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November 5, 2022 adminUncategorized0

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.


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September 29, 2022 adminUncategorized

The issue with Endometriosis isn’t just the pain and disruption of lifestyle, but the fact that diagnosis may take anything upto 7 years, with a surgical procedure being  required for a definitive diagnosis.  The gold standard confirmatory  test for endometriosis is Laparoscopy. The condition, as such, is not curable but specially trained experts like Dr Chaitanya Ganapule offer state-of-the-art treatment options including 3 D Laparoscopic surgery at Pearl Women’s Hospital, Pune.

 

10 % of menstruating women suffer silently due to endometriosis. During the normal menstruation process, the cells of the uterus lining called endometrium build up & if there is no pregnancy, the cells shade up causing menstrual flow. Women with Endometriosis, too, develop such cells, which not only look, and act like endometrium outside the uterus but also in the other reproductive tissues. Such cells respond to the hormonal changes, so there is build-up & shedding of cells, causing small bleeding in the pelvis. This causes inflammation and scarring of endometrium tissues. The result is painful, heavy, long periods, and cramps.

The exact reason for this pain may be due to chemicals released during the process, hormonal changes etc.

Suffering in silence not only delays the diagnosis but complicates the treatment further. Medical management may have to be replaced by high end surgical treatment.

 

So, when you feel, or realize that your menses or periods are far more painful and heavy compared to your friends and cousins, do visit a specialist who has extensive & practical knowledge of female reproductive issues & is capable of fixing the issue well in time.

 

Dr Chaitanya Ganapule MD has taken training from a specialized Endometriosis surgery institute in France for surgical management of Endometriosis using 3 D Laparoscopy systems.

 

When you go to seek answers from the specialist It is important to jot down the questions, you need to seek answers for:

 

What causes the pain in the abdomen in Endometriosis?

Why it is so intense & not seem to be routine periods pain?

What are the treatment options available for the pain and for the disease itself?

Will it relieve the symptoms or condition itself?

What are the side effects of treatments?

What, if my symptoms don’t go away?

What lifestyle changes, do I have to make?

What will happen, if I don’t go ahead with treatment?

Will my fertility be affected? If yes, then what are the options?

Will my previous surgery is causing this pain?

Do I need to have multiple surgeries or chances of relapse of surgery?

 

Your doctor too will have a few queries, so make note of it.

 

  1. What are the symptoms & how often do they appear?
  2. When do they get worse or better?
  3. Do any close relatives have such problems,
  4. History of  Endometriosis in the family?
  5. What are the medicines you take currently?

 

Always keep a track of your symptoms.

Like Painful periods, Severe Cramps, Pain during sex & urination, Heavy bleeding, Nausea & vomiting during a period, headaches, constipation, Trouble getting pregnant, sleep patterns etc.

 

What is the importance of maintaining these symptoms?

You will never miss out on any symptom (relevant or irrelevant)

You will rightly inform the intensity with which it happens.

You will not downplay any symptoms that hurt you so much.

 

Diagnostic delay of 3 to 12 yrs in endometriosis,

  1. Primarily a patient’s delay in reluctance in seeking the medical help
  2. Preparedness of GPs to interpret the symptoms
  3. Expert’s dilemma for differential diagnosis.
  4. Diagnostic laparoscopic surgery for confirmation

 

Informed diagnosis has many challenges.

  1. Whether confirmed or suspected diagnosis of Endometriosis is often the 1sttime patients hear the word endometriosis.
  2. Distress is the 1stresponse along with confusing outdated content available all over.
  3. Wrong or misleading info can delay the proper treatment, and can be very expensive as well as dangerous too.
  4. Frequent visits to the clinic are necessary to access the extent of endometriosis.

 

Where to seek expert help for endometriosis @ PUNE?

 

We @Pearl Women’s Hospital & Yash IVF have excellence in endometriosis treatment and is situated at the central location of Deccan, Pune.

Dr Chaitanya Ganapule is an expert in Laparoscopic surgical removal of such tissues or fibroids or Polyps, is his forte and he is considered one of the top Gynaecologists for this procedure.

A reputed Laparoscopic and Hysteroscopic surgeon, Dr Chaitanya Ganapule has been trained at some of the best centres in France and Germany. He has a diploma in Pelvic Endoscopy from Kiel University, Germany, and A Diploma in Gynec Endoscopy from the University of Clermont – Ferrand, France.  He has recently attended & completed the “Indian Workshop of the Franco-European Multidisciplinary Endometriosis Institut in France, in 2022. We are happy to offer our special ’EndometrioCEASE’ solutions to patients who wish to get rid of pain, restrictions and infertility.

