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Dr. Vasanthi Acharya

Gynaecologist, Bangalore

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Dr. Vasanthi Acharya Gynaecologist, Bangalore
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Vasanthi Acharya
Dr. Vasanthi Acharya is an experienced Gynaecologist in Banashankari, Bangalore. You can consult Dr. Vasanthi Acharya at Vinayaka hospital in Banashankari, Bangalore. Save your time and book an appointment online with Dr. Vasanthi Acharya on Lybrate.com.

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Vinayaka hospital

10, 80 Feet Road, Banashankari 1st Stage, Hanumantha Nagar, Landmark: SBM ColonyBangalore Get Directions
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Surgical Sperm Retrieval (TESA/PESA/MESA)

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Surgical Sperm Retrieval (TESA/PESA/MESA)

Surgical Sperm Retrieval (TESA/PESA/MESA)

The main methods of surgical sperm retrieval available include:

  • PESA: percutaneous epididymal sperm aspiration.

  • MESA: microsurgical epididymal sperm aspiration.

  • TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).

  • TESE: testicular sperm extraction.

  • Microdissection TESE.

  • Perc biopsy: percutaneous biopsy of the testis.

Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.

  • Tests required before surgical sperm retrieval

A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.

Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.

If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead

  • Surgical sperm retrieval techniques used when obstruction is the problem

When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.

Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.

MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.

  • Surgical sperm retrieval techniques when there is no obstruction

Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive

  • TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.

    • Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.

1 person found this helpful

I am 18 weeks pregnant. Me and my husband can we do intercourse right now? And if sperm spread inside me is it a safe for my baby? Is there any problem with my baby?

MBBS, DGO, DNB - Obstetrics & Gynecology
Gynaecologist, Noida
I am 18 weeks pregnant. Me and my husband can we do intercourse right now? And if sperm spread inside me is it a safe...
Ya you can have sexual relationship in second trimester of pregnancy, if you are not having pain lower abdomen, not having discharge vaginally, UTI or any other associated pregnancy complaint.
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My wife is 28 years old and having issue of irregular and low menustral cycle as a result her whole body is suffering with pain and heavy feelingness. Pls. Suggest.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My wife is 28 years old and having issue of irregular and low menustral cycle as a result her whole body is suffering...
it may be due to hormonal imbalance.get an ultrasound of lower abdomen and thyroid profile test done.visit to doctor for further management with all reports.
2 people found this helpful
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Vaginal brown discharge ki spotting k kya reason h agar periods se do din pehle huye ho toh.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Vaginal brown discharge ki spotting k kya reason h agar periods se do din pehle huye ho toh.
hi giv her arnic 3c liquid 2drops below tongue 2hrly til bleeding decreases murex 12c 3tims day for 13 days china off 12c 3tims a days for 15 days helon 12c 2tims day for 10 days millefo 30 once a day for 5 days inform mr progress
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I am 18 years old, Me and my boyfriend had unprotected sex a week before but the sex lasts maximum for a min. After 8 hours of sex I took ipill and yesterday morning I spotted vaginal discharge. Only a drop of blood with some white sticky thing I ignored that but today also I spotted the same and now I'm so worried.

MD - Obstetrtics & Gynaecology, DGO, Diploma in Obstetrics & Gynaecology
Gynaecologist, Jalgaon
I am 18 years old, Me and my boyfriend had unprotected sex a week before but the sex lasts maximum for a min. After 8...
You should get regular menses on your due date. Or else you do urine pregnancy test and confirm it after 8 days again and ther=n only be sure of not being pregnant.
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I have fingered my gf. She is bleeding now from 2 days is this normal or not. Is any problem.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Her hymen is ruptured that, s why she she bleeding. It will stop in a day or two and there is no reason to worry.
1 person found this helpful
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Hello docs. I delivered a baby girl on 1st January. It was C section delivery. We both are healthy. But my belly is not reduce. It is very bubbly. May be complete water not discharged at the time of operation. I want to know how to reduce my belly. Kindly suggest me.

