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Dr. Vishali Joshi

Gynaecologist, Mumbai

Dr. Vishali Joshi Gynaecologist, Mumbai
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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. Vishali Joshi
Dr. Vishali Joshi is one of the best Gynaecologists in Andheri East, Mumbai. She is currently associated with Seven Hills Hospital in Andheri East, Mumbai. Book an appointment online with Dr. Vishali Joshi and consult privately on Lybrate.com.

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Seven Hills Hospital

C/O Seven Hills Hospital, Near Marol Bus Depot, Marol Maroshi Road, Andheri East, MumbaiMumbai Get Directions
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Treatments of Infertility

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
Treatments of Infertility

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

  1. Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
  2. Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

  1. Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
  2. Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

  1. Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
  2. Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
  3. Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
  4. Bromocriptine: Used when the infertility is caused due to excess prolactin production.
  5. Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

  1. Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
  2. Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
  3. Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

  1. Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
  2. Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

3644 people found this helpful

I am 24 years. I am eating so less still my weight of body is 55 .and I do yoga and drink green tea but it's affect my menstruation. My menstruation cycle is always regular but this month it's not come till yet. Please help me for queries.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am 24 years. I am eating so less still my weight of body is 55 .and I do yoga and drink green tea but it's affect m...
Take Warm water and honey added to it in morning with empty stomach and then don't eat or drink anything for half hour. This help to burn out fat in your body. And during the day time. Try to drink more and more water. Take care. :)
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My wife had her period on due date. But lasted only for some hours. It is for the first time. Is it normal?

MBBS
General Physician, Chandigarh
My wife had her period on due date. But lasted only for some hours. It is for the first time. Is it normal?
Sometimes it can happen because of hormonal disturbances but it is advisable to get her urine tested for pregnancy after about one week.
1 person found this helpful
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sexual health

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
sexual health
अलसी और वशंलोचन समान मात्रा में लेकर चूर्ण बना लें, और इसे गिलोय के रस तथा शहद के साथ हफ्ते – दस दिन तक सेवन करे इससे वीर्य गाढ़ा हो जाता है।

Hello sir, Please tell about food to eat for low hemoglobin content and RBCs. She is pregnant 35 th weeks.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello sir, Please tell about food to eat for low hemoglobin content and RBCs. She is pregnant 35 th weeks.
Hello, Beans, dates, nuts, green vegetables, dried fruits are some very good sources of iron. She also, needs to take good vitamin C rich diet to enhance iron absorption.
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I am 29 years old planning for baby this year me and my husband didn't get much time together in that case ovulation kit will help.

MBBS
General Physician, Chandigarh
I am 29 years old planning for baby this year me and my husband didn't get much time together in that case ovulation ...
Your ovulation time is approximately two weeks before your next coming periods that is the best time to have sexual relations to conceive otherwise have sexual relations every alternate day from 10th to 20th day of your cycle considering first day of the period as day one
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I am 40 year old female. I have an outgrowth of muscular tissue in my underarm since 25years of age. It has neither grown nor shrinked. What is this what should I do.

DGO, MBBS
Gynaecologist, Delhi
I am 40 year old female. I have an outgrowth of muscular tissue in my underarm since 25years of age. It has neither g...
It can be a breast tail which increases after child birth, get it examined by a gynaecologist if so nothing to be done.
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What influences Influenza (causes and symptoms)

MD - Internal Medicine, MBBS
General Physician, Gurgaon
What influences Influenza (causes and symptoms)

