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Good day bloggers. The month of May is celebrated as women’s health awareness month. Good health is not an absence of disease. There are many such incidences in life which put health at risk. One such concern is the reproductive health of couples. Often, less-discussed and has a lot of social stigma. Infertility is the struggle of exploring the path to parenthood. When the couple is invited to the journey of IVF, the concern is about the success of IVF or carrying a healthy Baby Home.

Infertility is a common problem that affects many couples globally. Seeking the right medical professional to help diagnose and treat infertility is a crucial step in the journey towards conception. We are thankful to Dr Google who has all the answers, but the real solution lies with infertility experts. In this blog, we will discuss how to select the best doctor for infertility.

What and how to read the qualification or what to Look for in a specialist?

Infertility is a complex issue that requires a specialist in reproductive medicine. Look for a doctor who has extensive training and experience in the field of infertility. It is important to find a doctor who is experienced, compassionate, and dedicated to achieving your goal of starting or growing your family. Experienced doctors can definitely foresee the IVF journey, probable obstacles and ways to conquer them well in advance.

The real concern is how to find them. You can find a specialist by asking for referrals from your family doctor, close friends, or family members. Search on the internet, talk to these infertility advisers, post a query on their website and always plan a visit to the clinic before taking any decision. You are right and it is quite natural to get carried away with price, discounts or tall claims of success rates. Please do remember, IVF (In Vitro Fertilization) is one of the solutions for parenthood and you will probably need more than 1 or 2 cycles of IVF treatment. IVF cycles definitely come with a price. The best medicine and expertise come with a high-value initial cycle, which will ensure early success.

Check for the credentials of the doctor.

The real catch lies here. Kindly know the entire team of the doctor as it is a multiplicity process. Know about the Main doctor. The name of the doctor who will be a part and parcel of your IVF journey is more important. Once you have identified a specialist, check for their credentials. This certification indicates that the doctor has completed a rigorous training program and passed a comprehensive examination in this field. What probably is not seen in the visiting card of the doctor, is the compassionate and caring attitude of the doctor. To experience the same, it is advisable to schedule a visit with your concerns listed on a piece of paper.

The experience and expertise of the treating doctor are more valuable

Experience is an essential factor to consider when selecting an infertility doctor. Expertise can make treating infertility specialists more competent. Experience is the real game changer. The experience can be seen as the number of years in service or varieties of cases handled, and the number of challenging cases. Learning from such cases can form the foundation of the treatment.

We are very happy to announce at Yash IVF, we have most of the cases of IVF enrolled through references of patients and doctors. We are thankful to our team who could handle cases, given up by other centres. We have treated many couples with infertility who walked for us miles away. The main vision and mission statement, we abide by is, exploring the possibilities for happy parenthood.

Our experience portfolio reads as follows.

Under the able guidance of Dr Chaitanya Ganapule, M.D (OBGYN) who has, a Certificate in Infertility & IVF (UK), Dip. In Gynec Endoscopy (France), Dip. In Gynec Endoscopy (Germany). Specialist endocrinology & Infertility. With 15+ years of experience, Handled and delivered parenthood to 5000+ couples. Laparoscopic surgery is his excellence and endometriosis treatments are his forte. All the pickups and transfers to date are done by the doctor himself.

He speaks well English, Hindi, and Marathi and understands silence.

Other segments, he handles are, Assisted Reproductive Techniques and Treatments,

Male & Female infertility, Recurrent miscarriages, Recurrent implantation failure, Hormonal Treatments, Endometriosis, PCOS/Uterine fibroids, Natural birthing.

Desire to excel in the field of endometriosis has seen him, opting for specialized training from France for advanced Laparoscopic surgery in severe cases of Endometriosis. Special infrastructure is required to perform the advanced Laparoscopic excision and that is why, Yash IVF is the center of excellence for IVF and endometriosis.

Your desire to look for a doctor who has a significant amount of experience in diagnosing and treating infertility ends at Yash IVF. Ask about the doctor’s success rates and their experience in treating patients with similar conditions to yours.

Always choose an infertility specialist with good communication skills

Good communication is vital in any medical relationship. Fertility concern is deep and involves emotional involvement, unseen fears and financial planning. You want a doctor who will listen to your concerns, answer your questions, and explain the diagnosis and treatment options in a way that you can understand. The infertility specialist is your constant companion. Look for a doctor who is empathetic, patient, and willing to take the time to address your concerns.

Assess the clinic’s facilities for handling IVF excellence.

When selecting a doctor, it is important to consider the facilities where they practice. Look for a clinic that is equipped with empathetic staff, responsible attendants, and capable and confident infertility specialists with the latest technologies in a comfortable and welcoming environment. The Yash IVF, clinic has a well-trained and experienced staff that can provide you with the support and care you need during and after IVF.

In conclusion, selecting the best doctor for infertility calls for a specialist with the right credentials, experience, and communication skills. Evaluate the clinic’s facilities and assess the costs involved. Visiting the clinic and scheduling an appointment with the treating doctor. We are sure, you can find a doctor who can provide you with the best possible care and help you achieve your dream of starting a family always.

To know, more about Yash IVF, do visit us in person.

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Good day bloggers. The month of May has arrived with a bang. May is celebrated as Women’s health month. So we, at Pearl Women’s Hospital are presenting the focus towards the routine concerns. A happy and healthy woman is an asset to the family and society. When the topic of irregular periods creeps in, concerns and mental agony are evident.

Carrying the pads to using dark-coloured clothes along with layers to cover up the body are not only traumatic events but also inconvenient. Irregular periods or missing periods are the basic factors that contribute to infertility. Such concern accounts for 30-40% of all female infertility cases to date.

