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Dr. Jayapal

Endocrinologist, Chennai

100 at clinic
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Dr. Jayapal Endocrinologist, Chennai
100 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Jayapal
Dr. Jayapal is one of the best Endocrinologists in Avadi, Chennai. You can meet Dr. Jayapal personally at Sri Krishna Clinic in Avadi, Chennai. You can book an instant appointment online with Dr. Jayapal on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 28 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai 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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Sri Krishna Clinic

No-2,First Main Road,Baja Nagar,Avadi,Landmark:Beside Govt Hospital, ChennaiChennai Get Directions
100 at clinic
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Hi mam. Already I'm diagnosed with hypothyroidism. But every month I never missed my cycle. I'm planning for a baby. But still we never had a success. Tsh level 2.75/ml T3--- 0.91/ml T5----- 11.67/ml Daily morning I'm taking 75 mg of thyronorm. Kindly advise me.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hi mam. Already I'm diagnosed with hypothyroidism. But every month I never missed my cycle. I'm planning for a baby. ...
lybrate-user ji, Thanks for the query. Hypothyroidism if not well controlled does affect chances of getting pregnant. Based on your TSH levels, it seems to be fairly well controlled. For conception to occur, some times TSH needs to be maintained < 2 mU/L. So please increase the dosage by 12.5 mcg and check the TSH afeetr 6 weeks. That may help in getting conception. Plus yu will have to maintain it around 2 to 2.5 mU/L through the gestation period. If all other parameters are normal, then this should help. It is also necessary to get sperm count and quality checked once. Thanks.
1 person found this helpful
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IVF - Can It Solve All Your Infertility Woes?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
IVF - Can It Solve All Your Infertility Woes?

Not being able to get pregnant can be an agonizing experience. The fertility of an individual can be affected by a host of physical and mental factors. The effectiveness of a fertility treatment is enhanced by several folds if there is an accurate diagnosis of the underlying cause of infertility. The In Vitro Fertilization (IVF) that first made its presence felt in 1978 (the first child born through IVF was on 25 July 1978) has been a revolution and is still continuing to change lives of millions of couples dealing with infertility issues.

When we talk about IVF, a question that often comes to our mind is whether IVF is the solution to all infertility problems? To answer this question, one needs to have a proper understanding of the IVF procedure. The IVF procedure essentially comprises of following things

  • Stimulation of the ovary and development of the follicles involves a series of tests and ultrasounds to closely monitor the ovulation process, including the quality and quantity of eggs released along with the hormonal balance.
  • In some instances, medications or hormones may be needed to ensure that the ovaries are stimulated enough to ensure proper development of the follicles (sacs filled with fluids where maturation of eggs take place) along with the release of two or more eggs during each cycle.
    • Retrieval of the eggs: This step involves isolation of the eggs or the oocyte from the follicular fluid into a culture media and finally into an incubator.
    • Fertilization: With the retrieval of the eggs, the sperm samples (from the partner or a donor) are also collected to facilitate the fertilization process (the chosen active sperm may be injected into the egg or mixed with it).
    • Transfer of the embryo: From the embryos resulting from fertilization, a doctor selects the healthiest one and transfer it into the uterus of the recipient woman for implantation to take place.
  • Following the implantation of the embryo, many women get pregnant within a few days or weeks. However, a pregnancy test can also result in disappointment for some.The failure of IVF treatment in some patients can be attributed to
    • The embryo not being healthy enough to undergo the implantation
    • Problems or severe damages to the uterine cavity.
    • Abnormalities with the egg or the sperm (can be chromosomal or genetic aberrations).

Can IVF solve all infertility problems?
Having a clearer understanding of the IVF procedure, one can state that IVF does come as a ray of hope, especially for

In unfortunate cases, where IVF fails to produce the desired result, there are other fertility treatments available such as Intrauterine insemination, Gamete or Zygote Intrafallopian Transfer, Intracytoplasmic sperm injections, to put an end to the infertility problems.