Influenza or flu is a contagious respiratory infection that affects the lungs, throat, nose and occasionally, the ears. It usually does not require treatment but Paracetamol can provide relief from most of the symptoms. Rarely, influenza can lead to severe complications like pneumonia, sinus problems and asthma. Annual vaccinations can prevent these complications even if you do get a mild flu.
Causes
The influenza virus is air borne and can be spread through coughing, sneezing, skin to skin contact, or indirect contact like touching a contaminated object. Type A, Type B and Type C influenza viruses affect the respiratory organs.
People with weak immune systems are infected more easily than others- children under the age of 4, people above the age of 60 pregnant women, obese people and those who are suffering from kidney disorders and diabetes are at greater risk of infection. Air pollution also aggravates the problem.
There is also little chance that your body has the necessary antibodies to fight the virus if you have been infected before. This is because the influenza virus modifies constantly and new strains of the virus appear rapidly. So, the antibodies that work against one particular variant do not work effectively against the others. This is why vaccination is also not a foolproof preventive technique against this disease.
Symptoms
The symptoms of influenza begin to show within a few days after infection. In a few cases, the infection may be asymptomatic. When they do show, the symptoms are very common- high fever, shivering, a blocked and runny nose, frequent coughing and sneezing and chest congestion are the predominant signs. In the later stages, there are headaches, body aches, general fatigue, reddened and watering eyes, throat pains and difficulty in speaking.
In the cases where the patient is a child, there are a few other symptoms like digestive and gastrointestinal disorders such as nausea, vomiting, diarrhea and abdominal pain. The last two are especially common in children who have been infected by influenza virus Type B.
Aged people often have low resistance to the virus. This is why the flu quickly escalates and the complications like primary viral pneumonia or secondary bacterial pneumonia. In such cases, there are sever symptoms like breathing problems, the presence of blood in the sputum, red and itchy skin and petechial rashes (caused by minor punctures in the capillary blood vessels). If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3505 people found this helpful

Hi. M trying to conceive. Today 13th day cycle my follicle size is rt ovary 1.8×1.5 and left follicle is 2.6×2.1, 1.8×1.6 and ET is 0.7. Before I have taken clomid 100mg. So is it possible to conceive and tel what should I do. Any instruction please help me (11th day I took inj HCG also)

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Hi. M trying to conceive. Today 13th day cycle my follicle size is rt ovary 1.8×1.5 and left follicle is 2.6×2.1, 1.8...
Trying is in your hand. No one can tell you if you would conceive in a particular cycle. Your report looks fine. Attempt and keep your fingers crossed.
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Hello doctor! My mothers age ia 50 plus she is goog and no problem with god grace but often when see watch t.v she feel drowsy or sleeps! Whether its day and night only watches tv she sleep. Let me tell you she do house hold chores is it laziness?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello doctor! My mothers age ia 50 plus she is goog and no problem with god grace but often when see watch t.v she fe...
Hello, This could just be tiredness and when her mind is deviated to other things on tv, away from daily chores, mind relaxes and she sleeps.
2 people found this helpful
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Hi I have a question regarding intercourse. I am planning to have a baby but during intercourse I have delayed ejaculation due to which it does not go directly inside vagina but gets left out at the edge only. Pls help.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Hi I have a question regarding intercourse. I am planning to have a baby but during intercourse I have delayed ejacul...
For delayed ejaculation there is no medicinal treatment available. You practice it to ejaculate inside vagina. It may take time but it will resulting positively. Wish you good health.
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I have 2 years old baby girl. Her vagina is closed. I want to know is it normal or not? Please advise.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, this is not normal and there are likely vulval adhesions which would require to be separated surgically.
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Hello Sir my fiancy have some problem of black bleeding in vagina after 15 days gone of time period and this bleeding are during when she done after urination so what problem are there.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Pune
it may be due to hormonal imbalance . follow the schedule Use warm water for drinking,take healthy ,warm food,fresh fruits,dry fruits,take proper rest,sound sleep,do regular exercise, yoga,pranayam. Avoid- chilled water,cold drink, foods kept in fridge,oily,spicy,outside food,water, avoid late night works, travelling ,overexertion during menstruation. best luck..
1 person found this helpful
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My friend is planning a baby from last two month but they are not able to click it. What should they do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
My friend is planning a baby from last two month but they are not able to click it. What should they do?
Hello- Ask your friend to perform a semen analysis test for himself and a pelvic ultrasound for his wife to rule out the cause of infertility.
2 people found this helpful
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My wife is not conceiving, got married 2 years, checked with dodtor in two occasions, doctor says every thing is fine with both, what to do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
If everything is fine, we can even stat treatment. This is called unexplained infertility, where the result of treatment is god.
1 person found this helpful
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Doctor I am married since 2007 with one girl child 7 years old my question is that I have completely lost interest in sex after one year of my marriage in have frequent quriells with my hubby because he is always active and I always refuse can you help me on this so I can also enjoy.

