasia. Here are 7 common symptoms:
- A frequent need for urination: Men affected by BPH feel an increased need to urinate frequently. This gets enhanced during the night and is called nocturia. The patient may even need to urinate more than eight times a day. Due to the enlarged prostate gland, more pressure is put on the urethra, which leads to uncontrollable urination.
- Urinating difficulties: The act of urination becomes difficult. Because of enhanced pressure on the urethra, the flow of urine to the penis from the bladder gets blocked. This makes a urine stream hard to start. The urine stream gets weak and interrupted, and more difficulty may be experienced during the end of urination.
- Pain during urination and ejaculation: Due to pressure on the urinary tract and reproductive system, pain can accompany urination and ejaculation. Some patients tend to push urine out, which results in pain. The pain may also occur because of infection during BPH.
- Blood in urine and an unusual color/smell: Urine may take a dark color and have an unusual smell due to urinary retention. Unpleasant urine smell signifies urinary tract infections. Blood in the urine may also result because of dilated veins present on the surface of the enlarged prostate.
- Urinary retention: When a patient is unable to pass any urine, it is called urinary retention. Such a condition requires immediate treatment, and you need to consult a doctor immediately.
- Urinary tract infections: Bacteria may start growing in the bladder when the bladder is not fully emptied of urine. This bacterial infection causes darkening of the urine, and emission of a foul odor.
- Bladder stones: Bladder stones may develop because of the inability of the bladder to empty itself completely. This is a major symptom of BPH. Hard lumps of minerals or bladder stones are formed when the urine present in the bladder gets highly concentrated, which causes the crystallization of minerals. Bladder stones may cause infections, result in blood in urine, cause bladder irritation and may also block urine flow.
So you see that benign prostatic hyperplasia involves the enlargement of the prostate gland, and results in several problems related to urination and different symptoms. Hence, immediate treatment is advisable.
Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:
Barrier Methods:
- Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.
- Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.
- Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.
- Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.
Hormonal Methods:
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
- Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
- Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.
Intrauterine Devices: The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.
Sterilization: This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.
In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.
Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants.
Burning fat with food must sound contradictory, but there are certain foods that can actually melt away your fats by improving your metabolism. Some foods have an extensive thermogenic effect (metabolism increasing effects) that can lead to the reduction of fat in your body. Read on to find out five such super foods and burn your fat away.
- Tuna: Tuna is a good source of omega-3 fatty acids and it also helps boost the production of a hormone called leptin. This particular hormone gives the illusion of fullness and you don't end up having large portions. It also accelerates your metabolic process. Apart from tuna, sardines too have the same properties.
- Green tea: The benefits of green tea are widely known. It has 'epigallocatechin' which improves the nervous system and elevates the heart rate. Drinking three cups of green tea daily has proven to burn up to 80 calories.
- Hot peppers: Different kinds of hot peppers not only spice up your food but they also melt calories. Capsaicin, a chemical present in peppers can increase metabolism rate by 25% for up to three hours after you consume your meal.
- Grapefruit: This delicious fruit has the amazing power to make you slim. Grapefruit has an antioxidant called 'naringenin' which can aid your body in its use of insulin more effectively, thereby keeping the blood sugar level under control and prevent diabetes. Recent studies have shown that sugar control coupled with grapefruits lead to improved calorie burn.
- Cinnamon: Studies have shown that including cinnamon into your daily diet can help you lose weight. A teaspoon of honey and half a teaspoon of cinnamon powder added to a cup of boiling water can also help you lose weight and lower your risk of heart disease. Cinnamon lowers blood sugar levels along with bad cholesterol levels (LDL) while having no effect on the good cholesterol (HDL). Hence, it's beneficial for both heart and type 2 diabetes patients. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.
Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:
- Relax you,
- Block pain,
- Make you sleepy or forgetful,
- Make you unconscious for your surgery.
Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to Death & Brain Damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:
Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
Difficult tracheal intubation: Tracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.
Other's are as listed below:
- Airway Obstruction
- Inadequate inspired oxygen delivery
- Aspiration
- Endobronchial Intubation
- Premature Extubation
Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.
Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:
- Pulse Oximetry
- Capnometry
- Combination of Both
Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome. If you wish to discuss about any specific problem, you can consult a general surgeon.
Vulvovaginal candidiasis refers to the infection of the vagina, accompanied by itching in the vulva. It is caused by a particular strand of yeast known as candida albicans. There are several reasons which contribute to the onset of vulvovaginal candidiasis, some of them are:
- Pregnancy: Pregnancy is a time when the body of a woman undergoes a plethora of changes. With the upsurge of certain hormones, this is also the most potent time when they tend to suffer from vulvovaginal candidiasis.
- Higher dose of estrogen: Estrogen is responsible for maturing the vagina as well as provides glycogen which facilitates the growth of candida albicans. Subsequently, older and younger women, who are less prone to estrogen disorder, suffer the least from vulvovaginal candidiasis.
- Uncontrolled diabetes: Those women who suffer from uncontrolled diabetes for a long period of time are more susceptible to vulvovaginal candidiasis. Although the accurate reason is yet to be known, according to research, the presence of excessive glucose in the blood triggers the production of yeast in the vulva and the vagina.
- Weak immune system: A strong immune system is a boon which only few people enjoy. Consequently, the very reverse, a weak immune system is extremely fatal, one that invites several complications; vulvovaginal candidiasis being one of them.
- Stress: Excessive stress and exhaustion may also be considered as a probable reason that causes imbalance in your system.
- Hormone replacement therapy: Estrogen is commonly held as a possible culprit that causes vulvovaginal candidiasis. Therefore in those hormonal replacement therapies, where estrogen is artificially administered into the body significantly increases the risk of an impending vulvovaginal candidiasis.
In spite of its frequent occurrences, it is possible to treat this infection. Some of the ways by which it can be done are:
- Anti-fungal cream: Those creams which negate the growth of fungus are, for obvious reasons considered as the most preferred choice to combat vulvovaginal candidiasis. There are plenty of anti-fungal creams available in the market, which can be misleading, therefore you must choose wisely.
- Diflucan: This medication works wonders in treating vulvovaginal candidiasis. This must be orally administered under the doctor's supervision to enjoy the results. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Know how Immunology is linked to a healthy pregnancy
Are you tired all the time, you eat, sleep and repeat, if yes then read on
Did you know that the human brain uses about 20 to 30% of a person's daily energy intake. That's why people who don't consume enough calories in their diet are more likely to experience lower motivation levels and mental alertness.
With the demands of today's hectic lifestyles combined with too few hours of quality sleep and poor eating habits, it's no wonder many people complain of fatigue and low energy. Nutritional deficiencies are also associated with fatigue.
Just like the car needs the right type of fuel; Don't expect a standard car to run on diesel fuel. "Similarly the body uses energy-yielding carbohydrates, protein, and fat in very specific ways, consuming each in proportion to the other is essential to ensure sufficient energy to complete daily tasks, feel good, and to maintain an optimal state of health."
Just as undereating can lead to fatigue, overeating puts the body in overdrive, channeling tremendous amounts of energy to digest and absorb the large amounts of food consumed.
How can a person feel refreshed after eating too much? It's only natural to want to curl up and nap after a big meal; the resulting insulin overproduction can leave too little sugar available for immediate energy, resulting in lethargy.
Unfortunately, just as eating too much can lead to fatigue, fatigue can lead to eating too much, creating a vicious cycle of weight gain and decreased energy. Clients in this predicament must break the cycle by focusing on portion control, adequate sleep, and stress management.
Eat right to feel bright!
In this modern age, due to busy life style as well as sitting nature of job our physical activity has gone almost nil and mental activity has become prominent. Usually nobody has much time to go for yoga classes or gym. At the same time there is a gentle, low impact exercise that's easy, free and available to everyone and that is walking.
Walking strengthens your heart:
Walking is great cardio exercise. It reduces risk of heart stroke, bad cholesterol and increases good cholesterole.30 minutes daily walk maintains your blood pressure in normal range, high bp causes stroke.
Walk is a blessing for patients who have diabetic background in family. Daily walk reduces chances of diabetes by 80%. It keeps you away from these silent killer diseases as you never know when they attack you until visible symptoms are detected.
Decline in memory or impair thinking skills that makes person unable to do daily activities. Daily 30 mins walk avoid shrinkage of brain and preserve memory. Dementia affects 1 in 14 people at the age of 65 and 1 in 6 at the age of 80. Walking does wonders for such ageing problems.
Tone your body
Walking tones your body. It gives definition to calves, quads, hamstrings. It keeps your abs and waist in shape.
Vitamin D
Walking is the perfect way to keep you active. Most of the population is suffering from deficiency of vitamin D. Be healthy and active and enjoy a walk with your friends or self.
Walking makes you happy
Walking makes you feel good. Daily walk boost up your mood, it is as effective as antidepressants in mild to moderate cases of depression. It releases feel good endorphins and reduces stress and anxiety. So for positive mental health, walking is absolutely must.