A woman’s body is designed for pregnancy. The unique hormone-driven cycle starts with the thickening of uterine walls, followed by the growth of an egg. Once these follicles mature, the egg is released from the ovary into the Fallopian tubes. This is a process called ovulation, and the body awaits fertilization. After the arrival of sperm in the Fallopian tube, fertilization takes place and the formed embryo implants itself in the uterine walls causing a positive pregnancy.

In case, when fertilization does not happen, the uterine lining, known as the endometrium sheds itself, and the menstruation begins. This is a simple process of fertilization as well as menstruation. Irregular periods definitely cause problems in pregnancy.

What is menstrual cycle irregularity?

Menstrual cycle irregularity is defined as more than 7 days deviation between self-reported and ultrasound examination-based gestational age. On average, most of the women have a 28-day menstrual cycle, which can range from 24-35 days. Irregular periods are the ones that are either shorter or longer than the 24-35 day range. An irregular period is an indication of irregular or no ovulation, which leads to pregnancy problems.

Women have 11 to 13 Menstrual cycles per year that lasts around 2-7 days. However, the period timing and the amount of blood flow vary considerably. The amount of flow depends on how rapidly the endometrium sheds. Incomplete shedding often causes heavy flow and may cause anaemia.

What is a normal menstrual cycle look like?

Menstruation happens throughout the woman’s reproductive life in the absence of pregnancy. The average duration from 28-35 days with blood loss per cycle is an average of 30ml (normal range 13-80 ml).

Can you get Pregnant with Irregular Periods?

The key factor that matters the most in case of irregular periods is regular ovulation. The best way is to find out the reasons behind the irregular menses.

Few important ways to conceive with irregular periods are:

Correction or controlling the underlying health problems: Women affected with an underactive or overactive thyroid, obesity, etc., are commonly found to have irregular periods. In such cases, your fertility specialist will prescribe few medications or may suggest lifestyle modifications to manage such issues, which normalizes ovulation. This might improve the chances of conception.

Excessive Prolactin hormone: Excessive prolactin hormone is secreted by the pituitary gland, affecting the menstrual cycle. In such cases, medications can help women ovulate and conceive a pregnancy.

Unknown or undetected cause of irregular menstruation:

When the cause of irregular menstruation is unknown, fertility medications can be used to help women ovulate and conceive. Fertility medications are Oral and Injectable. Oral medications are given to women to regularize menses. These are inexpensive processes of normalizing ovulation. Injectable Fertility Medications are superior in normalizing the menses and help with conception.

Some factors that trigger irregular periods are extreme or intense exercise or dieting, stress which impacts hormonal balance, birth control pills, Polycystic Ovary Syndrome, Uterine Polyps or fibroids, Pelvic Inflammatory diseases, Endometriosis etc. Most of these conditions are caused by or resulted in hormone imbalances.

Thyroid disorders may cause irregular periods. The thyroid gland is responsible for growth, metabolism and energy. A simple blood test can detect any abnormalities in the thyroid functioning and irregular menses can be corrected.

In women with an ovulatory factor, IUI (Intra-uterine Insemination) with controlled ovarian stimulation can also be of great help. Stimulation medications can develop follicles to mature and release eggs, which can help women ovulate. After which IUI is done, to enhance the woman’s conception chances. IUI is the process in which sperm is picked up with a micropipette and directly injected inside the uterus. This way the egg and sperm are fertilized and can implant on the uterine walls.

For women, who are unable to conceive even with fertility medications or IUI treatment, IVF is often recommended. In-Vitro Fertilization treatment is the process in which the stimulated, good-quality eggs are retrieved from the ovaries and fertilized with the best-quality sperm in an IVF lab. The embryo is transferred back to the uterus to implant. With the advancement of technology and the use of modern labs, IVF treatment has helped countless women to conceive.

What are the Signs of Pregnancy while having Irregular Periods?

Some of the signs of pregnancy are tender breasts, lower abdominal cramps, frequent urination, increased appetite, nausea, etc.

Do Irregular Periods Mean Infertility?

Irregular periods do not always mean Infertility. If a woman is ovulating irrespective of her irregular periods, she can conceive. Women with irregular periods are advised to consult a fertility specialist to diagnose the exact cause and to improve the chances of conception.

How to test for pregnancy while having irregular periods?

If your periods are irregular or you don’t get periods at all, a good rule of thumb is to wait until 3 weeks after you have had unprotected sex.

In a nutshell, irregular periods are the indicators of ovulation concerns. It is important to know, the stabilization of periods happens over time. Due to changing lifestyles and fast-paced routines, menstrual irregularities are often seen. This brings in a lot of stress and anxiety on the personal and social front. There is a lot of research linking infertility with irregular menstruation. Nevertheless, early diagnosis and control of irregular menstruation can reduce the burden of pregnancy.

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3. Talk to your partner: Discuss sexual history with your partner before engaging in sexual activity. This can help ensure that both partners are aware of any potential risks.

4. Avoid risky habits, such as sharing needles that can increase the risk of contracting an STD.

5. Maintain a healthy lifestyle: Eat a healthy diet, exercise regularly, and avoid smoking and excessive alcohol consumption. This will build immunity and helps in controlling infections.

6. Manage stress: Stress can interfere with fertility, so find ways to manage stress, such as through exercise or meditation.

7. Seek medical help: If you have been trying to conceive for a year without success, seek medical help to identify and address any underlying fertility issues.

In nutshell,

Several STDs can cause fertility problems in men and women. In certain cases, STDs can reduce fertility partially and are challenging. In other cases, STDs can damage the reproductive system and can cause permanent infertility.

