Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 42 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi 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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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Unexplained infertility is infertility that is idiopathic in the sense that its cause remains unknown even after an infertility work-up, usually including semen analysis in the man and assessment of ovulation and fallopian tubes in the woman.
In unexplained infertility abnormalities are likely to be present but not detected by current methods. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility. Aberrant reproductive immunology such as decreased maternal immune tolerance towards the embryo may also be a possible explanation. However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.
In india up to 25% of infertile couples have unexplained infertility.
- Potential methods in unexplained infertility include oral ovarian stimulation agents as well as (IUI), intracervical insemination (ICI) and in vitro fertilization (IVF).
- In women who have not had previous treatment, ovarian stimulation combined with IUI achieves approximately the same live birth rate as IVF.
- On the other hand, in women who have had previous unsuccessful treatment, IVF achieves a live birth rate approximately 2-3 times greater than ovarian stimulation combined with IUI.
- IUI and ICI has higher pregnancy rates when combined with ovarian stimulation in couples with unexplained infertility, for IUI being 13% unstimulated and 15% stimulated, and for ICI being 8% unstimulated and 15% stimulated. However, the rate of twin birth increases substantially with IUI or ICI combined with ovarian stimulation, for IUI being 6% unstimulated and 23% stimulated, and for ICI being 6% unstimulated and 23% stimulated.
- According to oral ovarian stimulation agents should not be given to women with unexplained infertility. Rather, it is recommended that in vitro fertilization should be offered to women with unexplained infertility when they have not conceived after 2 years of regular unprotected sexual intercourse. IVF avails for embryo transfer of the appropriate number of embryos to give good chances of pregnancy with minimal risk of multiple birth.
- A review of randomized studies came to the result that IVF in couples with a high chance of natural conception, as compared to IUI/ICI with or without ovarian stimulation, was more effective in three studies and less effective in two studies.
- There is no evidence for an increased risk of ovarian hyperstimulation syndrome (OHSS) with IVF when compared with ovarian stimulation combined with IUI.
Prognosis in unexplained infertility depends on many factors, but can roughly be estimated by e.g. the Hunault model, which takes into account female age, duration of infertility/subfertility, infertility/subfertility being primary or secondary, percentage of motile sperm and being referred by a gynecologist, sexual medicine specialist or N infertility specialist.
Hi doctor. Am 26 year old girl. My weight only 42. I have white discharge. After 7 mnth my breast below without no cup. Only nipple. I think this problem cause it. please reply. Whit describe is the problem that issue? What I can do? already my different different sizes. But now on time anything to calculate. Help me your opinion. Stop the discharge.
If you any problems daily make sex along and any effect body growth my age 23 but looking week height 6 weight 63.
My last menses day is jan 4.and am pregnant how many weeks it will be till today and wen will be my delivery day.
I'm not getting regular periods. I get periods after 2 to 3 months. Please suggest me. Please help me.
I had sex with my grlfrnd used condom on 9th day after her period nw its one month over still she not getting periods what it seems? How to ger period now please its urgent.
Antioxidants are substances that help the body protect itself from harmful molecules called free radicals. Free radicals are not necessarily formed by medicines. It needs change to free radicals produced by enzymatic and nonenzymatic reactions/by inflammation and external factors like smoking x-rays, chemicals, industrial pollutants, ozone and certain drugs.
Antioxidants include vitamins C and E, beta carotene and minerals such as flavonoids and selenium; both of which are found in plants. The best kind of antioxidants the human body receives is from fruits and veggies. While flavonoids are found in red wine, fruits and in different types of tea; pharmaceutical companies also sell dietary supplements rich in antioxidants.
Antioxidants and their role in the human body:
Antioxidants play a great role in management, prevention and in the subsequent elimination of diseases such as various types of Cancers, Alzheimer’s and a few arthritis related conditions.
How safe are antioxidants for your body?
Medical practitioners are of the opinion that the best source of antioxidants is your natural sources rather than dietary supplements. Over abuse of antioxidants can be lethal for your body. It is always advised to have plenty of fruits and vegetables each day.
Not only does diet contribute to antioxidants, the body too employs certain mechanisms to protect itself from damage. Antioxidant enzymes such as glutathione peroxidase and superoxide dismutase are few such enzymes. Micronutrients such as iron, copper, selenium, zinc and manganese are required to help facilitate these mechanisms. Inadequate intake of these minerals in your diet might reduce the activities performed by antioxidants; these claims have been backed by scientific studies.
I am 19 years old. 11 months ago I had a major surgery of ovarian cyst doctor suggested laparoscopic but the cyst leads to major surgery. Last month I missed my period for 10 days and I can not realise my stool for days. And this month again I missed my period for 8 days. If I thought about sex I will get wet and I feel like I am having sex. And I am getting dull pain near my stitches. I am too weak some one said I am getting those pains because of my weakness and it will take some time to cure I am too weak and thin. Help me please.
I am a Virgin and not getting back my periods from last 4 month and this not happens usually this is happening first time.
I am 17 weeks pregnant. First dating scan shows everything is normal. 3 days ago my right breast leaks a sticky fluid. Is that normal or do I have any problem? Can colostrum leaks at this time earlier or in third trimester. I am so nervous. Is everything ok? Please suggest me?
Hi I am 25yrs, I am 6weeks pregnant. I am losing my appetite. What are the symptoms I should be having otherwise which are ok at this stage?
Regarding Food, don't go for any junk food, Fast food, Freezed, canned,packaged food.Always take fresh, Home made,If u cant take Home made bcoz of Job, Place, etc, Try to add Healthy Food like Fruit juices,Raw vegetables, Fruits, salads,Sprouts in your Diet. Avoid Cold drinks, especially aerated, Black.
Diet should b Oil less r minimum oil with.Salt to b in less quantity.
Dont go for baked items, n avoid cooking food in micro woven.
Try to take WATER atleast 3-4 liters in a day. But not From Refrigerator.
Avoid Sedentary life.Be a part of some activity.But if u r an Employee, n u don't have option, then Try to schedule yourself for the vigorous activity at your convenience.Always remember. If u cant allot time for active movements, later u may feel repentance about the sedentary life forever.
Always focus on Good.Think +ve.
If have habit of Smoking, Drinking Alcohol, try to reduce Quantity n frequency wise, gradually.
Dont go for Medications for small things also, unless it bothers u much. Try to get relief by home remedies r Avoiding the things that causes, n by taking rest.
If U follow the above all Tips,i ensure U vl b free from many diseases forever.