In case you have a concern or query you can always consult an expert & get answers to your questions!

9 people found this helpful

Hi. I am 9 years old on insulin human mixtard 30/70 my semen analysis sperm count 5.0 million/ml and motility is a 40% how a iui success is chance in %?

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Hi. I am 9 years old on insulin human mixtard 30/70 my semen analysis sperm count 5.0 million/ml and motility is a 40...
Chances of successful IUI with semen count 5 million and motility 40% are quite less. Nevertheless you can try it for 3 cycles, if not successful go for ivf (icsi)
1 person found this helpful
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INFERTILITY

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Sexologist, Chennai
INFERTILITY
What Is Infertility?

Infertility is defined as not being able to become pregnant after a year of trying—or after six months, if you are 35 or older . And it’s not just a woman’s problem. One-third of infertility cases are due to male-only problems, one-third to female-only problems, and the final one-third to a mix of male and female problems or unknown problems

What Causes Infertility?

To become pregnant, many steps in the reproductive process have to be precisely aligned:

A woman’s ovary must release an egg (ovulation).
The egg must then travel through the fallopian tube toward the uterus, which is also called the womb.
A man’s sperm must be in the woman’s body during this specific time. It must also meet and join with (fertilize) the egg as it is traveling through the fallopian tubes.
The fertilized egg must then reach the uterus.
At the uterus, it must push its way inside and implant itself (implantation).

If there is a problem with any of these steps, infertility can occur.

Infertility in Women

Female infertility is most often caused by problems in ovulation—marked by irregular or absent periods. These problems may be related to hormonal disorders, such as polycystic ovarian syndrome (PCOS), or primary ovarian insufficiency (POI), when a woman’s ovaries stop working before age 40.

Other causes include:

uterine fibroids, benign growths that can keep fertilized eggs from implanting properly in the uterine lining
scar tissue after surgery
early menopause
blocked or scarred fallopian tubes, due to infection or endometriosis

Endometriosis is an often painful condition in which the uterine tissue that is supposed to line the inside of your uterus begins to grow outside the uterus, causing it to become trapped as it has no place to go (uterine tissue inside the uterus is shed each month during the menstrual cycle). The surrounding body tissues become inflamed, and scar tissue may form—sometimes inside the fallopian tubes.

Infertility in Men

Problems with sperm production and delivery, low sperm count, and low motility (the ability of sperm to swim and fertilize the egg) can all affect male fertility.

Varicocele is a disorder where the veins servicing a man’s testicles have incompetent or leaky valves. The backflow of blood can enlarge the blood vessels and can raise the temperature of the testicles causing a low sperm count or abnormal sperm. Testicles are generally slightly below the core body temperature.

Lifestyle Factors

Other lifestyle choices can impair healthy egg and sperm production, including:

smoking
heavy alcohol use
drug use
being overweight or underweight
an excessive amount of exercise
stress
In men, environmental toxins, such as pesticides, and high temperatures (for example, in hot tubs) have also been shown to affect sperm count.
21 people found this helpful

My sugar level is 100 to 155 fasting and pp age 53 male I would like to know is it ok or need to consult diabetalist

MBBS
General Physician, Ahmedabad
U fall in pre diabetes group. Have potential to develop diabetes. Let me know your ht/wt. U need life style care and regular consulting.
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Roj khane me 2se 3 fuirts khaye to madhumeh hone ke chances hai kya? Aur gulkand, honey.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Roj khane me 2se 3 fuirts khaye to madhumeh hone ke chances hai kya?
Aur gulkand, honey.
Agar kisi ko diabetes hai, to din me 100 g tak hi fal khana accha hai, vo bhi jab blood sugar normal pe aayi ho to. Jinko diabetes nahi hai, unko jyada fal khanes ya gulkand or honey lenese bimari nahi hoti. Lekin diabetes may ye sab lena bilkul achhc nahi hai.
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Hello Dr. My mom is diabetic having sugar level above 250. Dr. advise her to take a medicine glycomet trio 2 for sugar, but sugar level fluctuate. She also hv throat choking problem leading to continuous dry cough? Most of time her energy level is remains low. She feel very tired .please advise.

