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Dr. Vanaja Shivakumar

Gynaecologist, Bangalore

Dr. Vanaja Shivakumar Gynaecologist, Bangalore
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Vanaja Shivakumar
Dr. Vanaja Shivakumar is a popular Gynaecologist in Basaveshwara Nagar, Bangalore. You can meet Dr. Vanaja Shivakumar personally at Panacea Hospital Pvt Ltd - Basaveshwaranagar in Basaveshwara Nagar, Bangalore. Book an appointment online with Dr. Vanaja Shivakumar and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#334, 8th Main,3rd Stage, 4th Block,Basaveshwara Nagar. Landmark: Near-Post OfficeBangalore Get Directions
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Treatments of Infertility

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
Treatments of Infertility

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

  1. Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
  2. Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

  1. Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
  2. Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

  1. Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
  2. Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
  3. Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
  4. Bromocriptine: Used when the infertility is caused due to excess prolactin production.
  5. Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

  1. Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
  2. Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
  3. Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

  1. Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
  2. Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

3637 people found this helpful

My periods are coming in time but there is very less flow from 3 months. Also from last 3 months period last for only 3 days. Apart from this I have no problem neither pain nor anything else. What is the reason of it. And what should I do.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
My periods are coming in time but there is very less flow from 3 months. Also from last 3 months period last for only...
I don't think there is any problem here. If you have regular period for 3 to 4 days and change 2 to 4 pads with sufficient wetness, its fine. Relax and enjoy your life
4 people found this helpful
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I have low sperms Active 40% Sluggish 30% Non molite 30% Pus cell 4-6 RBC nil Sprm count 18 millions Colour milky white Quantity 1.5 ml Reaction alkaline Liquification time 30 min Is this a normal report or not I used androgardian Tablet zincovit And siphene m 25 mg But when I stop these medicines My sperms count getting down Doctors advice me there is no solution of this problem Only ivf or icsi is solution Doctor test my testorone That report was normal Lsh and FSH hormones are some up on report What can I do I am so worried.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I have low sperms
Active 40%
Sluggish 30%
Non molite 30%
Pus cell 4-6
RBC nil
Sprm count 18 millions
Colour milky whi...
This report is fine for now, yes you can conceive with this count also. for future you need to do some life style changes so that your condition may not worsen . Start doing work out and take adequate rest and sleep. Eat healthy with fruits juices and salad your diet should be rich in zinc ,folic acid, vitamin D it will increase your fertility. Wear loose cloths and stay away from heat. With these changes try conceiving for 3-4 months, if still not get conceived then should think of IUI or IVF.
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Hi. I have already 3 children but now I had tubactomy so I want another child please what I do for conceive again please suggests me I do tubal reversal or ivf. If I go for ivf doctor give me injection for making egg it will be side effect for that injection ya in future period will be irregular what wil be side effect please let knw.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hi. I have already 3 children but now I had tubactomy so I want another child please what I do for conceive again ple...
Hello, tubal reversal and a trial would be much better and cheaper than ivf if you are ovulating normally.
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Can our sex life continue even if our partner is pregnant .what precaution to be taken care while doing sex with our partner who is pregnant from last 3 months.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Vikas you should avoid sex from 26weeks onwords that is 6months onwards. Now after 12weeks of pregnancy you can have sex. You avoid sex in position like which will create pressure on abdomen . You can have oral sex, foreplay.
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Iam 20years old female. From last 2 months my periods menstrual cycle is irregular in time. It is coming very late every month. What is the main reason for it? Due to low rbc cells or any other issue?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Iam 20years old female. From last 2 months my periods menstrual cycle is irregular in time. It is coming very late ev...
Your problem can be due to Anaemia or hormonal imbalance due to stress.I will advice you below given homoeopathic medicinesfor 5-6 months nd surely you will be normal PULSATILLA NIG 30 ( Dr Reckeweg) Drink 5 drops in 1spoon fresh water daily night MENSOAID SYRUP ( BAKSON) Drink 2 sspoons in evening. FERRUM SIP ( SBL) Drink 1 spoon twice daily Things to do 1.Daily intake of atleat 2 fruit from Apple,banaba,pomegranate,papaya,grapes, 2.2 glass milk daily 3.Lots of water daily 4.Have a sound sleep 5.Start taking a good iron supplement
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Dear sir, My 3 years old baby always says that itching in her vagina . Please describe for the medicine which one relief them.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello- Vaginal itching in a three years old child is a symptom of intestinal worms. Start any medicines for worms either ayurvedic or allopathic and avoid excess chocolates, chips etc. Itch will subside quickly.
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I am 30 years old female hve one daughter now I want to conceive with baby boy. Wht shall I do? I want medicine for this.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
I am 30 years old female hve one daughter now I want to conceive with baby boy. Wht shall I do? I want medicine for t...
Prenatal sex selection and planning for a child of a particular sex is unethical and illegal in India and in most of the countries globally. Its against the laws of the nature. One should let nature take its own course. And I would like to inform you that daughters (female child) are not only in general genetically stronger, have better survival potential in the early part of their life than a male child. Daughters are in general more caring than sons, and girl can do anything a boy can do, and perhaps even in a better way. Hence I humbly request you not to seek such irrational treatment options. There are no medicines available for what you have asked and no morally correct doctor will support this question.
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In first trimester of pregnancy if sex done normally without any stress in the vagina and womb, is harmful to the pregnant lady, sperm released from penis are harmful to fetus or not. If the pregnant lady feels comfort we can continue regular sex or not.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate use,you can enjoy. Other sexual methods in first trimester. Such as oral,anal. Ideally you should avoid vaginal sex as it can produce local stimulation of cervix which can lead to uterine contraction.if you ejaculate in vagina remember semen contains prostaglandin which will increase risk of having uterine contractions could lead to abortion.
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After pregnancy is safe to take bestova 100 mg capsule, it has any side affect to baby growth or pregnancy.

