How to Manage Low Ovarian Reserve?

What is ovarian reserve?
Any IVF stimulation programme aims to produce a large number of good-quality eggs and a healthy uterine environment. It refers to the ease with which an individual’s ovaries can be successfully simulated using fertility medicines in a practical sense. The woman’s age is the single most consistent factor impacting ovarian reserve.
A low ovarian reserve is defined as a lack of quantity and quality of eggs at a given age. Women with a poor ovarian reserve have a difficult time getting pregnant, and in some cases, conception may be difficult. The menstrual cycle can be irregular, with heavy and light periods, as well as being late or short. Miscarriage can also be caused by a low ovarian reserve. Despite the fact that there are treatments for this condition-
Low ovarian reserve is caused by a variety of factors, including:
• Age
• Smoking
• Excess intake of alcohol
• Endometriosis
• Tubal diseases
• Chemotherapy
• Radiation therapy
• Infections inside the pelvic area
• Autoimmune disorders
• Genetic abnormalities
• Mumps
Despite the fact that poor ovarian reserve can make it difficult to conceive, early diagnosis and treatment can help to improve the chances. We can assess ovarian reserve by having specialists certify it in order to determine the ovary’s function and quality.
The IVF Specialists can recommend IVF Treatment or any other treatment for infertility based on the circumstances and the ovarian exam.
The experts at First Step IVF are certified to do ovarian reserve examinations for infertile couples and those who are seeking a pregnancy. If you are identified with a poor ovarian reserve, you will be given the appropriate treatment and consultations from Ashakiran Hospital.

IVF Specialist

What Effect Does PCOS Have on Fertility?

PCOS, or Polycystic Ovary Syndrome, is a hormonal disorder that affects 10% of reproductive-age women. The fact that 70% of PCOS cases go undetected due to a lack of understanding about the disorder is frightening. PCOS tends to interfere with your life in ways you may not be aware of. But do not be disappointed! Let’s clear up some frequent PCOS inquiries so you may put your fears to rest.

What causes PCOS to occur? What are the impacts on Women?
While there is no definitive answer as to what causes PCOS, there has been some research that links certain characteristics to the condition. Genes are one of them. Some research has discovered a relationship between PCOS and heredity. Another issue that contributes to PCOS is insulin resistance. Insulin resistance causes the body to produce too much insulin, which leads the ovaries to release more male hormones. Diabetes and PCOS are both increased as a result of this. PCOS can harm a woman’s body, which is why it’s so important to get it diagnosed. Low metabolism, obesity, sleep apnea, endometrial cancer, and depression are just a few of the side effects. However, one of the most often asked questions by women around the world is, “Does PCOS Affect a Woman’s Ability to Conceive?” Yes, PCOS stops the egg from being released regularly, which makes fertilizations difficult. PCOS has a high prevalence of infertility, with about 75% of women with the condition having difficulty conceiving.

How PCOS treatment does happen?
Birth control pills to manage the cycle, Metformin to regulate insulin, Clomiphene to promote fertility, and, in some situations, surgery is some of the most frequent approaches to treat PCOS. It is crucial to remember, however, that these drugs can have adverse effects, which is why it is best to consult a doctor before deciding on the best treatment option for you. Dr Ashish Kale is the IVF Specialist in Pune. Following a nutritious diet and maintaining a regular exercise regimen are two things you may do at home to help with PCOS therapy. Obesity continues to be the leading cause of PCOS infertility, thus it’s critical to address it first. PCOS sufferers can improve their fertility by losing just 5-10% of their body weight.

