Infertility is defined as the inability to conceive after one year of trying, or the inability to carry pregnancies to a live birth. It affects one out of six couples of childbearing age in the United States today - at least ten million people. And in a career-oriented area like Washington, where many couples postpone decisions about childbearing until professional goals have been met, the ration of one in six is probably on the conservative side. Yet it is rarely discussed, and understood even less.

For almost all couples the condition comes as a surprise. And no wonder. It seems as if the whole is on its guard against producing unwanted children. Every day 19.9 million women in this country wake up and remind themselves to take the Pill. In China, a woman with more than three children is considered an enemy of the state. In India, population experts fear the country may end up at century’s close with four times as many people as it started with - up from 250 million in 1900 to one billion. The huge nation has resorted to quickie vasectomies and cash rewards at commuter train stations. Two will do posters are everywhere.

Although infertility may affect people of all social classes, the childless poor usually have neither the time nor the money to undergo a lengthy series of tests - commonly called an infertility work-up - to determine the cause of the problem. There may also be class differences in a person’s willingness to endure many sacrifices so that a long-range goal can be realized. For these reasons, the inability to conceive and bear children seems to be a middle and upper middle-class problem.

The anguish of infertility will strike increasing numbers of couples in the next few years, however, as the children of the baby boom reach their late twenties and early thirties. Many who till now have postponed marriage and childbearing for their careers will turn to both to round out their lives - and find child-bearing not possible.

The men, after years of enjoying what they consider a healthy sex drive, will be shocked to learn that their sperm are too few in number or perhaps not active enough to effect a conception. The women may be given a finding of endometriosis, a condition in which parts of the uterine lining seed themselves in various places along the reproductive tract. Unknown in cultures where women marry young, it is a common finding in American women past 30. Or the women may be part of the 10.9 million who took the Pill every day whether or not previous gynecological abnormalities should have warned the physician against a prescription.

A generation ago, before the current explosion in medical technology, many couples who could not produce children were told there was nothing wrong with them: either it was all in their heads or God’s will. There was also smirking ignorance on the public, the insinuation they weren’t performing correctly in bed.

In fact, male impotence is the source of less than five per cent of the cases of male infertility, and the sources of impotence are extremely varied, from diabetes to perineal nerve injury to psychogenic causes.

Yoga breathing exercises could help sufferers of mild asthma and may help reduce their use of low-dose drug inhalers in wheezing attacks.

Researchers from the Respiratory Medicine Unit, City University, Nottingham, call for more studies of ways of improving breathing control which they say have been largely ignored by Western medicine.

While yoga practitioners have long believed in the benefits of pranayama breathing exercises for asthmatics, this has been hard to study formally. But, using a Pink City lung - a device that imposes slow breathing on the user and can mimic pranayama breathing exercises - it was possible to measure the effects of controlled breathing in a hospital trial.

Two simulated pranayama exercises were tested: slow deep breathing and breathing out for twice as long as breathing in.

In asthma, the airways become restricted making breathing difficult. It is increasing in the UK, with more than three million children and adults affected, and are responsible for 2,000 deaths annually.

The doctors used standard clinical tests to measure the volume of air patients were able to blow out in a second and to test the irritability of their airways. After yoga, their airways were two times less irritable,

Though asthma patients should not stop their medication, they should experiment with breathing exercises.

Basic Sitting Postures with Benefits

JANU SIRSASANA: Correct foot placement

Sit up straight with legs evenly extended in front. Bend the right leg at the knee and place the foot so that the heel is in the right groin and the front of the foot touches the left thigh. Turn the foot so that the bottom of the foot is facing upward and press the knee back to form an obtuse angle with the body. This position will be difficult at first; don’t force it. Put a folded blanket under the knee and also under the hips. Gradually the knee will move farther back. Just keep the foot correctly positioned.

JANU SIRSASANA: Correct, perfect posture

Having positioned the foot and knee correctly, stretch the left leg out, keeping the leg firmly on the mat. Settle the heel firmly and stretch the toes up. (The heel should pull gently away from the ankle.) Now inhale and bend forward over the straight leg, catching the foot with both hands if possible. Beginners should bend only as far as they can without rounding the back. When this posture is done correctly and completely, the body will roll forward over the extended leg, absolutely flat from the tail bone to the head. Stay there breathing normally for as long as you can. Inhale, release the handhold, come up smoothly, straighten the bent leg and relax. Repeat on other side.

