Thursday 19 May 2016
Saturday 23 April 2016
Interview done by Kalaignar TV with FRCIVF Doctor Mrs. Geetha Haripriya MD. DGO.,FRCOG
Interview done by Kalaignar TV with Prashanth Fertility Research Centre's Doctor Mrs. Geetha Haripriya MD. DGO.,FRCOG(Lon) about causes & solution for infertility, necessary treatments to be taken for infertility also given some tips for the woman to follow to take care of their reproductive system.For more details log onto : http://www.pfrcivf.com/
Thursday 3 March 2016
INCREASED Number of POLYCYSTIC OVARY CASES
Polycystic ovaries are a condition where
ovaries contain excess primordial follicles. Despite the name Polycystic it
does not contain any cyst and contains only follicles. The follicles are
naturally present in the ovaries and they are small fluid filled sacs
containing ovum or eggs. Normally during reproductive years each ovary contain
5-12 follicles but when there are 12-15 follicles in an ovary the ovary is
called Polycystic.
When the presence of follicles is severe
say more than 50 follicles then the condition is called as Polycystic Ovarian
Syndrome (PCOS) which is different from Polycystic Ovaries and causes
infertility, increased facial hair and disturbed hormonal balance.
Read More : Just Click
Best IVF Center in Chennai
Monday 8 February 2016
Monday 1 February 2016
Intrauterine Insemination vs. In Vitro Fertilization
Couples are
always confused about choosing between IUI and IVF. The success of either
procedure depends on a lot of factors and there is a marked price difference
between the two procedures. It is advisable to take your doctors opinion based on the diagnosis of
your fertility problem to choose the right procedure.
Even though
there are lots of factors that can affect the success rate, age is an important
aspect that can have a significant impact on the result.
The IUI Advantage
Intra Uterine
Insemination ( IUI )is a helpful procedure that will enable a couple to
conceive. Usually the sperm has to travel a long distance to reach an egg and
fertilize it. With IUI, the sperm from
the male partner is collected, washed and then the good motile sperms are carefully injected directly via a catheter
into the uterus. This means the sperm has to travel a lesser distance, thus
increasing the chances of conception.
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Wednesday 27 January 2016
ENDOMETRIOSIS
Endometriosis is a condition when a tissue which usually grows
inside the uterus, is found growing outside the uterus in abnormal places. for
eg., ovaries etc.
Whenever the patient has menstrual cycles,
this tissue also bleeds. This bleeding heals but form adhesions. So finally
endometriosis results in restricted mobility of both sides of the fallopiantubes
and there may be severe adhesions between ovaries, tubes, uterus and even intestines.
How can it present clinically?
During menstrual cycles, patients suffering
from endometriosis may have severe pain. They may have pain during intercourse and may also present with
infertility (or) chronic lower abdominal pain.
How to manage an unmarried girl with endometriosis?
As said earlier, whenever the girl menstruates,
she bleeds in ectopic endometrial tissues.
So our medical management aims
at reducing the number of cycles and to control the progress of the disease
till she gets marrie.
Can all endometriosis be diagnosed using ultrasound?
No all endometriosis patients cannot be diagnosed
by ultrasound unless it is an ovarian endometriosis .Many a time; we diagnose
endometriosis intra operatively, when a patient undergoes laparoscopy for
treatment of infertility.
What is the advice given to previously diagnosed endometriosis patients who got newly married?
We advice them to plan for family early and
not to postpone conception as the disease progresses during every cycle.
What are the modalities of treatment available for management of endometriosis?
Both surgical and medical management.
Regarding medical management, we have GnRH
analogue injections which we can use limitedly and tablets to be taken for a
few months.
A female who has completed her family and having endometriosis, needs to be treated (or) not?
Even though the female has completed her
family she needs to be treated if symptomatic like pain (or) any other symptoms
due to adhesions.
What are the modalities of treatment for a female who has finished family and is having endometriosis?
Surgical---3D
Laparoscopy-Removal of cyst alone
Removal of uterus and ovaries if both are
damaged
Medical – oral
contraceptive pills
Intra uterine devices like mirena
Projesterona
Dinogest tablets
KEY POINTS
Contact your gynaecologist for
- Painful periods
- Painful inter course
- Heavy prolonged periods
- Inability to conceive
- Pain abdomen
- Back pain.
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Wednesday 20 January 2016
POLYCYSTIC OVARIAN DISEASE
Polycystic Ovarian Syndrome is the most
common cause of irregular menstrual cycles due to hormonal abnormalities. It is
characterized by menstrual irregularity, increased androgen levels, obesity and
Ultrasound Scan showing multiple small follicles in the ovary i.e. Polycystic
Ovaries.