IN A NUTSHELL,

  1. There is no cure for endometriosis but specialized treatment can control the manifestations of the ailment.
  2. Symptom management is the key focus.
  3. Hormonal contraceptives, analgesics or pain killers and surgery are the options.
  4. Women with Endometriosis are everywhere in Emergency wards, Primary care, Psychiatric help centres, schools & colleges with various health issues.
  5. Endometriosis develops in stages, involving other organs with severity.
  6. About 50% patients of with endometriosis suffer from fertility issues.
  7. Hormones do not improve fertility, but IVF is often successful.
  8. Warning signs demand PROMPT ATTENTION.
  9. If pelvic pain, and period pain doesn’t stop with painkillers, see the expert on priority.

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September 21, 2022 adminUncategorized

A man’s contribution to a healthy pregnancy is almost 50%. The health of the sperm, the tiny cell of the male human body is of great importance in this regard.

We have recently observed increased cases of male infertility in patients at Yash IVF. The main concern is the neglect of sperm health. Most of the time, couples come to the fertility clinic seeking pregnancy & eventually diagnosed with male infertility.

A lot can be done before planning for pregnancy even to improve sperm health. Men need a large number of healthy sperm that move well and have a good structure to fertilise the egg.

The main problem with male fertility is about man’s sperm, erection issues or the tubes through which sperms travel. There are many ways, you can protect sperm health to boost the chances of fatherhood.

Let’s discuss in a nutshell sperm health.

  1. Long journey of sperms

Sperms are manufactured in testicles with the help of male hormone, testosterone,

From testicles, sperms, travel with a few drops of fluid. As they move through the system, the sperms are further mixed with more fluid made by the prostate and during sexual intercourse, sperms are sperm are released.

  1. How do you know, your sperms are strong?

Science has developed tests through which, accurate results can be made.

  1. Quantity of Sperms:  A healthy sperm count is about 15 million or more for every ml of semen. The more sperm, the more likely the chances of fertility.

2. Movement (motility):  After sexual intercourse, the sperm’s journey starts from the vagina, through the cervix, into the uterus, and finally into the correct uterine (fallopian) tube to find the egg. A smart swimmer has to swim the distance of 15 to 18 cms & usually takes 15-45 min. Time can be longer if ovulation has not happened. A waiting period of 5 days inside the female reproductive cells.

3: Shape (morphology): Healthy sperm have oval heads and long, strong tails. Structured, properly shaped  sperm are more likely to make it to an egg

Do you know, how the body helps the journey of sperm?

Within just eight seconds of sperm entering the vagina, the pH in the vagina is raised, so sperm can swim well.

Within a minute after ejaculation, the semen becomes a gel or a bit thicker, so that sperms are always near the opening of the cervix. Then, 30 to 60 minutes later, the gel degrades, and the sperm can begin to swim again.

200 lucky ones out of 300 million sperms will reach the eggs and only one sperm will fertilize the egg.

How does the body ensure that the best sperm reaches the egg?

  1. Sperm will reach the cervix to get trapped in cervical mucus.
  2. Sperms made through the cervix will travel through the left or right uterine tubes, so there are 50/50 chances of hitting the eggs.
  3. Only 10,000 active sperms enter the correct tube (the one connected to the ovary that will release the egg in that cycle).
  4. Very narrow openings of the uterine tube ensure the best one reaches the egg.

 

Cervical Mucus chart :

 

The real concern is, why pregnancy does not happen every time during unprotected sex.

  1. Not every sperm is capable of fertilizing the egg due to problems in the shape of its head.
  2. Outer shell of the egg which is thick makes it difficult to penetrate.

Once the sperm enters and fertilises the egg, the egg opening is sealed.

Such a highly regulated process of fertilization within the body, we try to follow in many ways like ICSI & others. The real challenge is to increase the chances of pregnancy. Under laboratory conditions, mimicking an environment similar to the human body is still a challenge.

So taking care of sperm health much before conception is planned becomes a wise decision.

We @ Yash IVF have many such successful events where not only the correction of male infertility but also the eventful healthy pregnancy is delivered. The experience & expertise in treating male fertility has made us proud to announce, Yash IVF as the centre of “In Vitro fertilization excellence.” We are here for affordable, accessible & successful IVF deliveries.

How to improve sperm health?

  1. By maintaining the ideal body weight. Obesity decreases sperm count & mobility.
  1. Quit smoking andalcohol as they affect sperm quality & motility

3. Avoid environment or activity (sitting with laptops in lap) that will increase temp of the testicles

  1. Manage Stress with Yoga, etc if you can’t avoid it as it affects relationships and impacts sex drive.
  2. Eat balanced food that improves sperm health.
  3. Include colourful fruits that boost sperm mobility.
  4. Have open interaction with your partner to build a healthy relationship.
  5. Physical exercise will ensure the oxygen supply in the body & improve sperm health.