MD - Homeopathy
Homeopath, Pune
Doctor I am married since 2007 with one girl child 7 years old my question is that I have completely lost interest in...
Loss of sexual desire, known in medical terms as hypoactive sexual desire disorder (HSDD), is the most common form of sexual dysfunction among women of all ages. Common causes for a loss of sexual desire and drive in women include: Interpersonal relationship issues. Partner performance problems, lack of emotional satisfaction with the relationship, the birth of a child, and becoming a caregiver for a loved one can decrease sexual desire. Sociocultural influences. Job stress, peer pressure, and media images of sexuality can negatively influence sexual desire. Low testosterone . Testosterone affects sexual drive in both men and women. Testosterone levels peak in women's mid-20s and then steadily decline until menopause, when they drop dramatically. Medical problems: Mental illnesses such as depression, or medical conditions, such as endometriosis, fibroids, and thyroid disorders, impact a woman's sexual drive both mentally and physically. Medications : Certain antidepressants (including the new generation of SSRIs), blood pressure lowering drugs, and oral contraceptives can lower sexual drive in many ways, such as decreasing available testosterone levels or affecting blood flow. Age. Blood levels of androgens fall continuously in women as they age. You can get back with more details and consult privately so that appropriate medicine can be suggested for you
2 people found this helpful
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We are planning for baby for Last 3 years but due to fertility issues we are not able to do .My semen count is low to 8 Million motility 60%.Please advise medicine to increase my semen count so we can start my family.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
We are planning for baby for Last 3 years but due to fertility issues we are not able to do .My semen count is low to...
Hello, As you are on your late thirties the basic cause behind your low sperm count is reduction in blood supply towards testicles due to deposition of atheromatous plaques on inner walls of blood vessels. It can be corrected and your sperm count can be made normal with the help of ayurvedic medicines. Activities like daily exercise, sound sleep, stress free life and healthy diet can ensure your accelerated recovery along with the medications. Good luck.
2 people found this helpful
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What could be precaution in second month of pregnancy in risky pregnancy and monthly diet best.

BHMS
Homeopath, Faridabad
What could be precaution in second month of pregnancy in risky pregnancy and monthly diet best.
hello, you should consult a good gynaecologist and Nutritionist. They will suggest you everything in a proper manner according to the medical condition. Take care.
2 people found this helpful
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Hello meri wife ke boobs kabhi kabhi pain hote the phir usne unko press karna or vaginal masturbation karna start kar diya lagbhag 3-4 months tak usne aisa kya lekin ab uske boobs me zada pain hota hai aur is bar usko period, period date se 8 din pehle hi aa gya tha to iske kya reasons ho sakte hai kya ise serious lena chahiye ya ab usko kya karna chahiye jisse uski period date aur boobs ka pain sahi ho jaye please help soon.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, Tk plenty of water to hydrate your body to increase flexibility  of breast muscle softening nipple, too. ●Your diet be easily digestible on small intervals to avoid gastric disorder. ●Go for meditation to reduce your depression, stress, if any to nourish your whole body to rectify hormonal disorder to ease your problem. □Tk homoe medicines are rapid, gentle & safe in administration. @ phyrolacca200 -6 pills thrice. @ Bryoniya 30-6 pills, thrice. Avoid junk food, caffiene,  nicotine, alcohol, pizza, burger. Report wkly. Your feedback is solicited to further follow up, please. Tk care.
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