Diabetes often referred as diabetes mellitus is a metabolic diseases in which the person has high blood glucose (blood sugar) either because insulin production is inadequate or because the body's cells do not respond properly to insulin or both. There are three types of diabetes:
1. Type 1 diabetes: The body doesn't produce insulin. People usually develop type 1 before their 40 th year often in early adulthood or teenage years. It is nearly 10% of total diabetes
2. Type 2 diabetes: The body doesn't produce insulin for proper function, approximately 90% of all cases of diabetes of this type
3. Gestational diabetes: This type affects females during pregnancy, uncontrolled or undiagnosed gestational diabetes can raise the risk of complications during child birth
बर्फ के ये 15 फायदे जानकर चौंक जाएंगे आप
1- कड़वी दवाई खाने से पहले मुंह में बर्फ का टुकड़ा रख लें, दवाई कड़वी ही नहीं लगेगी।
2- यदि आपने बहुत ज्यादा खा लिया है और खाना पच नहीं रहा, तो थोड़ा-सा बर्फ का टुकड़ा खा ले। खाना शीघ्र पच जाएगा।
3- यदि आपके पास मेकअप का भी समय नहीं है या आपकी त्वचा ढीली पड़ती जा रही है तो एक बर्फ का छोटा-सा टुकड़ा लेकर उसे किसी कपड़े में (हो सके तो मखमल का) लपेट चेहरे पर लगाइए। इससे आपके चेहरे की त्वचा टाइट होगी और यह टुकड़ा आपकी त्वचा में ऐसा निखार ला देगा जो और कहीं नहीं मिलेगा।
4- प्लास्टिक में बर्फ का टुकड़ा लपेटकर सिर पर रखने से सिरदर्द में राहत मिलती है।
5- यदि आपको शरीर में कहीं पर भी चोट लग गई है और खून निकल रहा है तो उस जगह बर्फ मसलने से खून बहना बंद हो जाता है।
6- कांटा चुभने पर बर्फ लगाकर उस हिस्से को सुन्न कर ले, कांटा या फांस आसानी से निकल जाएगा और दर्द भी नहीं होगा।
7- अंदरुनी यानी गुम चोट लगने पर बर्फ लगाने से खून नहीं जमता व दर्द भी कम होता है।
8- नाक से खून आने पर बर्फ को कपड़े में लेकर नाक के ऊपर चारों और रखें, थोड़ी देर में खून निकलना बंद हो जाएगा।
9- धीरे-धीरे बर्फ का टुकड़ा चूसने से उल्टी बंद हो जाती है।
10- पैरों की एड़ियों में बहुत ज्यादा तीखा दर्द हो तो बर्फ की क्यूब मलने से आराम मिलेगा।
11- आंखों के काले घेरे दूर करने के लिए खीरे के रस और गुलाब जल को मिलाकर बर्फ जमा लीजिए, फिर उस टुकड़े से काले घेरों पर मालिश करे, बहुत जल्द आपकी समस्या दूर होगी। और यदि ज्यादा देर मोबाइल या कंप्यूटर चलाने के बाद आपकी आंखें दर्द कर रही हैं तो बर्फ के टुकड़े को अपनी आंखों पर रखिए, जल्द ही राहत मिलेगी।
12- यदि आइब्रो बनवाते समय दर्द होता है तो एक बर्फ का टुकड़ा आइब्रो के चारों और घिस लीजिए, इससे यह हिस्सा थोड़ी देर के लिए सुन्न हो जाएगा और आपको दर्द भी नहीं होगा। यही तरीका शरीर के किसी और हिस्से पर भी लागू कर सकते हैं।
13- बर्फ का टुकड़ा गले के बाहर धीरे-धीरे मलने से गले की खराश ठीक हो जाती है।
14- जल जाने के तुरंत बाद बर्फ का टुकड़ा जले हुए स्थान पर लगाने से छाले और जलन शांत होती है। और निशान भी गहरा नही पड़ेगा।
15- इंजेक्शन लगने पर या पैर में मोच आने पर बर्फ मलने से दर्द, सूजन व खुजली कम होती है।
Living Smart with Red Rice!
Its high antioxidants and fibre content controls blood glucose levels, lowering bad cholesterol, fighting against free radicals.
Do follow for more interesting lifestyle tips, and natural healing remedies.
Book for Personalised consultations for close monitoring and betterment.
Dt. Neetha Dilip.
Tongue cleaning is an important part of our oral hygiene as well as a reason for bad breath. Use a tongue cleaner preferably a metal one to clean your tongue and prevent mouth odour.
Everyone wants to live happily in their lifetime but managing to live so is becoming a difficult task due to the stressful and uneventful life. But there are few rules could be followed with due principles and priorities of the facts in the life they are:
A. Breathing exercises to reduce stress and to lead a healthy life style
B. Physical activities like following stretching and strengthening exercises in stipulated time regularly to keep body fit as well as healthy
C. Atttempting newer experience like shopping trekking etc
D. Writing the experiences in the life like cultivating the habit of writing diary habits of every events
E. Listening music may reduces stress in mind and body
F. Moving or friendly with happy minded people
G. Avoiding drugs and alcohol
H. Cultivating regular habit of travelling every 3 or 6 months once with loved one's
I. Regular sleep pattern
J. Communicating in time of difficult periods with concerned rather having it in the mind for long time without any ego
New Study published in American journal of clinical Nutrition, proves that eating Whole grains like whole wheat, Oats, barley, brown rice is healthier over Refined grains products like wheat flour(refined), white rice and white bread ,for better digestion and immune response.
Condoms are the best contraceptive measure you take before having sex because unlike other contraceptive measure such as birth control pills, they actually provide almost fool-proof protection against STDs (Sexually Transmitted Diseases). However, condoms need to be handled with care because if precaution isn't taken while putting on the condom, it can cause tears on the surface. Here are 5 things you should know about condoms:
- Size does matter: 'One size fits all' might not be a good approach towards choosing a condom to wear, because thay come in different sizes. You should check the size at the back of the leaflet before buying it because buying a size that isn't the right fit can result in tears which can put you and your partner at a risk of pregnancy and contracting STDs.
- Condoms do not affect the quality of sex: Contrary to popular belief, condoms do not have any effect on the quality of sex or the level of pleasure you derive from the intercourse. 98% people in a research confirmed this fact. So, not wearing a condom because "it doesn't feel good" isn't an excuse anymore.
- Latex allergies are a thing: Some people are predisposed to allergies caused due to the latex which most condoms are made of. Symptoms of latex allergy include itchiness, dryness and lesions on the foreskin. If these symptoms persist, don't be embarrassed to rush to the doctor because the allergy can worsen and prove to be dangerous.
- The four types of condoms: The most common type of condom is the latex one, but because latex can cause allergies, an alternative material called polyurethane is used to make condoms too. For people who are allergic to both latex and polyurethane, polyisoprene condoms are a good option. The fourth type of condom is the lambskin condom which is made of lamb intestines.
Human sexuality is a field wherein there is a lot of research ongoing and yet still more research required. Female sexuality is another confusing arena wherein, there are studies which tend to be contradictory. Within female sexuality, orgasms are especially, a hot button topic with a lot of conflicting views. However, one thing is clear from the multiple studies; women with better mental health tend to orgasm better, more often and more easily.
Mental health, orgasm and body language: It has been noted in studies that women who are in a better mental state tend to orgasm better and thus, it is reflected in their body language over time. One of the most important parts of human body language is gait or how someone walks. Many studies have shown this to be an important parameter of how women orgasm.
Gait and female sexuality: The relationship between the body language of a woman and her ability to orgasm is generally considered interchangeable. Certain studies have shown that women, who are naturally able to orgasm quicker, faster and regularly tend to have a higher level of self-confidence and thus, it is reflected in the way they walk. Other professionals believe that women who have a better and more confident walk are able to orgasm because they were more confident in their daily lives; thus that mental confidence translated into more orgasms. Whichever be the case, it was proven that gait did have a connection with the ability of a woman to orgasm.
The actual study
In the actual study, a group of sexologists were asked to judge the gait of women who had a history of vaginal orgasms, especially through penetrative intercourse. In most cases, the doctors were able to decipher whether the women had the ability to have proper orgasms or not. The doctors were unaware of the sexual history of these women and had to decipher whether the women could orgasm by judging the walk and general movement. In about 80 percent of the cases, the doctors predicted it correctly. Some of the factors that the doctors judged them upon and were found to be uniform were:
- Energy
- Sensuality
- Fluidity
- Freedom
- Absence of stiffness among muscles
- Body posture
The study may help sexologists to clear psychological problems in the cases of many women and help them improve their general self-confidence to allow them to be better in bed and thus be able to orgasm. The gait and the improvement on sexuality will thus help them have a better quality of life in general.


text:
I stumbled on Pylon (chlorfenapr - made by Olympic) as I was trying to track
down the latest info on Nemacur.