FEATURES
OF PCOS;
·
Irregular menstrual Cycle i.e.; scanty menstrual bleeding
·
Delayed menses
·
Obesity
·
Acne
·
Excessive facial hair
·
Infertility
·
Blackish discoloration of skin
at the nape of neck
HORMONAL
ABNORMALITIES
·
Obesity – androgen from the
ovaries
·
LH : FSH ratio altered
·
Increased insulin levels
·
Increased cholesterol Levels
Consequences
of PCOS
·
Infertility due to anovulation i.e. failure to produce
ovum/egg
·
Diabetes mellitus
·
Increased cholesterol levels
·
Endometrial cancer after some
years due to hormonal abnormalities
Treatment
·
Lifestyle modification i.e.
a. Healthy diet
b. Exercise for weight reduction
·
Regularization of menstrual cycle
with continued oral contraceptive pills
When
to contact your Gynecologist?
·
Increased weight
·
Irregular delayed periods
·
Prolonged period
·
Increased facial hair growth
Treat
the problem early, avoid complications later.
Monday 11 January 2016
3 FACTORS AFFECTING FERTILITY
3 FACTORS AFFECTING
FERTILITY: WEIGHT, AGE & EXERCISE
In the
generations gone by no one might have ever thought of investigating the factors
that influence fertility, this may be because their lifestyle hardly made it an
issue. A sedentary lifestyle, unhealthy food habits and late marriages have
made Weight, Age and Exercise an integral part of fertility issues.
The
adverse effects of weight, age and lack of exercise are all reversible. It is up
to women who are to understand the effects and take appropriate action.
Here are a
few pointers that can set you on the right track to fertility and good health.
Control Your Weight
Any woman
planning to have a baby should be conscious of her weight and have a tight rein
on it. This can be easily done by controlling the food you eat. Highly
nutritious food that has less of fat and carbohydrates can work wonderfully for
you. Overweight not only interferes with fertility it also brings complications
in pregnancy. If you are overweight then it is best to reduce body weight
before you conceive.
Similarly,
underweight also influences fertility. Women suffering from anorexia tend to
have their menstrual cycle disrupted which reduces the chances of becoming pregnant.
The ideal
BMI for conception is between 20 – 25.
Consider Your Age
In women
the peak fertility age is early 20’s and as they age and become 35 – 40 years
their chances of getting pregnant reduces drastically. The same applies to men
also, where their testosterone levels drop as they age and the volume and count
of their sperms also drop. If the couple are in their early 20s chances of
getting pregnant is high.
Effects of Exercise
It is now
a well-known fact that exercise makes human life much more fruitful. The same
is true of fertility. For those men and women who want to conceive it is
advisable to exercise regularly. Care should be taken not to indulge in
strenuous exercise especially by women because strenuous exercise affects
ovulation cycles and thus the chance of getting pregnant decreases.
Normal exercise
has not been observed to disrupt pregnancy, but exercise that strain you like
high impact sports or scuba diving should be avoided especially during
pregnancy. In men very strenuous exercise will definitely affect the sperm
count.
Infertility Specialists Chennai |
Wednesday 6 January 2016
ARE YOU SUITABLE FOR IUI?
ARE YOU SUITABLE FOR IUI?
The bane of infertility is being fast replaced with hundreds of options for fertility and childbirth. Infact Chennai is now recognized as a safe centre for laser assisted hatching, In-vitro Fertilization (IVF) and Intracytoplasmic sperm injection (ICSI) and Intrauterine Insemination (IUI). Among these ICSI is a direct procedure where the sperm is injected into the oocyte and IUI is where sperm is injected into the uterine cavity and allowed to swim towards and penetrate the oocyte. The IUI procedure is more popular since it is akin to natural insemination and the costs are much less.Is IUI for you?
If you have chosen to perform IUI you should consult your doctor to know whether you are the right candidate for the procedure. First your doctor needs to confirm whether your fallopian tubules are open and not blocked in any way. This is mandatory for the IUI procedure to be successful.Next your doctor will have to determine if you have enough quality eggs in your ovaries and then check for your hormone levels to know whether they are within minimum healthy levels.
If there is a problem of cervical mucus then the doctor may advise you to try IUI because the injected sperm can bypass the low quality cervical mucus and enter the uterus straightaway. If the male partner has a low sperm count or poor sperm movement then the sperm washing process is recommended to help get pregnant.
Finally allow a fertility specialist to give you a thorough examination and determine the best process for you only then they can determine whether you are the right candidate for an IUI procedure.
Other fertility options
The IUI may not be possible in all women and there are certain groups of women who cannot perform IUI like those suffering from endometriosis. The doctor conducts many tests including a HSG which is an X-ray for analyzing the health and structure of the fallopian tubes and to see whether they are blocked. If you are over 40 years or you have low ovarian reserve the doctor will recommend other fertility treatments like ICSI and IVF.ICSI is the procedure of directly injecting the sperm into the oocyte; this treatment is also recommended if the male partner has low sperm count. The IVF is a procedure where a woman’s oocytes and a man’s sperms are harvested. The oocyte is then kept with the sperms and allowed to develop before implanting in the mother’s womb.
It is now known that for procedures like IVF, ICSI and IUI, Chennai has become a popular destination and there are several fertility centers that can handle these procedures with high success. For best pregnancy rate choose the best center with state of the art facilities and best pregnancy rates.
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