Infertility

Regular vaginal discharge is a sign of a healthy female reproductive system. Normal vaginal discharge contains a mixture of cervical mucus, vaginal fluid, dead cells, and bacteria.

Females may experience heavy vaginal discharge from arousal or during ovulation. However, excessive vaginal discharge that smells bad or looks unusual can indicate an underlying condition.

This articles discusses why someone may have heavy vaginal discharge and what they can do about it.

1. Arousal

Sexual arousal triggers several physical responses in the body. Arousal increases blood flow in the genitals. As a result, the blood vessels enlarge, which pushes fluid to the surface of the vaginal walls.

Arousal fluid is clear and watery with a slippery texture. This fluid helps lubricate the vagina during sex.

Other signs of female arousal include:

  • increased heart rate and breathing
  • flushing of the face, neck, and chest
  • swelling of the breasts
  • erect nipples

2. Ovulation

Cervical fluid is a gel-like liquid that contains proteins, carbohydrates, and amino acids. The texture and amount of cervical fluid both change throughout a female’s menstrual cycle.

For example, after menstruation, cervical fluid has a thick, mucus-like texture. It can be cloudy, white, or yellow.

Estrogen levels increase closer to ovulation. This causes the cervical fluid to become clear and slippery, similar to that of raw egg whites.

Cervical fluid discharge increases during the days leading up to ovulation and decreases after ovulation. Females may have no discharge for a few days after their period.

3. Hormonal imbalances

Hormonal imbalances related to stress, diet, or underlying medical conditions can cause heavier vaginal discharge.

Polycystic ovary syndrome (PCOS), for example, refers to a set of symptoms that occur as a result of hormonal imbalances. According to the Centers for Disease Control and Prevention (CDC), PCOS affects up to 5 million females in the United States.

Those with PCOS have higher levels of male hormones called androgens. Increased androgen levels can:

  • change the amount or texture of cervical fluid
  • cause irregular periods
  • prevent ovulation

Not everyone with PCOS will have increased vaginal discharge. Paying attention to other PCOS symptoms may help someone identify and seek treatment for the condition faster.

Some other symptoms of PCOS to look out for include:

  • fewer than eight periods in 1 year, or periods that occur every roughly 21 days
  • excess facial and body hair
  • thinning hair or hair loss
  • acne on the face and body
  • weight gain
  • darkening of the skin on the neck, groin, or breasts
  • skin tags on the armpits or neck

Hormonal birth control, such as birth control pills and intrauterine devices, can also cause increased vaginal discharge, especially during the first few months of use.

Excess vaginal discharge and other symptoms, such as spotting and cramping, usually resolve once the body adjusts to the hormonal birth control.

4. Vaginitis

Vaginitis refers to inflammation of the vagina, which can occur from an infection or irritation due to factors such as douches, lubricants, and ill-fitting clothing.

Vaginitis can cause thick vaginal discharge that may be white, gray, yellow, or green.

Other symptoms of vaginitis include:

  • foul vaginal odor
  • an itching or burning sensation in the genital area
  • redness or inflammation of the vagina
  • pain or discomfort when urinating
  • pain during sexual intercourse

5. Bacterial vaginosis

Bacterial vaginosis is a condition that results from an overgrowth of bacteria in the vagina. This vaginal infection is the most common among females aged 15–44 years.

The exact cause of bacterial vaginosis remains unclear. Females can develop bacterial vaginosis after sexual intercourse. However, this condition is not a sexually transmitted infection (STI).

According to the Office on Women’s Health, those who have bacterial vaginosis may notice a milky or gray-colored vaginal discharge. Some also report a strong, fishy vaginal odor, especially after sexual intercourse.

Bacterial vaginosis can also cause:

  • discomfort when urinating
  • painful burning or itching in the vagina
  • irritation of the skin around the vagina

6. Yeast infection

Vaginal yeast infections result from an overgrowth of the Candida fungus. Females of all ages can develop a vaginal yeast infection, and nearly 70% will have a yeast infection at some point in their lives.

The most common symptom of a vaginal yeast infection is an intense itching in the vagina and vulva.

Vaginal yeast infections can also cause an odorless vaginal discharge that looks similar to cottage cheese.

Vaginal yeast infections are treatable at home using over-the-counter antifungal ointments. Symptoms should improve within a few days. However, severe infections can last longer and may require medical treatment.

7. Trichomoniasis

Trichomoniasis is an STI caused by a parasite. Females can develop trichomoniasis after having sex with someone who has the parasite.

Although most people who have trichomoniasis do not experience symptoms, some may have an itching or burning sensation in the genital area.

Trichomoniasis infections can also cause excess vaginal discharge that has a foul or fishy odor and a white, yellow, or green color. It may also be thinner than usual.

What is healthy discharge?

Healthy vaginal discharge varies from person to person. It also changes throughout their menstrual cycle.

In general, healthy vaginal discharge can appear thin and watery or thick and cloudy. Clear, white, or off-white vaginal discharge is also perfectly normal.

Some females may have brown, red, or black vaginal discharge at the end of their menstrual periods if their vaginal discharge still contains blood from the uterus.

Natural hormonal changes during ovulation can cause an increase in vaginal discharge, which should return to normal after ovulation.

When to see a doctor

It is not always necessary to see a doctor about excessive vaginal discharge. However, a female may want to consider seeing their doctor if their vaginal discharge has an abnormal appearance.

Yellow, green, gray, or foul-smelling vaginal discharge could indicate an infection. Other reasons to see a doctor include:

  • itching or burning near the genitals
  • discomfort or pain when urinating
  • discomfort or pain during sexual intercourse

Possible treatment options

Treating excess vaginal discharge depends on the underlying cause.

People can reduce symptoms of vaginitis by avoiding the source of irritation. Doctors can treat bacterial vaginosis and yeast infections using antibiotics or antifungals.

Doctors can also treat trichomoniasis using antibiotics. The CDC recommend that females wait 7–10 days after receiving treatment before having sex.

Treatment for PCOS varies depending on the individual. A doctor may recommend a combination of lifestyle changes and medications to help people manage their symptoms and regulate their hormone levels.