Why choose Ashakiran Hospital for PCOS and infertility Treatment?
Ashakiran Hospital is a well-known Infertility Center in Pune that has a high success rate with IVF in PCOS patients. Fertility treatments can be difficult for the body to handle and can sometimes go wrong. Overstimulation of the ovaries to create more eggs during IVF in PCOS individuals might have hazardous consequences for the body. Ashakiran Hospital is aware of these dangers and employs strategies to mitigate them. Instead of being stimulated for 4-5 weeks, the ovaries are stimulated for only 10-11 days. This prevents the ovaries from being overstimulated or hyperstimulated.
PCOS and infertility might be difficult to deal with, but it is possible to conceive even if you have PCOS. Ashakiran Hospital is led by Dr Ashish Kale, who is an expert in IVF treatments. To schedule an appointment, please contact us on


Endometriosis and its Treatments

What is Endometriosis?

Endometriosis is a condition in which tissue that looks like the lining of your uterus develops outside of it. The endometrium is the uterine lining.

Endometriosis is a condition in which endometrial-like tissue forms on the ovaries, intestines, and pelvic tissues. Endometrial tissue rarely spreads beyond the pelvic region, but it can happen. An endometrial implant is an endometrial tissue that has grown outside of your uterus.

The displaced endometrial tissue is affected by the hormonal fluctuations of your menstrual cycle, causing it to become irritated and uncomfortable his means the tissue will thicken, grow, and eventually break down. The broken tissue finally gets stuck in your pelvis because it has nowhere else to go.

This trapped tissue in your pelvis might cause the following problems:

  • Scarring and adhesions are a source of discomfort (tissue that ties your vaginal organs together)
  • Fertility difficulties and intense discomfort during periods

Endometriosis symptoms

Endometriosis can present in a number of ways. Some women experience only minor symptoms, while others experience symptoms that range from mild to severe. The severity or stage of your condition has nothing to do with the degree of your pain. You could be in agonizing agony even if you have a mild instance of the illness. It’s also possible to have a severe kind while only feeling minor discomfort.

What causes Endometriosis?

During a regular menstrual cycle, the lining of your uterus is lost. This allows menstrual blood to travel from your uterus to your vaginal canal through the little opening in the cervix.

Endometriosis has no recognized cause, although there are a number of speculations about what causes it, none of which have been scientifically proven.

According to one of the early theories, endometriosis is caused by a process known as retrograde menstruation. When menstrual blood returns to your pelvic cavity via your fallopian tubes rather than escaping through the vagina, this occurs.

Hormones, according to another theory, drive cells outside the uterus to transform into endometrial cells, which line the lining of the uterus.

Others feel that if endometrial tissue grows in small areas of the abdomen, the sickness will develop. This could be because the cells in your abdomen are embryonic cells that have the ability to change shape and function like endometrial cells. It’s not clear why this happens.

Endometrial cells may have shifted to the surfaces of your pelvic organs, including your bladder, ovaries, and rectum. They continue to form, thicken, and bleed during your menstrual period in reaction to the hormones in your cycle.


Endometriosis Treatment Options

There are two types of treatment for Endometriosis.

One is a medical treatment that involves taking tablets and also includes hormonal treatment,

The other one is Surgical Treatment where you have to go under Surgery.

You have to visit your fertility consultant to decide what kind of treatment you will need because the treatment options depend on the age of patients, kind of symptoms, type of endometriosis and desire for fertility or to have a child.


Infertility and Mental Health

Infertility affects many people and couples, and it has a detrimental impact on their mental health. Certain women and couples may have an expectation, a fantasy, or a plan about having children, and they may feel cheated out of that fantasy. It is recommended that you visit your nearest Infertility center if you are experiencing fertility issues.

Studies have shown that infertile couples experience huge tension and enthusiastic misery. When a series of fertility medicines end up being of no use, women or couples can encounter profound sensations of distress and misfortune.

According to a recent study, some couples said that barrenness was the most disturbing experience of their lives. We at Ashakiran Infertility Centre understand this and provide complete mental support to our patients.

Today, men are substantially more engaged with the family and may feel a perinatal misfortune similarly as profoundly. Regardless of whether men don’t encounter the actual aggravation of that misfortune, the enthusiastic aggravation they feel is genuine.