An extension agent (Stanton Gill) at the University of Maryland has done
some recent testing on the effectiveness of Pylon on foliar nematodes and
was instrumental in Olympic adding foliar nematodes to their label. His
tests were on begonias. Stanton is scheduled to present a paper on his
results in November (at the ESA Meeting - whatever that is) and seems a bit
reluctant to release the efficacy data. He did mention that three
applications at 7-10 day intervals yielded good control but did not
completely eliminate the nematode population. Plyon is only available to the
commercial trade and listed only for greenhouse use. Apparently a bird died
during some of the toxicity testing and so outdoor use is not permitted.
You mighty glean a bit more info at the Olympic website:
Rob in KC
> -----Original Message-----
> From: firstname.lastname@example.com [SMTP:email@example.com]
> Sent: Saturday, September 07, 2002 11:38 AM
> To: firstname.lastname@example.com; firstname.lastname@example.com
> Subject: Saturday Mutterings
> Someone mentioned PYLON as something new for nematodes. Any information
> available?
> "Depression is just the anger without enthusiasm." Steve Wright
> Glen Williams
> 20 Dewey St.
> Springfield , Vermont
> 05156
> Tel: 802-885-2839
> ---------------------------------------------------------------------
> To sign-off this list, send email to email@example.com with the
> message text UNSUBSCRIBE HOSTA-OPEN
To sign-off this list, send email to firstname.lastname@example.com with the
message text UNSUBSCRIBE HOSTA-OPEN

subset: commoncrawl


text:
a person who cannot decide how to vote or who refuses to support a political party Culture The word 'mugwump' was first applied in US politics to a group of Republicans who in 1884 supported the Democrats'candidate Grover Cleveland for US President. It comes from the Native American Algonquian language and means 'great man' or 'chief'. Word Origin mid 19th cent.: from Algonquian mugquompnounjump to other results
BrE BrE//ˈmʌɡwʌmp//; NAmE NAmE//ˈmʌɡwʌmp//(North American English, often disapproving)
Check pronunciation: mugwump


text:
Tissue Flowers + Common Core
Here's proof that art lessons can mix with math, and not loose their creativity. Students create various stages of blooming flowers by folding tissue circles into halves, quarters and eighths. I developed this less a few years ago, and am happy to share it again for spring time needs. • View and download Blooming Flowers Tutorial


text:
EICAR test file
This page shows details and results of our analysis on the malware EICAR test file
Threat Detail
- Malware Type: Virus
- Malware Sub-type: Tool
- Protection Added: 1996-10-15
This page shows details and results of our analysis on the malware EICAR test file
This is a virus detection. Viruses are programs that self-replicate recursively, meaning that infected systems spread the virus to other systems, which then propagate the virus further. While many viruses contain a destructive payload, it's quite common for viruses to do nothing more than spread from one system to another.
Minimum Engine
5600.1067File Length
Description Added
2000-05-03Description Modified
This tool is an industry recognized testing file. The name is derived from an organization named EICAR, or European Institute for Computer Anti-Virus Research. The file, and its use, is also described at this website.
The file is comprised of a test string, and is a DOS executable. Running the file should not do anything more than display a message on your screen:
The EICAR.COM test file can be obtained from either EICAR or by copying the text below into NOTEPAD and saving the file as EICAR.COM:
The file should be 68 or 70 bytes in length and is an executable on Intel platforms. If on-access scanning is enabled, the file will be detected during the save process in NOTEPAD.
There is one known attack on the concept of the EICAR test file; please read the description of Bat/Bwg.a@MM for details.
This is not a virus.


text:
From the Publisher
My wish for you is that each poem, each prose piece, each story, carries medicine for you. Through art and self-expression each brings certain aspects of knowledge. These are lessons I personally learned from the animals, birds, insects, and human beings that crossed my path. These lessons are inclusive of my strengths and weaknesses, my talents and gifts, my vision and purpose, and my place in life.
In times of uncertainty, animals have been a source of comfort, a source of protection from fear, a reminder of centered knowingness and connection. To balance the energy of uncertainty, I meditated upon the experiences. As I entered the silence, my questions of self-mystery were answered as I wrote. In striving to be whole, I reflected upon the harmony as well as the discord of my many fragments.
Earth's creatures are healing in that they soothe the spirit and empower the will. The truth needs no explanation just reflection.
May this book enrich the lives of all of you that it touches and may you feel my love as you journey along with me.


text:
The resource has been added to your collection
Even the savviest consumer has a problem with a good or service on occasion. It is a consumer's right to complain when there is a genuine problem. In some situations, it is also a consumer's responsibility. A problem can't be fixed if no one knows it exists. In this series of three lessons, students learn how to effectively seek redress for a consumer problem. In the first lesson, they are given tips for seeking redress from a seller of a good or service via personal visits, telephone calls and letters. They write a letter in an effort to resolve a consumer problem they or someone they know has experienced. Lessons 2 and 3 focus on what to do when a consumer is unable to get a problem resolved with a seller. A variety of options are presented in both the public and private arena. Students must select sources of outside help that would be appropriate in hypothetical situations they are given.
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text:
More Videos...
angry datsun 1200 running!
finally got tge girl running properly, can't wait to take her out for a proper test run!!
Datsun 1200 13B Turbo shakes the trailer
.63 A/R turbo Carbureted Easier to see shaking towards the end of the clip.
Datsun 1200 Coupe Project Update
Walk round vid of my restored Datsun 1200 coupe. Getting very close to completion.....
1971 Datsun 1200 Commercial - Kennebunk Port Maine
This commercial is on youtube, but this is a better quality version with improved clarity and color. Filmed in Kennebunk Port, Maine and various locations in Massachusetts, New Hampshire, Vermont and Schenectady New York.


text:
Warning: Creating default object from empty value in /home/acidadeenossa/www/components/com_k2/views/itemlist/view.html.php on line 162
[UPDATE] wav to mp3 convert download fiel [n5lm] free
Description wav to mp3 convert
FileName: wav to mp3 convert
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All-in-one audio and video editing software, converter (CD, MP3, WAV, WMA, OGG, AVI, MPEG, WMV, etc.), CD/DVD burning, CD ripper, and much more.The free audio converter can convert all audio formats to MP3, WMA, WAV, FLAC, AAC, M4A and OGG; Extract audio from video formats such as AVI, MPEG, WMV, …How to convert YouTube to MP3: Copy the FULL address (URL) of the page with the video. Paste the address you copied into the text box on the leftxrecode II is converter and audio-grabber which allows you to convert from mp3, mp2, wma, aiff, amr, ogg, flac, ape, cue, ac3, wv, mpc, mid, cue ,tta, tak, wav, wav ...Switch Audio Converter Features. Convert between over 40 audio file formats Music tags preserved for supporting formats (e.g., mp3, wav, wma, flac and ogg)The most trusted YouTube to MP3 converter tool. It's fast, free, and no download or registration is required!Convert your files from one file type to another without downloading any software. Convert for free almost any type of ebooks, documents, archives, spreadsheets ...Free MP3 to MIDI converter download - Intelliscore audio to MIDI Converter for music transcription, wav to MIDI conversion and music notation.FLV to MP3 Converter is a freeware that can perfectly extract audio data from FLV video and convert to MP3 audio format, the conversion is high speed and the output ...Easily convert any music and movie files to MP3, M4A (iPod), WMA or WAV (audio) and MP4, AVI (DivX) or WMV (video) at high speed and CD quality
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text:
Username required
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New to riogrande.com?
Item #: 629773
Metal type:
3.0mm dia. (closed)
Metal color:
Country of origin:
United States
0.120 ounces (3.400g)
Crimp covers are an innovative and attractive way to create a clean, professional finish on 3mm crimps--and they're so easy to use! Simply use your crimping pliers to squeeze the cover closed over the crimp.
please note: • This copper component is raw and will patina naturally over time; to maintain the desired color, please lacquer raw copper components.
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About Rio Grande
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text:
This Site Comes With Music!
Do you want to hear the music?
Hello Family, and welcome to the Hargrove Family Reunion Website!!!
*DEADLINE: Funds are due by Tuesday, May 31, 2016!!!*
This website is for all Hargrove Family Reunions if you choose to use it. The 2016 reunion will be held in fabulous city of Las Vegas, Nevada hosted by Elijah Hargrove and Committee. We have 4 exciting days planned for everyone starting July 21, through July 24, 2016.
Family Reunion Committee Members:
Elijah (President) 562-257-8373 & Debra Hargrove
Dorothy Levy (Vice President) 909-578-7732
Janay Levy (Vice President) 702-768-8959
Joseph (Sergeant at Arms) & Courtney (Secretary) Henderson 702-526-7811
Qiana (Treasurer) 702-412-7564 & Angel (Multimedia) Jimenez
Latrice James (Co Treasurer)
Feel free to visit this site as often as you like and share your information with us. This site is where you will find out about our reunions as well as information that will be sent to you.
You may use this site to RSVP, sign the Guest Book make your comments or just say hello to your family. Also, visit the Family page and download your "before" & "after" cute pictures.
