Miracles Mediclinic

Couples often experience a decrease in fertility because the man has troubles with his sperm count. Majority of infertility cases are due to low sperm count in men.A low sperm count can be established through the observation of a semen sample in a laboratory to check whether the sperm count available in the sample enough or not. However, it is still possible to attain pregnancy with low sperm levels.

Natural ways of improving sperm count

• Plan your sex routine with your spouse at the time when she is ovulating; a woman is most fertile from the 9th to the 15th day of her menstrual cycle.
• The testicle positioning outside of the body is to ensure that the sperm is made at a lower temperature than the normal body temperature. Therefore, men with low sperm count should avoid wearing tight underwear and exposure to hot tubs and sauna that can increase the testicular temperature.
• A healthy diet and drinking lots of water also help increase the sperm count. Men with low sperm count should eat plenty of foods rich in protein and high-quality fat. They should avoid fast foods, sugary foods, alcohol, street drugs and cigarettes as well.
• Having moderate exercise regularly also enhances the sperm count. Ensure to wear light loose clothing during the exercise to avoid increasing temperatures around the testicles that will lower the production of the sperm count.

Medical ways of increasing sperm count

One must seek medical intervention from a doctor to boost their sperm count. IUI involves getting a semen sample, washing it before inserting directly into the uterus through a catheter that is connected to the cervix. IVF involves fertilizing the eggs and sperm in a Petri dish before implanting inside a woman's uterus. Medical methods should only be sought when natural methods have proven unsuccessful. Always seek your doctor's advice before selecting a method for effectiveness.

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

After carrying the baby for nine months and delivering it, the next big step for the mother is to learn to breastfeed. For a woman who has had her first delivery, this could be a thing that can scare her and put her at discomfort. In addition, some mothers can also experience physical pain, which is even more worrisome.

In the initial stages of breastfeeding, it is normal to have pain as the baby and the mother have not yet identified the correct method i.e. the mother in terms of holding the baby, while the baby in terms of latch correctly to get milk. However, in most cases, the mother detaches and repositions the baby. This often helps in relieving the pain and after some repetition of this exercise, both the mother and the baby would know the correct position.

Let down reflex, also called milk ejection reflex, is set off by hormone oxitocin which is released whenever your baby feeds, it stimulates muscle cells in your breast to squeeze milk and may cause pain. Oral thrush, which is a yeast infection, in baby's mouth, can cause sore nipples and pain. The baby’s oral features like a short mouth, short tongue, small chin, high palate, etc., can lead to improper suction and cause pain. However, this pain from suctioning will disappear within a couple of days. Another cause for breast pain could be engorgement. When the breasts are engorged, due to feeding after a long break, there is too much milk, which can cause pain as soon as the baby latches on. Pressing out some milk before the baby latches on can help reduce the pain. lmproper size of bra, too tight or too loose, can be a cause of breast pain.

Nipple pain, when exposed to cold weather, is another condition. This occurs due to constricted blood vessels and is known as Raynaud’s phenomenon. If required, pain medication can be taken, but this type of pain usually subsides.

Allergies such as poison ivy and eczema can also lead to nipple soreness. Even topical issues like use of creams, soaps and deodorants can cause soreness. These require no intervention and minute changes would usually suffice. It is important to remember that any medication taken can reach the baby during the breastfeeding and unless absolutely essential, it is best to avoid any medication for the mother. If a baby is being fed well after the 6th month of life, teething begins and this can be a cause for pain during breastfeeding.

Treatment:

In most cases, proper breastfeeding techniques usually take care of the issue. However, if there are other issues, for instance, the child’s oral features, they may require correction as they not only need to be addressed because of this problem, but also otherwise.

Using warm moist compresses is useful in soothing the pain. Empty the breast properly after feeding the baby. Try to avoid chemicals like Linolin, hydrogel, as far as possible, if applied to cracked nipples, clean it properly before feeding the baby. Applying freshly squeezed milk from the breast is another wonderful option, given its antibacterial properties. The warmth of wet tea bags may also give a soothing effect. Remember to avoid chemicals like lanolin or hydrogel, as this pain is a temporary issue and usually disappears over a period of time. In case you have a concern or query you can always consult an expert & get answers to your questions!