Maintaining a healthy body weight and eating a varied diet low in added sugars may also help improve some symptoms of PCOS. Birth control pills that contain estrogen or progestin can help balance out excess levels of androgens.

Tips for managing heavy vaginal discharge

Even healthy vaginal discharge can cause discomfort at times. Here are some tips for managing heavy vaginal discharge:

  • Wear panty liners. However, be sure not to let them become too moist, as this can increase the risk of urinary tract infections and vaginitis.
  • Choose breathable underwear made from natural fibers such as cotton.
  • Avoid wearing tight pants.
  • Avoid using hygiene products that contain added fragrances, coloring agents, or other harsh chemicals.
  • Keep the genital area clean and dry.
  • Wipe from the front to the back when using the bathroom.

Outlook

Excess vaginal discharge can occur as a result of arousal, ovulation, or infections. Normal vaginal discharge ranges in color from clear or milky to white.

The consistency of vaginal discharge also varies from thin and watery to thick and sticky. Generally, healthy vaginal discharge should be relatively odorless.

A female can speak with a healthcare professional if they notice any symptoms of an infection. Some symptoms to look out for include:

  • yellow, green, or gray vaginal discharge
  • foul-smelling vaginal discharge
  • discharge that looks similar to cottage cheese
  • itching or burning in or near the genitals

Doctors can easily treat most vaginal infections using antimicrobial medications. Depending on the severity of the infection, people may see their symptoms improving within a few days to weeks.

Lower abdominal pain is pain that occurs below a person’s belly button. Bloating refers to a feeling of pressure or fullness in the abdomen, or a visibly distended abdomen. Sometimes, these symptoms occur together.

Though occasional lower abdominal pain and bloating are common, a person should speak to their doctor if it becomes a regular occurrence. In some cases, this combination of symptoms may indicate an underlying issue that requires medical treatment.

Keep reading for more information on some of the more common causes of abdominal pain and bloating. We also outline various treatment options for this combination of symptoms.

Causes of both abdominal pain and bloating

There are several causes of combined lower abdominal pain (LAP) and bloating. Some relatively harmless, or benign, causes include:

  • consumption of high fat foods
  • swallowing too much air
  • stress

In some cases, LAP and bloating can occur as a result of an underlying medical condition, such as:

  • constipation
  • food intolerances, such as lactose or gluten intolerance
  • gastroesophageal reflux disease (GERD), although this more commonly causes upper abdominal pain-gastroenteritis, which is inflammation of the gastrointestinal (GI) tract that causes vomiting and diarrhoea
  • diverticulitis, which is inflammation or infection of part of the large intestine
  • ileus, which is a condition that slows the function of the small and large intestine
  • delayed stomach emptying, or gastroparesis, which is a complication of diabetes mellitus
  • intestinal obstruction
  • inflammatory bowel disease (Crohn’s disease or ulcerative colitis)

Other conditions that can cause LAP and bloating are specific to females. These include:

  • menstrual pain
  • endometriosis
  • ovarian cysts
  • pelvic inflammatory disease (PID)
  • pregnancy
  • ectopic pregnancy

LAP and bloating can also be due to conditions that do not necessarily affect the stomach, intestines, or reproductive organs. These conditions include;

  • drug allergies
  • side effects of certain medications
  • hernia
  • cystitis, or infection of the urinary tract infection
  • appendicitis, or inflammation of the appendix
  • kidney stones

When to see a doctor

If the cause of LAP and bloating is relatively benign, symptoms should go away within a few hours to days.

A person should see a doctor if:

  • their symptoms last longer than a few days
  • their symptoms begin to interfere with their daily life
  • they are pregnant and are unsure of the cause of LAP and bloating

People should seek immediate medical attention if vomiting or the inability to pass gas occur alongside LAP and bloating.

People who experience LAP and bloating along with one or more of the following symptoms should seek emergency medical attention:

  • sudden worsening of pain
  • fever
  • unusual vaginal discharge
  • bloody stool
  • unexplained weight loss
  • severe nausea and vomiting

Diagnosis

To make a diagnosis, a doctor will begin by carrying out a physical examination. An initial examination will involve applying pressure to the abdomen. This will help the doctor to check the location of pain and to feel for any abnormalities.

A doctor will also make a note of the person’s medical history, and any other symptoms they experience. They may also ask whether there is anything that triggers the pain or makes it worse.

Diagnostic tests, such as urine, blood, or stool tests, may also be necessary. These can help to identify signs of infection or other underlying conditions.

In some cases, a doctor may order one of the following imaging tests to check for abnormalities in the abdomen:

  • ultrasound
  • X-ray
  • CT or MRI

If the imaging tests come back normal, a doctor may perform a colonoscopy for a closer look inside the intestines.

Treatment

The following are some general home treatment options that may help to alleviate symptoms of LAP and bloating:

  • increasing fluid intake
  • exercising to help alleviate gas and bloating
  • taking over-the-counter (OTC) pain medications
  • taking OTC antacids

If home treatments do not work, a person should speak to their doctor about other treatment options. These will vary, depending on the cause of LAP and bloating. However, some examples include:

  • prescription medications to treat pain and bloating
  • antibiotics to help treat a bacterial infection
  • emergency surgery to remove a ruptured appendix

Prevention

There are some steps a person can take to help alleviate LAP and bloating. Two key steps include quitting smoking and avoiding trigger foods.

The following are examples of foods that may cause or contribute to LAP and bloating:

  • high fat foods
  • certain plant-based foods, such as cabbage, lentils, and beans
  • dairy products if a person is lactose intolerant
  • carbonated drinks
  • beer
  • chewing gum
  • hard candy

Also, people may benefit from increasing their intake of high fiber foods such as fruits, vegetables, and whole grains. This will help to prevent constipation and associated bloating.

If an underlying condition is the cause of LAP and bloating, then treating the condition should help to alleviate these symptoms.

Outlook

There are many potential causes of lower abdominal pain and bloating. Some causes are relatively benign and easy to treat, while others may be more serious.