JANU SIRSASANA: Wrong posture

The heel is not positioned against its own thigh. The knee has not been pushed back as far as possible to form an obtuse angle. The back is humped and curved because the pelvis is jammed and unable to lift properly. Instead of a smooth, complete stretching of the spine, the lumbar is over-stretched and the rest of the spine constricted. The left leg is not flat on the floor.

TRIANG MUKHAIPADA PASCHIMOTTANASANA: Sitting, forward-bending pose over one leg.

This posture generally follows the previous one. Sit with your legs stretched in front. Bend the right leg so that the right foot is near the right hip. The toes should point back. The right calf presses against the right thigh. The body will tilt in this position so put a small folded towel under the left buttock to keep the hips level and the forward stretch even and extended. Hold the left foot with both hands, inhale and bend forward, keeping both knees together as you stretch forward over the straight leg.

Many students will find it difficult in this position to even take hold of the foot of the outstretched leg. Do not despair. Just hold the knee, shin or ankle, and sit, breathing deeply, in whichever position represents your best extension. If the back is tight and the spine inflexible, this will take time. Release the hold and straighten the bent leg. Repeat on the other side.

After a surge of interest during the consciousness-conscious ’60s, yoga began to fall out of favor. Exercisers apparently lost patience with the activity, which offers slow but steady results, and turned to the fast pace and quick shape-up of aerobics. Now yoga is back-less mystical than in the past, less reminiscent of gurus in pretzel positions, and more attractive than ever to people who are interested in working out rather than working toward some spiritual goal.

Once you step out of the metaphysical atmosphere, yoga is a great stretch and flexibility program. Yoga is increasingly being used by those who are having a trouble in balancing their work and personal life. A stressful working environment and a hectic schedule has a telling impact on the personal lives of the modern day executives and so they are turning to yoga to bring about a peace of their mind and to adopt a perfect work-life balance.

Also, many disgruntled runners, weight trainers and aerobic dancers complain that instead of reducing the stress in their lives, their exercise regimes add more.

People rush to work out every day at lunch, force themselves to keep up and then rushed back to work. Surely, it does something good for them, but it is just another pressure. Yoga is less competitive, less stressful, and above all gives a wonderful feeling of being.

Indeed, the healing aspect of yoga is a key to its renewed popularity. The strained knees, aching backs and neck pains generated by the push for fitness and the stress of making it in a competitive world have inspired a packaged set of a book and audio cassettes. Some orthopedic surgeons, chiropractors and neurologists are now referring patients to specific yogis during treatment.

Growing interest in the mind-body connection is fueling a major comeback of the ancient practice, boosted by research suggesting it can reduce stress and blood pressure, improve work performance, even slow effects of aging.

Several techniques are now being taught in mainstream hospitals and businesses; books about them are brisk sellers and discussion groups have sprung up on the Internet.

Even the Army is interested - it has asked the National Academy of Sciences to study meditation and other new age techniques that might enhance soldiers’ performance.

Details differ, but a common theme is relaxing the body while keeping the mind alert and focused - on an object, sound, breath or body movement. If the mind wanders - and it always does - you gently bring it back and start again

Stress-related problems account for 60% to 90% of U.S. doctor visits, and mind-body approaches often are more effective, and cost-effective, than drugs or surgery. For example, 34% of infertile patients get pregnant within six months, 70% of insomniacs become regular sleepers and doctor visits for pain are reduced 36%.

Strict changes in diet and lifestyle can not only prevent heart attacks, but can reverse the clogging of the arteries, according to a small but pioneering study.

The study showed that a vegetarian diet, moderate exercise and an hour a day of yoga and meditation could produce a reversal of atherosclerosis, a blockage of the arteries that can lead to a heart attack, in men and women who were strict in following the daily regimen.

Experts say this is the first study to report that such blockage can be reversed without using cholesterol-lowering drugs or surgery.

The study, which was conducted by Dr. Dean Ornish, director of the Preventive Medicine Research Institute in Sausalito, Calif., was presented at the meeting of the American Heart Association in New Orleans.

This is a tremendously important study in the control of heart disease. It’s the very first study indicating regression of coronary heart disease without pharmaceutical intervention. The results also suggest that the current medical guidelines for changes in the habits of people with severe heart disease do not go far enough.