And just for fun, check out our Quiz Page and see how much you know about the Hargrove family. Questions will be changed periodically.
Please, we need pictures of all our uncles, aunts and cousins to post on the family album. You can email them or put them in the mail. They will be returned.


text:
Tropical Fish Keeping - Aquarium fish care and resources (http://www.tropicalfishkeeping.com/forum.php)
- Fish Breeding (http://www.tropicalfishkeeping.com/fish-breeding/)
- - krib young: act 2 (http://www.tropicalfishkeeping.com/fish-breeding/krib-young-act-2-a-20866/)
krib young: act 2
2 Attachment(s)
heres my kribs again with there second litter there prevous lot are spread out about the tank and are begining to look like adults now with stripes
Awww....so cute. Seeing pics like this makes me sometimes wish that I had some breeders :-)
fab pic how can i get mine to spawn i have 4.2 males 2 females lol
love the german sheperd i have a bitch called molly shes 4yrs old
what size tank have you got them in ?
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text:
Double Bertrand competition among intermediaries when consumers can default
This paper models a sequential double price competition among intermediaries when their expected revenue per sale is affected by consumers' default. If this revenue is non-monotonic with the asking price, the Walrasian outcome may not be an equilibrium and demand rationing may emerge instead.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Volume (Year): 4 (2007)
Issue (Month): 7 ()
Pages: 1-16
|Contact details of provider:
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Linda Toolsema, 2001. "Reserve requirements and double Bertrand competition among banks," Applied Economics Letters, Taylor & Francis Journals, vol. 8(5), pages 291-293.
- Yanelle, Marie-Odile, 1989. "The strategic analysis of intermediation," European Economic Review, Elsevier, vol. 33(2-3), pages 294-301, March.
- Frédérique Bracoud, 2002.
"Sequential Models of Bertrand Competition for Deposits and Loans under Asymmetric Information,"
Keele Economics Research Papers
KERP 2002/15, Centre for Economic Research, Keele University.
- Frédérique Bracoud, 2002. "Sequential Models of Bertrand Competition for Deposits and Loans under Asymmetric Information," Game Theory and Information 0211002, EconWPA.
- Stahl, Dale O, II, 1988. "Bertrand Competition for Inputs and Walrasian Outcomes," American Economic Review, American Economic Association, vol. 78(1), pages 189-201, March.
- Stiglitz, Joseph E & Weiss, Andrew, 1981. "Credit Rationing in Markets with Imperfect Information," American Economic Review, American Economic Association, vol. 71(3), pages 393-410, June.
- Xavier Freixas & Jean-Charles Rochet, 1997. "Microeconomics of Banking," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262061937.
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text:
Welcome To Austin Fertility & Reproductive Medicine / Westlake IVF
Renowned and Award Winning Austin Fertility ExpertsWith over 50 years of combined experience helping couples build families, Austin Fertility & Reproductive Medicine (AFRM) is the only private fertility center in the United States with in-house fellowship trained and board certified specialists in female and male fertility providing comprehensive care for the couple as a whole. Our family-owned and family-oriented fertility practice has earned us a reputation for providing quality and compassionate patient care. Female patients are cared for by Dr. KM Kavoussi and Dr. SK Kavoussi, our board certified reproductive endocrinologist. Dr. SK Kavoussi has been a multiple Patients' Choice Award recipient (2008 – 2014). Male patients are cared for by Dr. PK Kavoussi, the only Fellowship Trained reproductive urologist in Austin and named Texas Monthly Superdoctor. Dr. PK Kavoussi has success rates greater than 95% for vasectomy reversals within 15 years of vasectomy and exceptionally high sperm retrieval rates for men with azoospermia (no sperm in semen). As leaders in reproductive medicine and infertility, our physicians are continuously active in advancing research in the field. We have also been sought by the media and news for our expertise and insights into the current trends in the field of fertility.
We provide 2 convenient fertility Austin clinics, Westlake and South Austin, to serve patients in central Texas. Achieve your family goals today. Contact us at (512) 444-1414 or online to schedule a fertility (infertility) private consultation today.
Read More
Fertility Austin Comprehensive Couple Evaluation and TreatmentAs the only fertility clinic in Austin specializing in a comprehensive care approach within the same practice, our physicians are able to recommend and provide ALL treatment options to couples. We are the only Austin Fertility center with an in-house reproductive urologist. We strongly believe that the optimal fertility care of the couple – both the female and male partner provides best results for conceiving. Celebrating Mother's Day: Watch how fertility treatment helped give the Pitman's their two sons. » Learn more about Female Infertility Causes » Learn more about Male Infertility Causes A common misconception is that infertility is only an issue on the woman's side. However, 22% of infertility cases are attributed to male factor while an additional 30% to 40% include both male and female factors. Evaluation of the male partner can diagnose and treat reversible hormonal, anatomical, and genetic conditions in which assisted reproductive technology (ART) using the male partner's sperm can be performed to improve the chances of pregnancy. For irreversible conditions, donor insemination may be an option. The best infertility care requires an in depth knowledge of how the female and male reproductive systems work together. At AFRM, reproductive endocrinologists and reproductive urologists work as a team to improve the fertility outcome for the couple as a whole. Our unique, comprehensive care approach within the same practice, allows our physicians to prescribe combination treatment options including in vitro fertilization (IVF), intracytoplastmic sperm (ICSI), IVF/ICSI, intrauterine insemination (IUI), sperm retrieval, varicocele repair, vasectomy reversal, donor egg IVF, and donor sperm for IVF or intrauterine insemination (IUI). Comprehensive couple care is important especially for complex cases such as non-obstructive azoospermia, where there is deficiency of sperm in the semen without blockage in the male anatomy. A very specialized procedure known as microdissection testicular sperm extraction (microTESE) offers the chance to find microscopic pockets of sperm production within the testicle in the majority of men in this difficult circumstance. The extracted sperm can be used in combination with IVF to help couples conceive. This is a very different process than the simple sperm retrieval which is performed for men with blockages (vasectomy or other anatomic obstruction) that requires a very high level of expertise for acceptable success rates. Dr. Parviz Kavoussi has fellowship specialty training in microTESE, is the only surgeon in Austin with such training, and has excellent success rates in such technically demanding sperm retrievals. In addition to improving a couple's chances of having a baby, our comprehensive evaluations benefit patients from an overall health standpoint. Men with sexual function issues may be impacted by health risks such as high cholesterol, low testosterone, and cancer.
Quality and Compassionate CareWe are recognized by patients and peers in providing high quality, compassionate and individualized care, the cornerstone of our family-run and family-oriented fertility practice. Our priority is providing couples with the best care in a private and comfortable environment. Each patient receives personalized care and treatment by our physicians themselves, from consultation to procedure. We are the only fertility Austin center with an in-house IVF lab residing in the same office as our clinic to ensure that patients have a sense of comfort and familiarity with both the staff and the environment. » Read more on why patients choose AFRM » Schedule a Consultation
Austin IVF CenterOur IVF Austin treatments may be the solution to conceiving. We'll help determine whether you are a viable candidate for IVF treatments during your evaluation at our fertility clinic in Austin. Patients receive direct care at our state-of-the-art in house Austin IVF center at our Westlake location. » Take a virtual tour of our IVF Austin lab » Learn more about our Austin IVF treatments
Male Vasectomy ReversalFor men who have undergone a vasectomy previously, our highly successful vasectomy reversal procedure can help you start or expand your family. Dr. PK Kavoussi, our male infertility physician can consult with you on vasectomy reversal and appropriate fertility treatment options.
Preeminent Reproductive Medicine and Fertility LeadersIn addition to the clinical care to patients, our physicians are at the forefront of advancing and contributing to the field of reproductive endocrinology and infertility and reproductive urology. We collaborate on clinical and scientific research, author peer-reviewed articles in leading journals, co-author textbooks, and lecture at the University of Texas at Austin. » Read more about Dr. Shahryar Kavoussi and Dr. Parviz Kavoussi With physicians specializing in both female and male fertility at our Austin infertility clinics, AFRM ensures all patients receive the best comprehensive care. With high success rates, award winning physicians, and over 40 years of experience, you can count on our Austin fertility center to help you start the family you've always wanted. Request a consultation by calling us at 512-444-1414 or online.