The journey of infertility is long & emotionally draining as well as financially heavy.  it is a concern that can be addressed & resolved. The centre which offers complete transparency in treatment and pricing is Yash IVF based at Deccan, Pune.


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September 17, 2022 adminUncategorized

The biggest challenge in infertility treatment is choosing the infertility center that is the  best one for you.

As choosing the best infertility clinic and starting the journey of parenthood is the most overwhelming decision. The entire success of this path depends on this.

With recent advancements in digital media, there is lot of information as well as misinformation available.

The journey of parenthood may be, a long one but more than speed, the direction is more important. There are so many options available that claim to help to realize the dream of parenthood. The daunting task becomes even tougher, as all the centers/multicentre clinics, and corporate hospitals claim the same and at first glance, all fertility clinics appear to be the same.

To make this task bit easier, we have laid down a few points which will help you to choose the best fertility clinic.

Here are a few characteristics that make fertility clinics stand out. These points are written, keeping in mind the usefulness & all are equally important.

Does the fertility centre/clinic or hospital offer most of the needed services under one roof?

  1. In-house facility for all necessary lab investigations
  2. Radiology services for sonography, ovulation monitoring & sonosalpingography (SSG).
  3. Additional facilities  to manage surgical procedures for PCOS, uterine fibroids, endometriosis, etc.
  4. Qualified & highly experienced consultants & staff to ensure the level of expertise required in IVF treatment which will ensure high success rates
  5. In-house embryologist : This enables the IVF Lab to transfer the embryos at the optimum stage of their life rather than during a batch process which is carried out based on the availability of the Embryologist
  6. Updated infrastructure to carry out super-speciality surgeries like Hysteroscopy & Lapaoscopy for diagnosis and treatment before or during the IVF journey
  7. In-house facility for cryopreservation which will ensure the proper maintenance of the frozen embryos

7 In-house support team of experienced Physiotherapist, Dietician, Psychological counsellor, fertility counsellors etc

8 Affiliations & certifications like ‘Manyata’ and NABH, which indicate that the center follows standardized protocols and has a certified patient care facility

Does the fertility clinic follow reliable & transparent practices right from communication to finance?

The journey of infertility could be long and difficult. While enrolling the patients, most clinics create a rosy picture which the patient wants to believe. Universal success rates of pregnancy are around 30-40%, which simply means, that out of 10 patients enrolled, a max of 4 couples can have a pregnancy and the rest need to go for the next round of cycles.

The universal success rate of IVF treatment is around 40% & varies with the age. Certain additional processes are required that can raise the success rate to about Seventy Percent as we do at Yash IVF, Deccan Gymkhana, Pune.

To know, the same, you need to visit the fertility centre with a prior appointment, talk to the concerned teams & get first-hand information about the above points.

The first interaction with the team will bring in much-needed transparency & you will be able to take the well-informed calls.

There are many other parameters to zero down on finalizing the fertility clinic to start infertility treatments.

We are proud to say, Pearl women’s Hospital & Yash IVF, Pune is centrally located at Deccan and easily accessible by road from the railway station and bus depots.


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September 13, 2022 adminUncategorized

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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August 30, 2022 adminUncategorized

Fertility is not always as simple & straightforward as it appears. The natural process of conception is very dynamic and well-regulated by nature for males & Females. The gametes (sperm and eggs) of both partners are equally responsible for conception & Male fertility has assumed equal status to female infertility.

In this blog, we will address the key points related to male infertility. To understand it, let’s go to the basics of male fertility. For a couple to conceive, both male & female reproductive systems should function properly

A male reproductive system has the following functions.

The testes should produce normal functional sperm as well as the hormone testosterone.

The ability to achieve an erection for sexual intercourse.

The sperm that are produced should have proper structure & movement

Sperms should move to the fallopian tubes to fertilise the eggs.

The male reproductive system functions to manufacture, store and transport sperm. FSH (Follicular Stimulating Hormones & testosterone regulate sperm production. Like sperms, testosterone is produced in both testicles.

There are many factors that cause Male infertility, right from production to transport of sperm in the fallopian tubes is a lengthy process & any obstacles in this process can cause male infertility.

It may be due to,

Less production of sperm by testicles.

Genetic factors that create abnormal sperms

Lifestyle impacts sperm production (smoking, alcohol, drugs)

Long-term illnesses, Hormonal imbalances

All these issues affect the number & quality of sperms.

There are other conditions which cause male infertility like,

  1. Azoospermia: chances of fathering a child are non-existent when there are no sperms in the ejaculate.10 to 15% of cases of male infertility are due to this. Azoospermia means the absence of sperms in ejaculate. It may be due to obstruction when there is a blockage which prevents sperm entry in the ejaculate. “nonobstructive simple means lesser sperm production.