Previous studies have shown that exercise and diet changes can slow the progression of heart disease, but not reverse it.

While the study did not determine what percentage of improvement could be attributed to the lifestyle changes alone, the researchers noted that stress-control methods have been shown to ease recovery from a variety of disorders, including hypertension.

But some experts are skeptical of the need for stress-management methods, which are not currently among standard recommendations for those with severe heart disease.

Some experts on cardiac rehabilitation question whether most people with heart disease could follow such strict changes in their habits.

Today’s society is much faster paced that ever before. People have more stress problems which lead to more health problems, mental and physical. There are more concerns with toxicity in the food we eat and the air we breathe. Millions of Americans today live a sedentary lifestyle, which is associated with obesity. The body, the cavities of our soul, was not meant to deteriorate in such a way that leads to disease. Yoga was developed over 5,000 years ago in India and it included spiritual beliefs, physical techniques, and scholarly philosophy.

There is a growing trend to practicing Yoga for many different reasons, which include attaining the yoga body or physique, relaxation and peace of mind, or to prevent injury and ailments. Americans mainly practice Hatha Yoga, which focuses on postures and stretching the body.

Yoga, which is derived from the sacred Sanskrit language of India, meaning union or to yoke or harness. Yoga is a way or path to transcendence and liberation from the self and the ego by purifying the mind and body. Practicing yoga leads to a union with the mind and body or the individual and universal consciousness. In other words, yoga is the union with the Individual Self and the Universal Self. Yoga predates all other religions and has influenced and inspired many other traditions and philosophies. Yoga is better understood as a union of the physical, physiological, mental, emotional, and intellectual bodies, which leads to a purposeful and balanced life.

There is simply no other discipline quite like yoga because it utilized the body, mind and spirit, all in one practice. Yoga is indeed a spiritual path that is based on ancient sacred philosophy, but one does not need to make an ethical decision when practicing yoga, rather finding your own path is wholly accepted. The holistic benefits of yoga are suitable for the young or old, sick or well, with any religious background.

The secrets of yoga are inwardness, concentration, and purification of mind and body with cleansing thoughts and food. Indian philosophy states that within man is the spirit that is the center of everything. *Internal equilibrium is the basis and the ground for the higher illumination,* The cultural Heritage of India (Vol. I) - published by The Ramakrishna Mission Institute of Culture, Kolkata, India

You can get audio or video tapes that give breathing instruction and teach relaxation techniques at health food stores, bookstores, and by mail order. It’s probably fine to learn breath and relaxation from a tape or booklet, but don’t try the yoga exercises without a skilled teacher. He or she can make corrections, caution you when necessary, and help you to adapt poses, if you need to.

It will be worth it to you to spend a little time finding an instructor who is right for you. Your diabetes nurse educator or other health care professional may be able to recommend a yoga instructor. Get referrals for a yoga instructor as you would for any professional you might wish to consult.

Yoga instructors aren’t required to be certified, but many are, through many different programs. Ask prospective teachers if they are certified. A certified teacher isn’t necessarily better than someone who isn’t certified, but it’s something to consider.

Yoga is fun, healthy, and calming. It’s a wise way handed down over several thousands of years. There is little danger in yoga, and even a little progress brings with it freedom and peace of mind.

Although most people with diabetes can exercise safely, exercise involves some risks. To shift the benefit-to-risk ratio in your favor, take these precautions:

Have a medical exam before you begin your exercise program, including an exercise test with EKG monitoring, especially if you have cardiovascular disease, you are over 35, you have high blood pressure or elevated cholesterol levels, you smoke, or you have a family history of heart disease.

Discuss with your doctor any unusual symptoms that you experience during or after exercise such as discomfort in your chest, neck, jaw, or arms; nausea, dizziness, fainting, or excessive shortness of breath; or short-term changes in vision.

If you have diabetes-related complications, check with your health care team about special precautions. Consider exercising in a medically supervised program, at least initially, if you have peripheral vascular disease, retinopathy, autonomic neuropathy, or kidney problems.

Learn how to prevent and treat low blood glucose levels (hypoglycemia). If you take oral agents or insulin, monitor your blood glucose levels before, during, and after exercise.

