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Ayush Clinic And Homeo Care

Homeopath Clinic

#1, Sankalp Residency, Varachha Road, Landmark: Behind Shyamdham Temple, Surat Surat
1 Doctor · ₹40
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Ayush Clinic And Homeo Care Homeopath Clinic #1, Sankalp Residency, Varachha Road, Landmark: Behind Shyamdham Temple, Surat Surat
1 Doctor · ₹40
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Ayush Clinic And Homeo Care
Ayush Clinic And Homeo Care is known for housing experienced Homeopaths. Dr. Hitesh Dodiya, a well-reputed Homeopath, practices in Surat. Visit this medical health centre for Homeopaths recommended by 91 patients.

Timings

MON-SAT
09:00 AM - 01:00 PM

Location

#1, Sankalp Residency, Varachha Road, Landmark: Behind Shyamdham Temple, Surat
Varachha Surat, Gujarat
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6 Years experience
40 at clinic
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Joint Pain - Know Ayurvedic Remedies For It!

BAMS, MD - Ayurveda
Ayurveda, Hyderabad
Joint Pain - Know Ayurvedic Remedies For It!

In Ayurveda, joint pain is known as 'Sandhigata Vata'. Arthritis and Joint pain are among the most prevalent problems faced by adults, mostly old people. As per ayurveda, 'vata Dosha' Is responsible for joint pains and other discomforts associated with it. Natural remedies and proper lifestyle techniques can be utilized to balance the 'vata' to lessen the occurrence and severity of joint pain. Factors including,old age, obesity, injury and strenuous physical activities (that require a lot of joint movements) are responsible for disturbing the balance of your 'vata'.

The following are some ayurvedic home remedies that can be utilized to treat joint pain:

1. Massage therapy - Warm coconut, castor, mustard, olive or garlic oil can be utilized to massage the affected areas to lessen the intensity of pain. If you massage the affected joints with natural oils, it improves blood circulation and relaxes the swelling and stiffness in the region.

2. Hot And Cold Compress - Cold and hot compresses can be utilized to ease your joint pain effectively. Heat compression decreases the pain, increases the blood circulation and relaxes the swollen joints and muscles. On the other hand, cold therapy lessens the inflammation of the affected joint. Place hot and cold towel alternatively on the affected area to achieve immediate relief from persistent pain.

3. Fenugreek - Ingest a teaspoon of ground fenugreek seeds and drink a glass of lukewarm water. Fenugreek has anti inflammatory and antioxidant properties that make it effective for joint pains.Follow this remedy every morning on a regular basis to achieve optimal results.

4. Turmeric - Add a pinch of turmeric and a teaspoon of honey in a glass of lukewarm water and drink this solution on a regular basis for a week. Turmeric contains anti-inflammatory and antioxidant properties, which makes it an excellent remedy for treating joint pains.
5. Apple cider vinegar - Add 2 teaspoons of apple cider vinegar and a little honey to a cup of lukewarm water. Drink this solution twice daily, before your meals. Apple cider vinegar has alkalizing effect, which makes it an effective remedy to remove the toxins that are responsible for causing joint pain.

6. Healthy diet - A balanced diet that comprises a lot of green leafy vegetables and fresh seasonal fruits is good for your joints. The uncontrolled intake of fatty food, dairy products, and high sodium diet must be avoided in order to avoid arthritis and joint pain.

Dislocated Kneecap - Knowing The Symptoms & Treatment Of It!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Dislocated Kneecap - Knowing The Symptoms & Treatment Of It!

Whether you are an athlete or a ballet dancer, you will appreciate the importance of having a stable kneecap. Medically known as the patella, the kneecap is a triangular bone that connects the upper thigh to the lower half of the leg. It sits in a groove in the bottom of the femur (thigh bone). When the leg is bent, it stays within the groove. When the leg is extended, it provides support to the quadriceps muscles.

That being the case, a dislocation of the kneecap is a very common injury. Subluxation is a state where there is partial movement of the kneecap out of its position, thereby making the patient’s kneecap unstable. When it completely moves out of its place, it is known as dislocation. Whether you fall on your knees during a sport or have a fall from a bike or get injured during dance or aerobics, it is common to have a dislocated kneecap. Some people are prone to repeated dislocations.