C.S.C, D.C.H, M.B.B.S
General Physician,
It is fat and not water as you feel. Exercise for Belly Fat Not only females but also males desire to have flat belly. Read on and find about the best exercises for losing belly fat. Fight your belly fat with the right kind of exercise and the right diet. Belly fat can be effectively reduced with abdominal exercises. They help you to tone the abdominal area apart from enhancing the flexibility of the area. The most important point is that they resist the accumulation of fat around the belly region. The only thing that you must keep in mind is that you must regularly perform these exercises and be patient as nothing happens overnight. Exercises for Losing Belly Fat Some very simple but effective exercises to Lose Belly Fat Stretch 1 – Lie down on a floor mat. Position your legs vertically up and stay in this position for 5 to 15 seconds. This can be repeated thrice. Stretch 2 – Lie down on a floor mat. Stretch your legs straight. Place your hands behind your head and lock your fingers. Now raise your torso and bring it towards your knees. Stay in this position for 5 to 10 seconds and slowly return to your lying position. Repeat this for 15 times in sets of 5. Stretch on Chair – Lie down on a floor mat and position yourself with a chair so as to raise your legs on the chair. Your legs should be at 90 degree to the rest of your body. Place your hands behind your head and clasp your fingers. Now lift your torso and rise up as if you want to touch the knees. Continue for 15 minutes and repeat in sets of 3 or 4. Cycling – Lie down on a floor mat. Raise your legs and rotate them as if you are pedalling a cycle vigorously. Repeat the exercise for five minutes in sets of three. Breathing Exercises to Lose Belly Fat Let us briefly understand on how these work. Oxygen acts as fuel for the body. The extra oxygen that you inhale while performing the breathing exercises result in certain chemical reactions that in turn burns up more calories than you actually take in. You lose extra fat. Pavanmuktasan – for practising Pavanmuktasan, take a deep breath as you lie on your back. Bend you left knee, hold your toes and pull it towards your stomach. Simultaneously lift your head and touch your bent knee. Your other leg must be straight. Breathe in and count ten. Return to your original position and breathe out. Repeat the set with your right leg. Bhujangasan – for practising Bhujangasan lie on your stomach and place your hands under your shoulders. Lift your torso backwards using only the back muscles and not your hands. Hold your breath for 5-10 seconds and slowly return to your original position as you breathe out. Dhanurasan – Lie on your stomach and bend your knees. Hold your ankles as you breathe in. Push your body outwards in the shape of a bow and pull your head back as much as possible. Hold this position for 10 seconds and release the posture as you slowly breathe out. Apart from these there are aerobics that also help you to lose belly fat. Regular simple workouts, like jogging, walking up and down through the stairs fast also helps to shed those stubborn belly fat. But remember, it is always advisable to seek the advice of a fitness instructor before you decide as exercise regimen for yourself in order to get the maximum results. A jelly belly can be embarrassing, but more important it can also affect your health. A large belly is a sign of dangerous visceral fat, which can amass between the internal organs and cause hormonal imbalances. Visceral fat leads to insulin resistance, which in turn leads to Type 2 diabetes. It can also cause high cholesterol, contributing to cardiovascular disease. Losing stomach fat requires all-over fat loss, as there is no such thing as spot reduction. The fastest way to get rid of excess fat is with a combination of diet, exercise and lifestyle changes. Being that you want to lose your belly fast, reduce your daily caloric intake by at least 500 calories. When you eat meals, take a bite of food, place your fork down and fully chew and swallow before reaching for another bite. When choosing foods, do not eat anything that is high in fat, sodium and sugar. Keep your diet clean and high in nutrients by eating fruits, vegetables, lean meats, poultry, fish, whole grains and beans.
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I am having bleeding problem from last 1 week after taking I pill although I was just over my period before taking pills.

MD
Gynaecologist, Mumbai
I am having bleeding problem from last 1 week after taking I pill although I was just over my period before taking pi...
This is probably break through bleeding and you need reevaluation of dosage of the oc pill pl see a gyn and not self medicate as it may increase the irregularity and bleeding.
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Headache in Hindi - सिर में दर्द

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Headache in Hindi - सिर में दर्द

सिरदर्द सबसे आम चिकित्सीय मुद्दों में से एक हैं जो ज्यादातर लोग अपने जीवन में कई बार अनुभव करते हैं. सिरदर्द एक तेज दर्द या एक धड़कती हुए सनसनी के रूप में दिखाई दे सकता है. सिरदर्द धीरे - धीरे या अचानक विकसित हो सकते हैं. सिर की एक या सिर के दोनों ओर सिरदर्द हो सकता है. सिरदर्द सिर में एक निश्चित स्थान पर भी हो सकते हैं, या पूरे सिर में एक स्थल से फैल सकते हैं. सिरदर्द एक घंटे से भी कम समय से लेकर कई दिनों तक रह सकते हैं।

सिरदर्द तनाव या भावनात्मक संकट का संकेत हो सकता है, या यह एक चिकित्सीय विकार से उत्पन्न हो सकता है, जैसे कि माइग्रेन, उच्च रक्तचाप, चिंता, या अवसाद। अधिकांश समय में सिरदर्द हानिरहित होता है, लेकिन इससे जटिलताएं भी हो सकती हैं. सिरदर्द विभिन्न रूपों में आते हैं: तनाव, माइग्रेन, साइनस और क्लस्टर सिरदर्द.

सिरदर्द के कारण
सिरदर्द के लक्षण इसकी वजह और उपयुक्त उपचार को निर्धारित करने में मदद कर सकते हैं। ज्यादातर सिरदर्द गंभीर बीमारी का नतीजे नहीं हैं, लेकिन आपातकालीन देखभाल की आवश्यकता वाले कुछ लोगों के लिए जीवन - धमकी वाली स्थिति का परिणाम हो सकता है। सिरदर्द को प्राथमिक के रूप में वर्गीकृत किया जा सकता है, जब वे किसी अन्य शर्त के कारण न हो, और द्वितीयक के रूप में, जब कोई और अंतर्निहित कारण हो. 