Media Coverage
As seen on:
Dr Kavoussi lecture on robotic vasectomy reversal at the RAMSES meeting in Strasbourg, France [13:52]
Choose AFRMAFRM is the only private fertility center in Austin that looks at a couple's fertility as exactly that, a "couple's" fertility. In fact, AFRM is the ONLY private fertility center in the United States with fellowship trained and board-certified specialists for both female and male fertility within one practice, in order to provide ALL options for couples.Read More
After having two different tubal pregnancies, my OBGYN suggested it would be my best option to look into IVF if I wanted to become pregnant. Dr. S. Kavoussi, Kate, and the entire team at Austin Fertility & Reproductive Medicine made my journey such a wonderful process for my husband and I. I couldn't recommend a better team to assist you during this sensitive/important time in your life. After going through our second round of IVF, I am now eight months pregnant with our baby girl that is due at the beginning of March. I have never had any doctor who I've felt cared so much for my well being and for what I wanted. It's almost as if time doesn't matter with the staff at Austin Fertility. I've received calls from the embryologist on Saturday mornings to follow up and even a call at 8pm on a Friday night from Dr. Kavoussi, inquiring how I'm felling after a procedure. This was our first experience with IVF and the process, so there were a million questions asked. Thank you Kate, for answering all of them along with all of my emails and phone calls. I will be forever grateful to Dr. Kavoussi and his team and they will always hold a special place in our hearts! read more01/08/2017
After a year of trying, followed by a miscarriage, and almost another year of trying, we were recommended by my OB to see Dr. Kavoussi. I knew after my consultation that he was the right doctor. We talked for over 45 minutes and he listened to all my concerns and answered every question. I conceived on my second round of treatment and my husband and I welcomed a healthy baby girl about 6 months ago. There are no words to describe how grateful we are to Dr. Kavoussi and his entire staff. Everyone was so kind and friendly and made us feel so comfortable. Thank you again! read more01/02/2017
Dear Dr. S Kavoussi, we just wanted to take a moment to thank you for everything you did to help us along on the journey that led to our daughter. We really appreciate all of the time you spent with us. Your compassion and dedication gave us the support we needed through a very emotional time. The care we received at your practice was truly exceptional and you are an exceptional doctor. Thank you for touching our lives in such a meaningful way. We are so thankful we found you! read more12/20/2016
I saw Dr. Kavoussi for reproductive treatment a year and a half ago. My husband and I had been trying to get pregnant for 3 years, and after having a tubal pregnancy I began to look at fertility options. Dr. Kavoussi helped me find the right treatment for my circumstance. I got pregnant on the second round of treatment and my daughter was born last year. She just turned 1 last month and I am so grateful to Dr. Kavoussi and his team for helping my husband and me conceive our beautiful daughter. read more11/30/2016
I would have never appreciated this office and their entire staff without having a different Reproductive Endocrinologist first. To put it bluntly, my first experience with a different doctor was unpleasant. I saw the differences right away at Dr. Kavoussi's office. Our phone calls with questions or concerns were taken care of promptly. The entire staff genuinely cares about their patients. The testing and care we received was more thorough. Fertility treatments were such a positive experience for us here because of the excellent care provided. Even if we did have to try them more than once. We are expecting our son later this year after 5 years of trying. My husband and I cannot say enough great things about this facility. read more11/08/2016
Dr. S. Kavoussi, Kate, and the rest of the staff were wonderful throughout our fertility treatment. The whole crew was supportive, funny, and thoughtful when we came to the office for treatments. It took our family a while to conceive, but it finally happened thanks to Dr. Kavoussi and we now have a new baby girl. read more10/21/2016
Great doctor he helped us to achieve our dream of expecting a baby. And we got a double blessing of twins. Thank the staff and doctor for being so wonderful. read more10/10/2016
Dr. Parviz Kavoussi diagnosed and helped fix a major problem in my fertility. He was conscientious throughout. I would recommend him to anyone. read more09/20/2016
Dr. S.K. Kavoussi, Thank you and your staff so much for helping my husband and I conceive our little angel. Throughout our challenges, you and your staff were so personable and sympathetic to our needs. We truly appreciate your efforts and care shown to us. read more09/02/2016
I recently had a no-scalpel vasectomy with Dr. Parviz Kavoussi and am beyond satisfied with the entire experience. From the initial consultation to the final follow visit, I was very comfortable with all the interactions. The actual procedure was very short, and the after was totally a breeze. I experienced very little discomfort and no real pain. I would strongly suggest anyone looking to have this procedure done to visit AFRM and Dr. Kavoussi. read more09/12/2016
Last week marked one year from our retrieval/transfer and we are so happy to have a healthy 3.5 month old son! He is thriving and we owe it all to Dr. S, Kate and the entire team! Thank you for helping us become a family of 3! read more08/22/2016
I would have never appreciateread more
d this office and their entire staff without having a different Reproducti ve Endocrinol ogist first. To put it bluntly, my first experience with a different doctor was unpleasant . I saw the difference s right away at Dr. Kavoussi's office. Our phone calls with questions or concerns were taken care of promptly. The entire staff genuinely cares about their patients. The testing and care we received was more thorough. Fertility treatments were such a positive experience for us here because of the excellent care provided. Even if we did have to try them more than once. We are expecting our son in October of 2016 after 5 years of trying. My husband and I cannot say enough great things about this facility.
Both Doctors rock. Kate rocks. Debra rocks. We are so thankful for y'all. read more07/29/2016
Dr. Kavoussi, Kate & Staff: Thank you all so very much with your help during this very anxious time in our journey to become parents. All of you have answered numerous phone calls with silly/simple questions from us and have done a lot of work to get my medication approved by insurance. Your efforts have been very much appreciated! read more07/18/2016
Thank you Dr. S. Kavoussi and staff for making our dream come true. My husband and I welcomed a beautiful, healthy baby girl on Sunday. There are no words to express how grateful we are to you. read more07/05/2016
My twins are now 5 years old and heading to kindergarten. Having them would not have been possible without Dr S. Even to this day I rave about him and his staff. He had the best bedside manner and always made me feel like I was his only patient! A year after my twins were born, we welcomed a baby girl who was a complete surprise! Thanks Dr S! read more06/29/2016
Everyone in this office is wonderful! I have an amazing 15 month old daughter thanks to their help!!! Have recommended them to many people! 🙂 read more06/03/2016
I'm so thankful for the ENTIRE staff and Dr. S Kavoussi. I had a bad experience with my first Reproductive Endocrinologist. I wasn't sure if I wanted to try anymore fertility treatments. I'm so glad we did! What impressed me most about this clinic was how much everyone cares about you. Infertility is such a personal experience that many of us are emotional about. I found everyone to be supportive and worked hard to make us feel comfortable. They were also much more thorough than my first doctor had been. After two IUI's at this clinic, we are now 19 weeks pregnant with our son. read more05/31/2016
Dr. Kavoussi is the most compassionate physician I've come into contact with, and I've known many. I simply cannot recommend this practice enough. There is no leaving his office with unanswered questions or unaddressed concerns. No matter what you face, Dr. Kavoussi will explain your options in the clearest, most encouraging fashion. read more04/23/2016
Had our very first consultation today with Dr. Shahryar Kavoussi regarding IVF and using a gestational carrier. We couldn't be any more impressed with the outcome of our appointment. Got so much detailed information, all of our questions answered and felt at home. Everyone was extremely nice. Super excited to see what the future brings our family! read more04/15/2016
Thank you! You gave us our family and we will always appreciate all of you! Dr. S. Kavoussi, Dr. P. Kavoussi, Kate, Roxy, and the entire staff, thanks for making our dreams come true. read more04/07/2016
Dr. Kavoussi and his team absolutely rocks! We always felt well taken care of medically speaking. Moreover, I feel that his staff is equipped very well to make this arduous experience as smooth as possible. The finance person Debra is a bit curt, but she does a great job. This next piece of comment is not and should not be taken as a criticism on Dr. Kavoussi and his team. The pharmacy of choice, Freedom Fertility Pharmacy, did rather poor job at contacting us in order to arrange the delivery of medication. Since the nature of the procedure is highly time-sensitive, this can create some unnecessary stress to a couple that is already overwhelmed by the enormity of the whole process. However, Dr. Kavoussi and his team went above and beyond what I would have expected. Seeing that my wife and I were stressed and concerned we would not have the medication on time, he provided us with 2 samples the medication we needed (granted we never had to use it and we returned to them) in order not to miss that IVF cycle. I would recommend this place and I would come back if my wife and I decide to have a 3rd child. read more02/23/2016
Words cannot express how very grateful, thankful, and appreciative that I am to this wonder team of professional people for assisting in giving me the gift of another child! I cannot tell you enough good things about Dr. Kavoussi, Kate, and the rest of the staff! They are all so pleasant and understanding. I love this place!! Thank you again for making my dream come true! I am happily starting my third trimester and am expecting in April! God bless you all!! read more02/01/2016
Dear Dr. Kavoussi, another success for the team! Our beautiful son joined us last month and is doing well. We cannot thank you enough for your kindness and expertise in enabling us to have and to be a family. read more01/31/2016
