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Dr. Parul Katiyar - IVF Specialist, New Delhi

Dr. Parul Katiyar

91 (142 ratings)
MBBS, MS - Obstetrics and Gynaecology

IVF Specialist, New Delhi

17 Years Experience  ·  500 at clinic  ·  ₹250 online
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Dr. Parul Katiyar 91% (142 ratings) MBBS, MS - Obstetrics and Gynaecology IVF Specialist, New Delhi
17 Years Experience  ·  500 at clinic  ·  ₹250 online
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Hi I am Dr. Parul Katiyar. I am a senior IVF specialist in Max Hospital Delhi and in Max Gurgaon....

Hi I am Dr. Parul Katiyar. I am a senior IVF specialist in Max Hospital Delhi and in Max Gurgaon. So my interest is basically into preserving fertility and this is what i will be talking of in today’s discussion.

So what is fertility preservation? Fertility preservation is a process of preserving one’s eggs, sperms or any other reproductive tissue, which can be used for child bearing later on in life. It is a very important tool for preserving fertility for individual’s or persons where in child bearing is not likely to happen in near future however they would like to preserve their option of having a biological child in future. People who benefit from fertility preservation are people suffering from cancer because treatment for cancer is toxic to the eggs and sperms and therefore may lead to a permanent damage in one’s reproductive organs. Such people once they are cured would like to have their own biological child and therefore if they undertake fertility preservation before embarking for a cancer therapy, it is very useful for them. It is also helpful for women who want to delay their child bearing because of social reasons, career prospects or because they have not been able to find out the right partner as of now.

Women undergo biological aging and as the age advances the chance or the probability of becoming pregnant with one’s eggs will decline. Therefore, a woman who has frozen her eggs would be able to use those eggs later in life once she is ready to have her own child. People suffering from certain genetic diseases and immune disorders like LUPUS will also benefit from fertility preservation because genetic diseases may lead to a decline in one’s fertility at an accelerated rate and treatment of lupus and other immune disorders may again be toxic to one’s reproductive organs.

How do we preserve fertility? The various tools that are being used to preserve fertility in men are, most importantly, is the sperm cryopreservation or Sperm freezing. In this procedure what happens is that the man will have to ejaculate and produce a sperm sample in a laboratory and that sample is then processed and frozen in liquid nitrogen at -190 degree centigrade and preserved for whatever time they want to keep it. Freezing the sperms or any reproductive tissue has come out in a big way and it is very safe and with very good outcomes whenever those sperm samples or reproductive tissues are thought back and used for fertility.

The other important tool that is used in men is called Gonadal sparing, where in in individuals who need radiation therapy, the radiation is directed in such a manner that the organs that produce the sperm i.e. the testicles are spared in such a manner that there is testicular sparing, and therefore the spermatogenesis is not as badly effected as it would be if we do not take care of that. The tools for preserving fertility in women are first, embryo cryo-preservation; this is one of the most standardized technique for preserving one’s fertility.

In embryo cryopreservation, we inject the women with hormones so that they are able to produce multiple eggs and then those eggs are extracted and then fertilized with husband’s or partner’s sperm and then these embryos are cryo-preserved. However, in women who do not have a partner, they can undergo an oocyte cryopreservation as well. In oocyte cryopreservation, the same process is followed; however, as there is no partner, the eggs are frozen without even fertilization, which has become one of the most successful therapies for women who are undergoing cancer therapy at a young age or women who are not ready to have a child. Another technique that is being used is ovarian cryo-preservation or ovarian tissue cryo- preservation. The purpose of ovarian tissue cryo-preservation is that the entire ovary is taken out and then it is cut into slices and that ovarian cortical l tissue is then frozen in liquid nitrogen so that it can be re-implanted into the body of the women once she is ready to have the baby.

So these are various techniques, it’s an ever evolving field and we will have more and more of fertility preservation techniques that will come and help people conceive at a later stage in life. It is very aware that all of us make ourselves aware. As this is a very interesting field and has got a huge scope for a lot of people, it is very aware that all of us make ourselves aware of such technologies that exists.

Any woman or a man who is wanting to preserve their fertility can consult me, I am available at Max Hospital on all days and you can contact my on Lybrate, you can contact me through an SMS, you can chat, you can video call or you can even visit me at my clinic at Max hospital.



 

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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Parul Katiyar
Dr. Parul Katiyar is a renowned IVF Specialist in Safdurjung Enclave, Delhi. She has had many happy patients in her 14 years of journey as a IVF Specialist. She has completed MBBS, MS - Obstetrics and Gynaecology. You can consult Dr. Parul Katiyar at Nova IVI Fertility Clinic in Safdarjung Enclave, Delhi. Don't wait in a queue, book an instant appointment online with Dr. Parul Katiyar on Lybrate.com.