Occasional lower abdominal pain and bloating are usually not a cause for concern. However, people should see a doctor if their symptoms worsen, last more than a few days, or disrupt their daily activities.

People who experience additional symptoms, such as vomiting, fever, or blood in the stool, should seek emergency medical attention.

In some cases, people can prevent lower abdominal pain and bloating by avoiding foods that may trigger these symptoms.

The testicles, or balls, are oval-shaped glands that form part of the male anatomy. They sit inside a thin sack of skin called the scrotum. As a person ages, the scrotum loses elasticity, and the skin starts to sag. Certain medical conditions can also cause the skin to appear saggy.

Skin loses its elasticity over time as a person gets older, and the effects of gravity start to become more noticeable everywhere on the body, including the testicles.

Some treatments can help keep the scrotum from sagging too much, although there is no way to prevent or treat the issue completely. Sagging testicles, which people often refer to as saggy balls, are usually not a cause for concern. However, if they appear with other symptoms, such as pain on one side of the balls or in the prostate, a person should see a doctor.

In this article, we look at the possible causes of sagging testicles, as well as treatment options and when to see a doctor.

What is normal?

The testicles hang inside the scrotum, or scrotal sac. The looseness of the skin around the testicles varies among individuals, and in many people, it is naturally fairly loose. The scrotum helps protect the testicles and provides some impact resistance.

The scrotum also moves in response to heat to protect the delicate testicles and sperm inside. In doing so, it helps keep the sperm viable by preventing them from becoming too warm or too cold.

In cold weather, the skin tightens up as the cremaster muscle pulls the testicles toward the body to keep them warm. In hot conditions, the skin loosens to prevent the testicles from overheating. The looser skin allows the balls to hang away from the warm body and encourages airflow around the scrotum to keep the area cool.

As such, even in younger people, the testicles will typically sag a bit. A person will generally notice this once they start producing sperm during puberty.

As a person ages, the testicles will generally sag much more. The process may not be noticeable at first, but by the age of 50 years, most people will notice a drastic difference in how much their balls sag.

Causes

Sagging testicles are a completely normal part of the aging process. A study from 2014 verifies the decrease in skin mechanical properties with aging. The skin loses collagen with age, causing the layers of the skin to stretch more.

While this applies to the skin everywhere on the body, it may be more noticeable in certain areas, such as the face and testicles. The scrotum and testicles already hang away from the body, so more stretchy skin and the efforts of gravity can lead to the effect appearing more drastic.

Other times, sagging testicles may be the result of an underlying issue, such as a varicocele. A varicocele occurs when a vein near the testicles swells up. This swelling can cause an increased blood flow to the testicles, which heats them. The body then responds by dropping the testicles lower to prevent them from getting too hot.

According to a study in the Asian Journal of Andrology, varicoceles appear in up to 15% of males and may have an association with infertility.

Varicoceles may make a person feel as though their testicles are moving or squirming, and they may also notice pain in the area. Anyone experiencing these symptoms alongside sagging testicles should see a doctor. Sometimes, a person will not experience any other symptoms and will not notice that they have the issue.

Treatments

Although age-related sagging in the scrotum is normal, some people may be uncomfortable with its appearance or find that it gets in the way of their daily life — for example, by making it easy to sit accidentally on the testicles. Surgery is the only sure way to resolve the issue, but people can also try a range of nonsurgical methods, including those below.

Exercises

There are several different exercises that people claim can prevent or treat sagging testicles, although there is no scientific evidence to prove that they work. Still, many people perform exercises to help them work out the muscles in this area of the body.

Some people say that they feel better when doing these exercises, perhaps because they feel as though they are being proactive. Even if they are ineffective, testicle exercises are unlikely to harm the testicles or make the sagging any worse.

Two exercises that some people use are Kegels and testicular holding:

Kegel exercises

Doing basic Kegels, by finding and activating the pubococcygeal (PC) muscles, may help some people support their penis and testicle health in general. The PC muscles are the muscles that a person uses to hold back their urine stream.

The basic Kegel exercise involves contracting the muscles as though trying to cut off the urine stream. As this exercise activates the PC muscles, it may improve the strength of the pelvic floor and help with some issues in the testicles, prostate, and penis.

Testicular holding

Testicular holding is similar to weight training the testicles. Holding the testicles in one hand and pulling downward activates the PC muscles. Doing this for 5 minutes each day may activate the PC muscles more strongly than simple Kegels.

Keeping the skin healthy

As much of the sagging in the testicles is due to aging skin, it may help to keep the skin as youthful as possible.

The American Academy of Dermatology recommend several ways to protect and care for the skin, including:

  • avoiding sun exposure
  • quitting smoking
  • drinking less alcohol
  • maintaining a healthy weight
  • eating a balanced diet

These tips may help improve skin health in general, which may slow the progress of saggy testicles.

Surgery

Some surgical options are available to treat overly sagging testicles. These are largely for people who dislike how their testicles look. These treatments may also help in cases where the person has problems that arise from their saggy testicles, such as accidentally sitting on their testicles too often.

In these cases, a procedure called a scrotoplasty may help keep the scrotum from hanging down as far. During a scrotoplasty, the surgeon will carefully remove extra skin from the scrotum to let the testicles rest higher up toward the body.

Surgery works to treat saggy balls, but the results are not permanent. The effect is likely to wear off over time as the skin continues to stretch with age.

In the case of a varicocele, a surgical procedure called a varicocelectomy treats the underlying issue by tying off the swollen veins. The symptoms should go away as the area heals, and this may have a positive effect on the sperm.

Other methods

There is no miracle cure for sagging testicles. People may come across other methods — such as only wearing tight briefs and avoiding sex or masturbation — on internet forums and by word of mouth, but these are not effective methods.

Other sources claim that lotions, creams, hormones, or supplements can help. Although they are probably harmless to most people, there is no evidence that these methods will work.

When to see a doctor

People who notice troubling symptoms, such as pain in their groin or prostate, should see a doctor. Anyone who wants to discuss cosmetic surgery should talk to a doctor about a referral to a trusted cosmetic surgeon.