If you’re sexually active, it’s wise to ask a gynaecologist if you would benefit from regular STD screenings. Some sexually transmitted infections are asymptomatic and can only be detected through a urine or blood test.

STDs can cause a wide range of health problems in men and women, including fertility. Chlamydia, gonorrhoea, HPV, and herpes are all linked to infertility. By practising safe sex and getting tested regularly, you can reduce the risk of contracting an STD and prevent fertility problems. If you are experiencing fertility problems, it is important to talk to your doctor about getting tested for STDs and exploring other possible causes of infertility.

We have successfully treated a couple’s infertility arising due to sexually transmitted diseases. Our pearl of wisdom is to seek treatment well in time. It requires a simple blood test and the best medicines are available to treat them. Eliminating any hurdle in advance can reduce the burden of infertility.

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Good day bloggers. Welcome to Pearl Women’s Hospital blog site. Being in practice at Deccan Pune, Pearl Women’s Hospital has gathered special attention for its unique approach. Natural birthing does not happen naturally in most cases. Antenatal care is the most important aspect. On behalf of safe motherhood day, which falls on 11^th April, we are offering the pearls of our wisdom gathered during our practice to build competent mothers and healthy children.

Motherhood is often seen as the rebirth of women as mothers. The 9 months and even before, the body has an intelligent way to create, develop and protect the fetus. Amazingly unique Placenta serves as a lifeline to nourish and communicate.

If birth is life, how can it be a reason for death? Let’s deal with the responsibility as it can be avoided and every life can be saved.

The factors that can cause problems in safe motherhood are Iron Deficiency Anemia, Gestational Diabetes, Depression and Anxiety, Fetal Problems, High Blood Pressure Related to Pregnancy, Infections, Nausea and vomiting, Miscarriage, Placental issues, Preeclampsia or preterm labour. The reproductive health of both partners needs to be at its best. Age remains the main factor which impacts motherhood to a great extent.

There are a good number of easy, effective treatments available for the above problems. Screening well in time for such concerns will save the baby as well as the mother of any ill effects. Basic understanding of normal and not-so-normal during pregnancy is necessary.

The real concern is, motherhood is not merely an affair of 9 months. Safe motherhood is the goal of national interest too. Motherhood is a cherished experience, and ensuring the safety and well-being of mothers during pregnancy, childbirth, and postpartum is paramount. In India, maternal health has been a significant concern, with high maternal mortality rates and inadequate access to quality healthcare for pregnant women. However, efforts are being made to improve safe motherhood practices in the country.

One crucial aspect of safe motherhood is antenatal care, which involves regular health check-ups during pregnancy. This allows healthcare providers to monitor the health of the mother and the growing fetus, identify any potential risks or complications, and provide appropriate interventions. It is important for pregnant women to seek antenatal care early in their pregnancy and follow the recommended schedule of visits for optimal outcomes.

Another essential component of safe motherhood is skilled birth attendance. Delivering in a healthcare facility with a skilled birth attendant, such as a doctor or a trained midwife, significantly reduces the risk of maternal and neonatal mortality. It ensures that any potential complications during childbirth can be promptly addressed, and the mother and baby receive appropriate care.

Postpartum care is equally important for safe motherhood. Mothers need adequate rest, nutrition, and emotional support during the postpartum period. It is crucial to seek postpartum care from healthcare professionals and follow their guidance on breastfeeding, contraception, and self-care to promote optimal recovery and well-being.

Access to quality healthcare services is a critical factor in ensuring safe motherhood. Pregnant women should have access to affordable and quality healthcare facilities, skilled healthcare providers, and essential medications. Promoting awareness about the availability and importance of maternal healthcare services among communities, especially in rural and underserved areas is important.

According to the world health organization, WHO, India has achieved groundbreaking success in reducing maternal mortality. We are marching towards, Zero Preventable Maternal and Newborn Deaths and high-quality of maternity care delivered with dignity and respect.

In nutshell, let us hit upon the important points to enjoying safe motherhood.

Plan to schedule to visit the doctor after missing of the period. This will ensure the antenatal check-up and guidance
Food is not only nutrition but also the building block of the future foundation of a baby, so eat healthy food. Foods that should be included in meal planning are milk and dairy products like curd, buttermilk, and paneer which are rich in calcium, proteins and vitamins. Eat fresh, seasonal fruits and veggies, which offer ample vitamins, iron, and folic acid. Cereals, whole grains and pulses provide adequate proteins. For non-vegetarians, protein-rich sources are meat, egg, chicken or fish, which also offer vitamins and minerals.
Earlier, baby pictures on the walls were put up, now entire house need to take baby steps towards a stress-free environment, and jovial interactions.
Enough rest for the would-be mother, so the body can repair & build the new cells.
Maintaining regular visits to clinics or primary healthcare centres is a must and mandatory.

In conclusion, safe motherhood is crucial to maternal health. Ensuring safe motherhood means ensuring all women have access to the information and services they need to go safely through pregnancy and childbirth. It includes: • Education on safe motherhood • Prenatal care • Promotion of maternal nutrition • Adequate delivery assistance in all cases • Provisions for obstetric emergencies along with referral services for pregnancy, childbirth and pregnancy complications along with Postnatal care.

Safe motherhood requires adequate antenatal care, skilled birth attendance, and postpartum care. Easily approachable quality healthcare services are also essential. Pregnant women should seek timely and appropriate healthcare during pregnancy, childbirth, and postpartum, ensuring the well-being of both mother and baby. By prioritizing safe motherhood practices, we can reduce maternal mortality rates and promote the health and well-being of mothers in India. Let the simple fact be known to all, that Reproductive health is a lifetime concern for both women and men and it can be safeguarded and corrected by adopting simple measures as stated above.