1. प्राथमिक सिरदर्द
प्राथमिक सिरदर्द खड़े अकेले बीमारी है जो दर्द-संवेदनशील होते हैं, सिर में संरचनाओं की अति क्रियाशीलता, या समस्याओं के कारण सीधे होते हैं। एक प्राथमिक सिरदर्द आपके सिर में दर्द संवेदनशील संरचनाओं की अति क्रियाशीलता या समस्याओं के कारण होता है। इसमें रक्त वाहिकाएं, मांसपेशियां, सिर और गर्दन की नसें शामिल हैं. प्राथमिक सिर दर्द किसी अंतर्निहित बीमारी का लक्षण नहीं है। सिरदर्द मस्तिष्क में रासायनिक गतिविधि में होने वाले बदलावों से भी हो सकते हैं।
प्राथमिक सिरदर्द में माइग्रेन, तनाव और क्लस्टर सिरदर्द शामिल हैं, साथ ही साथ कई अन्य कम सामान्य प्रकार के सिरदर्द भी शामिल हैं।
2. तनाव सिर दर्द:
सिरदर्द का सबसे आम कारण लंबे समय तक तनाव या परेशानी है। इन्हें तनाव सिरदर्द या मांसपेशी संकुचन सिरदर्द कहा जाता है। आपके खोपड़ी, गर्दन, और चेहरे में मांसपेशियों के कसने और अनुबंध से ऐंठन और दर्द हो सकता है। मनोवैज्ञानिक कारक जैसे कि चिंता, आइस्ट्रेन, और तनाव (उदाहरण के लिए, लंबे समय के लिए एकाग्रता) और साथ ही यांत्रिक कारक जैसे गर्दन का तनाव (उदाहरण के लिए, एक कंप्यूटर पर लंबे समय तक काम करना) सबसे सामान्य कारण हैं.
3. माइग्रेन का सिरदर्द:
ये प्राथमिक सिरदर्द का दूसरा सबसे आम प्रकार है. माइग्रेन आमतौर पर अधिक गंभीर होते हैं और आपको कमजोर कर सकते हैं। माइग्रेन का कोई विशेष कारण नहीं होता, लेकिन हार्मोनल परिवर्तन (एक महिला के मासिक धर्म चक्र के दौरान), कुछ खाद्य पदार्थ (जैसे, चॉकलेट, वृद्ध चीज), पेय पदार्थ (जैसे, रेड वाइन, कॉफ़ी), मजबूत गंध, नींद की कमी, और यहां तक कि तनाव सहित कुछ कारकों से शुरू हो सकते हैं। 
4. क्लस्टर सिर दर्द:
क्लस्टर सिरदर्द एक रेअर प्रकार का प्राथमिक सिरदर्द है। वे अधिक बार पुरुषों को प्रभावित करते हैं, परिवारों में चलते हैं, सिगरेट के धूम्रपान के साथ दृढ़ता से जुड़े होते हैं. वे कुछ दिनों, हफ्तों या महीनों तक समूहों में, महीनों से वर्षों तक लंबे समय सिरदर्द - मुक्त काल के साथ होते हैं।
5. माध्यमिक सिरदर्द
माध्यमिक सिरदर्द एक बीमारी का लक्षण है, जो सिर के दर्द - संवेदनशील नसों को सक्रिय कर सकता है। बड़ी मात्रा में, गंभीरता से बहुत भिन्न स्थितियां होती हैं, जिनका कारण माध्यमिक सिरदर्द हो सकता है। 

  1. तीव्र साइनस
  2. शराब का हैंगओवर
  3. मस्तिष्क का ट्यूमर
  4. खून के थक्के
  5. मस्तिष्क के अंदर या चारों ओर खून बहना
  6. " ब्रैन फ्रीज," या आइसक्रीम के सिरदर्द
  7. कार्बन मोनोऑक्साइड विषाक्तता
  8. निर्जलीकरण
  9. आंख का रोग
  10. इंफ्लुएंजा
  11. दर्द की दवा के अति प्रयोग, जिन्हें रीबाउंड सिरदर्द कहा जाता है
  12. पैनिक अटैक
  13. स्ट्रोक
2 people found this helpful

Please advice me what type of precaution I need to take during first time sex .As its very difficult for me to insert my penis in vagina because its too much tight and bleeding also occur to my wife.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Please advice me what type of precaution I need to take during first time sex .As its very difficult for me to insert...
Hi Vidush, it would be better if you use condom, so that it will prevent sexually transmitted diseases and if contraceptive as well. Make your partner comfortable, so that lower part should be relaxed, bleeding after first sex is not very heavy, it depends upon thickness of hymen.
1 person found this helpful
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