Summary

The majority of the time, sagging testicles are a normal part of the aging process. The testicles naturally sag, even at a young age, to protect the sperm inside and keep them viable.

Anyone worried about saggy balls or other associated symptoms should contact a doctor for a diagnosis. In some cases, there may be an underlying issue to treat. In others, cosmetic surgery may help a person feel better.

There are many misconceptions about masturbation. A lack of research into its long-term effects may contribute to some of these misapprehensions. Both masturbation and acne relate to hormonal changes, but is there a link between the two?

It is a common myth that masturbation causes acne. While both are common during puberty, this is the only real link between them.

Keep reading to learn more about the relationship between masturbation and acne, the causes of acne, and how to treat it.

Does masturbation cause acne?

Hormonal changes occur during puberty. These hormonal changes cause the body to produce more oil, which may contribute to the development of acne. Many people also start masturbating during puberty, which also has a small effect on hormone levels.

Because acne and masturbation tend to occur around the same time, this could explain the common misconception that masturbation causes acne. However, it is a myth — both masturbation and acne relate to hormonal changes.

Masturbation and hormones

Although masturbation can cause changes in hormone levels, these changes are minimal.

Testosterone levels rise during masturbation and return to normal after ejaculation. The effect is temporary and does not appear to have any long-term health implications.

One study looked at hormonal changes after masturbation following a period of abstinence. The findings indicate that any hormonal changes following masturbation are temporary and minimal. This, however, only looks at the short term effects.

There has been little research into the long-term effects of masturbation on hormone levels.

Causes of acne

Acne is a skin condition that causes whiteheads, blackheads, and pimples to develop.

Pores under the skin connect to glands that produce sebum, which is n oily substance. These glands can become blocked by a buildup of sebum, dead skin, or other debris. Bacteria can accumulate and cause inflammation. This leads to the visible symptoms of acne, such as pimples.

Acne can develop anywhere on the body. It is most common on:

  • the face
  • shoulders
  • back
  • chest
  • arms

While acne can develop at any age, it usually occurs and is most prominent during puberty.

The exact causes of acne are unclear but may relate to:

  • hormonal changes
  • medicines
  • cosmetic use
  • genetics

Poor hygiene does not cause acne, but it can make the symptoms worse in people who already have it.

Acne treatment

There are many different treatments for acne. Choosing the right one will depend on the severity of the condition.

There is a variety of over-the-counter (OTC) medications that are suitable for most types of acne. They are available as gels, creams, soaps, or lotions.

In mild cases, suitable OTC products should contain active ingredients such as:

  • benzoyl peroxide
  • salicylic acid

Some products will contain more than one of these substances.

Doctors recommend that people try combinations of these products when one does not work. Acne can have different causes that require different treatments. Start with one type of treatment and add a second if there is no improvement within 4 to 6 weeks.

In moderate cases, a doctor may prescribe antibiotics to treat the acne if it is due to a bacterial infection. The antibiotics, which can be a cream or a pill, will help fight the bacteria that are causing the inflammation. This may be in addition to OTC medications, such as benzoyl peroxide. Antibiotics may include the following:

  • clindamycin
  • erythromycin

In severe cases, such as cystic acne (nodular acne), a doctor may suggest isotretinoin. This drug comes as a capsule and is highly effective for treating acne. However, isotretinoin can have serious side effects, including:

  • dry skin
  • dry eyes
  • sore throat
  • skin rashes
  • headaches
  • anxiety
  • severe stomach pain
  • bloody diarrhea
  • yellowing skin
  • difficulty urinating

Doctors will only use isotretinoin in the most severe cases because of all these side effects. Anyone taking this medication should keep an eye out for any of these side effects and report them to a doctor if they experience any of them.

While it is difficult to prevent acne from developing, some tips for people who are prone to acne include:

  • avoiding washing more than twice a day
  • washing sweat off the face
  • avoiding scrubbing areas of skin prone to acne
  • using cosmetic products that do not clog pores
  • trying not to touch or pick at the acne
  • keeping bedding and clothing clean
  • spreading acne medication on all acne-prone areas, not just where outbreaks occur

When to see a doctor

Acne is a widespread condition and rarely has any serious health implications.

Most cases of acne do not require a doctor. OTC medications should clear away symptoms without the need for stronger medicine.

If the acne does not improve after 4 to 6 weeks of home treatment, consider seeing a doctor.

Summary

Masturbation does not cause acne.

Hormonal changes may contribute to the development of acne, and masturbation can also cause changes in hormone levels, but these disappear after ejaculation. Furthermore, these hormonal changes are minimal and do not contribute to the development of acne.

People tend to start masturbating and develop acne at around the same time, typically during puberty. This is likely a source of the confusion and the myth that masturbating causes acne.

The exact cause of acne remains unclear.

Acne is a widespread condition with many different treatments. Most cases of acne are mild and do not require a doctor. In more severe cases, a doctor may prescribe antibiotics or stronger forms of medication.

An HCG pregnancy test checks human chorionic gonadotropin levels in the blood or urine. This measurement means that an HCG test can test whether a woman is pregnant, as well as whether their body is producing the right level of pregnancy hormones.

Typically, HCG levels increase steadily during the first trimester, peak, then decline as the pregnancy progresses in the second and third trimesters.

Doctors may order several HCG blood tests over a number of days in order to monitor how the HCG levels change. This HCG trend can help doctors determine how a pregnancy is developing.

In this article, we take a look at human chorionic gonadotropin (HCG) levels and how they relate to pregnancy. We also examine the potential results and accuracy of an HCG pregnancy test.

What is HCG?

Cells that become the placenta produce the hormone HCG. The HCG levels in the body quickly rise during the first few weeks of pregnancy.

HCG levels not only signal pregnancy but are also a way to measure whether a pregnancy is developing correctly.

Very low HCG levels may point to a problem with the pregnancy, an ectopic pregnancy, or warn that a miscarriage could happen. Rapidly rising HCG levels can signal a molar pregnancy when a uterine tumor grows.

Doctors require multiple HCG measurements in order to track the development of a pregnancy.

HCG levels stop rising late in the first trimester. This leveling out may be why many women experience relief from pregnancy symptoms, such as nausea and fatigue, around this time.

