FEMALE INFERTILITY CURE COURSE IN PAKISTAN

FOR ANY INFO OR INSTANT ORDER BOOKING JUST SMS OR CALL US AT
0092-3416516001
03135058176
DR. AAMIR
www.amirclinic.com
www.supermedicine.blogspot.com

Infertility is the failure of a couple to become pregnant after one year of regular, unprotected intercourse. In both men and women the fertility process is complex.

About 10% of couples who wish to have a baby are still unable to after a year of unprotected sex. About half of these couples can achieve pregnancy within 2 years after appropriate treatment of the woman, the man, or both. Even under ideal circumstances, the probability that a woman will get pregnant during a single menstrual cycle is only about 30%. And, when conception does occur, only 50 - 60% of pregnancies advance beyond the 20th week. (The inability of a woman to produce a live birth because of abnormalities that cause miscarriages is called infecundity and is not discussed in detail in this report.)

Males and females each account for 40% of infertility. In the remaining 20%, either both partners are responsible or the cause is unclear. Although this report specifically addresses infertility in women, it is equally important for the male partner to be tested at the same time.

Causes of Female Infertility

Causes of infertility can be found in about 90% of infertility cases but, despite extensive tests, about 10% of couples will never know why they cannot conceive. Between 10 - 30% of cases of infertility have more than one cause. Male or female infertility each account for about 30 - 40% of cases. In men, sperm defects (their quality and quantity) are usually responsible. Female infertility is more complex.

Pelvic Inflammatory Disease



Pelvic inflammatory disease (PID) is the major cause of female infertility worldwide. PID comprises a variety of infections caused by different bacteria that affect the reproductive organs, appendix, and parts of the intestine that lie in the pelvic area. The sites of infection most often implicated in infertility are in the fallopian tubes, a specific condition referred to as salpingitis.

Causes of PID. PID may result from many different conditions that cause infections. Among them are:

Sexually transmitted diseases (cause of most PIDs). Chlamydia trachomatis is an infectious organism that causes 75% of infertility in the fallopian tubes. Gonorrhea is responsible for most of the remaining cases.

Pelvic tuberculosis (a growing global problem as tuberculosis cases increase)

Nonsterile abortions

Ruptured appendix

Herpesvirus (suggested for some cases, but not confirmed as a cause)



Symptoms of PID. The infection may be subclinical (occurring without any symptoms), or there may be fever, chills, or pelvic pain indicating inflammation of the entire pelvic area.

Effects of PID. Severe or frequent attacks of PID can eventually cause scarring, abscess formation, and tubal damage that result in infertility. About 20% of women who develop symptomatic PID become infertile. PID also significantly increases the risk of ectopic pregnancy (fertilization in the fallopian tubes). The severity of the infection, not the number of the infections, appears to pose the greater risk for infertility.

Endometriosis



Endometriosis may account for as many as 30% of infertility cases. Some evidence suggests that between 30 - 50% of women with endometriosis are infertile. Often, however, it is difficult to determine if endometriosis is the primary cause of infertility, particularly in women who have mild endometriosis. Endometriosis rarely causes an absolute inability to conceive, but, nevertheless, it can contribute to it both directly and indirectly.

Endometriosis is the condition in which the tissue that normally lines the uterus (endometrium) grows on other areas of the body causing pain and irregular bleeding.

Direct Effect of Endometrial Cysts. Endometrial cysts may directly cause infertility in several ways:

If implants occur in the fallopian tubes, they may block the egg's passage.

Implants that occur in the ovaries prevent the release of the egg.

Severe endometriosis can eventually form rigid webs of scar tissue (adhesions) between the uterus, ovaries, and fallopian tubes, thereby preventing the transfer of the egg to the tube.

Immune Factors and the Inflammatory Response. Researchers are focusing on defects in the immune system that not only may be responsible for endometriosis in the first place but may also cause the infertility associated with endometriosis. Even in early stage endometriosis, investigators have observed increased immune system activity.

Other Conditions Linking Endometriosis and Infertility. Researchers have sometimes noted unusually low levels of specific substances that enable a fertilized egg to adhere to the uterine lining. (Such abnormalities are more often a factor in infertility in women with mild to moderate endometriosis than in those with severe cases.)

One study found that the eggs in women with endometriosis appeared to have more genetic abnormalities than those in women without the disorder.

Polycystic Ovarian Syndrome



Polycystic ovarian syndrome (PCOS) is a condition in which the ovaries produce high amounts of androgens (male hormones), particularly testosterone. PCOS occurs in about 6% of women, and amenorrhea or oligomenorrhea (infrequent menses) is quite common. According to a 2002 study, nearly 30% of obese women with PCOS had amenorrhea. (The rate was lower -- 4.7% -- in women with normal weight.)

In PCOS, increased androgen production produces high LH levels and low FSH levels, so that follicles are prevented from producing a mature egg. Without egg production, the follicles swell with fluid and form into cysts. Every time an egg is trapped within the follicle, another cyst forms, so the ovary swells, sometimes reaching the size of a grapefruit. Without ovulation, progesterone is no longer produced, whereas estrogen levels remain normal.

The elevated levels of androgens (hyperandrogenism) can cause obesity, facial hair, and acne, although not all women with PCOS have such symptoms. Other male characteristics, such as deepening voice and clitoral enlargement, are rare.

PCOS also poses a high risk for insulin resistance, particularly in women who are also obese. Insulin resistance is associated with diabetes type 2, in which insulin levels are normal or high but the body cannot use this hormone efficiently. About half of PCOS patients, in fact, also have diabetes.

Premature Ovarian Failure (Early Menopause)



Premature ovarian failure (POF) is the early depletion of follicles before age 40, which, in most cases, leads to premature menopause. It affects about 1% of women and is typically preceded by irregular periods, which might continue for years. In this condition, follicle-stimulating hormone (FSH) levels are elevated, as they are during per menopause. Premature ovarian failure is a significant cause of infertility, and women who have this condition have only a 5 - 10% chance to conceive without fertility treatments.

Causes of Premature Ovarian Failure. There are numerous causes of POF. Often the cause of this disorder or other causes of POF is unknown. In some cases, POF may represent an acceleration of the aging process.

The following conditions may produce POF:

Adrenal, pituitary, or thyroid gland deficiencies.

Genetic factors related to the X chromosome. A woman needs two functioning X chromosomes for normal reproduction. When one is abnormal, ovarian function fails. The most severe example is Turner's syndrome, a genetic condition, in which one of the two X-chromosomes is missing or malfunctioning. Milder cases of ovarian failure can occur in fragile X syndrome and other rare inherited conditions that cause partial X-chromosome abnormalities.