Azoospermia may be caused by many factors like hormonal deficiencies and infections. One such example is vasectomy. This is the condition caused by cutting and sealing the vas deference. Due to this, sperms are blocked and prevent pregnancy. Vasectomies can often be reversed (In 70% of cases, sperms do reappear), but in most of the cases, sperm antibodies are seen which reduce the ability of sperms.

Low success rates with reversal of vasectomy are due to high antibodies, time length of vasectomy and amount of vas removal. These all factors contribute to male infertility to some extent.

  1. Erectile Dysfunction: this is the condition where a penis is unable to keep or sustain an erection during sexual intercourse. There are situations where the semen sample for Assisted Reproductive Technology treatment could not be produced.

Occasional erectile dysfunction does happen. This may be due to stress or nutritional or lifestyle change. Frequent erectile dysfunction can be a sign of health problems which need prompt attention. It may be due to a relationship or emotional concern which may require professional help.

Incidences of erectile dysfunction increase with age, which contribute to male infertility.

  1. Retrograde Ejaculation: In this situation, sperm & semen content may be normal but instead of leaving the penis, it flows back into the bladder.

There are many such situations mentioned above, sperms need to be retrieved with surgery. Such sperms may be immature or not developed fully to fertilize the eggs, the Procedure called Intra Cytoplasmic Sperm Injection (ICSI) or Intra cytoplasmic morphologically selected sperm injection (IMSI) treatment is used.

Recent finding about sperm is an eye-opener. Till date, it was thought that the best swimmer sperm is ideal for making a baby. The 1st sperm to meet the egg must be of the best quality. Now we are aware, that having a good count and motility of sperms does not conform to the best quality sperms.

The sperm factory never closes but the quality of sperm goes down. The process of manufacturing sperms happens over 3 months and happens in cycles. They are the smallest cells of the body. The composition of sperm is dependent upon, the food we eat, drinks we consume & health conditions, much before the issue of fertility treatment sets in.

Do you know, which factors affect the quality of sperm?

 

Diet we consume, Lifestyle choices of individuals (like smoking, alcohol, drugs etc.) Medical health conditions like obesity, diabetes, hypertension etc. Environmental factors (e.g. exposure to chemicals, toxins, heat) Recent illness (prior, during or after 3 months of treatment) which cause high fevers, Body Mass Index (BMI) Age Genetics

All these factors can have negative effects on sperm health due to hormonal imbalances in the testes and put additional stress on the body. The continuous process of production of these cells & recycling the same creates free radicals. In a limited manner, these free radicals protect the cells & human health. Excess of these free radicals, however, can cause damage to the sperms.

Science has understood the importance of a healthy lifestyle to minimize the overproduction of free radicals.

Poor health of sperms results in Poor fertilization, Poor development of embryos, birth defects, and miscarriages.

The very obvious question is how to improve sperm health.

  1. By eating right with balanced, easy-to-digest food
  2. Maintaining the Ideal body weight.
  3. Keeping away from direct exposure to heat & Sedentary lifestyle.
  4. Use of proven nutritional supplements like Zinc, selenium, magnesium-rich substances or fortified supplements

In a nutshell, sperm health is equally as important as female health; a healthy diet and lifestyle changes along with nutritional supplements are of great help in improving sperm health. However, these changes must be started at least three months before conception or fertility treatment.

These simple measures will ensure, that the best quality DNA is generated and passed on to the next generations to come.

As science is evolving & a lot of diagnostic tests are in place for early detection. Simple non-invasive blood tests can be of immense help in overcoming male infertility.

Pearl women’s hospital & Yash IVF has designed the screening & treatment protocol for Azoospermia & other causes of  Male infertility.  We have specially designed Guidelines for modern fertility  techniques like ICSI, IMSI, TESA, and PESA.


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August 27, 2022 adminUncategorized

Good day bloggers.

Every query about the endometriosis cure brings the spotlight on the concerns. Endometriosis in the true sense has united the various age group, races, and professions alike. This condition affects life, generates anxiety, and disturbs work-life balance for the sufferer as well as near and dear ones.

Endometriosis feeds on estrogen, so endometriosis starts as early as the 1st period, lasting beyond menopause in severe cases, in about 30% of the cases. As per the latest reports, 1 in 10 women suffers silently from endometriosis. The average age of endometriosis diagnosis is around 28 yrs, risk increases beyond 30 and peaks around 40 yrs. That’s why endometriosis is mainly a reproductive health concern.

It is estimated about 25 million women are suffering from endometriosis. Women with mothers & sisters having endometriosis are 5-6 times more likely to develop endometriosis as compared to others. The unbearable Pelvic pain, irregular menses & infertility are the symptoms but, often go unnoticed.

When the Warning signal becomes a red alert, the search for the cure starts. In most cases, the diagnosis of endometriosis takes 2 to 10 years & is the main reason for infertility. Health complications of endometriosis are immense and affect the body, mind & soul.