MD, DND NUTRITION & DIETETICS, Ph.D mediicnl armthrpy
Dietitian/Nutritionist, Bangalore
Hello Dr. My mom is diabetic having sugar level above 250. Dr. advise her to take a medicine glycomet trio 2 for suga...
Have bland N protien diet with less oil, let her take methi powder quter tbl spn with luke warm water jus mix 2 pinch pepper powder with drop of honey I aftr nun for her choking throat.
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Muze diabetes hai. Sugar fasting 145 or post meal 220 aaee. Mere petme Aug jaisa ho raha hai. Do waqt ka khan a Mai char bar Khata hu. Koi tablet nahi shuru.

MBBS
General Physician, Mumbai
Muze diabetes hai. Sugar fasting 145 or post meal 220 aaee. Mere petme Aug jaisa ho raha hai. Do waqt ka khan a Mai c...
Take rantac tablet for acidity and also start with tablet metatime 500 mg after breakfast and after lunch
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I have detected decompensated cirrhosis of liver with moderate ascites, I had admitted in the hospital for 5 days, at present I have GI ENDOSCOPY and USG the report is normal. Only plain ascites seen. I am taking one aldactone 100 mg after breakfast and one neurobion fort after dinner. Please advice me diet and medicine for the doses. Thanks.

MBBS, DNB (General Medicine)
General Physician, Delhi
I have detected decompensated cirrhosis of liver with moderate ascites, I had admitted in the hospital for 5 days, at...
Hi lybrate-user first of all just hang on brother and never get disheartened by the negative things that we doctors keep on telling patients. Cirrhosis is chronic progressive condition and decompensation means that the condition is showing complications- which in your case is obviously ascites. Most importantly and I cannot overemphasize this more- do not take salt more than 2gms in a day. Your ascites will increase with more salt. Avoid pickles, processed foods, ketchups, chutneys, infact anything that comes out of a packet or bottle has salt as preservative- so that amounts to invisible salt of your diet. Second, take less water. Only 500 to 600 ml more than your urine output. In hospitals we measure that output but at home - we can not. But you can be aware. Take green leafy vegetables- they are good source of vit k. Or you can ask your doctor for vit k inj supplementation. Do not stress. Tc.
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My cousin Laila is 25 years old, unmarried. She has thyroid problem. Her weight is 75 kgs. She has tried allopathy, Ayurveda & unani. But results haven't been encouraging. Kindly suggest a proper treatment. Thanks.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My cousin Laila is 25 years old, unmarried. She has thyroid problem. Her weight is 75 kgs. She has tried allopathy, A...
Mr. Lybrate-user, please tell me is she on treatment with thyronorm tablet even now? please understand in hypothyroidism only treatment is to take thyroxine (thyronorm) for whole life. There is no other option. Trying other medicines is a waste of time and money. The dose of thyronorm should be such that tsh levels are brought between 3 to 4 milli units, then all the symptoms will be in control. She also should avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. She should consume more of green leafy vegetables and salads and fruits, use whole grain flour for chapati and roti, no maida. Alos she should follow the dosage instructions of taking the tablet early morning on empty stomach and nothing to be taken after that for 2 hours. She also should exercise daily to avoid weight increase. Efforts reduce weight and other symptoms will be successful only if tsh levels are maintained as mentioned above. Another important thing as she is only 25 years, later after marriage if she desires to have a baby then tsh levels have to be maintained around 0.1 to 2.0 milli units prior to pregnancy and in the same range during pregnancy. So her only option to get rid of symptoms of hypothyroidism is to take correct dose of thyronorm. Thanks for the question.
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