Good Afternoon

I am Dr. Chetna. Today we are doing to talk about the benefits of Minimal Access Surgery. So Minimal Access Surgery is more commonly known as Keyhole Surgery or a Laparoscopic Surgery. Now this is a revolution in the medical science which is now we are practicing for the last fifteen twenty years and it has given excellent result. A lot of people still in theato cities or otherwise metro cities also still have fear about laparoscopic surgeries. When they come to OBT, they start talking that you know the surgery remains and complications and stuff. Now here I would like to bust this myth and explain to you that why a Minimal Access Surgery is far superior to an open conventional surgery. Now a Minimal Access Surgery or a Laparoscopic Surgery is done through making punctures in abdomen void. Now this can be used for a various Diseases like to remove the uterus, to remove the ovarian cyst, to correct the polycystic, to remove endometriosis, to correct ectopic pregnancy and other further related surgeries. So we can remove large fibroids ad large as seven months pregnancy sized to large ovarian cysts. Yes, there are certain pre-requisites which we need to see before we decide whether this patient is fit for Laparoscopic Surgery or not. Majority of the women who are otherwise fit that means they have a normal exercise and urines and stuff are able to withstand Minimal Access Surgeries. So I was coming to advantages. Advantages no. 1, there are no major cuts on the tummy so there are some punctures. They may vary in numbers between two to four or sometimes even five and the size of these punctures would be largest to be about ten or twelve centimeters so you can believe these are very small punctures. The second advantage is that the surgeon is operating under the magnification of 6X or more. So that gives a lot of access to the pelvis so we can see it very properly. If required we can rotate the camera and go in the upper abdomen and see that as well. So there is a lot of benefits when it comes to the visual appearance of the organs and the operation skill. Then the instrument that we use in the Laparoscopy are very fine. To explain, my scissor blade is no longer than the nib of the pen that we use, not the ink pen we are talking, the regular gel pen. So that is the size of the blade that we use so that gives a very fine precision. Then the blood loss is quite less since the abdomen is not open to the air outside so the recovery is quite fast. That means the less number of hospital stay, less chances of blood transfusion or almost no chances of blood transfusion. You can go home fast. You can…. I have had patients who did the surgery, second day we went to work, fifth day you see them coming from the office to remove their stitches. So this is brilliance you can’t expect.so very next day the patient sits and starts eating and starts eating and talking, everything feels normal. So this is a blessing, it is a boon and since majority of the surgeries can be done by Laparoscopy. I would say before going in for an open surgery. They should be considered for laparoscopy. Yes, there are certain candidates are not fit for laparoscopy and these can have an open surgery but majority of who had fibroids, endometriosis, ovarian cysts, polycystic ovaries, pelvic infections, ovarian mass, some of the cancer patients also, uterus removal for heavy bleeding. So all these things can be done through a laparoscopy. So I believe this is a blessing by the modern science and we should all avail of this benefit.

So if any questions we can always meet me up at Medicals Medi-clinic Sector-14 and also part of Apollo cradle hospital. So you are welcome.

Hello everyone.

I am Dr. Madhu Garg. I am working as consultant in Miracles IVF and Fertility Unit and today we will be discussing something about IVF. IVF is In-vitro Fertilization and in common language it is also known as a test tube baby. In IVF, what we do is we take out both the gametes the female gametes and the male gametes and they are fertilized outside the body and then the resulting embryo is placed inside the female uterus which results into pregnancy. So the first question arises is who all need IVF? Couples who usually need IVF have problem in conceiving of long standing that could be because of female factors or male factors. The male factors include a less count, when the sperms are not normal of morphology or their motility is less, or there is complete of sperms in ejaculate and in female factors when the female is having a high age which is more than 35 years and she is having less egg count and there are problems in the tube. The tubes are the structure which transport the eggs from the ovaries inside the uterus and then the eggs meet the sperms and result in fertilization. If there is some kind of blockage in the tube, the egg is not able to meet with the sperm and the pregnancy is not happening, so these couples they always require some king of assistance which is usually IVF. In IVF the process starts from your menstrual cycle. We do basic test involves the hormonal evaluation, ultrasound scan, the semen analysis and after going through all of your reports, we start you on hormonal injections. These usually start from day tow or day three of your periods and they are given regularly for the next nine to ten days on a daily basis. During these nine to ten days of hormonal injections we evaluate you after 4 to 5 days and then every alternate day to see how your body is responding to these injections and to titrate the dose of these injections, so during these nine to ten days your follicles grow and when the follicles are mature enough then on the last day we give you a trigger injection and after the trigger injection, 35 to 36 hours after this injection we schedule your ovum pickup. For this pickup you are admitted to the hospital for a daycare. That means you are not having a night stay in the hospital. The stay is only for two to four hours and you have to come fasting 5 to 6 hours and under general anesthesia, we do a transvaginal ultrasound guided pickup. So the needle is passed through vagina and there is no cut or mark in the abdomen. All the eggs and the ovaries are aspirated outside and then the embryologist examines all the fluid which is aspirated and he checks whether how many eggs are present, what is the quality of these eggs and then he takes the decision of performing IVF or ICSI (Intracytoplasmic Sperm Injection) with male sample. In IVF what is done the eggs are placed with healthy sperms and then a natural process of fertilization is allowed. But in patients where the semen factor is less and morphology is less, the motility is less even, even a high-grade, a higher version of IVF is required which is called ICSI. In ISCI, every egg is injected in one sperm in the cytoplasm and not all patients need ICSI that is the decision of embryologist after seeing the semen sample. So these embryos which are formed after fertilization. They are left in laboratory for 3 to 5 days and after their growth in the laboratory they are transferred back to the uterus of the female and that transfer is very simple procedure which doesn’t require any hospital admission and not does it require any anesthesia. After getting the embryos transferred you need to get hormonal support for the next 15 to 16 days and then the pregnancy test is done. So IVF pregnancy is equally as good as an actual pregnancy. You don’t need any extra care, neither any cesarean delivery is required nor no special care is required during the pregnancy also.