I was diagnosed with non-obstructive azoospermia ("No Sperm Count") for the last 2 years. In the past couple of years, I have seen several urologists, went through several semen tests, began taking Clomid to increase sperm production and still no sperm was found. The urologists I had seen ultimately recommended a Micro TESE procedure. Though the doctors that we consulted all seemed to recommend a particular course of treatment in the Micro TESE, their prognosis of sperm retrieval was pretty limited. The three or four urologists that I consulted put my chances at sperm retrieval between 40-50%. I didn't know, at with less probability of a coin flip, if it was worth the cost to pursue this surgery. I continued to investigate my options and was even considering going out of state and having a sperm mapping procedure by another specialist. Given the azoospermia, slim probability of sperm retrieval despite a Micro TESE procedure, most doctors and fertility specialists that we consulted, also counseled my wife and I to consider sperm donation banks to give ourselves the best chance at becoming pregnant. Though we still had hope of having a child it seemed less and less likely that we would conceive a biological child with each consultation. Somehow in seeking opinions, I found Austin Fertility and Reproductive Medicine-Westlake IVF and Dr. Parviz Kavoussi. As seems to be the case with fertility clinics, my wife first became a client of Dr. Parviz Kavoussi's brother at the clinic, Dr. Shahryar Kavoussi. The clinic is convenient as these brothers are specialized and equipped to treat both female and male reproductive issues. In that consultation, Dr. S. Kavoussi let me and my wife know that his brother deals with cases like mine routinely and he told us that he felt having the Micro TESE procedure with his brother would very likely yield some sperm. The percentage he shared with us was 90% as he said that Dr. P. Kavoussi has had very strong retrieval rates. We were somewhat skeptical given the consults that we had to this point all seemed to guestimate our chances at about 50/50 at best. Yet, here we were being told our chances were in the 90s! Following this consult, I set an appointment to be evaluated directly by Dr. P. Kavoussi. Dr. P. Kavoussi was patient with me and explained in his best estimation that my chances of sperm retrieval were high. He put me at ease sharing some stories about other patients in similar circumstances who had successful outcomes. Given his confidence about our chances, I decided to go ahead and have the procedure. The procedure itself was fairly painless-more uncomfortable than any real pain. It was performed early in January 2016. The anticipation of the surgery was worse than the actual procedure. I stayed home from work 3 days. More importantly however is that Dr. P. Kavoussi was able to find plenty of healthy looking sperm. Both doctors are very optimistic about our chances of having a biological child of our own. Whereas previously, most doctors would advise us to have donor sperm available for IVF, after the Micro TESE, Dr. P. Kavoussi told us it looked as though that would no longer be necessary given what he was able to find. We are still in the process but cleared a big hurdle and are looking forward to the next phase of this journey. I would highly encourage you to consider Austin Fertility and Reproductive Medicine-Westlake IVF.read more
Dr. Kavoussi, Kate, Roxy, Marisol, Casey, along with the rest of the staff have been so amazing. They have become family to us. We now have a 5 week old baby boy. We took him to meet his Westlake family yesterday for the first time. The drive there with our son in the car was surreal. We drove to their facility countless times during our treatment not knowing what our fate was. There constant support helped make the process a much better experience. read more01/12/16
So very thankful for Dr. SK Kavoussi and his staff. It's been a rough road for us but we couldn't be in better hands. Everyone is extremely polite, very knowledgeable, and genuinely care. I don't know how they do it, but I can always be seen when needed; even on weekends. Timing is everything with cycles and they know it. read more01/03/16
After having gone to 3 other fertility doctors, I was so happy and comfortable with Dr. Kavoussi! He truly listened to me and my husband and what our problems were. Instead of feeding us information that wasn't pertinent, he was so open and honest with us. Him, his whole front desk staff and NP are awesome! I can't say enough great things about them. read more12/10/15
Let me to start from the staff at the reception, super nice and understandable people, although my English language is not a perfect, but they could to understand what we were looking for, schedule an appointment and then met the nicest doctor in there ( Dr.Shahryar ), who talked to us and guid us to the successful way to have our ( second and third ) babies, with very simple ways, and softest ... The prices very affordable and they will try their best to build a big hope and light the way for families like us, and they became as a family for us as well ... There is no words are enough to give for these people, they are above of my language ... And I would love to thank all of them, especially our great doctor in there for his help, for his kindness, and for his warm feelings to push the hope inside ourselves and make it a REAL...... read more12/08/2015
Dr. Kavoussi, we welcomed our baby boy on May 22 this year. My pregnancy was worry-free and my son was big and healthy! Both of my pregnancies and our children started with your wonderful care and I wanted to express my love and gratitude for your work. You are truly an instrument of God's work. My husband and I have the two boys we prayed for with your help and we could not have wished for more. I was told since I was a young girl that I could never have children of my own and you shot that down twice!! My OB/GYN was amazing and did a wonderful job. She and I frequently joke how you were our lucky charm in making this happen. Just wanted to thank you for the assistance in getting our miracles in our arms. We will be forever grateful. read more11/23/2015
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Dr. Shahryar Kavoussi interviews with Good Day Austin Fox 7 News on Couples' Obesity and Time-To-PregnancyDr. Shahryar Kavoussi is interviewed by Fox 7 News' Lauren Petrowski about the effects of couples' obesity on the time-to-pregnancy. Watch the interview for more details. read more Dr. Shahryar Kavoussi interviews with Good Day Austin Fox 7 News on Couples' Obesity and Time-To-Pregnancy
The Male Factor in FertilityWe live in an incredible time for medicine. Recent advancements have allowed women of advanced maternal age to have babies, uterine transplants have been successfully performed on women who were born without them, and improvements in cryopreservation have led to more successful pregnancies after eggs and embryos have been frozen. You would think that we pretty much have infertility [...] read more The Male Factor in Fertility
Egg & Sperm FactsHistorically the thought of what sex a baby will be was assumed to be related to the gamete of the mother, but we now realize that sperm, not eggs, determine a baby's gender. This is good since it has allowed us to address male fertility issues instead of looking only to women for causes of infertility. Want to know [...] read more Egg & Sperm Facts
Dr. Parviz Kavoussi interviewed on KXAN regarding his study on Clomiphene Citrate safetyDr. Parviz Kavoussi recently published his study further confirming the safety of using the medication Clomiphene Citrate in men with low testosterone who want to maintain fertility potential. The standard treatment of men with low testosterone has historically been with testosterone replacement therapy with either gels, shots, or pellets that go under the skin. These [...] read more Dr. Parviz Kavoussi interviewed on KXAN regarding his study on Clomiphene Citrate safety
A Few Amazing Sperm FactsWhile sperm cells make up half of the formula for new life, people typically don't give them much thought. However, there is a lot of interesting and even surprising information about sperm and semen, the fluid that surrounds it. Here is a look at some of the facts surrounding the male half of the reproductive [...] read more A Few Amazing Sperm Facts
Fast Food is Not Good for Men's FertilityModern life is busy; sometimes people just want a meal that is fast, affordable, and satisfying. This comes at a cost to our health. While fast food is certainly convenient, it is not health food. The effects of the drive-through extend far beyond the waistline, harming your cardiovascular system, kidneys, and more. New research suggests [...] read more Fast Food is Not Good for Men's Fertility
Dr. Parviz Kavoussi speaks about robot assisted vasectomy reversal at international conference in ThailandFor years, people have been dreaming of robots. Whether it has been for science fiction or for practical uses, the idea of robots mechanically assisting us with tasks has been sought after. We used to hear people say "someday robots will do surgery for us". That is not necessarily the case, but robots are finding [...] read more Dr. Parviz Kavoussi speaks about robot assisted vasectomy reversal at international conference in Thailand
Egg FactsEgg cells, or ova, are the defining characteristic between the male and female of every species on Earth. Though some males, like the seahorse, will carry fertilized embryos in their specialized pouches, it is the creation of the eggs itself that is used to define the female. Though they may seem simple, ova are remarkably [...] read more Egg Facts
Dr. Shahryar Kavoussi and Dr. Thomas (Rusty) Pool co-author the chapter on Optimization of Treatment Outcomes for Assisted Reproductive Technologies in the textbook "Organization and Management of IVF UnitsDr. Shahryar Kavoussi and Dr. Thomas (Rusty) Pool have co-authored a chapter on optimization of treatment outcomes for Assisted Reproductive Technologies in the textbook "Organization and Management of IVF Units" published by Springer in 2016. "This chapter covers various clinical and laboratory techniques that are considered to optimize difficult IVF cases including topics such as [...] read more Dr. Shahryar Kavoussi and Dr. Thomas (Rusty) Pool co-author the chapter on Optimization of Treatment Outcomes for Assisted Reproductive Technologies in the textbook "Organization and Management of IVF Units
How old is too old to get pregnant? Dr. Shahryar Kavoussi discusses on the Fox 7 News show Good Day Austin.In light of Janet Jackson's recent announcement that she is pregnant, Dr. Shahryar Kavoussi is interviewed by Fox 7 News' Amanda Salinas about how old it too old for a woman to become pregnant. The topic certainly is a challenging one with some arguments in favor of, and some arguments against, the idea of women [...] read more How old is too old to get pregnant? Dr. Shahryar Kavoussi discusses on the Fox 7 News show Good Day Austin.