Symptoms:

The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:

  1. Buckling of the knee, where your legs cannot support your body weight

  2. Sliding of the kneecap to a side

  3. Catching of the knee in the groove when trying to move it

  4. Pain in the front of the kneecap with any activity

  5. Painful while sitting

  6. Swelling and/or stiffness of the knee joint

  7. Crackling/creaking sound when trying to move the knee joint

  8. Inability to straighten the leg

Treatment:

Though these sound scary, the good news is that in 90% of the cases, the knee returns to its position spontaneously. However, putting it back into its place is a simple and safe procedure and can be done by almost any seasoned medical practitioner. The first step is to confirm that the kneecap is indeed dislocated. This can be done by a combination of physical exercise and x-ray. If required, MRI can be used, but it is not required in most cases. Initial treatment would include the following steps in sequence:

  1. Immobilizing the knee with splint by keeping the leg in a straightened position.

  2. Calling for medical assistance immediately. They can replace the knee back in its position carefully (reduction). An injured kneecap can cause what is known as foot drop by putting pressure on the peroneal nerve. The toes drag on the ground, making it difficult for you to walk.

  3. Use ice in the affected area for 15 to 20 minutes, and repeat after three to four hours throughout the day to reduce pain and swelling.

  4. Surgical correction may not be required, if there is a damage to the ligament.

  5. Flat femur and/or tissue laxity can cause repeated dislocations, where physiotherapy and strengthening exercises are useful.

Effective Cosmetic Procedures For Hair Loss

MBBS, PGDCC - Post Graduate Diploma in Clinical Cosmetology, Fellow Hair Transplant Surgery
Trichologist, Pune
Effective Cosmetic Procedures For Hair Loss

Loss of hair can have adverse effects on your physical as well as mental health. Not only does hair loss affect your self-esteem or appeal, it also hints at an underlying health problem. There could be many reasons for the loss of hair. ‘Alopecia areata’ is a condition wherein sudden loss of hair begins with one or more circular bald patches that might or might not overlap.

Some of the common cosmetic treatments for hair loss include:

  1. Hair Grafting or Transplant: Hair transplant or grafting is a procedure that uses surgery to move hair follicles from one spot in the body to another and is mainly used to treat male pattern baldness. The transplantations are carried out in outpatient form, with local anesthesia and mild sedation. Harvesting of hair follicles is done using various methods, each with its own advantages and disadvantages. Some of the common harvesting techniques are:
  2. Strip Harvesting: A strip of skin from the scalp or from any other spot where there is good growth of hair is harvested by the surgeon.
  3. Follicular Unit Extraction (FUE): Follicular Unit Extraction is a procedure which involves the singular extraction of each hair follicle without any removal of strip of tissue.
  4. Follicular Unit Transplant (FUT): Follicular Unit Transplant involves the removal of a small strip of tissue from the rear part of the head. The donor hair follicles would be extracted from this strip.
  5. Robotic Hair Restoration: The devices associated with Robotic Hair Restoration utilize robotic arms and cameras to provide assistance to the surgeon during the FUE procedure.
  6. Scalp Reduction: This cosmetic procedure involves removal of skin (non-hair-bearing) from the scalp, which ensures that the remaining skin (hair-bearing) can be extended to the area that it is capable of covering the bald spots on the head. This procedure is effective in covering bald areas on the back as well as top of the head. However, it is not favourable for the hairline in the frontal areas of the head.

Know About Complications During Laparoscopic Surgery!

M B B S, MS - General Surgery, Fellowship of National Board(Minimal Access Surgery)
General Surgeon, Pune
Know About Complications During Laparoscopic Surgery!

Laparoscopic surgery is also called minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby the lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.
However, as with any surgery, complications may occur during the course of laparoscopic surgery.
1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
4. Anesthesia-related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
5. Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract: Proper protocol must be followed by the doctor to avoid such complications as much as possible.

What To Do When You Get A Fever?

MBBS, DNB - Medicine, Fellowship In Infectious Disease, FNB - Infectious Diseases
General Physician, Surat
What To Do When You Get A Fever?

The fever itself isn’t a disease but a symptom of a disease. It is generally caused when the immune system heats itself to fight the infections that enter our body. One of the most common reasons a person catches a fever is due to Influenza or the common cold.

Though fever is a common symptom, it can aggravate very quickly if not taken care of properly. This article will educate patients how to take care of themselves if they have a fever. The first and foremost step of taking care is to go to a doctor and get a proper diagnosis.

Upon a proper diagnosis, one can determine the kind of fever they are having. If someone has a fever due to diseases like Malaria then the course of action will be quite different. However, following are the common steps for most of the fevers:

Do’s: While Having a Fever

● The first step is to keep a proper check of the temperature every 2 hours. For that, it is advisable to keep a thermometer handy. For better accuracy, it is better to carry a digital one.
● The next step is to keep the patient hydrated as fever usually leads to loss of appetite. This can cause dehydration and loss of nutrients.
● Drinking water isn’t enough to battle dehydration, which is why the patient will need to take the ORS solution every 15 minutes.
● If the temperature rises, one should soak a cloth in cool water and put it on the forehead for a few minutes.
● If the temperature keeps rising, the patient should take Paracetamol only.
● Get a blood check by calling a local pathology technician and subsequently send the report to the doctor to get a proper diagnosis.