Cancer treatments (radiation, chemotherapy, or both). Women who are undergoing cancer treatments and who want to become pregnant should see a reproductive specialist to discuss their options. According to the American Society of Clinical Oncology’s 2006 guidelines, the fertility preservation method with the best chance of success is embryo cryopreservation. This procedure involves harvesting a woman’s eggs (oocytes), followed by in vitro fertilization and freezing of embryos for later use. Other treatments under investigation include egg preservation, collecting and freezing unfertilized eggs, removing and freezing a part of the ovary for later reimplantation, and using hormone therapy to protect the ovaries during chemotherapy. Women may be able to access these investigational approaches through enrolling in clinical trials.

Autoimmunity. Autoimmune diseases, including diabetes type 1, systemic lupus erythematosus, autoimmune hypothyroidism, and autoimmune Addison's disease, are associated with a higher risk for early menopause. Autoimmunity, however, may also play a role in some cases of POF without the presence of specific autoimmune diseases. In such cases, antibodies specifically attack the cells that secrete reproductive hormones thus causing ovarian failure.

Other causes of POF include sarcoidosis, mumps, some sexually transmitted diseases, and tuberculosis. Women with epilepsy are at higher risk for POF.

Idiopathic Hypogonadotropic Hypogonadism



Idiopathic hypogonadotropic hypogonadism is a rare condition in which follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are underproduced and prevent the development of functional ovaries. There are no other abnormalities in the hypothalamus-pituitary axis (such as tumors or abnormal stress hormones or prolactin). In most cases, the causes of hypergonadotropic hypogonadism are unknown. Genetic factors, including Kallman's syndrome, have been identified in about 20% of these cases.

Functional Hypothalamic Amenorrhea (FHA) and Eating Disorders



Functional hypothalamic amenorrhea (FHA) is the absence of menstruation due to disturbances in the thyroid gland and hypothalamus-pituitary-adrenal (HPA) system, which regulates reproduction and other important functions. The eating disorders anorexia and bulimia are most often associated with FHA. FHA may be due to other different factors, most unknown.

Luteal Phase Defect (Implantation Failure)



Luteal phase defect is a general term referring to problems in the corpus luteum that result in inadequate production of progesterone. Because progesterone is necessary for thickening and preparing the uterine lining, the ovum fails to successfully implant in the endometrium. Between 25 - 60% of women who experience recurrent miscarriages may have a luteal phase defect. A luteal phase defect, however, can also occur in fertile women, so other factors may be responsible for implantation failure.

Benign Uterine Fibroids



Benign fibroid tumors in the uterus are extremely common in women in their 30s. The effect of fibroids on fertility is controversial. A 2002 analysis suggested that they may account for infertility in only 1 - 2.4% of women who are having trouble conceiving.

Large fibroids may cause infertility impairing the uterine lining, by blocking the fallopian tube, or by distorting the shape of the uterine cavity or altering the position of the cervix.

Some evidence suggests that even small fibroids may reduce the chances of pregnancy in women who are undergoing assisted reproductive techniques. Treatments to reduce fibroids may be helpful in such women, although there has been little research on this subject.

Elevated Prolactin Levels (Hyperprolactinemia)



Prolactin is a hormone produced in the pituitary gland that stimulates breast development and milk production in association with pregnancy. High levels of prolactin (hyperprolactinemia) reduce gonadotropin hormones and inhibit ovulation. Hyperprolactinemia in women who are not pregnant or nursing can be caused by hypothyroidism or pituitary adenomas. (These are benign tumors that secrete prolactin. They can cause headache and visual problems as well as breast secretions.) Some drugs, including oral contraceptives and some antipsychotic drugs, can also elevate levels of prolactin.

Secretions from the breast not related to pregnancy or nursing (called galactorrhea ) is a telltale symptom of high prolactin levels and should be investigated.

Structural Problems Causing Obstruction



Inborn Abnormalities. Inborn genital tract abnormalities may cause infertility. Mullerian agenesis is a specific malformation in which no vagina or uterus develops. Even in these cases, some women can become mothers by undergoing in vitro fertilization and having the fertilized egg implanted in another woman who is willing and able to carry the pregnancy (a surrogate mother).

Uterine or Abdominal Scarring. Bands of scar tissue that bind together after abdominal or pelvic surgery or infection (called adhesions) can restrict the movement of ovaries and fallopian tubes and may cause infertility. Asherman's syndrome, for example, is scarring in the uterus that can cause obstructions and secondary amenorrhea. It may be caused by surgery, repeated injury, or unknown factors. Laparoscopic surgery is less likely to cause adhesions than standard open surgery.

In some of these cases, surgery may be helpful. One technique, called pressure lavage under ultrasound guidance (PLUG), may prove to be useful for treating some cases of mild scarring in the uterus (intrauterine adhesions). This technique is based on transvaginal sonohysterography, which uses ultrasound along with saline infused into the uterus to enhance visualization. Continuous accumulation of saline in the procedure is used to break up the scars.

Other Causes of Infertility

Ectopic Pregnancies. Ectopic pregnancies increase the risk for infertility, although subsequent pregnancy rates are quite variable. Ectopic pregnancies that terminate without treatment appear to pose a lower risk for future infertility. Even a ruptured tube does not appear to reduce the chance for a future pregnancy in most women. Such an event however can be dangerous and even life threatening for the woman. Laparoscopic surgery to remove a fallopian tube affected by an ectopic pregnancy may preserve fertility better than traditional abdominal surgery.



Medications. Among the medications that can cause temporary infertility are those used to treat chronic disorders, as well as antidepressants, hormones, pain killers, and antipsychotic drugs.

Inflammatory Bowel Disease. Inflammatory bowel disease (particularly Crohn's disease or surgery for ulcerative colitis) can affect fertility.



Celiac Sprue. Celiac sprue is a disease in which the patient cannot tolerate gluten, a common food chemical. The disorder is also highly associated with infertility in men and women, possibly through multiple effects on nutrition, immune factors, and hormones. The mechanisms are not altogether clear, but infertility is usually reversible with strict dietary control.



Epilepsy. In one study of women with epilepsy, fertility rates were 33% lower than among women in the general population, perhaps due to certain antiepileptic drugs that increase the risk for birth defects. The social effects of epilepsy may also lead to marriage at an older age, which can be associated with delayed attempts to get pregnant and thereby affect fertility.

Thyroid Problems. Thyroid problems, either too much thyroid hormone (hyperthyroidism) or too little (hypothyroidism), can interrupt cycles.