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Male infertility is now almost as common as female infertility. Over the last decade there has been an increase in the male fertility cases world-wide and we have seen that at our center too, at Pearl Women’s Hospital and Yash IVF.

All around the world 15% of couples face infertility issues & 30% of the infertility is due to male factors. Women’s reproductive health is often discussed but when it comes to male factor, the silence is a routine. Macho image of a man along with social norms which make it impossible to express.

Men are considered to be the stronger sex. Fact is, they too often are susceptible to family responsibilities & work priorities. This often results in neglecting their health.

Let’s begin the batlle to overcome male infertility with the right information.

Male infertility has practically no symptoms, except perhaps, impotency. If he is unable to perform then obviously the chances of achieving a pregnancy are dim.

Causes of male infertility:

– Inadequate sperm: If the man is unable to produce sufficient healthy and viable sperm, it’s nearly impossible to conceive.

– Poor motility: The sperm are simply unable to swim towards the ovum to fertilise it

– Structural issues with the sperm.

While it only takes one sperm to fertilize an egg, it’s a long and arduous journey. Sperm can live up to 4-5 days inside a woman’s body. The more the sperm, the better are the chances of fertilization and conception.

WHAT CAUSES A LOW SPERM COUNT?

Men produce sperms every day and it takes almost 2 months for maturation. During the process of ejaculation, a healthy male releases 15 million to 200 million sperm per milliliter of semen approximately.

When men are diagnosed with a low sperm count the condition is called oligospermia. In oligospermia, there are less than 15 million sperm/ml. There is another condition called azoospermia that is total absence of sperms. Low sperm means , you are still producing sperms but in lesser quantity.

Many factors can affect sperm production. Smoking, alcohol use, medications, stress, toxins, exposure to harmful rays decrease the number of sperms. In addition to medication and lifestyle factors, there are few medical causes for male factor infertility.

A low sperm count definitely means, chances of sperms fertilizing the eggs are less but it doesn’t mean, you will not father a child. To conceive a baby, there are many medical treatments available for low sperm count.

What are the causes of a low sperm count?

A man may have inherited faulty DNA or suffer from a hormone imbalance, a blockage or dilation issue.

Does male infertility have any obvious symptoms?

The inability to conceive may be the main sign that there could be a problem. There may be no other obvious signs or symptoms.

In some cases, however, following signs may be a giveaway:

Pain & swelling of the testicles

A lump in the testicles.

A decrease in facial or body hair

Erectile dysfunction

Low sex drive

If you are having any of the above symptoms, or if you’ve been actively trying to conceive without success schedule a doctor visit and get tested at the earliest.

TREATMENT FOR LOW SPERM COUNT:

Hormonal Treatment: In some patients, low levels of the pituitary hormones which are responsible for sperm production cause a low sperm count. Some injectable hormones preparation may definitely increase sperm count to the extent that conception occurs naturally.

Antibiotics: In a small number of cases an infection interferes with sperm production and causes inflammation. If there is no permanent damage, then the antibiotic treatment can help. If scarring and damage is seen along with infection, the doctor may retrieve the sperm surgically.

Surgical Treatment: If the cause of your low sperm count is a blockage, doctor will surgically remove the blockage. These surgical procedures involve insertion of threadlike, small delicate needle directly into testicle (under anesthesia!) and obtaining sperm for IVF with ICSI.

IVF with ICSI: IVF with intra-cytoplasmic sperm injection or ICSI is the most successful treatments for low sperm count.

If you and your partner are eagerly trying to expand a family , it’s time to find out successful ways to achieve the family goal. Contact Yash IVF for more information on male factor infertility and the treatments that can help.

Certain tips to improve sperm health can definitely help.

Consume colorful foods rich in antioxidants like green leafy vegetables, citrus fruits, almonds, bananas, berries, tomatoes walnuts

• Avoid processed foods as it lowers sperm count

• Avoid food rich in high fat or dairy products, it affects motility

• Avoid excessive soy intake; it decreases sperm concentration

• Avoid fried food; it decreases sperm motility

• Exercise regularly for 30 minutes

• Limit alcohol intake/smoking

• Avoid prolonged sedentary working hours

• Avoid excessive use of laptops on lap, as the heat generated from the laptop impairs sperm production and hence contributes to infertility

Nevertheless, visiting a qualified doctor well in time and getting the right treatment is the key to parenthood.

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Good day bloggers.

The month of March is observed all over the world as an endometriosis awareness month. While reading many recent journals for updates, and guidelines, we were getting updated about numbers, the gravity of endometriosis and the challenges ahead of us.

While being in clinical practice where every patient is unique and the symptoms appear to be as diverse as non-menstrual abdominal or pelvic pain, Infertility, Painful sex, or bowel-related symptoms, Bladder pain along with Lower back pain, Bloating, and consistent fatigue.

Endometriosis may be at the root of all of these symptoms, sometime in silent form or may be intense in the future and as the disease may present in different ways in different individuals. Unbearable pain is a constant complaint in the above cases.

Very difficult to diagnose based on a few scans and tests along with silence to bear with situations makes it hard for all. We are here to put the concerns of endometriosis beyond assumptions.

Let us find out more about endometriosis.

What is endometriosis?

ENDOMETRIOSIS is a condition where endometrial tissues and adhesions are found outside of the uterus and these cells respond to hormonal changes as if, they are within a uterus. such cells may be found in the bladder, pelvic region and bowel and other organs too. Such lesions of endometriosis get attached to other organs too. Such conditions then can cause intense pain as well as inflammation.