Diploma in Cardiology
General Physician, Kolkata
After pregnancy is safe to take bestova 100 mg capsule, it has any side affect to baby growth or pregnancy.
It is taken to avoid accidental pregnancy, but it has got no role if you are already pregnant, to my opinion it is better to avoid these kind of medicines.
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I am getting severe backache. Last time I consulted the gynic. She told that I was suffering with viaganal infection. Whenever I use that course its reducing and again I am getting the pain. Also after intercourse also I am getting backache.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
The symptoms suggest pelvic inflammatory disease, it's much more than just vaginal infection. You need ayurvedic tablets to strengthen your hormonal system. Kindly visit my clinic or consult.
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After unsafe sex is unwanted 72 tab is safee for avoiding pregnancy. In hows days gap should I take tab again if I sex.

MS, MBBS
Gynaecologist, Delhi
After unsafe sex is unwanted 72 tab is safee for avoiding pregnancy.
In hows days gap should I take tab again if I sex.
It is an emergecy contraceptive pill not aregular pill if you want continuous contraception you should use oral contraceptive pills Taking i pill again and again may harm you
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I am 37 year old lady, hypothyroidic on 125 mcg thyronorm, I have small pimple on inner labia of vagina, and extremely itching, and white discharge for 5 years, remedy please.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Remedy is maintain genital hygiene. Check blood sugar. Do not use ordinary soaps in that area. Get it checked by doctor and get the remedy.
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Hello Doctor, It was around 3 years back, when I was 18 years old, my bra size was 80cms.(n 80 has remained cost. For three later years) Later, in the next one and a half year, the size got increased to 85 Cms. Which was still ok. But the size 85 cms, lasted only for few months (5 to 6), and now it's 90 cms. Which is really big for a gal of my age. (20 yrs.) This big size doesn't give my body a good appearance.

BHMS
Homeopath, Delhi
Hello Doctor,
It was around 3 years back, when I was 18 years old, my bra size was 80cms.(n 80 has remained cost. For...
Hello Samya... I know you r very tensed and embarrased regarding your appearance donot worry just check your breast for lump manually...we have many medicine for this complaint...u can consult me privately
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My wife is 28 weeks pregnant. In her 28th week 3d sonography they have seen Amniotic band along left lateral gestational age with placental component obliquely of size 7.5,2.2 cms. (AP). But in her 18 week 2D sonography no such thing was mentioned. Even in her 12 week anamol scan, which was 3D, no such band was observed. Growth and everything is normal. What are future risk to the baby till delivery.

DHMS (Hons.)
Homeopath, Patna
My wife is 28 weeks pregnant. In her 28th week 3d sonography they have seen Amniotic band along left lateral gestatio...
Hello, lybrate-user, its early to form any opinion in this regard, position, may change as per the movement of the baby. She is in third trimester, will carry two three sonography & tests more which will decide the actual, position. Moreover, there is nothing to worry about, as such. Keep in touch with your gynae. In this connection. Enjoy, the present situation & remain stressfree, both of u, please. Your, feedback is solicited, please tk care.
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Hello I have a family function so need to delay my periods by a week. Please prescribe me some medicine.

BHMS
Homeopath, Faridabad
Hello I have a family function so need to delay my periods by a week. Please prescribe me some medicine.
Hello, You are required to start taking the tablet at least three days before your period is due and to continue taking it for the duration that you would like to delay your period. It is recommended that Norethisterone 5mg tablets should be taken to delay your period for a maximum of 17 days. It is perfectly safe to delay your period for this amount of time. After you stop taking the tablets, your period is likely to start after two or three days, however the time scale may be different for every individual. This dose of Norethisterone is not recommended for prolonged use, as it can cause side-effects and affect your hormone balance.
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Respected Doctor, my daughter is 12 years old. Periods started for her from month before last month. The problem is periods doesn't stops. After 7 days of regular flow. It doesn't stops completely but bleeds very little everyday throughout the month and on the dates the bleeding is regular and again the same thing continues. Request you helpful suggestion.

MS - Obstetrics and Gynaecology
Gynaecologist, Bangalore
Respected Doctor, my daughter is 12 years old. Periods started for her from month before last month. The problem is p...
Initial periods are irregular. But continued bleeding is not normal. Please get a scan done and blood tests done for thyroid hemoglobin and bleeding and clotting problems and show to a gynecologist.
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