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Dr. Rhythm A Gupta provides answers that are very helpful. Thank q doctor for the advice.AFC is checked and it's 8-10 .AMH not yet done.
Dr. Sumit Gupta provides answers that are very helpful, well-reasoned, thorough, caring and inspiring. Thank you so much doctor
I found the answers provided by the Dr. Rhythm A Gupta to be knowledgeable. Thanks
I found the answers provided by the Dr. Sumit Gupta to be professional. Nice
Dr. Rhythm A Gupta provides answers that are very helpful. Tq mam
Dr. Sumit Gupta provides answers that are knowledgeable. Ba
Childbirth comes within an age bracket. Women feel this more so than men. Career demands or other personal choices can delay the time to get pregnant. Thus, freezing your eggs can prove to be beneficial, if you delay childbirth to focus on your career or education, or if you have certain medical conditions such as cancer.
- Egg Retrieval: Before the eggs are harvested, there is a lot you have to do. The first month is spent taking blood tests and ultrasounds. In the second month, you will have to take medicines before your procedure for egg retrieval. Ultrasounds and blood tests are also conducted at this stage to monitor the growth of the eggs. Around the time of your ovulation, the eggs will be harvested. You will be lightly sedated during the procedure. After the procedure, you might feel bloated and experience cramping. At least 15 eggs are retrieved for optimum chances. The medicines prescribed are all hormone injections which you can self-administer.
- Freezing and Storage: The largest human cell is the egg. It is comprised mainly of water. When the eggs are frozen, crystals can form which can destroy it. So an anti-freeze replaces the water after the eggs are dehydrated. This prevents crystal formation. Eggs are frozen using vitrification. In this process, the eggs are either slowly or flash frozen. Eggs can be frozen for as long as 10 years. This does not hamper the quality.
- Risks: There is no guarantee that freezing eggs will lead to having a baby. Sometimes, eggs do not survive the freezing or the thaw.
- Advantages: For women who are suffering from cancer, freezing their eggs might be the best option. They might want to preserve their fertility before their cancer treatment starts. This is useful since radiation and chemotherapycan harm your chances of getting pregnant.
The obvious advantage of freezing your eggs would be the fact that it gives you time. It lets you decide and keeps you one step ahead of your biological clock.
Infertility is a condition, which is characterized by the inability to have a baby for over a year in spite of having planned and unprotected sex. It is a pretty common phenomenon for both men and women. However, there are several treatments available for both the sexes to help them recover from this problem. Here are some of the most common treatments available for infertility:
1. Changing your lifestyle: Certain factors in your lifestyle, which may cause you to be infertile include the medications you take, lack of exercise or not having intercourse frequently enough or not at the right time. The solution for these problems is simply incorporating certain changes in your daily life, such as exercising more, sticking to a healthy diet or having intercourse more often at the right time.
2. Sperm retrieval: Sperm retrieval is the technique used when you cannot ejaculate or when there is hardly any sperm present in your semen. It is also used in case of a low sperm count.
1. Intrauterine insemination: Intrauterine insemination is a process in which healthy sperm cells are put into the uterus so that the egg gets fertilized when it is released. The sperm cells have to be inserted at the time when your ovaries release eggs; therefore it is crucial to know your menstrual cycle as well as how fertility drugs are affecting it.
2. Fertility drugs: Fertility drugs are used to stimulate ovulation. This is done by administering medications which either regulate or cause ovulation to occur. There are several types of fertility drugs, so you should talk to your doctor about which should be the best for you.
4. IVF: IVF is an assisted reproductive technology. During IVF, the sperm is first retrieved, after which fertility medications are given to the woman so that the egg can be retrieved. Finally, the egg is fertilized on a laboratory dish and injected back into the mother or a surrogate mother.
Retinal detachment is an emergency eye condition in which the retina at the back of the eye gets separated from the surrounding tissue and pulls away from its normal position. The retina acts as a light-sensitive wallpaper in the eye, providing a lining for the inside of the eye wall and sending visual signals to the brain. As the retina can't work properly under these conditions, one can permanently lose vision if the detached retina is not repaired immediately.