Don'ts: While Having a Fever

● Don’t take an Antibiotic unless the doctor prescribes it.
● The fever may cause temporary body pain and stiffness; don’t take Ibuprofen and other painkillers to get rid of it.
● Don’t take any kind of NSAIDS without doctor’s supervision.
● Don’t take any kind of dairy products or junk food.
● Don’t starve because of the loss of appetite.
● Don’t agitate by doing any kind of household work or exercise.
● Don’t sleep with the air conditioning on.
● Avoid drinking and smoking while having a fever.
● If the doctor prescribed antibiotics, don’t quit halfway. It is important that one must complete the course of antibiotics.
● Don’t take a bath while having a fever; it is better to clean the body with a soaked cloth or sponge.

Conclusion:

Though fever is a fairly common disease, the treatment can go haywire if the usage of certain medicines isn’t done properly. Following the above instructions will help to take care of when someone has a fever and will help to get better. However, if the fever isn’t going down after 2-3 days, one should see a doctor immediately.

Myopia - Know Its Symptoms And How Can We Treat It?

DNB - Ophtalmology, Diploma In Ophthalmology, MBBS
Ophthalmologist, Bangalore
Myopia - Know Its Symptoms And How Can We Treat It?

Myopia is also known by the name of nearsightedness. It is one of the most common refractive disorders of the eye. Over the years, it has become more prevalent. According to a recent study conducted by the National Eye Institute (NEI), myopia has grown more prevalent from 25 percent in 1972 to around 40% percent in 2004 in United States.

The exact cause of the prevalence of this disorder in USA is not known. However, many doctors are of the opinion that eye fatigue due to overuse of computers can be the primary reason behind the spread of this disorder. It could also be affected by genetical links.

Myopia Symptoms And Signs:

It is time to take care of your eyes if you have difficulty in reading the sign boards on road or seeing objects from a distance. This could be a sign for myopia if you are able to see things clearly from a closer distance. There are several symptoms of myopia, including strain on eyes, headaches and squinting. If these signs don’t vanish after wearing lenses or spectacles, you must visit your ophthalmologist.

What are the factors that cause Myopia or Nearsightedness?

It occurs at a time when the eyeball of the patient is too long. The lens of the patient will be too long as compared to the focusing power of the cornea or the eye lens. This condition leads to the focusing of light rays at a point in front of the retina. The rays don’t focus directly on the retina’s surface. Myopia can also be caused if the lens of the eye is too curved. Myopia can also be caused due to a combination of factors. The problem may start from childhood. You are also at the risk of developing the problem if your parents have had the problem.

Myopia Treatment:

Myopia is not a rare disorder of the eye. People living with myopia have several options of its treatment. It can be rectified or corrected with the help of spectacles and contact lenses. It can also be corrected by refractive surgery. The kind of treatment to be chosen depends upon the degree of your myopia. You will be asked to wear lenses or spectacles for a prescribed amount of time, depending upon the degree of your disorder.

In myopia there are Retinal changes like Retinal weakness (lattice degeneration) Retinal hole and break, which need laser treatment to prevent retinal detachment. It needs surgical correction. So, myopia patients need to undergo dilated pupil retinal examination yearly, as early changes mentioned above are asymptomatic.

If you are suffering from myopia, the doctor will prescribe you to wear spectacles or lenses of a certain power that will be preceded by a minus (-) sign.

Did You Know Ear Problems Can Cause Dizziness Too?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Delhi
Did You Know Ear Problems Can Cause Dizziness Too?

The ear is typically associated with hearing. However, it plays a much larger role in our daily functioning. The ear also helps us maintain our balance. In fact, one of the most common causes of loss of balance or dizziness is a blocked ear canal.

Dizziness can range from a brief moment of imbalance and light-headedness to a severe spinning sensation. In severe cases, it can also result in a black-out. To maintain one’s balance, the input is needed from the eyes, inner ear and joints of the feet and legs. These impulses are processed by the brain which sends out signals to other limbs and organs on what needs to be done to maintain balance. A disturbance in any one of the three inputs can cause dizziness or a loss of balance.

Which part of the ear is responsible for dizziness?
The structure of the ear can be categorized into an external part and an internal part. The external part of the ear is responsible for receiving sounds, amplifying them and forwarding them to the inner ear. The inner ear is shaped like a snail. It has two interconnected parts. One part helps convert sounds into electrical signals that can be transported to the brain while the other helps maintain balance. This consists of three balance canals.