Endometriosis is not a period disease.

Unlike during regular periods, the pain of endometriosis isn’t caused by contractions of the uterus, but instead, comes from uterus tissue growing elsewhere in the pelvic cavity. This inflammation often results in a lot of pain. The intense pain from endometriosis can occur regularly, even in the absence of a menstrual cycle. Menstrual pain can be managed with over-the-counter pain killers whereas endometriosis pain is severe and may not be managed with over-the-counter painkillers alone. Period pain is labelled as dysmenorrhea and goes away after the periods.

It is a spectrum disease with a variety of subtypes and symptoms like pain, inflammation, infertility, development of endometriomas (“chocolate cysts”), fibrosis, formation of adhesions (fibrous bands of dense tissue), Gastrointestinal and other organ dysfunction, and much more, are common with endometriosis.

Detection of endometriosis takes time:

The real reason behind this lengthy detection is symptoms which are many and every patient may have different complaints. The silence kept over the symptoms often causes a delay in seeing an expert. To understand endometriosis, let us know about symptoms which cannot be ignored and can help to seek the help of an expert.

Symptoms often reported but not limited to are,

Pelvic Pain in the abdomen, Painful intercourse and sexual activity, Leg pain, lower back pain etc. Most of the time, symptoms appear to be on the surface and are mild. As time passes, lesions go deeper and chronic symptoms become noticeable. Does it mean, every symptom is of endometriosis? No. Rather, put it like this. We need to know, what is normal and what not so normal or causing concern is. Watch out for the symptom intensity, duration, frequency, medication response, and symptoms’ reoccurrence. Make a note of it and keep it handy as it can form the basis of the right history taking.

So, when should you go to the doctor?

If the pain is severe and comes days before the period and persists after the period, then it could be endometriosis. See a gynaecologist and get tested. Another indication is if the pain doesn’t go away after taking painkillers or other analgesic pills, or over the period, intensity, duration & episodes increase with time.

Endometriosis is certainly not in your head, and we hear your silence.

Let’s understand that pain has intensity and every individual has a different tolerance capacity. That is why we at Pearl Women’s hospital understand your pain and developed a protocol to address your concerns. We understand pain as an obstacle that affects your daily routine and needs prompt treatment.

Endometriosis slowly and steadily takes over the body, intensity increases over time. You may be scaling new highs on the personal as well as professional front while being with endometriosis. Gold standard Laparoscopic examination may confirm the diagnosis and we understand, not all illnesses are visible and still be powerful to affect lives.

Let the silence be deleted and let’s practically know more about endometriosis.

Endometriosis is rare, what is your take?

Endometriosis is not rare as there is 10% of women suffer from it, which means 1 out of 10 women suffer from it.

Endometriosis is now a commonly diagnosed condition in gynaecology and you are not alone. The cases like PCOS and uterine fibroids are widely seen and spoken about but with endometriosis, the case is different. As there is no defined biomarker or blood test which can reveal endometriosis, its severity and progression. It simply does not mean, there is no progress in understanding disease in depth. There are multidisciplinary approaches to reducing effective symptoms.

After detection and with a surgical approach, can endometriosis be cured?

Currently, there is no cure for endometriosis, there are treatments available to reduce the symptoms and their intensity. The key whole surgery is still major surgery. There are multiple options available to control symptoms like medications, IUDs, surgeries, Pelvic floor physiotherapy, Prescription pain killers, supplements etc.

Your treatment plan will be tailor-made as per your conditions and may not be identical to others,

Be gentle to yourself. It ok, if you are not performing at your best sometimes.

Let’s understand some facts in a nutshell

As of now, Endometriosis has no cure but effective treatments are available which offer relief.

Endometriosis is a chronic, systemic inflammatory disease.

Treatment for endometriosis is not the same or one size fits all approach.

Pregnancy is not a cure for endometriosis

Birth control can offer temporary relief.

The right diagnosis at right time is the key which helps in the faster and more effective treatment

The silence over endometriosis is a matter of concern

A lot needs to be done and the least we can do is, seek the guidance of the right doctor.

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The vagina, which acts as the birth canal and is part of the female reproductive system also exhibits several protective mechanisms.

One such mechanism is maintaining vaginal pH at a mildly acidic level, which does not allow bad bacteria to enter inside. it is scientifically proven that the vaginal pH and cervical mucus play important roles in maintaining sperm function after intercourse.

What is pH?

The potential of hydrogen or pH is a scale of 0 to 14 number. The median 7 is neutral and is the standard measure of hydrogen ion concentration. This scale is designed to detect the acidity or alkalinity of a solution. Levels of pH 1 to 7.0 are for acidic solutions, while levels greater than 7.0 to 14 mean basic (or alkaline) solutions. The vaginal pH is often seen from 3.8 to 4.5 and is moderately acidic.

pH is a simple way to describe how acidic or alkaline a substance is. It is a simple linear scale of 0 to number 14. The lower number means the more acidic the substance is and the higher number is more alkaline. pH 7 value stands for neutral.

What is the significance of vaginal pH?

The fluid content of the vagina contains mucus secretions from the cervical cells, Vulvar secretions from sebaceous and sweat glands; Mucus secretion Substances produced by microorganisms present in the vagina. This acidic environment acts as a barrier for pathogenic microorganisms because most bacteria grow best at a pH of around 7.5

There is good vaginal flora, simply put as colonisers of the vagina who stay there, multiply and safeguard the health of the vagina, these warriors are live bacteria like Lactobacilli which are predominantly present (up to 90%). Other bacteria such as Corynebacterium, Staphylococcus, Streptococcus, and Bacterioides form the remaining 10% of this vaginal flora.