Metabolic Syndrome (also Called Syndrome X). Doctors diagnose this condition when at least three of the the following abnormalities are present:

Abdominal obesity

Low HDL (good) cholesterol levels

High triglyceride levels

High blood pressure

Insulin resistance

Metabolic syndrome is a pre-diabetic condition that is significantly associated with heart disease. A 2002 study reported that, as with PCOS, women with metabolic syndrome have higher levels of male hormones and are therefore at risk for infertility. A 2002 study estimated that 24% of the population now has this condition.

Other Medical Conditions. Medical conditions associated with delayed puberty and amenorrhea (absence of periods) include Cushing's disease, sickle cell disease, HIV, kidney disease, and diabetes. Genetic mutations that affect luteinizing hormone may also be responsible for some cases of light or absent menstruation. Other rare genetic disorders, such as Kallman syndrome, cause abnormalities in the hypothalamus of the brain.

Risk Factors

In the U.S., an estimated 10.2% of women between the ages of 15 - 44, or about 6.1 million women, have impaired fertility, and the incidence is increasing. About 25% of women experience some period of infertility during their reproductive years.

Age

As a woman ages, her chances for fertility decline. Infertility in older women appears to be mostly due to a higher risk for chromosomal abnormalities that occur in her eggs as they age. Older women are also more likely to have health problems that may interfere with fertility. If fertilization occurs, older, healthy women can usually successfully bear a fetus to term, although they have a higher risk for miscarriage. Using population studies, experts have come up with estimated odds for pregnancy at different ages, given no fertility intervention. A 2002 analysis of pregnancy rates based on conception on the day of ovulation suggested that women between ages 19 - 26 have twice the pregnancy rates as those between 35 - 39.

Chances for Pregnancy by Age

Age Fertility %
Up until age 34 90%
By age 40 Declining to 67%
By age 45 Declining to 15%
Weight Factors and Excessive Exercise

Although most of a woman's estrogen is manufactured in her ovaries, 30% is produced in fat cells by a process that transforms circulating adrenal male hormones into estrogen. Because a normal hormonal balance is essential for the process of conception, it is not surprising that extreme weight levels, either high or low, can contribute to infertility.



Being Overweight. Being overweight or obese (fat levels that are 10 - 15% above normal) can contribute to infertility in various ways. Obesity is highly associated with polycystic ovarian syndrome (PCOS), which is the cause of infertility in some cases. In one 2003 study, overweight women without PCOS were classified in one of five grades, depending on the severity of the obesity. The risk for irregular or absent periods increased two-fold by each increase in grade. In this group, amenorrhea (absent periods) was also highly associated with type 2 diabetes and blood sugar abnormalities.

Being Underweight. Body fat levels 10 - 15% below normal can completely shut down the reproductive process. Women at risk include:

Women with eating disorders, such as anorexia or bulimia.



Women on very low-calorie or restrictive diets are at risk, especially if their periods are irregular.

Strict vegetarians might have difficulties if they lack important nutrients, such as vitamin B12, zinc, iron, and folic acid.

Marathon runners, dancers, and others who exercise very intensely. (Lower body fat contributes to menstrual irregularities in competitive athletes, but other mechanisms are also involved.)

Environmental Risks

Exposure to environmental hazards (herbicides, pesticides, industrial solvents) may affect fertility. Estrogen-like hormone-disrupting chemicals are of particular concern for infertility in men and for effects on offspring of women.

Phthalates, chemicals used to soften plastics, are under particular scrutiny for their ability to disrupt hormones. Specific phthalates of special concern include dibutyl phthalate (DBP) and others found in many products, including cosmetics and clay products sold to children (Fimo, Sculpey). Animals exposed to phthalates have significantly impaired sperm count and abnormalities in reproductive structures, such as the testes. In addition, there is some concern that exposure in pregnant women may affect the offspring.

Stress and Fertility



Neurotransmitters (chemical messengers) act in the hypothalamus gland, which controls both reproductive and stress hormones. Severely elevated levels of stress hormone can, in fact, shut down menstruation. Whether stress has any significant effect on fertility or fertility treatments is unclear. One 2005 study found that psychological stress does not affect the success or failure of in vitro fertilization.

Treatment

Treatment for  Female Infertility by Dr. AAMIR

Pure herbal treatment by Dr.AAMIR to cure infertility in females with well proven results. Has a very high success rate in treating different causes of infertility in females. Dosage and duration of the treatment may vary as per the patient profile. Treatment is without any side effect.

Complete Treatment of Female Infertility

60 Days Course

13500 RS.

Azoospermia, Oligospermia cure course in Pakistan( male infertility problem)

Azoospermia


If you and your partner are finding it difficult to get pregnant, it may be a good idea to visit your local fertility clinic for a physical workup. Here, your reproductive endocrinologist will analyze both male and female factors in order to find out exactly what is going on with your fertility. Sometimes, male factor infertility can play a large role in pregnancy difficulties. Azoospermia can cause serious problems with sperm production and transfer, preventing a man’s sperm from entering his ejaculate. This can make pregnancy very difficult, if not impossible. However, new techniques are now being performed to help men with azoospermia father biological children.

What is Azoospermia?

       

Azoospermia is one of the most severe forms of male factor infertility. It is a condition in which a man has no sperm in his ejaculate. In order to transport sperm outside of the body, it mixes with ejaculate (semen) at certain places throughout the male reproductive system. Sometimes, due to blockages or sperm production problems, sperm does not mix with ejaculate, and therefore cannot leave the body. This is why so many men with azoospermia find it difficult to have children.

There are actually two types of Azoospermia

Obstructive Azoospermia: Obstructive Azoospermia - The result of obstruction in either the upper or lower male reproductive tract (epididymis, vas deferens, seminal vesicles or ejaculatory ducts). Sperm production may be normal (which may be verified through testicular biopsy or aspiration), but the obstruction is preventing the sperm from being ejaculated. Some causes of obstructive azoospermia are vasectomy, congenital absence of vas deferens, scarring from past infections, and hernia operations, or some genetic conditions such as Cystic Fibrosis. Some sperm may be found and extracted directly from the testicles.

