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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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Brief description on infertility and its treatment
I am Dr. Radhika gynecologist and infertility specialist from Institute of Women's Health and Fertility. Infertility almost in about 10-15% of couples trying for pregnancy are facing problem with conception. This is almost a rising trend that nowadays almost 1 in 6-7 couples have problem in conception.
When we call it infertility? Infertility is nothing but when a couple is trying to conceive without any protection or without any means of protection for almost 1 year of unprotected intercourse we call it infertility. Let me just explain how an infertile couple is taken through an infertile clinic? During the first visit the couple is analysed and they are taken in detail history as what is the cause to infertility? What is the duration of infertility? What is the duration of married life? What is the age of the couple that is the age of the female partner and the male partner? Had there been any pregnancy in the past? Is there any miscarriage in the past? Once the examination and history is taken we go for work up of the patient. That is we see for the ovarian function to ensure that ovary is functioning well that is to ensure that ovulation is going fine. We also look for the tubal factors. Tubal factor analysis is done by a test called salpingogram or hysterosalpingogram. If there is a problem in hysterosalpingogram that is tubes are looking blocked then we analyze with the further test called further the surgical assessment; like laparoscopy.
Once the tubes are cleared we also analyze how the uterus is with the hysterosalpingogram? As I already told you male factor is analysed by Semen analysis after an abstinence of 2 to 5 days. Once all these are ruled out we get to analyze or we get to reach to a conclusion as what may be the probable cause of these infertile couple? There may be few factors like peritoneal factors like an endometriosis. We have the endometrium of the inner layer of the uterus growing elsewhere outside the uterus. That is the inner layer of the uterus or endometrium grow in the ovaries or may grow in the pouch of Douglas. That is behind the uterus or may grow near the tubes. These all cause an addition or attachment of the uterus to the tubes. And they impair the easy pick up of the ovum or the egg from the end of the tube to the ovum end that is the inner end of the tube. When there is no egg pick up there is no pregnancy. Some most of the time in which simple infertility treatments and simple infertility counselling how they have to go about natural conception and when they have to try when the egg is being released? With all these thing itself 70% of the couples would conceive. And only in about 10 to 15% will go to the next step like IUI or further steps like test tube baby procedures. IUI is intrauterine insemination where sperm sample is collected in the laboratory. It is washed off the impurities and the good motile sperms are injected into the uterus through a thin canella or a catheter. This sperms have to travel a very short distance from the uterine cavity into the tube when egg is already picked up and stay. So this distance to be travelled is very short thereby increasing the chance of pregnancy. IUI is of major benefit in minimal or mild male factor infertility.
Once we have seen the other factors are also ruled out and ensure that everything is fine then we counsel the couple for IVF or test tube baby procedure. IVF is in vitro fertilization. What we do in this one is give injections or give continuous injections to the lady which will cause superovulation. Once the eggs attain a mature size we collect all of them through a thin needle into the test tube washed off the impurities and then incubated. The same time the sperm is collected in the laboratory. The egg under sperm is inseminated together and embryos are grown in the laboratory. Once these embryos are grown they are pushed back or transferred back to the womb using a thin capita that is the embryo transfer catheter. After 48 to 72 hours usually or even after 5 days sometimes.
But, in few men or in few couples the problem is the severe male factor infertility. That is we find only few sperms or in the ejaculate we find only few sperms or sometimes not even a few sperms in the ejaculate. In that condition we can surgically aspirate the sperm from the testicular tissue and see if it is already there. Once we get a good sperm from the testicular tissue we inject that good sperm tissue in the cytoplasm of the egg so that we have maximum chance of fertilization. This particular process is called ICSI or Intracytoplasmic sperm injection. So this increases the chance of fertilization and this further increases the chances of pregnancy also. That's it about infertility over you.
Thank you And if you have any issues regarding infertility or regarding counselling about how conception occurs are how to go about trial for pregnancy you can visit us.
When a woman is expecting her child, she has a lot of responsibilities on her shoulders for the health and well-being of herself and her child. An expectant mother is recommended to follow certain rules and give up certain habits, so that during the pregnancy period she and the unborn child in her womb get all the nutrients for the healthy growth of the baby. There are certain preconception cares that the expecting mother must abide by.
Some of these are explained below:
- Giving up of bad habits: Smoking and drinking are not uncommon habits in today’s world. But when you are pregnant, it is advised that you give up these habits for some time at least. Smoking or inhalation of smoke makes it difficult for the child to breathe inside. Furthermore, if you are into substance abuse, then it is expected that you would give it up as well when you are pregnant.
- Health Supplements: Folic acid is a must during pregnancy. This is why medical practitioners often recommend you to take folic acid pills once a day to keep your immune system strong. It also provides you enough supplements for production of red blood cells and provides for the much needed iron in your body.