Pregnant women are often at increased risk of premature birth and miscarriages. The real threat is, the time endometriosis takes for detection & confirmation. This delay further affects the anatomy of the internal reproductive organs & the treatments are often complicated. Endometriosis diagnosis is often done with ultrasound, transvaginal scans or laparoscopy.

As endometriosis is an inflammatory condition involving the uterus lining, and pelvis which affects the surrounding areas too. As these cells are supplied with neurons, pain is often felt which is intense. These cells are outside the uterus lining and respond to hormonal changes during menstruation. So there is internal bleeding too.

Diagnosis of endometriosis itself is a challenge, so it is said, one who knows endometriosis, knows gynaecology. The reason why the cells stick outside the uterus wall & form linings is not known. The inflammation caused by such hormonal changes is a real concern. The inflammation has dead cells and toxic substances which make the internal environment of the abdomen toxic.

Removal of such cells which are grown outside the uterus is the most viable option but recurrences of such cells call for further surgeries which affect the structure & functions of ovaries. No wonder, it is a super speciality surgery to selectively remove these cells without damaging the structure of the uterus & other organs.

So, where is the cure for endometriosis?  Let’s get the fact right, there is no cure for endometriosis but symptoms can be controlled with surgery & medications.

There are treatment options available for Pelvic pain & Infertility. Depending on Age, the severity of symptoms, degree of endometriosis (how deep the penetration of endometrium cell in the organ) and medical history of the disease, consulting a Gynaecologist will take the well-informed call.

The challenge of fertility preservation & pregnancy in case of severe endometriosis is tough to handle, and there are chances of endometriosis occurring again after a few years.

Can endometriosis be cured only with surgery?

There is no cure for endometriosis, & often laparoscopy surgery is the gold standard treatment in the first place. The removal of endometrium cells outside the uterus can offer guaranteed relief and control over Pelvic pain. The surgery needs to be repeated if endometriosis occurs again.

Laparoscopy is the gold standard therapy. The surgeon uses an instrument to inflate the abdomen with harmless gas and then inserts a laparoscope, into the abdomen through a small cut to see the growths.

The surgeon makes at least a few more small cuts in the abdomen and inserts lasers to,

Remove the lesions/scar, which is called excising procedure.

Destroy the lesions with heat and seal the blood vessels without stitches, by cauterizing or vaporizing process.

The goal is to treat the endometriosis without damaging the healthy surrounding tissues

To avoid or prolong the growth of endometrium cells outside the uterus after surgery, birth control pills & hormone therapy is often advised. The duration and dosage of such medicines are the expert gynaecologists’ forte, it requires constant monitoring of the ovary health.

Hormone therapy is used to treat endometriosis-associated pain. Hormones can be given as pills, a shot or injection, or a nasal spray. These medications stop the ovaries from producing hormones, especially estrogen. This will prevent the development of endometrium tissues or scars, but it will not stop the current lesion or growth of endometrium cells.

Here are a few ways to control symptoms of endometriosis & reduce the intensity of symptoms.

  1. Pain killer medication: There are several medications available to help relieve the symptoms of endometriosis. Some people may find relief by taking over-the-counter painkillers or prescription drugs. It is to be noted, that all these medicines should be taken under the guidance of a gynaecologist. These pain killers often cause acidity & sometimes cause major complications like bleeding.
  2. Eating right for endometriosis diet:  Diet can help relieve the symptoms of endometriosis. For example, eating a healthy diet with fruits and vegetables can help improve health and may reduce the symptoms of endometriosis. Grapes, Apples, Strawberries, peaches, and Oranges offer good pain relief.
  3. Food to avoid: High fats processed foods, caffeine, and Soy products, as they contain estrogen. Red meat too contains estrogen, so it is better to avoid
  4. Rest, Relax & Mediate, take warm baths, and use of heating Pads.
  5. Exercise: Exercise is internal cleaning and helps in reducing the pain intensity & increasing tolerance

One such center, which offers a multidisciplinary approach along with laparoscopic excellence is Yash IVF, Deccan, Pune. Under the able guidance of Dr. Ganapule & the team has successfully operated on tricky & complicated endometriosis cases. The hospital is known for the Endometrioses CEASE Clinic. Yash IVF offers online consultation too with prior appointments.


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August 10, 2022 adminUncategorized

Warm regards Dear readers,

We represent Pearl women’s hosp & Yash IVF, a hospital of repute in complete endometriosis care. We are often bombarded with questions & one of the common ones is, how severe is My Endometriosis and what can I do for relief?

Let’s address this concern.