Non-obstructive Azoospermia: Severely impaired or non-existent sperm production in the testicle.  The function of the testicle is twofold.  One is production of male hormones, and the other is production of sperm.  Insufficiency of one or the other is frequently congenital, but in some situations can be acquired during one’s life.  If the system of the testicle which produces hormones is impaired, the hormones could be substituted by numerous preparations readily available.  Unfortunately, if the system producing sperm is impaired or missing, the only substitute is donor/surrogate semen.  Many couples in similar situations prefer using semen form a properly screened donor under a physician’s supervision, compared to adoption.  Sometimes the genetic and biological information about the adopted child are not available; sometimes care of the child after birth has been deficient and improper, leading to the acquisition of various diseases, for example HIV/AIDS and many others.

How Common is Azoospermia?


Azoospermia affects only about 2% of the general male population; however, it does account for a large percentage of those men actively seeking fertility treatments. It is thought that between 10% and 20% of men undergoing fertility treatments suffer from azoospermia. Most of these men have little or no sperm present in their ejaculate.

Symptoms of Azoospermia

Unfortunately, it is very difficult to recognize azoospermia without undergoing fertility testing. This is because there are no symptoms that occur along with the condition. You will likely have semen of a normal color and texture, and will encounter few difficulties with ejaculation. Only a sperm count can diagnose the condition.

Causes of Azoospermia


The are typically two main causes of azoospermia: a problem with sperm production or a problem with sperm transport. There are a variety of factors that may contribute to either of these causes.

Sperm Production Problems

Sometimes, azoospermia is the result of a dysfunction within the testes themselves, making it impossible for your body to produce enough viable sperm. In order to produce sperm, the proper cells need to be present in the testes and the proper hormones need to trigger sperm production. Failed sperm production is often the result of:

Hormonal Abnormalities


Sometimes your body may not produce enough of certain hormones involved in the sperm-making process, causing azoospermia. Hormonal imbalances caused by anabolic steroid use or particular disorders, like Cushing’s Syndrome, can contribute to azoospermia.

Cryptorchidism


Cryptorchidism, or undescended testicles, is a condition in which your testes have not descended properly. It is generally corrected in childhood, however, if it isn’t corrected, your testicles will be unable to produce sperm properly.

Vascular Trauma

Trauma to the testes or to the blood vessels within the testes can also prevent your body from producing sperm. Varicocele causes veins in the testes to enlarge and become swollen. As a result, blood pools in the testes, impairing sperm production.

Sperm Transport Problems


In order for sperm to leave your body, it must be transported from your testes to your urethra. Sperm travels through a series of ducts inside of your reproductive system, until it eventually mixes with your ejaculate and exits your body. Sometimes, blockages can occur inside of these ducts preventing sperm from mixing with your ejaculate. Sperm transport problems are often caused by:

Vasectomy: The vasectomy procedure introduces a cut or blockage into your vas deferens, preventing sperm from mixing with your ejaculate.

Congenital Absence of Vans Deferens: Some men are born without the vas deferens, which are tiny tubes that carry sperm to the urethra for ejaculation.

Infection: Certain infections, including STDS, can cause blockages in the epididymis or vas deferens, preventing sperm from mixing with your semen.

Causes of Obstructive Azoospermia

Genetic

You may have been born with genes that may cause infertility. A gene is a piece of DNA that tells your body what to do or what to make. Genes may affect sperm transport, such as in congenital bilateral absence of the vas deferens.

Infections

Infections of the male reproductive system, such as in the testicles or prostate, may affect male fertility.

Trauma

Previous injury or surgery to the spine, pelvis, lower abdomen (stomach), or male sex organs may cause damage to the male reproductive system. This may include surgery on an inguinal (groin) hernia. Trauma may affect sperm production or cause an obstruction in the flow or transport of sperm.

Varicocele


A varicocele is a condition where the veins (blood vessels) in the scrotum are enlarged and dilated (widened). Ask your caregiver for information about varicocele.

Vasectomy


A vasectomy is a surgical procedure that is done on males as a method of birth control. The vas deferens (tubes that carry sperm from the testicles to the seminal vesicles) are cut, tied, or burned. The semen that is ejaculated no longer contains sperm.

Nonobstructive Azoospermia

Drugs

Certain drugs, such as steroids, antibiotics, and drugs to treat inflammation or cancer may affect male fertility. Smoking, drinking alcohol, and using illegal drugs may also cause problems with sperm production.


You may have been born with genes that may affect sperm production, such as Klinefelter's syndrome. These genes may also affect the formation of your reproductive (sex) organs, such as Kallmann's syndrome.

Hormones



Disorders of the testicles may produce abnormal levels of hormones that may affect the production of sperm.

Radiation

Radiation, such as that used to treat cancer, may affect sperm production.

Retrograde Ejaculation

Retrograde ejaculation is when semen travels into the bladder instead of outside the body. It is usually caused by a problem with the neck of the bladder and may be due to spinal cord injuries, medicines, or diabetes.

Other Factors

Pesticides, heavy metals, heat, and undescended testes (testicles that did move from the abdomen into the scrotum) may affect sperm production.

What are the signs and symptoms of Azoospermia?

You may have any of the following:

Inability to get your partner pregnant.

Increased body fat, body hair, and breast tissue.

Clear, watery, or whitish discharge from the penis.

Presence of a mass or swelling on the scrotum that feels like a bag of worms (varicocele).

Stress or emotional pressure from not being able to conceive a child.

Testicles that are small, soft, or non-palpable (cannot be felt).

Veins that are enlarged, twisted, and may be seen in the scrotum (varicocele).

How is Azoospermia diagnosed?

Your caregiver will take a complete medical, reproductive, and sexual health history from you. He may need to know how long you have been trying to have a baby. The timing and frequency of your sexual activities, and problems with sexual urges and functions are also important. You will also be asked about your lifestyle, including alcohol intake and smoking, medications taken, and past diseases. You may need any of the following:

Physical Examination

Your caregiver will look for signs of any imbalance in your hormones, such as increased body fat, body hair, and breast tissue. The size and shape of your testicles will also be examined. Your caregiver may also do a digital rectal exam (DRE) to check your prostate and other parts of your reproductive system.

Biopsy

A sample of your testicle is taken by a needle or through a small incision (cut) in the scrotum. The sample is sent to a lab for tests. This will help determine the ability of the testicles to produce normal sperm.

Blood Tests

You may need blood taken for tests. The blood can be taken from a blood vessel in your hand, arm, or the bend in your elbow. It is tested to see how your body is doing. It can give your caregivers more information about your health condition. You may need to have blood drawn more than once.

Genetic Screening

Genetic testing may be done to look for abnormal genes. Abnormal genes may cause problems with sperm production, sperm transport, or formation of the male reproductive organs.