How HCG works as a pregnancy test

Many women have very low levels of HCG in their blood and urine when they are not pregnant. HCG tests detect elevated levels.

Tests may not detect pregnancy until HCG has risen to a certain level. This requirement means tests that detect lower levels of HCG may diagnose pregnancy earlier.

Blood tests are typically more sensitive than urine tests. However, many home urine tests are highly sensitive. A 2014 analysisTrusted Source found that four types of home pregnancy tests were able to detect HCG levels up to 4 days before the expected period, or about 10 days after ovulation for many women.

How to read the results

People must read the urine test instructions and follow them carefully. Most tests use lines to show when a test is positive. The test line does not have to be as dark as the control line to be positive. Any line at all indicates the test is positive.

Test strips can change color as they dry. Some people notice an evaporation line after several minutes. This is a very faint line that may look like a shadow.

An individual must check the test within the time frame the instructions indicate, usually 3 minutes. Tests read after 10 minutes may be inaccurate or show evaporation lines.

Accuracy

HCG tests are more likely to produce false negatives than false positives. The longer after implantation a person waits to do the test, the more accurate it will be. HCG levels begin rising when an embryo implants in the uterus.

Implantation usually happens a week or so after ovulation. It can take several days for HCG levels to rise high enough for a test to detect the hormone.

Due to how long it takes for HCG levels to rise, it is possible for a woman to be pregnant and still get a negative test. A positive result usually appears after retesting a few days later.

False-positive results are rareTrusted Source. However, because home pregnancy tests are increasingly sensitive, some can detect very early pregnancies with low HCG levels.

This sensitivity means it is possible to have a positive test that a very early miscarriage then follows. A woman who delayed testing or who used a less sensitive test might not have known about the miscarriage.

In rare cases, a woman can have abnormally high levels of HCG even though they are not pregnant. The most common reasons for this include:

  • a recent miscarriage
  • using certain fertility drugs
  • molar pregnancy, which is a pregnancy that implants but fails to grow, and which instead becomes a mass inside the uterus

Less common causes include:

  • cancer, including tumors that secrete HCG
  • endocrine disorders, especially pituitary gland issues
  • unusual antibodies in the blood

Factors that could affect results

In addition to testing too early, the following factors can cause a false negative with a urine HCG test:

  • drinking lots of water so that the urine is very diluted
  • getting too much or too little urine on the test strip
  • testing with urine late in the day when it may be weaker

Tests that have passed their expiry date may produce false positives or negatives. Reused tests are not accurate.

Risks

HCG tests are very safe. The urine test is risk-free. The blood test can cause brief pain and occasional bruising at the puncture site.

Urine HCG tests often return false-negative results, particularly very early in pregnancy. This can be stressful and demoralizing to people struggling to become pregnant. Blood tests are typically more accurate, though even these may fail to pick up low levels of HCG in early pregnancy.

It is also possible to get an early positive result. Some women get positive tests very early in pregnancy and then have a miscarriage a few days later.

If they had not had an early HCG test, they might not have known they were pregnant. This can be a stressful and alarming experience, with some people experiencing intense grief over the lost pregnancy.

Summary

Most people first learn about a pregnancy through a home HCG pregnancy test, and many confirm that the pregnancy is healthy with blood HCG testing. Though imperfect, the test is typically reliable, particularly as a pregnancy progresses.

The information that a single HCG test provides cannot differentiate between ectopic pregnancies, molar pregnancies, or other pregnancy complications. Doctors will need further information to identify these pregnancy issues and may request further blood HCG tests to observe a person’s HCG trend.

Although abnormally high or low HCG levels can indicate a problem with the pregnancy, this is not always the case.

People who have concerns about the development of the embryo or the pregnancy should ask a healthcare provider about additional testing options.

Diphallia is a rare genetic condition that occurs when a male baby is born with duplication of the penis.

There are different types of diphallia, ranging from partial to complete penile duplication. Having two completely developed penises, or true diphallia, is very rare.

Ever since the first description of diphallia in 1609, researchers have only reported 100 additional cases worldwide. It may occur in 1 in every 5–6 million live births.

This article takes a closer look at diphallia, including its symptoms, causes, effects on a male’s life, and the possibilities for treatment.

What is diphallia?

Every case of diphallia is unique, and the amount of duplication varies with each. Most males with this condition will have two penises of about the same size, located side by side.

Some males will have a larger penis located above a second, smaller penis. For others, the duplication will only affect the head of the penis.

Earlier classification described three types of diphallia:

  • a duplication of only the tip of the penis, or the glans
  • bifid phallus, wherein each penis has only one column of soft tissue (the corpus cavernosum) instead of two, as is normally the case with true diphallia
  • complete diphallia, wherein there is a complete duplication of the penis

However, current classificationsTrusted Source claim that there are only two types of diphallia: true diphallia and bifid phallus.

Diphallia usually occurs alongside other birth irregularities. These can include:

  • a cleft scrotum
  • hypospadias, wherein the opening to the urethra is on the underside of the penis, instead of the tip
  • duplication of the urethra in both penises
  • no urethras in either penis
  • abnormal heart muscles
  • two bladders
  • a missing anus
  • atypical muscles attached to the bones
  • irregular positioning of the scrotum
  • irregularities affecting the public bone
  • misshapen, rotated, or extra kidneys
  • complications of the kidney and colorectal systems

Males with diphallia are at greater risk of spina bifida. They are also more likely to be sterile.

How does it happen?

Diphallia is a genetic condition that comes about during the development of the fetus.

The genetic irregularity that causes diphallia takes effect during the development of the genitals.

Some researchers suggest Trusted Source that exposure to drugs, infections, or other damage between the 23rd and 25th day of gestation could lead to diphallia, as this is a crucial stage of fetal development.

How does diphallia affect a male’s life?

Males with diphallia are often able to urinate through one or both penises. They may also be able to have erections and ejaculate with one or both penises.

Depending on the individual situation, males with this condition may be able to have a normal sex life and have children.

However, there tends to be an increased risk of poorly functioning kidney and colorectal systems. For this reason, infants with diphallia may have a higher risk of death due to infections.