So this is the basic what IVF is, who all need IVF and that is done under the cycle so the procedure is different according to your requirement and what you need and what is the best produce so you have to consult the doctor then you have to decide. So thank you everyone.

Missing out on your periods or irregular periods once in a while is common. However, the problem arises when irregular periods become every month’s story. The irregularity can be an amalgamation of a host of factors. Ignoring the same for long will only complicate things further. For women of reproductive age, the problem can give rise to deleterious consequences, including difficulties in conceiving. In this article, we will discuss some of the common triggers that result in irregular periods and when to seek medical help.

What causes Irregular Periods?
The hormonal balance plays a significant role in the proper functioning of the vital organs of the body. More than often, irregular periods are found to be a manifestation of hormonal imbalance. Some of the conditions that trigger the hormonal imbalance include

• PCO is a common medical condition that affects women of reproductive age. PCOS is characterized by the formation of cysts in the ovary (one or both) that affects the ovulation process. In PCOS, there is an increased production of Androgen, especially Testosterone that can cause irregular periods, hair fall, facial hair, weight gain etc.

• Time and again doctors and health professionals emphasize the importance of leading a stress-free life. Research suggests stress and anxiety often interfere with the functioning of the Hypothalamus. As a result, the pituitary glands that control and regulate the activities of the ovaries, adrenal glands, and thyroid glands may be affected. These can also trigger a hormonal imbalance giving rise to menstrual problems such as Irregular periods. In case of extreme stress, there may be a short-term cessation of periods (Secondary Amenorrhea).

• The hormonal imbalance and irregular periods can also be an outcome of other medical conditions such as endometriosis, a cancer affecting the reproductive organs, fibroids, obesity, diabetes, hyperprolactinemia (characterized by elevated level of prolactin) or even thyroid disorders.

• Women who indulge in strict dieting can also suffer from irregular periods. Strict dieting (especially the ones that are without a proper nutritional guidance) can rob the body of the essential nutrients disrupting the hormonal balance.

• Irregular periods are normal in women who are nearing their menopause.

When to seek medical assistance?
Irregular periods can be indicative of a severe health problem. Consult a gynecologist

• If your regular cycles get delayed by more than 7 days.

• There is spotting or bleeding in between the periods.

• Your periods last for more than ten days or less than two days.

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

• There is excruciating pain during periods.

• The gap between two successive menstrual cycles is more than 35 days or less than 21 days.

• Your periods are heavy and unmanageable, affecting your daily routine.

A kidney stone may not be as big as the stones in your garden, but can be quite a pain. Kidney stones are actually mineral crystals that are usually a combination of calcium and phosphates. The size of a kidney stone ranges from the size of a sugar crystal to a ping pong ball. While some kidney stones pass out of the body along with urine, others can block the ureter and become painful. 

In addition to being painful, a kidney stone can cause permanent damage to your kidneys. Since large kidney stones are usually painful, they rarely go undiagnosed. However, if a kidney stone is left untreated, it could cause the kidney to atrophy and lower the functionality of the kidney. Kidney stones that are related to an infection can also lead to chronic urinary tract infections and damage the kidney through scarring and inflammation. This could eventually lead to kidney failure.
 
Not all kidney stones need to be treated with surgery. If the kidney stone is very small, your doctor may prescribe plenty of water and medication to treat the pain. With plenty of water, you should be able to pass the stone in your urine. Ideally, you should take plenty of rest until the stone is passed. 

Larger kidney stones may need you to be hospitalized for treatment. These are:

• Extracorporeal shock wave lithotripsy (ESWL): To begin this of treatment, a painkiller is administered. Ultrasonic waves are used to determine the location of the kidney stone. Shock waves are then passed through the kidney stone to break it into smaller pieces, which can then pass out of the body through urine.
• Ureteroscopy: This is also called retrograde intrarenal surgery and is performed when the kidney stone is stuck in the ureter. A ureteroscope is passed through the urethra and bladder into the ureter. Laser energy may then be used to break the stone into smaller pieces to unblock the ureter. 
• Percutaneous nephrolithotomy (PCNL): This surgery is performed under general anesthesia.  It involves a small incision being made in the back and a nephroscope passed into the kidney through it. Laser or pneumatic energy is then used to break up the stone into smaller pieces and pull them out. 
• Open surgery: Open surgery is performed only in the case of an abnormally large stone or abnormal anatomy of the person. An incision is made in the back that allows the doctor to access the kidney and manually remove the stone. In case you have a concern or query you can always consult an expert & get answers to your questions!