Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Dilatation And Curettage (D C) Procedure
Proton Therapy Treatment
Preimplantation Genetic Diagnosis (Pgd)
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Ovarian Ablation Procedure
Treatment Of Female Sexual Problems
Egg Donation Procedure
Treatment Of Menstrual Problems
Treatment Of Menopause Related Issues
Treatment of Polycystic Ovary Syndrome In Adolesce
Pre And Post Delivery Care
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Dr. Radhika Kandula provides answers that are knowledgeable. Give good knowledge regards my problems thanks madam
Brief description on infertility and its treatment
Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.
If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman’s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility. It’s a state that results in the abnormal functioning of the male or female reproductive system.
The causes for infertility could be:
Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen
Female factor - tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance
The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.
Factors affecting fertility:
Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.
Smoking: It increases risk of getting infertile and reduces the chances of treatment.
Alcohol: Consumption of alcohol is said to lower the sperm count in men.
Obesity: An overweight person has a higher chances of having sperm abnormality.
Workout: Less or very heavy work out is said to increase the chances of infertility.
Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.
Sexually Transmitted Infections can also adversely affect the fertility of a person.
When to take further advice and course of action?
In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.
Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.
There are many treatments available that improve the chances of having a baby. Such treatments include:
Drugs for fertility
Surgery in some cases
Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births – Two, Three or may be more.
Some Assisted Treatments are:
In Vitro Fertilization
Intracytoplasmic sperm injection
Donation of Sperm or Egg
Electric or Vibratory Stimulation to achieve ejaculation
Surgical Sperm Aspiration
It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.
Please do not keep it to yourself and consult an expert. Never go for self medication!
Menopause is the time in a woman's life when the menstruation ceases, bringing an end to a woman's childbearing years. There are a number of symptoms that mark this stage, including hot flashes, which are very commonly experienced in such cases. Hot flashes are like a feeling of a red hot flush that may wash over the body and lead to excessive sweating. It occurs in the blood vessels that are closest to the surface of the skin. Yet, menopause is not the only reason why one may experience these hot flashes.
Here are some of the reasons that may trigger these hot flashes:
1. Carcinoid syndrome: This is a disease that may cause hot flashes as a symptom. In this condition, a tumour will usually release varied chemicals into the body, which can create varied symptoms that seem like hot flashes.
2. Hyperthyroidism: Overheating of the body and the system from within is something that many patients suffering from hyperthyroidism may experience. This usually happens when the thyroid glands end up producing too much of the thyroid hormone that brings about many symptoms ranging from depression to weight loss and even hot flashes. In hyperthyroidism, the body goes into a hyper mode, which usually leads to overheating of the same. This gives rise to frequent and often severe hot flashes.
3. Hormonal changes: There are many hormonal changes that may affect various men and women from time to time. A drop in the level of the estrogen hormone is something that many women go through on a regular basis. This may happen due to pregnancy as well. Also, this condition usually brings about symptoms like hot flashes.
4. Eating disorders: The way we eat and nurture our body is the way the body reacts. When there is a case of an eating disorder like dyslexia or bulimia, it may lead to varied symptoms, including hot flashes. This is due to the fact that the body's hormonal levels as well as the nutritional level plunge to an all-time low. In many such cases, hot flashes are the body's way of demanding better nutrition. These disorders can also give rise to related conditions like the hypothalamus disorder.
5. Hypothalamus disorder: Hypothalamus disorder may also cause hot flashes. This is a condition that is caused due to poor eating habits. This disorder is characterised by a major drop in one's nutrition levels and also leads to many hormonal changes. These changes often lead to symptoms like hot flashes and other related complications.
My wife is 26 years old and suffering from pcos problem. We are trying for three years for baby. Today my wife 's transvaginal sonography is done. She has bicornuate uterus. Is there something difficulties for conceive having bicornuate uterus. Please suggest we are so anxious.
During pregnancy a woman’s body undergoes constant changes. The entire body tries to accommodate place for the growing uterus as hormones levels drastically fluctuate and ligaments stretched. Pelvic pain and the ensuing discomfort around this time is a common phenomenon experienced by most women.
Though the pain may be harmless, at times it may also lead to serious repercussions. Therefore the identification of the causes that lead to pelvic pain during pregnancy is crucial. Some of them are:
- Accommodation pain: In the initial stages of pregnancy, women may experience cramps which are akin to the pain that precedes menstruation. However, in the case of pregnant women, the pain leads to no bleeding, but in all probability, is caused due to the expansion of the uterus.
- Round ligament pain: Amidst the host of changes that the body goes through, the ligament that goes from the uterus to the groin also undergoes a change; it expands. This is responsible for the pain in the sides especially when women are walking or getting up from a chair.
