Gout - A type of arthritis caused by excessive uric acid in the body. This can stay in the joints (usually affecting the big toe), but can develop in any joint. It can cause severe pain, redness and swelling. Tubal blockage is one of the serious diseases after infection, which normally because of infection including pelvic inflammatory disease. Pelvic inflammatory disease is the most frequent reason for blocked fallopian tubes. Current or good reputation for an STD infection, specifically chlamydia or gonorrhea would also make the tubal blockage. The rate of tubal infertility has become reported to be 12% after one, 23% after two, and 53% after three instances of pelvic inflammatory disease. Even if PID is no longer present, a good PID or pelvic infection boosts the likelihood of blocked tubes. Blocked fallopian tubes can't seem to let the ovum and also the sperm converge, thus making fertilization impossible. Friends and colleagues gathered to applaud worthy winners across seven categories – and recognise the creativity and dedication which underpin the whole sector’s contribution to the economy, to society and to customers, staff and stakeholders.