Understanding endometriosis is the best starting point. As the word endometriosis relates to the uterus or womb, it is a muscular organ which is made up of 2 types of cells. Muscular cells that make the wall of the uterus, are called myometrium while other cells that are glandular make the linings of the uterus, endometrium. The uterus has many nerves & blood vessels that supply blood.

Endometrium cells have specific functions to provide the space for attachment to the embryo when the pregnancy begins. The function of these endometrium cells changes over time. During the menstruation cycle, the endometrium builds up to provide shelter & space for a fertilised embryo. If Pregnancy doesn’t happen, then these cells die & menstruation or vaginal period starts.

These endometrium cells respond to the hormones, such a well-structured womb is, an organ truly dynamic.

These endometrium cells when found elsewhere, or outside the uterus, ovaries, bladder, and pelvis too respond to the hormonal changes during periods, they tend to swell, causing inflammation & intense pain.

Delay in detection & confirmation of endometriosis is a result of mild to moderate symptoms of pain, bleeding, and cramps which are often neglected. There is no practical definitive marker to study the extent of endometriosis is available.

Pain, irregular bleedings, infertility, tiredness, bloating, fatigue, diarrhoea, and constipation are the probable symptoms of endometriosis which can have other causes too.

So, to address the concern, Is all endometriosis the same?

Endometriosis based on location can be ‘superficial endometriosis’, when there are lesions over the peritoneum & another is, ‘deep infiltrating endometriosis’ having growth infiltrates in the pelvic organs, like the bladder and rectum etc. Endometriosis has typical and atypical presentation, so their classification is of great importance and is improving day by day.

There are different degrees or levels of endometriosis, depending on, the number of organs involved and the degree of scarring and internal adhesions. This classification is of great importance to know,

The stages of spread & extent of damage it can cause

The treatment Plan for each stage & possible time & effort needed for the same.

To understand the progression of disease & impact on other systems like fertility.

The severity calls for additional external help through specialised drs/hospitals.

Involving patients to update the possible & realistic goals & complications of treatments.

American Society for Reproductive Medicine developed the grading of endometriosis. (ASRM and is based on the number of lesions & degree of infiltration/adhesions. This system of classification is not based on the severity of symptoms & is grouped into the following.

This system of classification is further refined by The Endometriosis Foundation of America (Endofound.org) has proposed a different classification using the anatomical location and level of infiltration.”

ENDO FOUND ENDOMETRIOSIS CLASSIFICATION.

One important point to recollect is, that there are many challenges for the operating doctor and may be considered a super specialty surgery. Even for the diagnosis, laparoscopy surgery is required,  and the additional burden of infertility has to be addressed along with diagnostic delay to beat. To overcome, all these challenges, awareness & seeking expert help in time is essential.

One such center, which is generating excellence for ‘Endometrioses CEASE’ Treatment is Pearl Women’s hospital & Yash IVF. The centrally located @ Deccan, Pune center hosts an excellent in-clinic facility for local, interstate and foreign nationals which includes an in-house medical facility under one roof, including medicines, 24*7 expert medical help at the bedside, additional caretaker facility, pick-up & drop for the patients,

Dr.  Chaitanya Ganapule is an eminent expert Laparoscopic surgeon & has impressive credentials, to be considered, as one of the top Gynaecologists for this procedure.

A reputed Laparoscopic and Hysteroscopic surgeon, Dr. Chaitanya Ganapule has been trained with the best centers in France and Germany. He has gained a diploma in Pelvic Endoscopy from Kiel University, Germany, and a Diploma in Gynac Endoscopy from the University of Clermont – Ferrand, France.

His learning with “The Indian Workshop of the Franco-European Multidisciplinary Endometriosis Institute in France, in 2022 is a great asset. We are proud to offer patient-specific ’Endometrioses CEASE’ solutions who wish to get rid of pain, restrictions and infertility. We promise to make your stay comfortable & memorable too.

The wholesome food & friendly patient care are hallmarks of the hospital.  We do have online consultations for patients to avail the medical excellence in time.


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August 8, 2022 adminUncategorized

Painful menses, cramps, and heavy bleeding are common stories for many women and they may have a dozen different causes. They remain a puzzle to understand, diagnose & treat because not only are women reluctant to come to the doctor with these issues but they are brought up on the firm belief that these monthly periods have to be lived with. However, Endometriosis is a different ball game altogether. The pain can destroy your personal life, it lasts well beyond the menstrual cycle and is immune to medication. It may also delay pregnancy, make it more complicated and can progress toward infertility.

In fact, you can consider yourself lucky that you have been actually diagnosed as having Endometriosis because the only definitive diagnostic test is Diagnostic Laparoscopy.

Can you imagine, a diagnostic surgery simply to confirm the presence of endometriosis? Yes, there is no other test for a definitive diagnosis and it is up to the expertise of the Gynaecologist to recognise the symptoms and recommend a diagnostic Laparoscopy. It is quite another issue that most patients may reject this recommendation outright unless the suffering is too severe to bear.