- Baby’s weight: As the weight of the fetus begins to increase it exerts a pressure on the nerves that move from the vagina to the legs. This causes a dull pain in the pelvic region which increases considerably with walking and riding a car. This is most commonly felt by women who are in their third trimester.
- Urinary Tract Infection: According to reports, most women suffer from urinary tract infection or UTI during pregnancy. This results in uncontrolled, often times, bloody urination and a pain in the abdomen. This is a major cause of concern as, if untreated, it infects the kidneys which in turn increases the risk of an early labour.
- Miscarriage: In the first trimester, a pain in the abdomen may be an indication of a miscarriage. In such a situation, the pain is followed by bleeding and cramps.
- Early labour: During pregnancy, an intermittent pain in the pelvic area and a back ache can also be suggestive of an early labour. If the contractions continue for over two hours after taking the necessary precautions like urinating and taking rest, it may be a sign of an early labor.
Hello doctors. Can PCOS be cured? Can any woman be pregnant having pcos? If possible then share some tips how it can cured. Please.
So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips, which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too. Read on to unravel our first trimester guide.
- Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well.
- Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments.
- Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor.
- Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay.
- Other Medications: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too.
The other activities during the first trimester include taking pre natal appointments and choosing and interacting with your caregiver who will also be a support after you have had the baby.
Related Tip: "First Trimester Pregnancy - What to Expect"
As I asked last time we r trying for baby since last 5 month n this month had tested my hormone test its estradiol 47pg/ml wch done in second day of period n doctor said it's high but other doctor said normal in confusion which to follow n doctor suggested for please pls suggest.
I have been married for 1 year and 5 months now. We have been trying to conceive for last 2 months. My period is due on 3rd July. Usually, my stomach starts to hurt 2,3 days prior to my date. However, this time its been 10 days that I am experiencing an unusual pain in lower abdomen . My lower abdomen feels very heavy and I also feel a kind of pressure or thrust (which worsens as the day progresses). What could be the possible reasons for the condition ?
I'm 10 weeks 5 days pregnant I have brownish discharge I got scanned baby is fyn with 166 hb and cervix is completely closed from where this brownish discharge is coming sometime light red I'm taking secure o and ecosprin tablet for that and I'm nauseated too and tired I'm really scared because I lost my baby in 5 month because of chromosomal abnormality I don't want to lose it too please help me out I'm really scared I need this baby very badly.
Good morning sir/mam my marriage is done on the year 2007, I have no children. When I consultant a doctor should scared n told me that I have pcod problem, she gave sum medicine for some months n after she did loprocopy also but no use. I trying since 8 years but no use. I have dine i. U. V also recently i. E 5, 6 months . I have used countless medicine now I am getting depressed n what to do. If there is anyone please help me.
My period was skipped there is no chances of conceive also I have taken deviry 10 mg for 5 days 2 days r over still my period not came what will be the reason or I go for ultrasound please help me.
Dear sir/madam, how to identify the day of ovulation, is there any test available to identify it. As I have heard that sex on that results in 100 % pregnancy chances, is it true.
Polycystic ovarian syndrome is one of the commonest endocrine disorders encountered. No single cause accounts for abnormalities in pcos. It leads to menstrual irregularities, central obesity, infertility, impaired glucose metabolism and in a long run to hypertension, diabetes and cardiovascular problems.
Lifestyle modification plays a major role in reducing the risk and improving the fertility outcomes. Diet modifications should include low calorie, low fat diet with low saturated fat and high fibre. Don’t severely restrict carbohydrates, instead choose complex carbohydrates rich in fibre and low glycaemic index.
Regular exercise for 30 to 45 min helps lower blood sugar and prevents insulin resistance and helps in weight reduction. Reproductive system is tightly coupled with energy balance and hence changes in status of energy balance through changes in physical activity has an impact on reproductive system.
So lifestyle modification, a comprehensive programme of diet, exercise and behavioural therapy plays a major role in reducing the risks of pcos both short term and long term.
Polycystic ovarian syndrome is one of the commonest endocrine disorders encountered. No single cause accounts for abnormalities in PCOS.
It leads to menstrual irregularities, central obesity, infertility, impaired glucose metabolism and in a long run to hypertension, diabetes and cardiovascular problems.
Lifestyle modification plays a major role in reducing the risk and improving the fertility outcomes.
Diet modifications should include low-calorie, low-fat diet with low saturated fat and high fibre. Don't severely restrict carbohydrates, instead, choose complex carbohydrates rich in fibre and low glycemic index.
Regular exercise for 30 to 45 min helps lower blood sugar and prevents insulin resistance and helps in weight reduction. Reproductive system is tightly coupled with energy balance and hence changes in the status of energy balance through changes in physical activity has an impact on the reproductive system.
So lifestyle modification, a comprehensive programme of diet, exercise and behavioural therapy plays a major role in reducing the risks of PCOS both short term and long term.