During the retinal detachment, the retinal cells gets separated from the layer of blood vessels which provides oxygen and nourishment. Usually, it begins in form of small torn area of retina known as retinal tears or retinal breaks. This condition, if not treated, leads to retinal detachment and finally permanent vision loss.
Retinal detachment has tell-tale warning signs like an increase in sudden appearance of floaters resembling cobwebs floating in field of vision. It can be coupled with flashes of light or curtain from any direction causing a loss of vision.
Retinal detachment is of three types. The most common form is Rhegmatogenous retinal detachment where a tear allows fluid to get under retina and prevents nourishment to reach retina from retinal pigment epithelium by separating them. In Fractional form, scar tissue on the retina's surface shrinks causing it to separate from the retinal pigment epithelium. This form is most prevalent with diabetespatients. Lastly, in case of Exudative retinal detachment, the fluid leaks into the area under retina without a tear or breaks in the retina. Retinal diseases or trauma to the eye are main causes for Exudative retinal detachment.
Although a person of any age can suffer from retinal detachment, but it is more prevalent in people over the age of 40. People suffering from degenerative myopia or lattice degeneration are more prone to this medical condition. People with family history of retinal detachment are also likely to suffer from the same.
Retinal detachment can be treated in many ways. The most common form is the Laser surgery in which small tears and hole are joined back to the retina. Another method is Cryopexy in which the area around the hole in frozen and helps reattach the retina. Both the above procedure are performed at ophthalmologist's clinic.
Sometimes, one may have to opt for Scleral buckle in which a tiny synthetic band is attached to the outside of the eyeball which gently pushes the wall of the eye in toward the centre of the eye placing the eye wall very close to the detached retina. Another option is vitrectomy surgery to replace the vitreous that fills the centre of the eye and helps the eye maintain a round shape.
A retinal detachment is an emergency medical condition and must be treated immediately to save one's vision. Most people have been successfully treated for retinal detachment, but ophthalmologists cannot always predict how vision will turn out. The visual outcome will not be known for up to several months after surgery. However the results are best when the retinal detachment is treated as soon as possible.
I have had squint eye from childhood, and have had a squint surgery in my left eye at a age of 14, though it has made a great difference, still the squint is obvious when I don't wear glasses, now I'm 20 years old and right eye have -1.5 & left eye -6 vision, can I completely correct my squint by taking another surgery? Will it affect my vision in any ways?
In year 2006, due to injury in right eye by cricket ball, my retina is detached, after 1 month, retinal detachment surgery is conducted. After that retina is settle but erm /macular pucker is formed .doctor said on that time if we remove that, there is chance of all vision loss, now my vision is 6/90 .what should I do, now squint is formed also eye size becomes small.
My friend is 20 years old male and he is suffering from glaucoma. Can this condition be cured? Please tet me everything about this.
I had an right temporal choroid plexus AVM, due to surgical complications I underwent gamma knife radio surgery last year. And asked to follow up every six months, six months ago there was improvement in shrink of AVM but there was proliferation. Doctor asked to come after six months with MRI. Yesterday in MRI report it was mentioned that there was still proliferation. And within six months my eye myopia has increased. Does proliferation affect my vision. I am currently on levipil 500 mg. Please help.
Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with pregnancy if you happen to have diabetes.
Complications: Pregnancy with diabetes can cause severe complications if the blood sugar levels are not controlled properly before pregnancy. This can cause the diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby’s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.
Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman’s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.
Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.
Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.
Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urination, pain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.
Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.
Substances which help the body maintain its tissues trigger fibroid growth as well.
Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin D, obesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.
Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.
Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-
Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production
Progestin-releasing intrauterine device (IUD) to alleviate severe bleeding caused due to fibroids
Tranexamic acid to ease excessive menstrual periods
Progestins or oral contraceptives to regulate menstrual bleeding
Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain associated with fibroids
Surgeries to Treat Fibroids:
Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:
Hysterectomy: removing the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.
Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.
UAE (Uterine artery embolization): this treatment cuts off the fibroid's blood supply, effectively shrinking the fibroid.
Overall health of the woman is extremely important to carry out a successful IVF procedure and the same should be ensured by the couple before the woman conceives, otherwise, it may lead to pregnancy loss.