Imaging Tests

Dye may be used in certain tests to make pictures show up better. Tell your caregiver if you are allergic to shellfish (lobster, crab, or shrimp), as you may also be allergic to this dye. Imaging tests may include the following:

Magnetic Resonance Imaging Scan

This test is also called an MRI. An MRI uses magnetic waves to take pictures of your pituitary gland to check for other causes of your infertility. You will need to lie still during an MRI. Never enter the MRI room with an oxygen tank, watch, or any other metal objects. This may cause serious injury.

Spermatic Venography

This test will examine and show the position of the veins in the scrotum. It may be used to check for a varicocele.

Ultrasonography

A scrotal or transrectal ultrasound uses sound waves to find lumps and other changes in your testicles and scrotum. These tests may be used to check for a varicocele or any missing parts of the reproductive system.

Semen Analysis

A semen analysis is a test to check a man's fertility. It is done by taking a semen sample. You may need to talk with your caregiver about the method of sample collection.

Urinalysis

Post-ejaculatory urinalysis is a test that is done on your urine after you have ejaculated. This test looks for the presence of sperm in the urine, which may suggest an obstruction or problems with ejaculation.

Treatment

Treatment for Azoospermia by Dr.Aamir

This treatment by Dr. Aamir is especially for males with no sperms/ very less negligible sperms. A highly effective herbal and natural treatment to cure Azoospermia.
.
for urgent order and free home delivrery with complete privacy just sms or call us at
0092-345-6900056
03135058176
DR. AAMIR

www.amirclinic.com

supermedicine.blogspot.com

SKIN AND BODY COLOR WHITENING MAGICAL PRODUCT IN PAKISTAN

SKIN AND BODY COLOR WHITENING PRODUCT IN PAKISTAN

if your face or body color is dark, or black
if you have dark spots on your face
if you have freckles and pimples on your body and face
if you have any kind of spots or discoloration on your body or face
and you want to remove them permanently
then it is a magical formula for you.
it is non chemical and non steroid formula for skin color whitening

it is great formula for sensitive skin people
it is wonderful medicine for those who have disappointed after using bizarre products.
this course contains pure homeopathic and herbal ingredients German imported and sure results
no side effect

effective for all types of skins
this amazing formula will remove your dark spots, black spots. and make your skin white, pink and beautiful
become handsome and attractive by this unique skin whitening and beautifying formula available at all cities of Pakistan.
we provide free home delivery in Pakistan
YOU CAN GET THIS COURSE AT ANY PLACE IN THE WORLD ON ORDER AND PAYMENT
FOR ANY info or instant order just sms or call us at
00923456900056
03135058176
dr. Aamir

amirclinic.com

supermedicine.blogspot.com

WEIGHT GAINER SUPER PRODUCT IN PAKISTAN

WEIGHT GAINER SUPER PRODUCT

get your weight UP TO 40 POUNDS IN 30 DAYS.

It is our one of the best product for the persons who are weak physically and nervously.

build your muscles and body in 30 days.

it is money back guaranteed course available at all cities of Pakistan

we provide free home delivery throughout Pakistan

it is best product for weak children, underweight women and girls.
it is super product for weak and feeble males, or boys.

by this course you body will be strong and healthy like a real man

it is good for those who have weak body and sunken face,
it will make you healthy, strong and beautiful
dont waste your money on cheap bizarre product which are also chemical based and harmful

I am specialist homeopathic doctor who produced this amazing formula scientifically which works without any harmful effect on the body.
its results are permanent
it is pure homeopathic and herbal product with natural results.

it contains tabs. caps. drops and powder .
there is no side effect
for any info or instant order just sms or call us at
00923456900056
0313-5058176
dr. aamir

www.amirclinic.com

www.supermedicine.blogspot.com

SEX POWER SUPER FORMULA IN PAKISTAN

SEX POWER SUPER FORMULA IN PAKISTAN

 it is our one of great formulas for sex power and ultimate stamina

it is pure homeopathic and herbal set 

there is no side effect
German imported ingredients with 100% results.

if you have been losing your sex health by your own hands 
if you have lost your timing 
if you have destroyed yourself by excessive sexual activities
if you want to increase your timing and sex power
if you want to get ultimate drive
if you are above 50 and want your power back like 20 years of age
then
do not worry be happy you have now 
we have prepared a best product to regain lost sex power 
it is ever best product to get back your manliness

dont miss the chance to use this wonderful group of medicine. 
dont use cheap bizarre product , use our great formula which is scientific and natural formula to regain lost timing, vigor, stamina and sex taste and sex drive. it is complete package for Sex Power.

this unique formula is available on order at any place in Pakistan
remember privacy is our first concern for all our patients. 
and can be obtained anywhere in the world on order and payment
in Pakistan free home delivery is available. 
for any info or instant order just sms or call us at
00923416516001
03135058176
dr. Aamir

www.amirclinic.com
www.supermedicine.blogspot.com

NATURAL COURSE FOR ERECTILE DYSFUNCTION AND IMPOTENCY

NATURAL COURSE  FOR ERECTILE DYSFUNCTION AND IMPOTENCY

It is our one of special natural product for getting back your natural sex power timing and stamina and erection.

if you are suffering from erectile dysfunction use our this special product and get rid of this filthy disease

if you are up to 50 or more years of age feeling lack of power and impotency then it is right treatment for you. don't waste your money on cheap and chemical based medicines. do not put your health in danger by the use of dangerous chemicals. our special product is homeopathic and herbal formula without any side effect.

our natural course for erectile dysfunction and impotency has no side effects. it is best course for all types of men

it gives your back your vigor , power sex desire and sex timing . 

it is instant as well as long term treatment

it has a miraculous results.

it is available at anywhere in the world on order

In Pakistan home delivery is free.

it is available in America and Europe on order

for any info or instant order sms us or call us or email us at

00923416516001

03135058176

dr. Aamir

www.amirclinic.com

www.supermedicine.blogspot.com

HEPATITIS A,B C, PERMANENT CURE COURSE

HEPATITIS CURE COURSE

it is our one of special efforts to discover that group of homeopathic and herbal medicines that can cure Hepatitis B , and C..

if you are suffering from Hepatitis B. or c do not worry use this magical formula to get permanent cure. 

our Hepatitis cure Course is a natural product which contains homoepathic and herbal medicines that treat your liver with kindness.  

our Hepatitis cure Course is 100% effective with money back guarantee

this Hepatitis treatment is cheaper than Allopathic medicines which are costly as well as dangerous. 

this wonderful Hepatitis cure treatment is available at all cities of Pakistan and on order can be obtained at any place of the world after payment

in Pakistan we provide free home delivery.