That being said, this may not be the case when diphallia is not associated with other irregularities.

Treatment

Surgery is the only treatment option for diphallia. Treatment is not always necessary, however.

A surgeon will usually perform this surgery at birth or very soon after. The procedure will vary based on how much duplication there is and the presence of other birth irregularities.

Because each case of diphallia is unique, the surgery to treat it can be complicated and difficult. The primary concerns are:

  • making sure that the male will be able to urinate normally and have erections
  • reducing the potential risk of infection
  • reducing structural irregularities

The timing of the surgery will be an important factor due to the male’s likely age. As doctors often diagnose diphallia at birth, there may need to be several surgeries over time.

Individuals with diphallia often have other birth irregularities, such as hypospadias, duplicated urethras, and cryptorchidism (wherein one or both testes do not descend). Researchers reportTrusted Source that in many cases, surgeons can repair the physical irregularities associated with diphallia.

In one caseTrusted Source, surgeons treated some of the infant’s irregularities soon after birth, but they only removed the additional penis when the individual was a toddler.

Males with diphallia do not always opt for treatment, as in the case of a 54-year-old male whose doctor diagnosed diphallia during an examination for a hernia. Surgeons repaired the hernia, but the patient did not deem it necessary to remove the smaller penis.

Summary

Diphallia is a rare genetic birth irregularity in which a male infant is born with duplication of the penis. This duplication can involve only the tip of the penis or result in two fully functioning penises.

When males are born with diphallia, they often have other birth irregularities as well.

Surgery is the only way to treat diphallia. Surgeons may address diphallia and additional birth irregularities in several stages.

Males with diphallia can lead full and healthy lives.

Low-calorie sweeteners, or sugar substitutes, can allow people with diabetes to enjoy sweet foods and drinks that do not affect their blood sugar levels. A range of sweeteners is available, each of which has different pros and cons.

In this article, we look at seven of the best low-calorie sweeteners for people with diabetes.

1. Stevia

Stevia is a natural sweetener that comes from the Stevia rebaudiana plant. To make stevia, manufacturers extract chemical compounds called steviol glycosides from the leaves of the plant.

This highly-processed and purified product is around 300 times sweeter than sucrose, or table sugar, and it is available under different brand names, including Truvia, SweetLeaf, and Sun Crystals.

Stevia has several pros and cons that people with diabetes will need to weigh up. This sweetener is calorie-free and does not raise blood sugar levels. However, it is often more expensive than other sugar substitutes on the market.

Stevia also has a bitter aftertaste that many people may find unpleasant. Some people report nausea, bloating, and stomach upset after consuming stevia.

The United States Food and Drug Administration (FDA) classify sweeteners made from high-purity steviol glycosides to be “generally recognized as safe,” or GRAS. However, they do not consider stevia leaf or crude stevia extracts to be safe, and it is illegal to sell them or import them into the U.S.

According to the FDA, the acceptable daily intake (ADI) of stevia is 4 milligrams per kilogram (mg/kg) of a person’s body weight. Accordingly, a person who weighs 60 kg, or 132 pounds (lb), can safely consume 9 packets of the tabletop sweetener version of stevia.

Various stevia products are available to purchase online.

2. Tagatose

Tagatose is a form of fructose that is around 90 percent sweeter than sucrose. Although rare, tagatose does occur naturally in some fruits, such as apples, oranges, and pineapples. Manufacturers use tagatose in foods as a low-calorie sweetener, texturizer, and stabilizer.

Not only do the FDA class tagatose as GRAS, but scientists are interested in its potential to help manage type 2 diabetes. Some studies indicate that tagatose has a low glycemic index (GI) and may be beneficial in the treatment of obesity. GI is a measure of a food’s potential to affect a person’s blood sugar levels.

Tagatose may be of particular benefit to people with diabetes who are following a low-GI diet. However, this sugar substitute is more expensive than other low-calorie sweeteners and may be harder to find in stores.

Tagatose products are available to purchase online.

3. Sucralose

Sucralose, available under the brand name Splenda, is an artificial sweetener made from sucrose. Sucralose is about 600 times sweeter than table sugar but contains very few calories.

Sucralose is one of the most popular artificial sweeteners, and it is widely available. Manufacturers add it to a range of products from chewing gum to baked goods.

Sucralose is heat-stable, whereas many other artificial sweeteners lose their flavor at high temperatures. This makes sucralose a popular choice for sugar-free baking and sweetening hot drinks.

The FDA have approved sucralose as a general-purpose sweetener and set an ADI of 5 mg/kg of body weight. A person weighing 60 kg, or 132 lb, can safely consume 23 packets of a tabletop sweetener version of sucralose.

However, recent studies have raised some health concerns. A 2016 study found that male mice that consumed sucralose were more likely to develop malignant tumors. The researchers note that more studies are necessary to confirm the safety of sucralose.

A range of sucralose products is available to purchase online.

4. Aspartame

Aspartame is a very common artificial sweetener that has been available in the U.S. since the 1980s. It is around 200 times sweeter than sugar, and manufacturers add it to a wide variety of food products, including diet soda. Aspartame is available in grocery stores under the brand names Nutrasweet and Equal.

Unlike sucralose, aspartame is not a good sugar substitute for baking. Aspartame breaks down at high temperatures, so people generally only use it as a tabletop sweetener.

Aspartame is also not safe for people with a rare genetic disorder known as phenylketonuria.

The FDA consider aspartame to be safe at an ADI of 50 mg/kg of body weight. Therefore, someone with a body weight of 60 kg, or 132 lb, could consume 75 packets of a tabletop sweetener version of aspartame.

Many different aspartame products are available to purchase online.

5. Acesulfame potassium

Acesulfame potassium, also known as acesulfame K and Ace-K, is an artificial sweetener that is around 200 times sweeter than sugar. Manufacturers often combine acesulfame potassium with other sweeteners to combat its bitter aftertaste. It is available under the brand names Sunett and Sweet One.