No wonder, 30-50 % of the patients diagnosed with endometriosis often have had a struggling journey of infertility. This condition often remains underdiagnosed unless a couple faces issues in getting pregnant.

The real concern is that the couple is trying desperately for pregnancy and visits the gynaecologist only to find out that the cause is an incurable condition called ‘endometriosis’.

Endometriosis is a condition wherein the cells of the linings of the uterus are found outside the uterus, on other organs like the ovaries, fallopian tubes, or elsewhere in the body like the kidney, bladder or intestine.

How long does endometriosis last?

Endometriosis feeds on estrogen, so endometriosis starts as early as the 1st period, lasting beyond menopause in severe cases, in about 30% of the cases. The only indication is failure to conceive. Silent or milder endometriosis has no symptoms. The control over the symptoms is one part and controlling the endometriosis is another side of the story and that’s why there are foundations of endometriosis in the world to address this concern.

How much is the burden of endometriosis for Pregnancy?

Let’s understand first, that endometriosis is inflammation of the endometrium, the lining of uterine cells. Inflammation is reddening, ballooning& swelling of linings, due to which, eggs may have a problem travelling from ovaries through fallopian tubes to the uterus.

There is scarring of tissues as the lining is disturbed. Eggs may get lodged and may not move. Fertility issues with endometriosis, often start with ovaries & fallopian tubes. While passing these barriers to fertilisation, women with endometriosis have potentially higher rates of miscarriage Preterm deliveries, Pre-eclampsia, and Caesarean deliveries.

So, what to treat first? Endometriosis or fertility issues

The simple answer is, that it depends on the severity of the conditions, health records of the women, age, etc. It is highly patient-specific & getting consultation from the experts is a must, as surgical removal through laparoscopy is a super speciality surgery and a lot can depend on the skills & expertise of the operating gynaecological.

Endometriosis diagnosis is the key to treatment,

Timely treatment of endometriosis not only improves the success rate of IVF but also helps in natural conception.

The cell growth as well as lesions (scarring of tubes) often leads to the delay or difficulty in travelling or implantation of embryos. The severity of endometriosis matters the most in the success of IVF. The gold standard investigation for endometriosis is surgical laparoscopy and biopsy. If pain is not controlled with simple analgesia or the diagnosis is suspected in a woman who is actively trying to conceive, referral should be considered. Early referral should be considered in women with abnormal examination findings,

A Myth attached to this situation is, that pregnancy can cure endometriosis.

Simple answer, it is incorrect. No pregnancy can cure endometriosis. The symptoms and severity may decrease due to pregnancy or lactation because of hormonal changes, but the scarring and pregnancy may further cause problems in the journey of parenthood.

Can IVF be successful with endometriosis?

If you have been diagnosed with endometriosis and want to start a family, IVF is a good option & the best solution too.

IVF success depends on women’s age, quality of eggs & sperms, medical history of the couple, lifestyle & stress, and Severity of Endometriosis etc. A special precautionary measure, if taken can  increase the success of IVF. There are instances, seen & studied which say, the impact of endometriosis on IVF Success is on various stages with Poor implantation, low egg retrieval, quality of eggs etc.

Let’s know the facts about endometriosis & fertility.

Endometriosis is a common Gynaecological concern, which does not cause necessarily infertility or pain. Mild endometriosis is common & one will not have any problem in natural conception. As the severity increases, adhesions are the main concern & chances of natural conception are lowered.

What, if you decide to be silent on silent endometriosis?

The simple answer is, delay in diagnosis is because of symptoms which may be mild or seen as normal period pain. You can maintain the silence but silent endometriosis may not. It worsens over time & the growth of such unwanted cells multiply and can cause future complications.

Does medical treatment endometriosis?

Drug treatment for endometriosis does not improve fertility either during or after the treatment. It is documented for pain relief or preparation for surgery. It does offer symptomatic relief to the patient.

Does surgical treatment for endometriosis improve the chances of pregnancy?

It is well known & documented fact that surgical removal of such unwanted tissues with precision & accuracy, definitely improves fertility & reduces pain.  The Surgical treatment is more valuable than diagnostic laparoscopy (look & see).

Laparoscopic Surgery is often hailed as the gold standard in case of endometriosis and expertise in doing so, is a branch of super speciality. We @Pearl Women’s Hospital & Yash IVF have excellence in endometriosis treatment and is situated at the central location of Deccan, Pune.

Dr. Chaitanya Ganapule is an expert in Laparoscopic surgery Removal of such tissues or fibroids or Polyps, is his forte and he is considered one of the top Gynaecologists for this procedure.