it is 90 days formula

you can buy month to month or full set at a time

3000 rs per month price

and 8000 rs. full set of 3 months price

we use German imported medicines for the treatment of Jaundice or Hepatitis B. or Hepatitis C. 

we have patent treatment of all types of Hepatitis

do not use dangerous chemicals for your soft liver. use homeopathic and herbal medicine which has no side effect and treat permanently .

for any info or quick order just sms or call us at

00903416516001

03135058176

dr. Aamir

www.amirclinic.com

www.supermedicine.blogspot.com

Best Homeopathic Product for Men Power

A Best Product for Men Power
increase your strength , stamina and timing
German imported product for men power
enhance power of men 
augment your ability and power without any side effects

100% results
no side effect
it is super homeopathic product for Men power with money back guarantee available in Pakistan's all cities on one sms or call.
for quick order just sms or call us
dr. Aamir
www.supermedicine.blogspot.com

BREASTS ENLARGEMENT HOMEOPATHIC PRODUCT

BREASTS ENLARGEMENT PRODUCT


GET ROUND BEAUTIFUL AND TIGHT BREASTS
BE ATTRACTIVE WOMAN
GET FEMININE ADORATION
USE OUR MIRACULOUS COURSE
SAVE YOUR MARRIAGE
MAKE YOUR LIFE MORE ATTRACTIVE AND MEANINGFUL
WE HAVE MEDICINE WHICH ARE HOMEOPATHIC AND HERBAL
THERE IS NO SIDE EFFECT
100% SURE RESULTS.
NO SIDE EFFECT

GERMAN IMPORTED INGREDIENTS
AVAILABLE ANY PLACE ON ORDER
IT IS COURSE WHICH CONTAINS TABS. CAPS. LOTION
MONEY BACK GUARENTEE
FOR QUICK ORDER JUST SMS OR CALL US AT
00923416516001
03135058176
DR. MALIK

FACE AND BODY WHITENING HOMEOPATHIC PRODUCT

FACE AND BODY WHITINEING PRODUCT IS PURE HOMEOPATHIC AND HERBAL 
THERE IS NO SIDE EFFECT
DO NOT USE CHEMICALS WHICH CAN HARM YOUR SKIN
USE OUR HOMEOPATHIC PRODUCT WHICH IS SAFE AND FREE FROM ANY SIDE EFFECT

IT IS NATURAL PRODUCT
GET WHITE PINK AND SHINY SKIN IN 30 DAYS. ONLY
FOR ANY INFO OR ORDER JUST CALL OR SMS US AND GET FREE HOME DELIVERY
00923416516001
03135058176
DR. AAMIR

PILES CURE SPECIAL HOMEOPATHIC PRODUCT

if you are suffering from piles painful or bleeding type
do not go for operation
try our product

if you have operrated your heamorroids but still suffering then it is a miraculous option for you
it is German imported
no side effect
free home delivery
available at all cities of Pakistan
for quick order just sms or call us
0341-6516001
dr. Aamir

BREASTS ENLARGEMENT CREAM

Breast Enlargement Price: 1999/- PKR    FOR URGENT ORDER AND FREE HOME DELIVERY JUST CALL OR SMS US AT  03135058176   /  00923416516001    Breast enlargement Cream in Pakistan is a natural breast firmness and enlargement product, which is widely available in the market today. Regular application of the enlargement cream helps stimulating the development of breast tissue and improves the cup size by adding volume to every breast tissue. The Breast enlargement cream is also said to lengthen and branch the ducts those connect to the nipple and hence, increase the sensitivity. How Does  Breast Enlargement Cream Work?    Breast Enlargement Cream works by stimulating the growth of cells in our body. Besides this, the herbal formula also helps one regulate the pH and hydration factor in our body. By gradually increase the number of breast tissues, it helps one boost breast size naturally. Phytoestrogen is an ingredient included in the cream that enlarges fatty tissues upon proper absorption, thereby providing firmness and shape to one’s breast. Breast Enhancer Cream in Pakistan also supplies missing nutrients to the breast. Once the deprived nutrient requirements are met, one can expect larger and attractive cleavage. Pueraria mirifica and tropical herb extracts are two most vital ingredients that contribute to the overall breast improvement cause. Several studies have come up with a verdict that Pueraria Mirifica has great rejuvenating effects on a women’s body. The makers of the cream have used this ability of the cream to a great advantage. It’s advisable that you apply small amount of cream on your breast in a clockwise and anticlockwise direction for proper absorption. The effectiveness of the product varies from individual to individual. It might take 2 to 3 months to witness encouraging results. Breast Cream does not offer massive breast gain as it works naturally with women’s hormones, thereby producing results that is completely unique from one person to another.

HEIGHT GROWTH SPECIAL PRODUCT

HEIGHT GROWTH SPECIAL  Medicine For Height Increase in Pakistan Call 3135058176     OR  00923416516001   Cash On Delivery Anywhere In Pakistan 

HEIGHT GROWTH HERBAL BODY GROWTH FORMULA FOR HEIGHT INCREASE R
HEIGHT GROWTH  height increaser is a revolutionary product to increase your height naturally and without any side effects.  height growth will help you to increase height up to 3 to 5 inch in just few months that to 100% naturally. Step up will just not increase your height only it will help you to attain proper body growth so you will be more fit, healthy, n Taller. Step up height growth formula not just increases your height but increases you confidence too. Now, you don’t need to face more rejections because of your short height. Make yourself eligible for the career field you desired of such as modeling or acting. All you need is this Height Increaser and it will bring back your confidence required to live your life to the fullest.
It’s an amazing Ayurveda product that not just increase your height up to 5 inch but also boost your strength, bone mass density. body growth formula is a healthy height increase product that also boost your immune and digestive system and provide you with healthy complete body growth.
How step up height increaser work?

Our body growth is totally dependent on growth hormones, Pituitary gland produce growth hormones and when these hormones stop working then it leads to shorter height problems. Step up body growth formula produces Amino acids that work as a food supplement for pituitary gland which further results in productionof growth hormones and it leads to height increase by natural body process.

Benefits Of Using

Increase Height & strength of body
Enhances Memory
Increase energy
Improve Personality
Boost self Confidence
Increase Bone Mass Density
Thickens Cartilage, Ligaments, and Tendons
Herbal Body Growth is an Amazing Formula
People of all ages, gender, and ethnicity are growing taller!

height growth formula prevents from various diseases and helps incomplete growth of body. It has been very successful with a very high success rate. It helps age relative body growth, especially to those who are not physically grown as per their age. With step up height increasing powder body growth you can securely and naturally grow taller and faster without the side effects. Use of this height increaser medicine is very useful to increase rapid regular development of complete body.
Value Price: Rs.4000 AND 6500 RS.