The FDA have approved acesulfame potassium as a low-calorie sweetener and state that the results of more than 90 studies support its safety. A 2017 study in mice has suggested a possible association between acesulfame potassium and weight gain, but further research is necessary to confirm this.

The FDA have set an ADI for acesulfame potassium of 15 mg/kg of body weight. This is equivalent to a 60 kg, or 132 lb, person consuming 23 packets of a tabletop sweetener version of acesulfame potassium.

6. Saccharin

Saccharin is another widely available artificial sweetener. There are several different brands of saccharin, including Sweet Twin, Sweet’N Low, and Necta Sweet. Saccharin is a zero-calorie sweetener that is 200 to 700 times sweeter than table sugar.

According to the FDA, there were safety concerns in the 1970s after research found a link between saccharin and bladder cancer in laboratory rats. However, more than 30 human studies now support the safety of saccharin, and the National Institutes of Health no longer consider this sweetener to have the potential to cause cancer.

The FDA have determined the ADI of saccharin to be 15 mg/kg of body weight, which means that a 60 kg, or 132 lb, person can consume 45 packets of a tabletop sweetener version of it.

People can purchase a range of saccharin products online.

7. Neotame

Neotame is a low-calorie artificial sweetener that is about 7,000 to 13,000 times sweeter than table sugar. Neotame can tolerate high temperatures, which means that it is suitable for baking. It is available under the brand name Newtame.

The FDA approved neotame in 2002 as a general-purpose sweetener and flavour enhancer for all foods except for meat and poultry. They state that more than 113 animal and human studies support the safety of neotame.

The FDA have set an ADI for neotame of 0.3 mg/kg of body weight. This is equivalent to a 60 kg, or 132 lb, person consuming 23 packets of a tabletop sweetener version of neotame.

Considerations when choosing a sweetener

When choosing a low-calorie sweetener, some general considerations include:

  • Intended use. Many sugar substitutes do not withstand high temperatures so they would make poor choices for baking.
  • Cost. Some sugar substitutes are very expensive, whereas others have a cost more comparable to that of table sugar.
  • Availability. Some sugar substitutes are more widely available in stores than others.
  • Taste. Some sugar substitutes, such as stevia, have a bitter aftertaste that many people may find unpleasant.
  • Natural versus artificial. Some people prefer using natural sweeteners, such as stevia, rather than artificial sugar substitutes.

Summary

Many people with diabetes need to avoid or limit sugary foods. Low-calorie sweeteners can allow them to enjoy a sweet treat without it affecting their blood sugar levels.

There is a range of sweeteners to choose from, each with different pros and cons. Although the FDA generally consider these sugar substitutes to be safe, it is still best to consume them in moderation.

Gain weight
Gain weight
Doctors usually recommend gaining weight to people who consistently weigh too little, which can cause a range of health problems. Bodybuilders and other athletes may also hope to gain weight by building muscle.

According to the Centers for Disease Control and Prevention (CDC) in the United States, the number of underweight adults aged 20 to 39 years in the country decreased from 3 percent to 1.9 percent between 1988 and 2008.

A person who is underweight is likely to experience health issues, including:

  • infertility
  • developmental delays
  • a weakened immune system
  • osteoporosis
  • an increased risk of complication during surgery
  • malnutrition

While gaining weight can be a struggle, the following foods may help. They can also increase muscle and boost overall health.

Foods to gain weight quickly

The following nutrient-rich foods can help a person to gain weight safely and effectively.

1. Milk

Milk offers a mix of fat, carbohydrates, and proteins.

It is also an excellent source of vitamins and minerals, including calcium.

The protein content of milk makes it a good choice for people trying to build muscle.

One study found that after a resistance training workout, drinking skim milk helped to build muscle more effectively than a soy-based product.

A similar study involving women in resistance training showed improved results in those who drank milk following a workout.

For anyone looking to gain weight, milk can be added to the diet throughout the day.

2. Protein shakes

Protein shakes can help a person to gain weight easily and efficiently. A shake is most effective at helping to build muscle if drunk shortly after a workout.

However, it is important to note that premade shakes often contain extra sugar and other additives that should be avoided. Check labels carefully.

3. Rice

A cup of rice contains about 200 calories, and it is also a good source of carbohydrates, which contribute to weight gain. Many people find it easy to incorporate rice into meals containing proteins and vegetables.

4. Red meat

Limiting the consumption of red meat has been shown to help with building muscle and gaining weight.

Steak contains both leucine and creatine, nutrients that play a significant role in boosting muscle mass. Steak and other red meats contain both protein and fat, which promote weight gain.

While a person is advised to limit their intake, leaner cuts of red meat are healthier for the heart than fattier cuts.

One study found that adding lean red meat to the diets of 100 women aged 60–90 helped them to gain weight and increase strength by 18 percent while undergoing resistance training.

5. Nuts and nut butter

Consuming nuts regularly can help a person to gain weight safely. Nuts are a great snack and can be added to many meals, including salads. Raw or dry roasted nuts have the most health benefits.

Nut butters made without added sugar or hydrogenated oils can also help. The only ingredient in these butters should be the nuts themselves.

6. Whole-grain breads

These breads contain complex carbohydrates, which can promote weight gain. Some also contain seeds, which provide added benefits.

7. Other starches

Starches help some of the foods already listed to boost muscle growth and weight gain. They add bulk to meals and boost the number of calories consumed.

Other foods rich in starches include:

  • potatoes
  • corn
  • quinoa
  • buckwheat
  • beans
  • squash
  • oats
  • legumes
  • winter root vegetables
  • sweet potatoes
  • pasta
  • whole-grain cereals
  • whole-grain breads
  • cereal bars

Beyond adding calories, starches provide energy in the form of glucose. Glucose is stored in the body as glycogen. Research indicates that glycogen can improve performance and energy during exercise.

8. Protein supplements

Athletes looking to gain weight often use protein supplements to boost muscle mass, in combination with resistance training.

Protein supplements are available for purchase online. They may be an inexpensive way to consume more calories and gain weight.

9. Salmon

It also contains many nutrients, including omega-3 and protein.

10. Dried fruits

Dried fruits are rich in nutrients and calories, with one-quarter cup of dried cranberries containing around 130 calories.