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Education
MBBS - Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur, - 2002
MS - Obstetrics and Gynaecology - Jawaharlal Nehru Medical College, Aligarh, - 2006
Languages spoken
English
Hindi
Professional Memberships
Indian Fertility Society
Indian Society of Assisted Reproduction
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
...more
Association of Obstetricians & Gynaecologists of Delhi (AOGD)

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Nova IVI Fertility Clinic

B2/1A, Safdarjung Enclave, Africa AvenueNew Delhi Get Directions
  4.6  (142 ratings)
500 at clinic
...more
  4.6  (142 ratings)
500 at clinic
...more
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Preserving Your Fertility

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Preserving Your Fertility

Doctors believe that all women are born with a certain quantity of eggs as well as chances of conception. Also, all bodies are unique with individual strengths and weaknesses. Fertility tests can help in unravelling a number of issues as well as the health of your reproductive system as a whole. It is important to address various lifestyle issues in order to retain your fertility and ensure that you have a hassle free conception. Read on to know more about the ways in which you can preserve your fertility.

  1. Oral health: There are a number of medical studies that go as far as suggesting that the state of the woman’s oral health is a significant factor when it comes to the proper functioning of her reproductive system. Many women who have required treatment for infertility are said to have suffered from oral health problems like inflammation and gum disease. One needs to avoid these issues so as to have more reproductive success. So, it is important to brush and floss on a regular basis in order to have better oral and reproductive health.
  2. Food: When we are talking about oral health, how can food intake be too far behind? In order to maintain good oral health, it is important to take care of your eating habits. One should steer clear of excessive sugary food intake as well as junk food intake which end up harming the gums as well as the overall system of the patient. Also, you must avoid eating processed carbohydrates like white bread and white rice. It is also a good idea to get your proteins from plant sources rather than animal sources. Furthermore, it is also a good option to strike trans fat off the list and to pick unsaturated fats instead. This kind of a diet is known as low glycemic diet which keeps the sugar levels stable. This helps in boosting all body functions in general, including one’s fertility.
  3. Smoking: As per a number of medical studies, about 13 per cent of the infertility cases are linked with excessive smoking. Tobacco has an adverse effect on the state of your fertility, and it usually makes the eggs deteriorate at a much faster rate. It can also cause early miscarriage and ectopic pregnancy, which is a dangerous condition where the egg gets lodged in the fallopian tube. Smoking can also bring about early menopause.
  4. Vitamin supplements: Many doctors suggest that once a woman has entered her child bearing years, it is important to start taking multivitamins as these contain folic acid. Folic acid is an important nutrient that helps in foetal growth and stimulates ovulation. If you wish to discuss about any specific problem, you can consult a gynaecologist.
2585 people found this helpful

Hi I have infertility problem. My motility is very low is there any medication to improve my motility. It's been 3 year of my marriage and we r try for baby. So can you help me out from this problem.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Hi
I have infertility problem. My motility is very low is there any medication to improve my motility. It's been 3 ye...
Hi lybrate-user, there can be many causes for poor motility of sperms and some of these can be managed with medications. You need to consult an infertility expert for further treatment. There are methods to take sperms out surgically and these sperms can be used to fertilize your wife's eggs in a laboratory. The fertilized egg can then be transferred into your wife's uterus for pregnancy. Its a treatable condition in most case. Good luck.
1 person found this helpful

Preserving Your Fertility

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Play video

Hi I am Dr. Parul Katiyar. I am a senior IVF specialist in Max Hospital Delhi and in Max Gurgaon. So my interest is basically into preserving fertility and this is what i will be talking of in today’s discussion.

So what is fertility preservation? Fertility preservation is a process of preserving one’s eggs, sperms or any other reproductive tissue, which can be used for child bearing later on in life. It is a very important tool for preserving fertility for individual’s or persons where in child bearing is not likely to happen in near future however they would like to preserve their option of having a biological child in future. People who benefit from fertility preservation are people suffering from cancer because treatment for cancer is toxic to the eggs and sperms and therefore may lead to a permanent damage in one’s reproductive organs. Such people once they are cured would like to have their own biological child and therefore if they undertake fertility preservation before embarking for a cancer therapy, it is very useful for them. It is also helpful for women who want to delay their child bearing because of social reasons, career prospects or because they have not been able to find out the right partner as of now.

Women undergo biological aging and as the age advances the chance or the probability of becoming pregnant with one’s eggs will decline. Therefore, a woman who has frozen her eggs would be able to use those eggs later in life once she is ready to have her own child. People suffering from certain genetic diseases and immune disorders like LUPUS will also benefit from fertility preservation because genetic diseases may lead to a decline in one’s fertility at an accelerated rate and treatment of lupus and other immune disorders may again be toxic to one’s reproductive organs.