FOR UGENT ORDER JUST SMS OR CALL US  AND GET FREE HOME DELLIVERY : 03135058176
0092-3416516001

DR. AAMIR 

---

SEX POWER, TIME AND STAMINA CAPSULES

SEX POWER, TIME AND STAMINA CAPSULES

sexual performance
enhancement. 

Fast Acting, Long Lasting.

Increases TIME of INTERCOURSE

Increases SIZE andROCK HARD

Increases STAMINA and SEX DRIVE

1 Capsule for 5 DAYS

24 PILLS /BOX
DIRECTIONS;ake one capsule 30 minutes prior to sexual
activity.

May be taken as a daily supplement for
enhanced results.

Works best if taken two (2) hours after a meal.Effects should last 36-72 hours.Effects are normally active only when
stimulated. In the event that an erection persists longer
than 4 hours,seek medical assistance immediately

Specifications;4600mg 4 pill Powerzen , male sex pill Helps
most men with ED problem,maintains an erection during sex
intercourse,aphrodisiac, health supplement

Ingredients;Fructus Lycil,Phizoma Polygonati,Semen Ziziphi
Spinosae,Flos Caryophylli,Cortex Cinnamomi,Semen Allii Tuberosi

Usage;Take one capsule and swallow with a bit of
liquid( best warm water) about 30minutes before sexual intercourse. do not
taken more

than one capsule within 24 hours period. If
the erection(s) persists or bacomes

longer or more frequent then desired it could
be brought down by drinking cold water repeatedly.Being so many years
experience in this this line, our products have won thecustomers in the world.

Product Feature

sex pills for Male,male enhancement medicines, make better sexual enjoyment,sexual long-lasting

Product Specification / Models

24 packs per box

Application

Male sex medicine,sex enhancement pill

Other Information

Sex medicine for male ,sex enhancer pills for man

SEX POWER SUPER PRODUCT

.

IT IS A SPECIAL GIFT FOR NEWLY MARRIED COUPLE.

GET ULTIMATE TIMING STAMINA AND SEXUAL POWER

IT IS BEST PRODUCT FOR BOTH MALE AND FEMALES

IT IS GREAT PRODUCT FOR THOSE WHO HAS LOST THEIR POWER DUE TO NON NATURAL ACTIVITIES . THEY MAY RESTORE THEIR LOST SEXUAL STRENGTH AND VIGOR ONLY BY SINGLE COURSE

THIS UNIQUE PRODUCT IS AVAILABLE AT ALL CITIES OF PAKSITAN

JUST CALL OR SMS US WITH YOUR NAME AGE AND CITY
AND ORDER AND GET THE PARCEL WITHIN 24 HOURS AT YOUR HOME ADDRESS

PRIVACY IS OUR PRIME CONCERN

03416516001
00923135058176
DR. AAMIR

WEIGHT GAINER SUPER PRODUCT

get your body strong and beautiful only in 40 days.

get up to 20 pounds and 30 pounds weight gain within 40 days.

it is homeopathic product .

there is no side effect.

100% working and non steroid formula available all over Pakistan

get this unique product at your home address wihin 24 hours.

free home delivery 

privacy is our prime concern

for rapid order and quick delivery call or only sms us with your name age and city at

0341-6516001

.0092-3135058176

dr.aamir

ACNE, Pimples

What is Acne?
Acne is a general term for pimples and deeper pustules that are clogged pores. If severe enough acne can leave permanent scars.
Acne is an inflammatory skin disorder of the skin's sebaceous glands and hair follicles that affects about 80% of people between the ages of 12 and 24. During puberty high levels of hormones are produced in both girls and boys. This leads to the production of large quantities of sebum. Sebum is an irritant that can clog the pores and form a pimple which may become infected and form a pustule. Hormones don't go away after adolescence. Many women still get premenstrual acne from of the release of progesterone after ovulation.

Normal pilosebaceous unit

Acne is a disease that affects the skin's oil glands. The small holes in your skin (pores) connect to the oil glands under the skin. These glands make an oily substance called sebum. The pores connect to the glands by a canal called a follicle. Inside the follicles, oil carries dead skin cells to the surface of the skin. A thin hair also grows through the follicle and out to the skin. When the follicle of a skin gland clogs up, a pimple grows. Most pimples are found on the face, neck, back, chest, and shoulders. Acne is not a serious health threat but it can cause scars.

What Causes Acne?
§ The exact cause of acne is unknown, several related factors are:
§ Hormonal activity supposed to be responsible, such as menstrual cycles and puberty.
§ Increase in hormones called androgens (male sex hormones), which causes sebaceous glands to enlarge and make more sebum.
§ Hormonal changes related to pregnancy can also cause acne.
§ Another factor is heredity or genetics. Researchers believe that the tendency to develop acne can be inherited from parents. For example, studies have shown that many school-age boys with acne have a family history of the disorder.
§ Accumulation of dead skin cell.
§ Bacteria in the pores, to which body becomes allergic.
§ Skin irritation or scratching of any sort will active the inflammation.
§ Starting or stopping birth control pills.
§ Heredity (if your parents had acne, you might get it too).
§ Some types of medicine. Greasy makeup.
In some patients, contributing factors may be:
Pressure: In some patients, pressure from helmets, chinstraps, collars, and the like can aggravate acne.
Drugs: Some medications may cause or worsen acne, such as those containing iodides, bromides, or oral or injected steroids (either the medically prescribed prednisone or the steroids bodybuilders or athletes take.) Most cases of acne, however, are not drug-related. Occupations: In some jobs, exposure to industrial products like cutting oils may produce acne

Pathophysiology of Acne
§ Excessive secretion of oils from the sebaceous glands accompanies the plugging of the pores with naturally occurring dead skin cells (corneocytes) blocking hair follicles.
§ The accumulation of these corneocytes in the duct appears to be due to a failure of the normal keratinization process in the skin which usually leads to shedding of skin cells lining the pores.
§ Oil secretions are said to build up beneath the blocked pore, providing a perfect environment for the skin bacteria Propionibacterium acnes and the lipophilic (oil/lipid-loving) yeast Malassezia to multiply uncontrollably.
§ Under the microscope, however there is no evidence of pooled trapped sebum. Indeed the oil perolates through the plugged duct onto the surface.
§ In response to the bacterial and yeast populations, the skin inflames, producing the vision lesion.
§ The face, chest, back, shoulders and upper arms are especially affected.

