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Management of Abortion
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
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Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.
- Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
- Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being.
Listed below are some easy-to-make changes:
- Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
- Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
- Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
- Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:
Anything that can spike up calories and is of low nutritional value should be avoided.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 25 years old I have egg ovary weak I trying to conceive 3 year I am not pregnant my period has just 2 days bleeding I complete stop after 2 days I did not have any infection.
I am 24 years and I m married but I am having irregularity in my periods for about 2 months gap before marriage also. So how I could get pregnant ?
My baby is 35 days old. I have poor breast milk so I am giving only dexolac premium 1 to my baby. Is it good. I Know breast milk is best. But I have no breast milk having c section. What should I do. Please suggest.
1. What is Intrauterine Insemination (IUI)? When is it recommended?
IUI is a procedure where semen is instilled inside the uterus of a woman after it has been processed in the laboratory. IUI is done at the time of ovulation.
It is recommended in cases of male factor infertility like low sperm counts or motility and also in case of unexplained infertility so as to improve the chances of pregnancy.
2. How does IUI increase the chance of pregnancy?
In IUI, the washed sperms are deposited directly into the uterus at the time of ovulation. By this, there are more chances for gametes (eggs and sperms) to fertilise and cause pregnancy.
3. What is the best period to do an IUI?
The best period to do an IUI is immediately after ovulation (egg release).
4. How is it performed? Or Description of IUI procedure in brief?
IUI is a simple, non-painful procedure. Firstly, the husband's semen is collected and then prepared in the laboratory so that we can get the maximum number of good motile sperms. Thereafter the woman (wife) is positioned to lie down and a speculum is inserted in the vagina. Semen wash in loaded in a sterile plastic catheter and introduced through the cervix into the uterine cavity and is then injected slowly.
5. What are the pre-IUI treatment steps?
1) Screening tests for both husband and wife is done.
2) Tubal patency test of a wife is desirable.
3) Ovulation induction with medications
4) Follicular monitoring by ultrasound.
5) Timing of ovulation by giving an HCG trigger injection (for egg release) when the follicles are mature (greater than 20 mm).
6) 36-40 hours later, semen is processed and IUI is done.
6. Are there extra precautions to be taken after IUI procedure?
A woman is asked to lie down for 15-30 minutes after IUI procedure, thereafter she can resume her routine activities. She is asked to take prescribed medications on time as advised.
7. Can the sperm fall out?
No, sperms don't fall out after IUI.
8. Where is the sperm accumulated? How long sperm survive after timed intercourse of IUI?
Sperm accumulate in cervical crevices during intercourse and can survive for 72 hours
9. What is the method for sperm freezing, if a partner is not available at the IUI procedure time?
The semen sample is processed first in the laboratory and the semen wash is then frozen by putting this in liquid nitrogen. Thereafter, this frozen sample can be used anytime, like on the day of IUI even when a husband is not around.
10. How long frozen sperm can be stored?
Frozen sperms can be stored as long as desired.
11. Can using of frozen sperm increase the likelihood having a child with birth defects?
No, using frozen sperms does not increase chances of birth defects.
12. Do I need to take extra precautions after IUI?
No extra precautions are needed after IUI, just take the medicines on time as advised by the doctor.
13. How long does it take for fertilization and for implantation?
Fertilization takes roughly 12-18 hours and implantation occur around the 5th day after ovulation.
14. What kind of examination is usually done for an IUI cycle?
Ultrasound monitoring (transvaginal probe) is usually done in IUI cycles.
15. How long prior to an IUI should the couple abstain from intercourse?
An abstinence period of 2-3 days is advisable before IUI to get the best sperm sample from a partner.
16. What is 'washed' sperm?
'Washed sperm' is actually the processed semen prepared in the laboratory using various media. By this process, toxins and dead sperms are removed from semen so that it can be put directly in the uterine cavity.
17. What is donor IUI?
When husband semen has no sperms (azoospermia) then, sperms can be taken from sperm banks and IUI can be done, this is called a donor IUI.
18. After an IUI, how soon can I have intercourse?
After the IUI, there is no restriction to have intercourse.
19. Can IUI be used for gender selection?
NO, IUI cannot be used for gender selection.
20. Is the process painful?
NO, IUI process is not at all painful. It is equivalent to a gynecological examination.