How do we preserve fertility? The various tools that are being used to preserve fertility in men are, most importantly, is the sperm cryopreservation or Sperm freezing. In this procedure what happens is that the man will have to ejaculate and produce a sperm sample in a laboratory and that sample is then processed and frozen in liquid nitrogen at -190 degree centigrade and preserved for whatever time they want to keep it. Freezing the sperms or any reproductive tissue has come out in a big way and it is very safe and with very good outcomes whenever those sperm samples or reproductive tissues are thought back and used for fertility.

The other important tool that is used in men is called Gonadal sparing, where in in individuals who need radiation therapy, the radiation is directed in such a manner that the organs that produce the sperm i.e. the testicles are spared in such a manner that there is testicular sparing, and therefore the spermatogenesis is not as badly effected as it would be if we do not take care of that. The tools for preserving fertility in women are first, embryo cryo-preservation; this is one of the most standardized technique for preserving one’s fertility.

In embryo cryopreservation, we inject the women with hormones so that they are able to produce multiple eggs and then those eggs are extracted and then fertilized with husband’s or partner’s sperm and then these embryos are cryo-preserved. However, in women who do not have a partner, they can undergo an oocyte cryopreservation as well. In oocyte cryopreservation, the same process is followed; however, as there is no partner, the eggs are frozen without even fertilization, which has become one of the most successful therapies for women who are undergoing cancer therapy at a young age or women who are not ready to have a child. Another technique that is being used is ovarian cryo-preservation or ovarian tissue cryo- preservation. The purpose of ovarian tissue cryo-preservation is that the entire ovary is taken out and then it is cut into slices and that ovarian cortical l tissue is then frozen in liquid nitrogen so that it can be re-implanted into the body of the women once she is ready to have the baby.

So these are various techniques, it’s an ever evolving field and we will have more and more of fertility preservation techniques that will come and help people conceive at a later stage in life. It is very aware that all of us make ourselves aware. As this is a very interesting field and has got a huge scope for a lot of people, it is very aware that all of us make ourselves aware of such technologies that exists.

Any woman or a man who is wanting to preserve their fertility can consult me, I am available at Max Hospital on all days and you can contact my on Lybrate, you can contact me through an SMS, you can chat, you can video call or you can even visit me at my clinic at Max hospital.



 

3665 people found this helpful

Do You Know Excessive Hair Growth in Women is Hirsutism

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Do You Know Excessive Hair Growth in Women is Hirsutism

There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.

What is Hirsutism?

Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.

Why do some women develop Hirsutism?

In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.

Causes of Hirsutism

The common causes of hirsutism include:

1. Endocrine causes

  • Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS.
  • Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
  • Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.

2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens

3. Medications

4. Idiopathic - the woman may be having hirsutism despite normal hormone levels

Treatments

There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.


Medical treatments for hirsutism -

A. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.

B. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.

  • I. Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.
  • II. Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.
  • III. Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.

However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.

C. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.

D. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.

Cosmetic treatment for hirsutism -

One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.

Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA.

Related Tip: How Safe is Laser Surgery for Facial Hair Removal??

4808 people found this helpful

I am a 24 year old female. Planning for a kid and trying to conceive. During the period of conceiving, if I am caught up with cold and cough can I take medicine for getting well.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
I am a 24 year old female. Planning for a kid and trying to conceive. During the period of conceiving, if I am caught...
Yes, you can. Its important that you stay well and feel good while attempting to conceive. Good luck.
1 person found this helpful

Hi, yesterday my period start. What time is best for pregnancy. Before my miscarriage in january. But all tests is normal like thyroid, sugar, hormones.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Hi, yesterday my period start. What time is best for pregnancy. Before my miscarriage in january. But all tests is no...
Best time to attempt is between days 8 and 18 of the cycle. Yesterday was your day 1. So, the best time for you should be between 14th and 24th may.

Respected mam. My age is 26 married 2 years ago planning for kids since 8 months. Periods are irregular since 4 months. I went for tvs bt intolerable it did not go inside. Tight introitus. My husbands semen count is 12 million. We lost all d hopes and we are in severe depression what should we do now? Please do needful for us. thanks all fr giving wonderful advices.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Respected mam. My age is 26 married 2 years ago planning for kids since 8 months. Periods are irregular since 4 month...
First thing is please don't get anxious. Please try naturally for at least four more consecutive months and seek medical opinion only if you don't conceive at the end of this period. Try to have contact around 13-16th day of your cycle - that is the most fertile period for women having regular 28 days cycles. But since your periods are irregular, it may not be very accurate.
1 person found this helpful

Done one cycle of IVF and result was negative. Current AMH is 1.88 and age is 31. Pls suggest whether we should go for more IVF cycles or donor egg treatment directly AND will there will be any side effects on body because of medicines/injections in IVF cycle. Pls suggest practical solutions. Thank you.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Hi, the chance of success in an ivf cycle is only 40 to 50 % and the amh is also fine that is it is not too low so one the basis of amh you need not go for donor eggs, instead try again.
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