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Birth Control: Expert Urges Medical Advice

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Consultant gynecolo
gist, Dr. Uranta Ferdinand has called on women to seek the proper advice of a medical professional in their choice of contraceptive (Birth Control) methods.
Ferdinand who made the call following the critical health condition of a woman diagnosed with a wrong choice of contraceptive told The Tide that choosing contraceptive method with out medical advice has an adverse health effects.
Ferdinand said “it is dangerous to choose a birth control method without proper medical advice. We don’t mean just meeting every  and any medical personnel but a professional in that field because a lot is involved and even more is that the choice depends on the medical history and health status of the individual, therefore it should not be taken for granted”.
He said that women with obesity or heart disease needed more proper counseling stating that some contraceptive methods could prove more harmful than imagined.
Ferdinand who noted that a large number of women use the implantable progesterone only as their method said however that the contraceptive should not be recommended for women who are overweight.
“The contraceptive that is good for women is actually individualised which calls for a thorough medical examination and a check of medical history. With this, the expert is guided on what contraceptive that is good, and for women who have some form of heart condition, you have to be careful in giving them the combined contraceptive which is estrogen and progesterone because of the effect it may have on the heart.
While listing some contraceptives often used to include the Intrauterine Contraceptive Device (IUCD), posterior, injectable contraceptive, deprofoveral among others, Ferdinand explained that the deprofoveral is a contraceptive that is implanted under the skin which he said can remain there for up to three years.
“The injectable ones is taken once in two or three months while the IUCD is inserted into the uterus which forms a physical barrier to pregnancy and does not distort the circle. However, those using the IUCD will experience complications such as pelvic pain, increased risk of developing pelvic inflammatory disease. Sometimes this device can be dislodged or displaced in the uterus, it can puncture the uterus or even find its way to the abdomen itself. Though these complications are rare, they can still occur”.
The expert who noted that it takes the both partners to choose birth control and the method to be used said the best and non-complicated method for every type of woman was abstinence saying “the both had to agree not to have sex at the time of ovulation and this serves as the best control method”.
Some women who shared their experiences with The Tide affirmed the advice of the medical expert maintaining that formal education was not a yardstick for medical counseling on choice of contraceptive method as admitted by most women particularly in the rural areas.
Mrs. Roseline Wokoma, a 49 year old woman and mother of four children said “ignorance is the main cause. As a woman, it did not take formal education for you to get pregnant and even give birth and so, you don’t need it to get the right method to control your pregnancies. All you need to do is to meet a specialist who will conduct a test on you and give you the right method.  Especially with resident doctors in the local health centres, they will speak and act in the way you will understand and all you need to do is just to adhere to the rules”.
Chidimma Jonathan said “once you do not use the right method, there is bound to be a lot of discomforts and side effects which includes swollen stomach, hormonal imbalance, fatigue and some more serious ones depending on the one you used. Let us try and seek medical advice before venturing into it for our own good health.

 

Lady Godknows Ogbulu

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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