If you have type I, and your blood glucose is above 250 milligrams per deciliter, check your urine for ketones. Don’t exercise if ketones are present, because exercise will increase your risk of ketoacidosis and coma.

Always warm up and cool down. Don’t exercise outdoors when the weather is too hot and humid, or too cold.

SWAYING PALM TREE POSE (Tiryaka Tadasana)
Streamlines the waist and develops balance. Stand with feet 8 inch apart and fix eyes on a point directly in front of you. Interlock fingers and turn palms outward. Inhale deeply as you raise arms over your head. As you breathe out, bend from your waist to your left side, taking care not to reach forwards or backwards. Hold for a few seconds, then inhale deeply and slowly return to the upright position.

Repeat 5 times to each side.

CAT-STRETCH POSE (Marjari-asana)
Kneel and lean forward to place hands on floor below your shoulders, fingers facing forward, hands in line with knees. Arms and thighs should be at right angles to the floor; knees may be slightly separated.

Inhale deeply, raise head and drop spine so your back is concave. Fill your lungs and hold for three seconds. As you exhale, lower your head and stretch your spine upwards. At the end of the breath, pull in your buttocks, contract stomach muscles and place head between arms.

Repeat 5 times.

Chakra is a Sanskrit word meaning spinning wheel. These are a system of seven energy centers located along the spine. Each chakra corresponds to an area of the body, a set of behavioral characteristics and stages of spiritual growth. Practicing yoga and focusing your energies during different postures can help you to align your chakras and get all the wheels spinning in the same direction and speed. Understanding how to fine tune and control your chakras through yoga and meditation can help bring balance and peace to your mind, body and spirit.

There are seven chakras, each associated with a different part of the body along the spine from the perineum to the crown of your head. Each chakra is associated with a particular body location, a color, a central emotional/behavioral issue, as well as many other personal aspects including identity, goals, rights, etc.

The seven chakras are: Muladhara- base of the spine; Svadhisthana- abdomen, genitals, lower back/hip; Manipura- solar plexus; Anahata- heart area; Visshudha- throat; Ajna- brow; Sahasrara- top of head, cerebral cortex.

Through the movements and postures of yoga, you can learn to focus your concentration and energy to and from the various chakras in your body. This can allow you to compensate for areas that may be out of synch with the rest of your body or not active at all. By balancing the energy among all seven of the chakras, balance can be achieved. This spiritual energy is known as Kundalini energy.

In its dormant state, it can be visualized as a coiled up snake resting at the base of your spine, the Muladhara chakra. Since the chakras act as valves or pumps regulating the flow of energy through your system, controlled and purposeful movements such as yoga can be extremely beneficial in realigning your chakras in a way that can cause great benefits to you in your physical and emotional wellbeing.

Astanga, or sometimes spelled ashtanga Yoga is actually taught today by a man named Sri K. Pattabhi Jois, in Mysore, India. He has brought astanga yoga to the west about 25 years ago and still teaches today at 91 years of age. Astanga yoga began with the rediscovery of the ancient manuscript Yoga Korunta. It describes a unique system of Hatha yoga as practiced and created by the ancient sage Vamana Rishi. It is believed to be the original asana practiced intended by Patanjali.

The Yoga Korunta emphasizes vinyasa, or breath-synchronized movement, where one practices a posture with specific breathing patterns associated with it. This breathing technique is called ujayyi pranayama, or the victorious breath, and it is a process that produces intense internal heat and a profuse sweat that purifies and detoxifies the muscles and organs. This also releases beneficial hormones and nutrients, and is usually massaged back into the body. The breath ensures efficient circulation of blood. The result is improved circulation, a light and strong body and a calm mind.

There is a proper sequence to follow when practicing Astanga yoga. One must graduate from one sequence of postures to move onto the next. The Primary Series (Yoga Chikitsa) detoxifies and aligns the body, purifying it so that toxins do not block. The Intermediate Series (Nadi Shodhana) purifies the nervous system by opening and clearing the energy channels, allowing energy to pass through easily. The Advanced Series A, B, C, and D (Sthira Bhaga) integrate the grace and stamina of the practice, which calls for intense flexibility.

It is best to find a trained and knowledgeable teacher to assist you through this discipline. It is an intense practice that is rigorous, six days a week. You are guaranteed to find inner peace and fulfillment with each breath you take.