Many people prefer dried pineapple, cherries, or apples. Dried fruit is widely available, or a person can dry fresh fruit at home.

11. Avocados

Avocados are rich in calories and fat, as well as some vitamins and minerals.

12. Dark chocolate

Dark chocolate is a high fat, high-calorie food. It also contains antioxidants.

A person looking to gain weight should select chocolate that has a cacao content of at least 70 percent.

13. Cereal bars

Cereal bars can offer the vitamin and mineral content of cereal in a more convenient form.

A person should look for bars that contain whole grains, nuts, and fruits.

Avoid those that contain excessive amounts of sugar.

14. Whole-grain cereals

Many cereals are fortified with vitamins and minerals.

However, some contain a lot of sugar and few complex carbohydrates. These should be avoided.

Instead, select cereals that contain whole grains and nuts. These contain healthy levels of carbohydrates and calories, as well as nutrients such as fiber and antioxidants.

15. Eggs

Eggs are a good source of protein, healthy fat, and other nutrients. Most nutrients are contained in the yolk.

16. Fats and oils

Oils, such as those derived from olives and avocados, contribute calories and heart-healthy unsaturated fats. A tablespoon of olive oil will contain about 120 calories.

17. Cheese

Cheese is good source of fat, protein, calcium, and calories. A person looking to gain weight should select full-fat cheeses.

18. Yogurt

Full-fat yogurt can also provide protein and nutrients. Avoid flavored yogurts and those with lower fat contents, as they often contain added sugars.

A person may wish to flavor their yogurt with fruit or nuts.

19. Pasta

Pasta can provide a calorically dense and carbohydrate-rich path to healthy weight gain.

Avoid bleached pastas, and opt for those made with whole grains.

Takeaway

The foods above can help a person to increase their calorie intake in a healthy way. This will help a person to gain weight safely and efficiently.

Infertility in women above the age of forty can almost always be contributed to menopause, but if you’re in your twenties and thirties and struggling to conceive, there are a number of other causes.

Menopause can’t be ruled out. Premature menopause, while uncommon, does occur in certain women. This is usually genetic. If close family had premature menopause, that trait is likely to be passed along.

Premature menopause will have all the normal symptoms of menopause such as hot flashes, mood swings and vaginal dryness. Women with premature menopause can no longer conceive with their own eggs, but can still have children using donor eggs. In cases like this, IVF can be used with a donor egg and sperm before being placed into the menopausal woman’s body. This will result in a normal pregnancy. Women interested in this procedure can visit a fertility clinic to learn more about IVF.

The most common cause of infertility is a condition known as anovulation. This means that the ovaries do not release any eggs. This condition is easily treated using ovulation inducing medicine and is often not a serious health concern. Roughly forty percent of infertile women have this condition.

Women who suffer from endometriosis will often suffer from terrible pain during their menstruation and the effects of this condition can lead to infertility as well. Many women aren’t diagnosed with endometriosis because they believe the pain they feel during their menstruation is normal. When left untreated, endometriosis can cause scar tissue and lesions to form outside the uterus, leading to a decrease in fertility and even more pain. It’s best to see a doctor as soon as possible to prevent damage, but most of the effects of endometriosis can be alleviated with surgery.

Another cause of infertility is Polycystic Ovary Syndrome. This is a hormone disorder that hinders the ability of the ovaries to release eggs. This disorder can be treated with medication, but studies have suggested that a healthy lifestyle can work just as well. Overweight women are prone to this disorder due to their unhealthy lifestyles and most fertility doctors would recommend a diet plan and regular exercise before they would resort to prescribing medication.

Another reason for this is the risks involved with being pregnant while overweight. The risks are numerous for mother and child in the case that a heavily overweight woman does manage to conceive.

Still not sure what might be the cause of your infertility? Visit a fertility clinic to be properly diagnosed. In many cases, the problem isn’t with your uterus, but with your partner’s sperm. Most infertility problems can be solved with IVF treatment (with your own egg or with a donor egg). There are treatments or medication available for each of the causes mentioned above and others that were not mentioned. The best way to know what steps you need to take is by talking to a medical health care professional. Don’t attempt to self-diagnose.

Healthy food means to eat clean and organic while keeping you away from the chemical and sugar rich foods. However, without even realizing their presence, our diet includes a major portion of artificial food content and high calories that claims to be significantly low. Such foods forms acids in the body and they are required to be eliminated as soon as possible. The foods creating inflammation disturb the hormonal balance in the body, congest the liver, and higher the blood sugar levels, as result, it nullify the efforts of restoring the good health.

Foods You Should Avoid While Losing Weight:-

Low Fat Ice Creams

Even when your ice creams are low on calories and loaded with the fruits, there are still lots of sugar content and harmful trans fat hidden inside the cup that makes you gain weight. Moreover, the artificial colours and flavours are nothing to do with your than worsening the situations. Instead, make your own ice cream at home with the natural fruit flavours less of harsh chemicals.

Thin Crust Veggies Loaded Pizza

People used to think that not all pizzas are bad for your health, however, even the thin crust slices are loaded with cheese that contains saturated fats and processed so heavily to make you gain those extra pounds easily. Go for homemade whole wheat crust, healthy sauce, superfoods pizza along with the right cheeses.

Zero Calories Drinks

All that fizz drinks claiming zero calories in the cans are the way to distract you from eating healthy. It is extremely acidic, hence; it takes more than 30 cups of water to neutralize the acidity of a single can. Such residues are hard on the body and make an evil impact on your kidneys.

French Fries

The trans fat and acrylamide present in the food cause inflammation in your body. It is also a greater cause of many other serious problems in the body including heart diseases, weight gain, cancer, etc. Try out finding how to cook them to maximize the nutrients and eliminate the formation of acrylamide.

Potato Chips

When the white potatoes are deeply fried it produces the highest level of toxic acrylamide which is the main reason of accumulation of the fat. As they are loaded with the healthy herbs, it doesn’t mean it will save some calories for you. Instead, try indulging in the crispy sweet potato chips and you will not miss the original chips for sure.