Dr. James Segars receives the 2016 Kavoussi Family Outstanding Teacher AwardThis year's American Society for Reproductive Medicine's (ASRM) annual scientific meeting took place in Salt Lake City, Utah, where Dr. James Segars received the Kavoussi Family Outstanding Teacher Award. Dr. Segars is a professor and director of new research in reproductive science and women's health at Johns Hopkins University School of Medicine. Dr. Segars' prior [...] read more Dr. James Segars receives the 2016 Kavoussi Family Outstanding Teacher Award
How the Female Scent Aids Sperm in FertilityWhen it comes to fertility, the ability for a sperm to move quickly to the right location is very important, and very difficult. To reach a fertile egg, sperm must swim a distance proportionate to a human swimming half the length of the Gulf of Mexico, while dealing with obstacles like cervical mucus condition, competition [...] read more How the Female Scent Aids Sperm in Fertility
Infertile Men More at Risk for Osteoporosis and DiabetesCould disorders such as diabetes and osteoporosis affect men's fertility? Many men who struggle with male infertility assume that their reproductive systems are at fault. However, the problem may be a much more pervasive one, affecting health through your entire body. Male infertility is the culprit in around 60% of infertility cases. According to Austin [...] read more Infertile Men More at Risk for Osteoporosis and Diabetes
Austin Fertility doctors lectured on optimizing outcomes for couples with male infertility at St. David's Medical CenterDrs. Shahryar and Parviz Kavoussi strongly believe that every couple going through fertility evaluation and treatments should have the opportunity to consider all available options to them. When there is a male factor that is impacting the couples ability to conceive there may be multiple options to choose from. Whether that means proceeding with assistance [...] read more Austin Fertility doctors lectured on optimizing outcomes for couples with male infertility at St. David's Medical Center
Does Prior Male Fertility History Predict Future Fertility?When we see a family with one child, we sometimes wonder when they will have another child, but what we may not realize is that it's not always as easy to have a second child. Infertility can affect anyone at any point in life. Having successfully conceived one pregnancy is no guarantee of being able [...] read more Does Prior Male Fertility History Predict Future Fertility?
FAQ: If there is no sperm in the semen, is there a way for couples to have a child?Yes. If there is no sperm in the semen due to an anatomic blockage (obstructive azoospermia) such as a vasectomy or a blockage where the tubes carrying the sperm enter the prostate gland, surgical reconstruction (vasectomy reversal), sperm retrieval, or unblocking the area can be offered. In men with no sperm in the semen without [...] read more FAQ: If there is no sperm in the semen, is there a way for couples to have a child?
Dr. Parviz Kavoussi is named as a Texas Super Doctor for the 5th year consecutively"It is quite an honor to be on named on a list with such distinguished colleagues. Being named by my peers means an awful lot", stated Dr. Parviz Kavoussi after being named to the 2016 Super Doctors list by Texas Monthly Magazine for the 5th consecutive year. Super Doctors is a listing of outstanding physicians [...] read more Dr. Parviz Kavoussi is named as a Texas Super Doctor for the 5th year consecutively
Dr. Shahryar Kavoussi attends the Infertility session at the PCS Global Obstetrics and Gynaecology Congress 2016 in Prague, Czech RepublicDr. Shahryar Kavoussi was invited to speak at, and serve as chair, of the PCS Global Obstetrics and Gynaecology Congress-2016 in Prague, Czech Republic. The congress took place from June 18th through June19th, and his presentation focused on AMH as a predictor of IVF outcomes. "The information that I presented at the meeting covered the [...] read more Dr. Shahryar Kavoussi attends the Infertility session at the PCS Global Obstetrics and Gynaecology Congress 2016 in Prague, Czech Republic
FAQ: Can smoking cigarettes or marijuana really affect a man's fertility?Absolutely. Smoking can affect the numbers of sperm and how well they swim. Smoking can also impact the seminal fluid which is ejaculated with the sperm. It can also damage the DNA in the sperm cell, to not allow the sperm to fertilize the egg as well. Read more about specific health habits and other factors [...] read more FAQ: Can smoking cigarettes or marijuana really affect a man's fertility?
Dr. Shahryar Kavoussi co-authors "New paradigms in the diagnosis and management of endometriosis" in the journal Current Opinions in Obstetrics & Gynecology."This article compiles current data regarding the diagnosis and treatment of endometriosis," states Dr. Shahryar Kavoussi. "Our publication in the August 2016 issue of Current Opinion in Obstetrics & Gynecology is of value to clinicians who take care of women who have infertility and/or pelvic pain due to endometriosis. It was a great opportunity to [...] read more Dr. Shahryar Kavoussi co-authors "New paradigms in the diagnosis and management of endometriosis" in the journal Current Opinions in Obstetrics & Gynecology.
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How Pesticides Might Affect Men's Sexual HealthMom's advice to eat plenty of veggies still rings true, but men might want to do so with some caution. High-pesticide fruits and vegetables might damage men's sexual health. A new study from Harvard found that men who ate vegetables and fruits with the highest levels of pesticide residues had lower sperm counts and fewer normal sperm. read more How Pesticides Might Affect Men's Sexual Health
What Exercise Might Do for Men's Sexual HealthStaying active could benefit more than just heart health in men. In a recent study, older men who exercised reported less erectile dysfunction (ED). read more What Exercise Might Do for Men's Sexual Health
How Even Borderline Low T Might Affect Your HealthEven if you're close to having low testosterone but not quite there, you still might encounter some related health problems. A new study found that men with borderline testosterone levels had high rates of depression and other health problems. read more How Even Borderline Low T Might Affect Your Health
Getting Healthy May Improve Men's FertilityHealth problems that seem unrelated to men's fertility — like diabetes or high blood pressure — may damage men's sperm. And men can take steps that can both improve their overall health and make them more fertile. read more Getting Healthy May Improve Men's Fertility
Two Brothers, One MissionDr. Parviz Kavoussi and Dr. Shahryar Kavoussi are brothers and physicians both trying to help couples with fertility and work deligently to help their patients reach their goal of being able to have a child. For men women and men alike, there are many factors involved if unable to conceive and both doctors at the Austin Fertility & Reproductive Medicine practice each discuss their specialties. read more Two Brothers, One Mission
Fitness Improves Outcomes for Infertile CouplesThere is no better field in medicine than fertility care for treating two people at the same time for optimal results. One unique aspect of fertility care is that it requires an in-depth understanding of multiple organ systems and their complex functions between two individuals. When reproductive endocrinologists and reproductive urologists work together, they areable to optimize fertility outcomes for the couple as a whole. Although evaluating and treating both partners optimizes fertility, couples can enhance their fertility with fitness. A fitter couple is a more fertile couple. read more Fitness Improves Outcomes for Infertile Couples
Travis County Medical Society Member SpotlightInspired by his father's dedication to his family and patients, Parviz K. Kavoussi, MD knew he wanted to follow in his footsteps and become a physician as well at the age of three. He began his pursuit early and volunteered in an emergency department at 15-years-old. To Dr. Kavoussi, the most rewarding aspect of his practice is being able to contribute to a patient's quality of life and helping couples achieve their dreams of creating a family. read more Travis County Medical Society Member Spotlight
Reversing the VasectomyThe vas deferens: one of the vast differences between men and women. It is basically a small, hollow tube with the consistency of a wet noodle that allows the transit of sperm cells from the testicle on their way to the outside world to try to win the race and be the luckiest, or fittest, to reach and fertilize an egg. Why does it get so much attention in reproductive medicine? read more Reversing the Vasectomy
Exercise and ConceptionFitness is clearly important for men and women's health, but what about fitness' impact on fertility? Testosterone is believed to be an important factor in a man's fertility. Low testosterone (total testosterone level of less than 300 ng/dl by the endocrine society definition) is very prevalent in infertile men. Forty-five percent of men with no sperm in the semen, without a blockage in the system transporting sperm, have low testosterone and 43% of men with low sperm counts have low testosterone levels. read more Exercise and Conception
Assisted Reproductive TechnologiesMotherhood is an experience that no one has to miss out on, even if biological factors are interfering. At Austin Fertility & Reproductive Medicine, the physicians are able to offer services of a state-of-the-art in vitro fertilization (IVF) lab called "Westlake IVF", used for assisted reproductive technologies (ART). Dr. Shahryar Kavoussi explains what those technologies are and what steps to take when considering treatment by a fertility specialist. read more Assisted Reproductive Technologies
Specialist urologists should handle vasectomy reversal cases says 10-year studyVasectomy reversals should be carried out by urology specialists with access to appropriate micro-surgical training and assisted reproductive technologies and not general urology surgeons, according to research published in the October issue of BJUI. The findings are based on a series of surveys carried out among consultant members of the British Association of Urological Surgeons (BAUS) over a ten-year period. read more Specialist urologists should handle vasectomy reversal cases says 10-year study
Diabetes Linked to Low TestosteroneIf you are a man with diabetes, you are twice as likely as other men to suffer from low testosterone. But does it work the other way around? Can low testosterone boost your risk for diabetes? Low levels of testosterone may affect how a man's body reacts to insulin, a hormone that helps control levels of blood sugar. read more Diabetes Linked to Low Testosterone