A reputed Laparoscopic and Hysteroscopic surgeon, Dr. Chaitanya Ganapule has been trained at some of the best centers in France and Germany. He has a diploma in Pelvic Endoscopy from Kiel University, Germany, and A Diploma in Gynec Endoscopy from the University of Clermont – Ferrand, France.  He has recently attended & completed the “Indian Workshop of the Franco-European Multidisciplinary Endometriosis Institute in France, in 2022. We are happy to offer our special ’EndometrioCEASE’ solutions to patients who wish to get rid of pain, restrictions and infertility.


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August 3, 2022 adminUncategorized

Breast milk, as we all know, is nature’s best compliment to children through mothers. A lot of research has been done to know the composition of breast milk, changes during the period, and how to ensure the supply of this golden milk till the requirement of the baby.

This amazing breast milk is the overflow of love for her child, a glance or stare & subsequent latching ensure the flow. It is well-known fact that breasts are never empty during the feeding process. A highly regulated process of milk production is hormone driven and no wonder happy breastfeeding offers many benefits.

Let’s see, how unique breast milk is.

Breast milk contains 87% of water, 1% protein, 4% lipid, and 7% carbohydrate, minerals & vitamins, different antibodies, and a good amount of microbiota. Simple as it sounds. isn’t it?

Every component of breast milk is studied extensively and the verdict is formed.

There is no substitute for breast milk.

The wordings written on infant formula feed are loud enough to convey, the fact, that even though, we know about the composition of breast milk, we can’t manufacture the same with same in factories, that’s why you will see a lot of breastfeeding centres in cities.

The simple reason is, that breast milk osmolality is, 300 to 400 mOsm/kg. The addition of minerals & vitamins, even in small volumes in other feeds can increase osmolality significantly and should be avoided if possible.

Osmolality is the measure of how soft and digestible the breast milk is. This 300 -400 mOsm breast milk has a great flowing capacity, so it oozes out of the breast, can easily be sucked by the baby and helps in building the body mass of the baby without any stomach problems.

There are many formulae feeds or milk substitutes available in the market but nothing matches the composition, functions & superiority of breast milk. For the 1st six months of life, every newborn needs breast milk as a sole diet.

Let’s see, which factors affect the breast milk supply and how to avoid it.

Remember the fact, its demand and supply of breast milk, breast stimulation has an important role to play.

  1. Stress-related anxiety often decreases milk production.

Initial few weeks of the newborn, the sleep cycles of the baby create a lot of stress. Adjusting the schedule along with newborn often release cortisol, a stress hormone. There are instances, where the mother had ample breast milk & become dry within a few days due to stress & related uncertainties.

You have struggled through the pregnancy blues and it’s time to adapt peacefully to the changes. This is the time, you should consult a lactation expert to guide you through these phases.

Involve the entire family in creating the breastfeeding positive ambience which is calming, easy-to-feed places with cushions, soothing music and participation of entire family members to make the event easy.

  1. Ease & Use of formula feed decreases the breast milk supply.

As we have learned that breast milk is produced based on demand & supply. It is of vital importance to allow the baby to latch on to both the breast to produce breast milk. Formula feed if introduced in between, can reduce the supply of breast milk considerably.

As the body gets the message that breast milk is not required, which results in reduced breast milk. As, formula feed is energy dense, and offers satiety to the baby, which induces sleep. The absence of latching often reverts the process of supply.

Pumping of breast milk can be done and kept handy, it can be refrigerated too. To maintain the hygiene of the instruments for pumping & bottles.

  1. Reducing the caloric intake of mothers reduces breast milk.

Dieting to reduce the fat or weight gained during pregnancy is often harmful to breast milk. Due to diet, the body doesn’t get enough nutrients which slows the process of breast milk.

Even maintaining hydration with water is good.

Carry water wherever you go & drink. Don’t encourage dieting during breastfeeding.

  1. Separation of mother and child (return to work, school);

7 This detachment is seen as an important factor that reduces the breast milk supply. You can overcome this by pumping the milk & keep it in the refrigerator. So even in absence of the nursing mother, a child gets the breast milk in time.

  1. Avoid falling sick as illnesses result in fatigue, diarrhoea, and lethargy which calls for the separation of the newborn and results in reduced breast milk.
  2. Mother who does not wake up (drugs, alcohol, medication)or Breast injury/bad breastfeeding position often results in reduced breast milk.
  3. Baby refusing the breast due to rapid flow, flat nipple or inability to latch on comfortably.
  4. Baby sleeping for long periods may be due to illness (jaundice, prematurity, certain medication);

The result of insufficient breast milk is, that a baby will be underweight and prone to common infections or seasonal changes. A child will be irritated and less playful.

Help at hand with various resources through family members, elders and expert lactation consultants are readily available. The beautiful lifetime gift of breastfeeding till the weaning is a much-cherished memory for the family & worth being practised for generations.


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