What is a normal vaginal pH?

It depends on a woman’s age to some extent, the vagina generally has an acidic pH, offers a great place to stay for beneficial bacteria that help to fight infections, and is naturally lubricated.

During reproductive years (ages 15 to 49), vaginal pH is often below or equal to 4.5. But before menstruation and after menopause, a healthy pH is often higher than 4.5

Higher vaginal pH increases the risk of infections like bacterial vaginosis, or trichomoniasis.

What is the function of vaginal pH?

During the menstrual period of women, the vaginal pH becomes more acidic from the 2nd to the 14th day of the cycle, the pH value then ranges from 6.6 to 4.2
This acidic vaginal environment is toxic to sperm because the optimal pH for sperm viability is around 7.0 to 8.5, and a reduction in sperm motility in an acidic environment is often seen.
During sexual intercourse, due to sexual excitement, the vaginal epithelium produces a transudate that elevates the vaginal pH to 7.0 within seconds and the same can be maintained for up to two hours after ejaculation.
This environment associated with the alkaline pH of semen, temporarily protects spermatozoa. and allows the entry of sperm to meet the egg.

Variations in the vaginal affect its defence potential and there are increased chances of infection which can indirectly affect fertility.

Which are the Factors That Cause Imbalances in the vaginal pH?

Unprotected sex: Semen is alkaline, which can encourage the growth of certain bacteria and can become alkaline
Antibiotics: These drugs not only kill not only bad bacteria but also good ones. Due to this, acidic vaginal flora is lost.
Douching: Although it isn’t advised, about 20% of women regularly wash their vaginas with a mixture of water and vinegar, baking soda or mild Liquid soaps. Douching increases the vaginal pH level and encourages the growth of harmful bacterial overall.
Menstrual periods: When that blood flows through the vagina and when absorbed can raise the pH level of the vagina. Menstrual blood often has a pH of 7.4, If menstrual blood stays on a pad for an extended period, the vagina becomes less acidic, that is the reason, why it is often advisable to change pads frequently.

What are the symptoms of imbalanced vaginal pH?

Due to elevated vaginal pH, the infection may be present like bacterial vaginosis or trichomoniasis, which may cause the following symptoms.

A foul or fishy smell, unusual white, grey, or greenish discharge, persistent irritating vaginal itching, and burning sensation during urination.

When to see a doctor in case of imbalanced vaginal pH?

If you have symptoms of Bacterial Vaginosis or any other condition linked to a high vaginal pH.

Don’t try to douche, it will increase the chances of infections.

To treat a BV or trichomoniasis infection, a doctor can prescribe tablets, creams etc.

Even though antibiotics can affect vaginal pH, eliminating infection is necessary. After stopping the antibiotics, the healthy pH environment comes back. Persistent Itching, burning, foul odour, unusual discharge

How to look after vaginal health?

Always Protect Vaginal PH Balance without Douching: Avoid using harsh soaps or cleansers on the vulva or inside the vagina, as it can disrupt the balance of good bacteria. Douching increases the proportion of an alkaline environment.
Have a balanced, nutritious diet and plenty of fluids in the meal: these are very important for vaginal and reproductive health. Yogurt can help prevent yeast infections as it is a potential source of probiotics.
Safe sex to avoid sexually transmitted disease
Treating infections on priority with a complete course of medications and not just till the symptoms vanish.
Use soft undergarments which can keep the vagina clean and dry. Certain types of fabrics and tight-fitting clothing allow the growth of yeast. Wear breathable cotton underwear. If prone to yeast infections, change out of wet swimsuits and sweaty workouts.

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Good day bloggers.

When confirmed by Ultrasonography, the news of uterine fibroids was a much-awaited diagnosis. This must have affected the daily routine. The only query now asked is, Should we go for Medical treatment or surgery for Uterine Fibroids?

This decision treats uterine fibroids depending on symptoms and age of the patient too.

If you are planning for pregnancy, then you might want to go for surgery, if it is hard for you to get pregnant or it is affecting your quality of life, and other treatments failed to offer relief.

There are two surgical treatments for fibroids: removing fibroids out of the uterus (myomectomy) and removing the uterus itself (hysterectomy).

If Pregnancy is a matter of interest, taking out just the fibroids may improve your chance of getting pregnant. Such surgery may increase your risk for certain problems during pregnancy. This problem can be reduced if done by expert gynaecologists. Taking out the entire uterus for fibroids is not a wise choice if you want to get pregnant in the future. One can’t get pregnant after uterus removal. This is the last choice and we do not recommend it unless it affects the quality of life. If you are close to menopause, you could take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief or have fibroid embolization.

What are uterine fibroids and when to get treatment?

Uterine fibroids are growths inside the uterus, within the uterus’s muscle wall, or on the outer surface of the uterus. Over time, uterine fibroids can change in size, shape, location, and symptoms too.

The risk for uterine fibroids increases with the age, especially through menopause. Most have mild or no symptoms. whereas others can have bad pain, bleeding etc.

The increased level of hormones estrogen and progesterone make fibroids grow and are seen during reproductive years. After menopause, these hormone levels decrease, so fibroids shrink or disappear.

Uterine fibroids usually need treatment when there is

Anaemia from heavy fibroid bleeding.

Consistent low back pain

Trouble in getting pregnant

Problems during pregnancy i.e miscarriage or preterm labour.

Problems with the urinary tract or bowels. Most of the time experiencing increased menstrual cramping can be a sign of fibroids.

Many patients tend to be with symptoms fearing hysterectomy was their only option. Whereas, many treatments are available for treating uterine fibroids now.