- Counselling: Many times people think that counselling is needed by those who are mentally unstable or in need of immediate help. But that is not the case. Counselling is important for every expectant woman. This is primarily to calm you down as you undergo several hormonal changes. Further, if you are pregnant for the first time then it is to guide you about the complications and side effects of pregnancy.
- Proper Immunization: There are a few vaccinations that you need to take when you are expecting. These would help in the proper development of the child, keep you away from severe diseases as well as boost your immune system. Thus, proper and timely vaccinations are a must during your pregnancy period.
Thus, these are some of the tips and rules that a pregnant woman must follow in order to make sure that she and her baby are healthy. These are often advised by the medical practitioner themselves, but on their own as well, woman take care of these points. These are just outlined to make the woman more cautious before the birth of her child. They are good for both the mother and the baby.
I have sex with my girlfriend (17yr) few times. Most cases we use condom. But three times though we use condom bt she took unwanted 72, these were 2months gap. Last she take 3/4 month ago. Now her period is irregular. Is there any effect for her future pregnancy?
Does use of lubricants during intercourse interfere with conception? Which lubricant should be used if women is trying for pregnancy. Please advise. Thanks.
From last month I had my periods very irregular its only 2/3 drops per day n it still continued stops for 2 days again starts.
Twin pregnancy one 1is 7 weeks having heartbeat and 2 nd is 5 weeks with no heartbeat. My lmp was 1st april done my ultrasound on 20th may after 4,5 dats tiny blood clots while passing urine. Taking medicine trexana, ecosprin, thyronorm, folvite.
I am 25 yrs female. I missed my last period which usually comes in middle of month n thick white vaginal discharge is present some day. Even feeling tired, loss of appetite, irritable and warm body this days. I hope I am not pregnant or have gynecological problem.
Hi doctor, I am a female of 42 years old. After intercourse. 48 hrs later I had blood urine, I vomited and was feeling uneasy and unconsciousness, I consulted my doctor and after asking few ladies related questions she asked me to wait and watch for two days and come back. Next day on wards no bleeding but while ruining it burns and sometimes small blood droplets are seen. Please Advise am I pregnant or reply in brief why it happened & if some tests have to be done & what precautions to be taken?
I had missed abortion in June 2015 Now I am trying for conceiving from last 2 months still not got result.
I used urine home pregnancy test kit two diff diff company one is prega news and second is other. Both showed negative result. First test is done when I missed my period 12 days. and second test is done 15 days missing period to actual date. This result is reliable? Can I sure with the result of kit.
I tried to introduce formula fed of 90 ml once a day to my 3 month old baby girl as she was getting cranky and feeling empty after breastfed. In breastfed she is not drinking milk for more than 10 mnts or falls asleep within minutes. These leds to her becoming cranky, crying and demanding milk after every 15 mnts to half an hour when she is awake. Initially after giving her formula fed once a day of 90 ml with 3 scoop powder, after 4-5 days the motion she passed had foamy and greenish effect, so we stopped it. When she became 3.5 month, we again tried formula fed once with less concentration but this time she threw up all the up and kept on crying that whole night. We tried the same after a week with same result. Please suggest.
I had oral sex with my boyfriend. In the very next day there was excess secretion of white fluid from my vagina with the different consistency then normal. My periods date is 20. And since last 2 days there comes only a drop of blood from vagina. Why?what is your diagnosis?
Hi, sir/mam, i am married and trying for child from last 2 years and my periods are irregular and my husband count is also low and i can't manage my weight due to irregular periods while that time i'll gain weight or else i'll be normal so please suggest something ?
We have having unprotected sex from 5 to 6 months. My wife is not get pregnant till now. And she feels much pain in periods please suggest.
World salt awareness week 20th -26th march 2017
The theme for this year is "salt: the forgotten killer"
So let's see is salt is the spice of life or the hidden culprit.
Sodium is a mineral that occurs naturally in nature as sodium chloride, or common salt.
Since ancient times human beings have been adding salt to their food, at first as a primitive method of preserving it against spoilage, and then as a flavor enhancer. Your body needs a little bit of sodium in order to maintain proper fluid balance, but you can get enough from eating fruits and vegetables.
If a large part of your diet consists of processed and fast foods, you are almost certainly taking in too much salt.
How does body handle sodium.
In the body, sodium is processed by the kidneys. However, when a person eats too much sodium, the kidneys cannot process all of it. The excess sodium ends up in the bloodstream. Because the mineral retains water, the volume of blood in the body increases. As a result, the circulatory system has to work harder to pump the blood. Over time, this added strain on the system can result in heart disease and kidney failure.
According to the harvard school of public health, long-term intake of too much salt can damage the kidneys along with the heart and aorta. Salt intake may also raise blood pressure, which can cause damage to the kidney’s nephrons, which filter wastes.
If you must add salt, use just a pinch sea salt.