These canals move in a different direction depending on the movement of the head. This part of the inner ear also contains 2 small components with sensory cells covered in small calcium crystals. These compartments help sense linear movements such as rocking, bouncing or swaying movements. If the crystals covering these compartments are dislodged, the person may lose his or her balance. A tumour in the inner ear can also lead to a loss of balance.

Meniere’s syndrome
Meniere’s syndrome is a disorder related to the inner ear. This is a common cause of dizziness and vertigo. Meniere’s syndrome usually affects only one ear. This is marked by an abnormal collection of fluid in the inner ear. Blockages in the ear canal, an allergy, stress, fatigue or a trauma are some of the common reasons why this fluid may accumulate in the ear. Dizziness caused by this disease is usually noticed in the first and second stage of this condition. In such cases, dizziness may be accompanied by a loss of hearing, ringing sensation in the ears and pressure in the affected ear.

What Are The Common Symptoms Of A Brain Stroke?

DM - Neurology, MBBS, MD - Medicine
Neurologist, Bhubaneswar
What Are The Common Symptoms Of A Brain Stroke?

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.  Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below). 

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

  1. Treatment depends on the type of stroke.
  2. Ischemic strokes can be treated with 'clot-busting' drugs.
  3. Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  4. The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

  1. Remember Every second Loss means brain cells die.
  2. Rush to the nearest Stroke Centre whenever you experience such symptoms.
  3. U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 

Endovascular procedures 
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which  trained doctors try  removing a large blood clot by  sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including 

  1. High blood pressure,
  2. Cigarette smoking,
  3. Diabetes
  4. Atrial fibrillation and
  5. Physical inactivity.
  6. More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.

Deal Acne With Alternative Medicine!

MBBS, DA - Anaesthesiology
Sexologist, Delhi
Deal Acne With Alternative Medicine!

aAcne could be a real headache for normal skin. It not only ruins your face, but is also tough to get rid of. The condition is characterized usually by red pimples or blackheads and occurs due to infected or inflamed sebaceous glands. If you are skeptical about using chemical products, here is list of acne related treatments with alternative medicines:

  1. Apple cider vinegar: Apple Cider Vinegar has multiple qualities. It can dry up the excess oil present in the face thereby ensuring that the bacteria cannot feed upon it. Its alkaline property helps the skin's pH to come down to an accepted level. Last, but not the least, apple cider vinegar directly attacks the acne causing bacteria and eradicates them from within. This pack is easy to prepare and can be applied multiple times a day.
  2. Honey and cinnamon combo: Cinnamon possesses antimicrobial properties and attacks acne right from the word go. Honey, on the other hand, is a natural cleanser which helps to drive out the acne from your face. The pack is prepared by mixing 2 spoons of honey and 1 spoon of cinnamon. Before applying it on the face, it has to be ensured that the face is rinsed well with water. Owing to the pack's sticky nature, it should not be left on the face for more than 15 minutes.
  3. Milk and honey paste: There is a wide misconception about milk causing acne. Unless injected inside the skin, milk actually improves the skin tone and limits acne outbreak. It also helps in reducing skin irritation and redness. Honey has antibacterial properties and fights acne. The pack is prepared by adding 1 spoon of honey and 1 spoon of milk and applied on the face for no more than 10 - 15 minutes. The mask can be washed off with warm water and by lightly rubbing the skin in circular motion.
  4. White portion of the egg: The white portion of the egg has unaccountable benefits. Being rich in protein, it helps to fight acne and reduces blemishes of the skin. The vitamin present in the white portion combat acne and soak up excess oil present in the skin. This pack should be applied for 15 minutes followed by a thorough face wash with lukewarm water.
  5. Mashed papaya: Papaya ingredients are found in almost all beauty products these days. Raw papaya is a great remedy for acne problems though. Papaya also helps to remove excess fat from the skin and eradicates dead skin. It contains an enzyme called Papain, which is known to have anti-inflammatory properties. It also restricts pus formation in the skin. Papaya can be mashed evenly and applied on the face for 15-20 minutes before washing it off with plain water. This pack can be tried three or four times a week to see visible changes in the face.

Low Ovarian Reserves - Knowing The IVF Protocol!

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Low Ovarian Reserves - Knowing The IVF Protocol!

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 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.

Causes:
Low reserves are caused by

  1. Production of eggs decreasesChromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
  2. 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.

IVF Protocols:
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:

  1. 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.
  2. 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.
  3. 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).
  4. Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
  5. Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results.
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