What is the checklist to think about before choosing fibroid treatments?

Will the treatment interferes with your body’s hormones
How much time it will take for recovery
How effective the treatment will be for reducing symptoms
Will it preserve the fertility and uterus?
Will the fibroid reappear again?
Is it OPD or IPD procedure?
Can large or multiple fibroids be treated completely?
What are the risks of treatment to health afterwards?

How are fibroids treated currently?

Uterine fibroids embolization
Myomectomy
Hysterectomy
Laparoscopic procedure
Hormone medications

What size fibroids need surgery?

There isn’t a specific size of fibroid for which surgery is recommended. The need for treatment is largely based on symptoms, location and the number of fibroids, not merely size.

Can uterine fibroids be removed with medication?

Medications for uterine fibroids are often given to balance the hormones that regulate the menstrual cycle, treating symptoms of heavy menstrual bleeding and pelvic pressure. They don’t remove fibroids but may shrink them.

What is the probable medical treatment for Uterine Fibroids?

Fibroids without symptoms or not causing any harm do not need treatment. For women whose symptoms are more intense, medicines are used for controlling symptoms, such as:

Over-the-counter medications like painkillers for pain relief

Iron supplements if you have heavy bleeding and anaemic

Low-dose birth control pills and progesterone-like injections, an IUD (intrauterine device) can help control heavy bleeding

Gonadotropin-releasing hormone agonists (GnRHa) such as can be given under a doctor’s guidance.

When is Surgery performed for uterine fibroids?

Sometimes, when symptoms are severe or interfere with daily life or do not respond to medical treatment

You’re not near menopause.

You don’t plan to get pregnant.

There is a risk of cancer. In such cases, preferred surgical options are

Myomectomy – selectively removes fibroids leaving healthy uterus tissues intact

Hysterectomy – removal of the uterus itself

Endometrial ablation – the lining of the uterus is removed to control bleeding

Uterine fibroid embolization (UFE), or uterine artery embolization (UAE) – is used to block the blood supply to the fibroids, causing them to shrink

Mrs Anahita Gokhale,35 yr. software professional walked in at Pearl Women’s Hospital, Deccan Gymkhana clinic, has large uterine fibroids and has had them for a year or so. They didn’t cause any problems until she got pregnant with her first child. She went into labour about a month early, and her daughter had to spend several days in the intensive care unit. She came to us in search of a clinic to have another child. Dr Chaitanya Ganapule has told her about a myomectomy to remove the uterine fibroids from the uterus without large incisions. After the recommended Myomectomy, she had a healthy child and is enjoying the bliss of parenthood with excellent quality of life.

Do not suffer in silence if you have any such concerns regarding uterine fibroids. Do talk to us and visit us to know more.

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These are symptoms that are common to quite a few issues. The presence of ailments like PCOS or Fibroids could show these as presenting symptoms.

PCOS and Fibroids are disorders of the female reproductive tract, which may affect reproductive health.

While Fibroids are benign (not cancerous), tumours of the uterus that affect the uterus, Polycystic Ovarian Syndrome causes cysts in the ovaries (also not cancerous). Both conditions can disrupt menstrual cycles, cause pelvic pain, take a toll on fertility, and are linked to hormone imbalances.

New theories are being expounded about the genesis of fibroids. While understanding this may eventually help us in more targeted treatment and possible prevention of recurrence, more pertinent questions may be – Why are they so common and Why is there a marked difference in the racial incidence and prevalence of the disease? Why is it that the incidence of fibroids is 3-fold higher in women of African -American ethnicity?

The hysterectomy rates are also 3-fold higher in black women.

Polycystic Ovarian Syndrome or PCOS tends to occur in women of childbearing years (primarily those in their 20s and 30s) and is incurable. When a woman experiences an overproduction of androgens it affects the ovaries’ ability to release eggs normally. The ovaries respond by developing non-cancerous cysts.

What’s the treatment?

Identifying the cause is the first step. Sonography and blood levels of hormones are good enough to pinpoint the issue.

If the issue is fibroids, multiple treatment options are available depending on size, location & degree of growth. While certain medications, like birth control pills, can help with symptoms of both fibroids and PCOS, More appropriate procedures might be needed to treat severe symptoms.

At Pearl women’s Hospital and Yash IVF, we have several options for fibroid treatment.

Uterine Fibroid Embolization (UFE) is a non-invasive yet effective treatment option that avoids both hormonal treatments and surgical procedures

Fibroid hormone treatments can slow or shrink the growth of fibroids. it can minimize symptoms and discomfort.

A Myomectomy is a major surgical procedure. In this procedure, the uterus is left alone and only the fibroids are removed.

A Hysterectomy is a major medical procedure that involves removing the uterus. Our specialists typically do not recommend this treatment as a first option, even though it is a permanent solution.

In the case of PCOS, we have multi-dimensional holistic approaches including lifestyle modifications, exercise, stress management, and medicines. Pearl Women’s Hosp & Yash IVF specialists are highly qualified to treat PCOS and might recommend some of the following treatment options.

Lifestyle changes such as monitoring diet, quitting smoking, exercise, are helpful ways to treat and manage PCOS.

Birth control pills or hormone treatments can regulate symptoms.

Surgery to remove ovarian cysts is a more invasive procedure.

There are many more effective options to treat the symptoms of PCOS or fibroids and they will be unique to each patient. To make a plan to relieve your discomfort, talk with Pearl Women’s Hosp & Yash IVF specialist

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Does pregnancy require planning? It happened naturally in previous generations, right?

1.The planning for pregnancy is called preconception and it is 3 to 6 months before pregnancy.