Acne describes as a disease of the pilosebaceous units (PSUs). Found over most of the body, PSUs consist of a sebaceous gland connected to a canal, called a follicle that contains a fine hair.
People with acne frequently have a variety of lesions, some of which are shown in the diagrams below. The basic acne lesion, called the comedo, is simply an enlarged and plugged hair follicle.
If the plugged follicle, or comedo, stays beneath the skin, it is called a closed comedo and produces a white bump called a whitehead.

A comedo that reaches the surface of the skin and opens up is called an open comedo or blackhead because it looks black on the skin's surface. This black discoloration is due to changes in sebum as it is exposed to air. It is not due to dirt. Both whiteheads and blackheads may stay in the skin for a long time.
Acne is a group of skin rashes with different causes named as:-
Acne vulgaris
It is most commonly experienced around puberty, typically of the face and shoulders / chest.
Acne rosacea
A red rash predominantly on the face.
Acne keloidalis nuchae (pseudofolliculitis nuchae)

A rash caused by shaving.
Acne conglobata (Hidradenitis suppurativa)
Chronic abscesses or boils of sweat gland and hair follicle; in the underarms, groin, buttocks and under the breasts in women.
Acne cosmetica
Acne caused by use of cosmetics.
Acne fulminans
An extreme form of acne conglobata.
Acne medicamentosa
Acne cause by starting or stopping medicine.
Baby acne

A rash seen on the cheeks, chin, and forehead of infants.
Chloracne
Acne caused by exposure to chlorinated hydrocarbons such as dioxins or PCBs.
###
Acne vulgaris
Acne vulgaris is an inflammatory disease of the skin, which is caused by changes in the pilosebaceous units

Cystic acne on the face

It is the most common form of acne. Large number of teenagers suffers from this, during the period of puberty. In most of the cases it tends to disappear or atleast decreases after one reaches early twenties. There is no fix prediction how long time it will take to disappear entirely,
Signs and symptoms of Acne
Acne typically appears on face, neck, chest, back, shoulders and the areas of skin with the largest number of functional oil glands. People with acne frequently have a variety of lesions, some of which are shown in the diagrams below. The basic acne lesion, called the comedo, is simply an enlarged and plugged hair follicle. Acne can take the following forms;
Whiteheads: These are created when the openings of hair follicles become clogged and blocked with oil secretions and dead skin.
If the plugged follicle, or comedo, stays beneath the skin, it is called a closed comedo and produceswhite bump called a whitehead.
Blackheads: These are similar to whiteheads, but are open to the skin surface and darken.

Whiteheads: These are created when the openings of hair follicles become clogged and blocked with oil secretions and dead skin.
If the plugged follicle, or comedo, stays beneath the skin, it is called a closed comedo and produceswhite bump called a whitehead.
Blackheads: These are similar to whiteheads, but are open to the skin surface and darken.
A comedo that reaches the surface of the skin and opens up is called an open comedo or blackhead because it looks black on the skin's surface. This black discoloration is due to changes in sebum as it is exposed to air. It is not due to dirt. Both whiteheads and blackheads may stay in the skin for a long time.
Other troublesome acne lesions can develop, including the following:
§ Papules – inflamed lesions that usually appear as small, pink bumps on the skin and can be tender to the touch
Macule - A macule is the temporary red spot left by a healed acne lesion. It is flat, usually red or red-pink, with a well defined border.

MACULE
A macule may persist for days to weeks before disappearing. When a number of macules are present at one time they can contribute to the "inflamed face" appearance of acne. It shows the "red face" appearance.
§ Pustules (pimples) – These are raised; reddish spots that signal inflammation or infection in the macule may persist for days to weeks before disappearing. When a number of macules are present at one time they can contribute to the "inflamed face" appearance of acne. It shows the "red face" appearance.
§ Pustules (pimples) – These are raised; reddish spots that signal inflammation or infection in the hair follicles. Papules topped by white or yellow pus-filled lesions that may be red at the base

PUSTULES
§ Nodules – large, painful, solid lesions that are lodged deep within the skin

Cysts – These are thick lumps beneath the surface of the skin, which are formed by the buildup of secretions deep within hair follicles. Deep, painful, pus-filled lesions that can cause scarring.

CYSTS
After resolution of acne lesions their may be prominent unsightly scars
Acne Rosacea
Acne rosacea is a skin disorder leading to redness and pimples on the nose, forehead, cheekbones, and chin. The inflamed pimples and redness of rosacea can look a great deal like acne, but blackheads are almost never present. Fair-skinned individuals and people who flush easily seem to be more susceptible to this condition.
Rosacea becomes progressively worse in many of those affected. The real cause of rosacea is now thought to be a tendency to flush and blush in a person with sun damage. Sun damages the supporting fibers of the small blood vessels just under the surface of the skin, allowing the vessels to stretch out (become permanently dilated). The damaged blood vessels leak fluid when flushing occurs, resulting in blotchy red areas. Swelling occurs, but is not usually so prominent to be very visible. The first sign most people see are small red pimples and pustules (pus-filled whiteheads). The redness can come and go and may be tender, inflamed and sensitive to the touch. Later, the skin tissue can swell and thicken. Eventually the redness and swelling can become permanent.
Symptoms of Acne rosacea
It may vary according to the severity of the case.
Facial flushing is the classic symptom of rosacea. Flushing is the result of increased blood flow through dilated facial blood vessels. During a flush, face can turn various shades of red depending on the amount of blood flowing through the skin. A sufferer may experience a fire-red face during intense flushes, a mildly-red face during moderate flushes, or a barely noticeable pinkish-hue during mild flushes; it may be transient or long-standing.
Facial redness is caused by hundreds of tiny dilated blood vessels near the surface of the facial skin
Facial Telangiectasia; tiny broken blood vessels which are permanently fixed in the dilated state and take appearance of

EYELASHES GROWTH BACK

ENLARGE YOUR EYELASHES EYELASH GROW BACK RAPIDLY ENHANCE BEAUTY BY LONG EYELASHES GRACEFUL EYELASH IT IS BEST COURSE FOR GROWTH OF LONG EYELASHES RAPIDLY AND WITHOUT ANY SIDE EFFECT. IT IS NOT ARTIFICAL IT IS GENUIN AND NATRAL GROWTH OF EYELASHES IS POSSIBLE BY OUR UNIQUE COURSE. CALL ME OR SMS ME NOW FOR ORDER OR ANY OTHER INFORMATION AT 0092-3456900056 DR. M . ALTAF