Dr.Karol, MD

The doctor with alternative solutions


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Discussing Pregnancy Health

It goes without saying that when it comes to pregnancy, everyone hopes for a healthy baby and a healthy delivery. However, being aware of potential roadblocks is essential for everyone involved, especially the new baby. Of all common concerns, birth defects are  a complex concept. Neural tube defects are among the most common form of birth defects. Fortunately, in most cases they are completely preventable with adequate intake of jamieson folic acid. Essentially, these defects are due to the failure of proper fusion of the vertebral column around the spinal cord. The consequences vary from insignificant to severe, causing complete lack of the brain in the skull upon birth. The best preventative medicine is early pregnancy detection and appropriate supplementation.

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But there are many other developmental conditions that cause birth defects. Some are genetic such as Down Syndrome (trisomy 21), Patau syndrome (trisomy 13), Edwards syndrome (trisomy 18), Cri du chat syndrome (missing part of chromosome 5), Turner syndrome (missing the X chromosome in a female) and so on. The term “trisomy” refers to the presence of 3 chromosomes of the same type instead of 2. The symptoms of these conditions are inevitable since they are genetic, although the severity of symptoms varies among individuals.

Many factors, both controllable and uncontrollable, play a role in pregnancy health. One of the most commonly discussed health factors is in regards to the age of the mother.. The optimal age for child bearing is between the ages of 18 and 30. Women past the age of 30 have an increasingly higher chance of the fetus acquiring these mutations. That certainly doesn’t mean you can’t decide to start a family past the age of 30. However, paying attention to genetic testing becomes of higher importance. Testing can be conducted by chorionic villus sampling (taking a cell sample from the placenta) and then a little later on by amniocentesis (sampling the fluid that the baby swims in). Other important tests for these conditions are routine abdominal ultrasounds.

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The third types of birth defects are caused from exposure to toxins during pregnancy. The most common are tobacco smoke (which leads to growth retardation), alcohol (which can lead to growth retardation and fetal alcohol syndrome), most prescription medications (this is complex and should be discussed prior to conceiving with ones doctor), cocaine and other stimulants such as crystal meth, heroin and other opioids, and environmental toxins and pollutants. The last category includes obvious toxic substances such as paints, varnishes, gas fumes, other chemical fumes, heavy metals and so on but it also includes less well thought of substances such as food preservatives, food pesticides and food herbicides. Even fluoride in tap water is toxic to the fetus.

So the take home message is this: Once pregnancy is detected, begin taking folic acid, and of course quit smoking, drinking alcohol, or engaging in illicit drugs. If you take prescription medications consult with your doctor. Request a referral to a gynecologist/obstetrician and schedule all appointments for the entire pregnancy. If your partner smokes, encourage him to quit or be sure he never smokes near you. Eat healthy: meaning lots of wild fish, Jamieson fish oils, fruits and vegetables. Try and cut out all processed foods or junk food. Try switching to an organic diet, if possible. Be sure to drink adequate fluids. The less stress throughout a pregnancy, the better, so maintaining a stable and calm environment is extremely important. And remember, if you’re over the age of 30 you are able to obtain genetic testing in addition to what is offered by our free (yet limited) health care system. Good luck on a healthy and happy pregnancy.


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Tips for Increased Fertility Part 2

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Today I will continue the topic of fertility. All the things that I covered in my first article on the topic in relation to women also apply to men, except of course the increased need for folic acid during pregnancy.

For Men

There is one thing that is specific to men. The reason why men have testes (i.e. the site where sperm is produced) outside of the abdominal cavity is because production of sperm requires a slightly lower temperature than normal body temperature. This difference in temperature is only about 2 degrees Celsius, but it is very important. Increasing the temperature by only 1 or 2 degrees can hinder sperm production to the point of infertility. This is why it is important for men not to wear tight underwear. Such underwear keeps the testes close to the rest of the body, thus increasing the temperature of the testes and hindering sperm production.

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Vaginal Health

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In June we have been focusing on Women’s Health, and today’s topic is vaginal health. It is a topic not commonly discussed due to the sensitivity of the subject, but it is very important to know and to openly discuss in a professional manner.

The five major areas of possible concern are yeast infections (medically termed vaginal candidiasis from the name of the yeast that causes it), cervical pre-cancerous and cancerous changes, urinary tract infections, dryness of the vagina during and post menopause, and (usually later in life) possible cancerous changes of the outer vagina.

YEAST INFECTION

Let’s start with the yeast infection. It is caused by yeast called Candida albicans. It’s a normal inhabitant of the vagina in most women but normally it is kept in check by the invisible good bacterial flora such as thelactobacilli. When this healthy flora is hindered, the Candida has “room” to multiply and flourish. Continue reading