Gum Disease and Bedroom Bummer for MenLiving with erectile dysfunction, or impotence, can be a huge blow to a man's ego and, in some cases, his health. If doctors know who is at risk, they can take steps to stop erection problems. Men with periodontitis, a severe form of gum disease, may have an increased risk of impotence. read more Gum Disease and Bedroom Bummer for Men
New Drug for Erectile DysfunctionThe medication Stendra (avanafil) has just been approved by the U.S. Food and Drug Administration to treat erectile dysfunction, the FDA announced today. Approximately 30 million men in the U.S. have difficulty getting or maintaining an erection, according to the FDA's release. This inability to have a satisfactory sex life can negatively impact a person's quality of life and personal relationships. read more New Drug for Erectile Dysfunction
Maladies of MenMen and women have much in common. But let's face it: there are some obvious differences between the sexes, especially when it comes to sexual health. Just as women have their own set of distinct health issues, there are many health problems that only concern men. Low testosterone and erectile dysfunction (impotence) are two prime examples of men's sexual health problems. read more Maladies of Men
Hypogonadism/Low sex drive/Low testosteroneMale infertility (the inability to reproduce) can be caused by a number of factors, including varicoceles, or swollen veins in the scrotum. Now, it seems varicoceles may lead to problems even more severe than infertility. Varicoceles may disrupt a man's ability to produce testosterone - a hormone that is extremely important for keeping men in good health. However, surgery can boost testosterone levels in men suffering from the condition. read more Hypogonadism/Low sex drive/Low testosterone
Stay Lean and Keep Your TestosteroneWe know how important estrogen is for women, but did you know it's an important hormone for men? Yup, you guys have it, too. There is an enzyme in fat cells called aromatase; it takes testosterone made by the testicles and coverts it into estrogen. The more fat cells a guy has, the more testosterone gets turned into estrogen. The less relative testosterone is kept around to act on tissues, the tougher it is to maintain muscle mass and lose fat mass. The more fat that is put on, the more testosterone is converted into estrogen, in essence dropping the testosterone level, which in turn makes it harder to burn the fat mass… and so the vicious cycle begins. That's why hitting the gym and getting regular cardiovascular exercise to keep the waistline in check is a great way to keep more of the testosterone that's being made as testosterone. read more Stay Lean and Keep Your Testosterone
Paternity Pops TestosteroneTestosterone levels lower when a newborn is in the house Women's bodies obviously change physically in preparation for caring for newborns. Some men experience biological changes as well. A new study from the Philippines indicates that men's testosterone level temporarily lowers upon arrival of a new baby. The median testosterone level drop for new fathers was 26 percent in the daytime and 34 percent in the evening. read more Paternity Pops Testosterone
If Family Planning Ain't Broke, Don't Fix itStandard Days Method family planning system has a loyal following. Remember the days when many companies weren't willing to employ married women because of the assumption they would just get pregnant? Currently, women can seemingly have it all as long as some family planning is in place to accommodate both career and family dreams. A new study finds that women who follow the Standard Days Method for family planning are likely to continue the method because of it effectiveness. read more If Family Planning Ain't Broke, Don't Fix it
Saint David's SouthFamily of Physicians Practicing at St. David's South Austin Medical Center, Helping Couples Achieve Fertility AUSTIN, TX—In August 2010, Parviz Kavoussi, M.D., joined St. David's South Austin Medical Center, alongside his father, K.M. Kavoussi, M.D., and his brother, Shahryar Kavoussi, M.D. This family of physicians specializes in all aspects of fertility and reproductive medicine, focusing on both the female and male factors that can affect fertility in couples. "Our patients really like having all of these services offered in one office because it ensures that everyone is on the same page, so to speak," Dr. Parviz Kavoussi said. "Examining infertility from both sides is the more effective, and less expensive, approach." read more Saint David's South
Fertility ConsultationWe live in a culture where time is often measured out to the last second, and having control is paramount. Shoot off a quick e-mail. Return a call on your cell as you speed off to your next engagement. Plan projects down to the letter and project outcomes for success. Well, pregnancy, or more specifically, getting pregnant, doesn't work that way. It's not something that can be penciled into one's planner between a job promotion and an extended vacation. read more Fertility Consultation
Having Klinefelter SyndromeHaving Klinefelter Syndrome does not mean it is impossible to father children A common concern for males with KS and their families is the ability to father children. Although subfertility is characteristic of KS and the majority of KS men do not have sperm in the ejaculate, there are exceptions as well as other techniques to help with fertility potential. Although small, firm testes are common among all KS men, up to 50% have normal testosterone concentrations. Men with the mosaic form of KS (having 46XY cells mixed with 47XXY cells) are occasionally fertile. KS men with low sperm counts in the semen may have the sperm used for assisted reproductive techniques (such as in vitro fertilization- IVF) by simply collecting the sperm through semen samples obtained by masturbation. read more Having Klinefelter Syndrome
Watershed MomentWATERSHED MOMENT FOR SUBMUCOSAL FIBROID AND POLYP REMOVAL In the field of women's health, abnormal uterine bleeding is responsible for the majority of all gynecological consultations. Studies have indicated that in more than 40% of the cases, hysteroscopic evidence of a submucous myoma or endometrial polyp will be detected. For many decades, surgeons have been challenged using the same surgical tools to address this critical area until a new product, MyoSure, was recently introduced by Interlace Medical (Framingham, MA; http:// www.myosure.com). Many of the cases that present are women who have infertility issues, so preserving the form and function of the uterus is... read more Watershed Moment
Women's Health GuideAustin Fertility and Reproductive Medicine A Family of Physicians Helping Couples Build Families of Their Own. The Kavoussi's have called Austin home for more than 30 years and feel a strong bond to the city and the people who make Austin the unique place it is. They are a family of physicians dedicated to helping couples achieve their dreams of building a family. Dr. K.M. Kavoussi completed his residency at the Bayview campus of Johns Hopkins University followed by a fellowship. read more Women's Health Guide
Rock 'n Roll LifestyleErectile dysfunction can be remedied by a healthier lifestyle The same poor health habits that can lead to heart disease, diabetes and cancer also can contribute to erectile dysfunction (ED). Maintaining a healthy lifestyle is essential to having a vibrant sexual health. If men see their sexual value falling, maybe those personal habits need a closer look. Men with ED should lay off the 'drugs and rock 'n roll'... read more Rock 'n Roll Lifestyle
The Lowdown on Low TestosteroneTestosterone levels impact diabetes, high blood pressure and erectile dysfunction By the age of 35, men's testosterone levels begin to drop by one or two percent each year. By the age of 50, 30% of men are already below the normal testosterone range and that number increases as years advance. At 60 years of age, 60 percent of men have low testosterone! In the United States alone, 13 million men each year are diagnosed with low testosterone. The real number of men afflicted is probably much greater read more The Lowdown on Low Testosterone
Ejaculatory and Erectile DisordersA look at ejaculatory and erectile disorders: Men, are you able to make love so that both you and your partner are satisfied? While women are often satisfied in myriad of ways sexually, including achieving orgasm(s), for men, erection, orgasm and subsequent ejaculation are the culmination of the sex act. So what do you do if you "come" too soon, too late, or not at all? Premature ejaculation (PE) is the most common sexual complaint, more common than erectile dysfunction." says Dr. Parviz Kavoussi, a urologist and partner at Austin Fertility & Reproductive Medicine. read more Ejaculatory and Erectile Disorders
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text:
Tropical Fish Keeping - Aquarium fish care and resources (http://www.tropicalfishkeeping.com/forum.php)
- Fish Breeding (http://www.tropicalfishkeeping.com/fish-breeding/)
- - breeding wild minnows (http://www.tropicalfishkeeping.com/fish-breeding/breeding-wild-minnows-63921/)
breeding wild minnows
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I bought 3 minnows from a local bait shop would anybody know how to breed them
That was the best photo i could get since they darted around and took cover in the plants
I may be wrong but are minnows not the babies of bigger fish? when i catch minnows in the creek out back and look at them there are Pike, Bass, and Trout...
Ok i just wikipedia'ed Minnow and i was wrong... sorry for that
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Now that Matt Smith has left "Doctor Who," it's time to figure out what's next. Starring in a musical version of "American Psycho" was one way to follow the show, but what about appearing on another series?
While attending Wizard World New Orleans, Smith was asked which TV shows he would like to pop up on. According to ComicBook.com, his first answer was "Breaking Bad," He then remembered that has already ended. His second choice? "I love 'The Walking Dead,'" Smith says. "That would be cool."
Smith being among the masses of walkers would be a welcome addition. Sure, they don't really stunt cast zombies on "The Walking Dead," but can't an exception be made for a Time Lord?
If you're at all curious what a walker Matt Smith could look like, Zap2it went ahead did the work for you. It just takes a little time with the "Walking Dead: Dead Yourself" app, which allows you to turn a photo of just about anyone and give them the zombie treatment. He looks like a perfectly acceptable walker, don't you think?