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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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The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 250,00 to 500,000 eggs at puberty and ends up with 1000 eggs at menopause.
Low reserves are caused by
- Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
- Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:
- Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
- Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
- Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
- Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
- Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 29 year old female. Two weeks back I undergone with IUI. While she is doing IUI she told like my cervix is closed due to some infection. Is there any chance of getting pregnant this month.
Hello Dr. sir my wife is 31 weeks pregnet having b negative blood and my is A postive .is any complections in my wife pregency she is ist tym pregnant having b negative blood and my is A postive .is any complections in my wife pregency she is ist tym pregnet. thanks complications positive .is any complections in my wife pregnancy she is ist tym pregnet. Thnks.
I haave 4 dominant follicles (2 on right, 2 on left) All more than 20 mm. Had HCG Shot yesterday and had IUI today after one follicle ruptured on the right. 3 follicles are yet to rupture (due anytime today). Will one IUI be enough for fertilization?
Meri beti 10 sal ki he but uske period start ho chuke Abi se but uski height 5 ft be nahi hui to kya Ab height nahi badegi ya koi medicine he jise badh sake.
The nine days of Navaratri comprises of nine days of explicit celebration be it regarding meeting friends, hanging out with family, eating food, or going for pandal hopping. During these nine days, the enjoyment quotient is at its peak, so a lot of dietary imbalances are seen as an individual is either fasting or groping on high-calorie food or going on whole night trips. Overall, it is a total phase of biological discrepancy that is pretty welcoming as everybody loves going beyond time conventions once in a while.
The importance of following a diet post celebrations-
Our body does take a toll in these nine days. Moreover, after the 9-Days fasting in the Navratri and after all the pomp and show has ended, a person feels a lack of energy. So, after these nine days, one should follow an energy boosting diet that will replenish the tired soul and body. Non-vegetarians may become protein-deficit during these fasting days, hence during the post-Navaratri diet, one should also back up his or her non-vegetarian protein content as majority follow fast rituals or prefer eating vegetarian foods during these days.
- Food with soy content: Soya beans contain phosphorus, vitamin B, and copper - all three are beneficial for boosting energy. Phosphorus and copper convert food to energy and vitamin B breaks down carbohydrates for energy. Soya curries can be accommodated in meals.
- Eggs: Having eggs for few days is important. The yolk of the egg is a high source of vitamin D and B and is rich in protein as well. Vitamin B fragments down food to promote energy and vitamin D makes bones stronger.
- Lean meat: Meat eaters will love this one. Whether you love chicken, pork, beef or turkey, you're assured of sustained energy. It also contains norepinephrine and dopamine that apart from boosting energy uplifts mood as well.
- Beetroot juice: Drinking a glass of beetroot juice before a workout will make your body work for long hours without making you fatigued. Beetroot is abundant in vitamin A and C both of which helps in reducing fatigue and building stamina which is needed in these phase as all the holidays are over.
- Have some chocolates: Yes, you read it right. Have some chocolates without any guilt. The entire fasting period and the celebrations getting over apart from taking a toll on the health issues also do affect our mood. Chocolate act as a great mood elevator apart from rendering us with the boost of energy.
- Water: A diet can never be complete without a proper amount of water intake. During Navaratri people neglect on their daily 7 to 8 glasses of water so during these days it is important to fill it up.
Stuff yourself with these goodies and gear up to face the post-festive work days. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.
Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-
Smaller incision compared to traditional surgical procedures, where only the injured area is accessed
The surrounding tissues are untouched, unless they are injured and require repair
Lesser bleeding compared to earlier techniques
Lesser painful procedure
Reduced hospitalization period
Quicker recovery and return to normal activities
The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.
Presence of symptoms relating to nerve compression, including pain from the spine down the leg.
Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.
People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.
Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.
Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.
Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever. In case you have a concern or query you can always consult an expert & get answers to your questions!