Preconception health and health care focus on things you can do before and between pregnancies to optimize the chances of a healthy baby’s arrival. Getting your body ready for pregnancy requires the help of experts and is worth trying as the baby is born only once.

For some, this journey takes a few months; for others, it’s a bit longer. This depends on current medical health records. A wait of 9 months is a result of the care and concerns of preconception. Let’s see how to get started with the planning.

Make a plan in writing in consultation with your partner regarding when and how to start a family. Consider all aspects of the individual like body, mind and soul. We Indians have a rich holistic approach towards pregnancies, no wonder the concept of antenatal care is well established now.

The health of the couple matters. it involves living in harmony, eating well & nutritionally balanced and complete food. Leading a stress-free life & open communication within the family.

Make a plan keeping the age of the couple, financial aspects, working schedules in place, number of children you want to have, years of gaps or spacing of children within etc.

2.Once you start a family, it’s time to see a gynaecologist.

Talk to a doctor about current medication if any to stop or take a new prescription. Your doctor will review a health record or any condition that may affect pregnancy. The correction of such health conditions can be identified early, so treatments can be initiated.

Some health conditions like STDs, irregular menses, thyroid, diabetes, etc. must be controlled. It is often seen that findings of other health comorbidities are revealed during the preconception checkup.

This not only invites additional time and cost but brings emotional distress to the couple. The chances to have a healthy child are increased if the consultation is taken well in time.

Medication & lifestyle modifications are of great importance in preconception health. Cessation of smoking, alcohol as well as certain medications helps.

3.Maintaining a healthy weight: Being overweight and overweight hurts pregnancy. Hormonal health is weight dependent; in both cases, the link with rising infertility is well established.

Let’s stress very vital information. A healthy weight comes with healthy habits. Merely limiting the fats & carbohydrates from the diet will not help. It is the expert nutritionist domain, which will tailor-make your eating pattern and guide you through craving for weight maintenance.

Being overweight during pregnancy may increase your chances of high blood pressure, diabetes, miscarriage, stillbirth, and birth defects, and may induce a cesarean birth (C-section).

It is not a wise decision to lose weight during pregnancy. But it is a very good concern to attain a healthy body weight before becoming pregnant.

4.Mindful eating:Colorful veggies and fruits have a long-lasting impact on tissue building. Always have a protein-rich diet. As these are organic sources of nutrients, easy to digest and valuable in building the muscle mass of the body.

The real concern today is about established myths. A woman should eat for two.

While it is true that women need to increase their caloric intake slightly during pregnancy but avoid overeating. Overeating can be harmful to both the woman and the fetus, especially if the diet contains empty calories. Women should aim for a gradual increase in nutrient-rich food and calories throughout the pregnancy as you need about 300 extra calories a day more than a usual diet.

5.Taking Vitamins and Folic Acid under the guidance of a gynaecologist.

Take a vitamin and mineral supplement that includes at least 0.4 milligrams (400 micrograms) of folic acid, as Folic acid reduces the risk of birth defects, especially problems with the baby’s spine. Folic acid is an essential element for building cells, tissues & blood too.

Avoid high doses of any vitamins like A, D, E, and K as these vitamins can cause birth defects if you opt for more than the normal recommended daily requirements. Regular pregnancy prenatal vitamins do not offer excessively high doses of any vitamin.

6.Exercise is internal cleansing and is a must.

Exercising before you get pregnant may help the body deal with all of the changes that you will go through during the pregnancy and labour. It increases the tolerance level for pain.

Most women who are already exercising can safely continue their current exercise program throughout their pregnancy.

And most women, even if, are not exercising as of date, should initiate an exercise program of 30 minutes of brisk exercise for 5 days a week, before conceiving and throughout pregnancy.

The amount of exercise you can do during pregnancy is based on your overall health and the activity you are engaged with. A woman should avoid exercising when pregnant is a complete myth. Most women should do light-to-moderate exercise during pregnancy.

7.See the dentist right away

As gum disease is associated with preterm delivery, so it is good to see a dentist to ensure you’re in good dental health before getting pregnant. If you need dental treatments, X-rays, or medications, it’s advisable to take care of dental issues before getting pregnant.

8.Is prenatal care limited to the first pregnancy?

If you have mothered several children, you have gathered experience about every pregnancy being different or how no two pregnancies are the same. The mother’s age as well as the medical condition of both partners play an important role. However, your health in general can change from one pregnancy to the next, so prenatal care differs. Seeking prenatal care is essential irrespective of the number of children you have. You need to treat every pregnancy as new

The journey of parenthood is often an enjoyable one with careful planning to welcome a child with open arms. The Health and ambience of parents are instrumental in developing healthy babies who are present and future-ready.

That is the reason, old wisdom is tested with science to bring the best evidence-based tactics. We have one of its best Antenatal programs in place. Multidisciplinary YASHSHASWI antenatal classes have delivered the joy of pleasant parenthood to thousands.

We, at Pearl Women’s hosp, Pune have a centre of excellence in ANTENATAL CARE for future-ready couple.

Older Posts

How To Select The Right Doctor For Infertility / IVF Treatments

Irregular Periods & Pregnancy

Do Sexually Transmitted Diseases Cause Fertility Issues?

Safe Motherhood Comes With Simple Measures

Low Sperm Count & Treatments

ENDOMETRIOSIS: BEYOND SYMPTOMS AND ASSUMPTIONS

How To Maintain Vaginal pH To Prevent Infections

Should I go for Medical Treatment Or Surgery For Uterine Fibroids?

Irregular Menstrual Cycles, Pelvic Pain, Not Conceiving: What Could The Issue Be?

Does Pregnancy Require Planning?