How is infertility linked to depression?

While IVF Specialists have long recognized that infertility as a medical issue, shame and secrecy are still pervasive among infertility patients. It may be tough to seek aid from friends and family as a result of this.

When you’ve been trying for a long time and haven’t been successful, it’s heartbreaking and frustrating, especially if you don’t have the support of family and friends.

According to a 2010 study, depression may deter people from seeking infertility treatment.

Though many people with reproductive challenges can have a child with therapy, such as in-vitro fertilization (IVF), anxiety about whether or not the treatment will succeed can be detrimental to one’s mental health.

Effects of the treatment Hormones are used in several fertility treatments. These hormones can sometimes alter a person’s mood, raising the risk of depression.

Because of infertility, anyone can get depressed.


It’s fairly uncommon to feel low or even depressed from time to time. When these symptoms last for a long period and negatively impact a person’s quality of life, they may be suffering from depression.

When a person exhibits five or more of the following symptoms, they may be diagnosed with depression:

  • weight loss or gain not due to deliberate dieting or a health condition
  • the sad mood throughout the majority of the day
  • on most days lack of interest in most activities
  • Sleeping excessively or insufficiently most days
  • feeling physically irritated or slow most days and having poor energy
  • most days feeling worthless, guilty, or embarrassed
  • difficulties thinking clearly or concentrating frequent thoughts of death or suicide

If you have any above issues you can visit Dr Ashish Kale who is an IVF Specialist in Pune.


How to manage the 2-week wait period following IVF

Yes, that did happen! You’re waiting for the second line on your pregnancy test or to hear from your doctor that you’re pregnant after weeks, months, or years of trying. You might feel apprehensive, nervous, eager, or exhausted during this period. During this time, finding coping skills to relax your body and quiet your thoughts can be quite beneficial.


The Two-Week Hold

After fertility treatment, there is usually a 2-week wait period (IVF).

This can be an emotionally and physically draining time, especially for individuals who have been trying to conceive for years and believe IVF is their last option. The waiting phase after IVF can be one of the most difficult times in a person’s life, but several ways can help people who are going through this procedure feel better. If you are thinking of IVF treatment then Dr.Ashish Kale is the Infertility Specialist in Pune.


Keep Your Expectations in Check

Most women’s expectations during the post-IVF wait period are high, which might cause them to become overly focused on their bodies’ physical processes. You might realize that you’re getting more conscious of certain sensations. Normal cramping can be amplified, and minor twitches can either be a source of delight or disappointment, depending on your perspective.

You must reflect on the process and your expectations during the post-IVF waiting period. For many women, IVF is the answer to their goals and dreams of becoming pregnant. This can lead to erroneous expectations about IVF’s effectiveness. It’s best to keep your expectations in check so you don’t become too fixated on your body. Every day, the body goes through a slew of typical processes, and it’s nearly impossible to tell the difference between everyday symptoms and those linked with pregnancy.


Don’t ignore what your body is trying to tell you.

Severe cramping, heavy bleeding, and associated nausea are among the symptoms to be mindful of during the IVF process. If you have these symptoms, you may be suffering from ovarian hyperstimulation syndrome (OHSS). Although OHSS is usually a minor condition, it can be fatal. About 20 to 30 percent of women undergoing IVF suffer from mild OHSS. If you’re suffering from any of the symptoms listed above, you should visit Infertility Center near you.


Relax and enjoy yourself.

Get plenty of physical and mental rest. Avoid heavy exercises, stress, and strenuous physical activities. It is also important to avoid taking hot baths. Exercising too much might cause problems, and it’s best to stay cool indoors if the weather is scorching. IVF Specialists will advise you to take time off work for at least the first week of the two-week delay.


Eat Well and Drink Plenty of Water

After IVF, it’s critical to eat well. A balanced diet will give all kinds of nutrients and vitamins you need for successful implantation. It’s also critical that you get plenty of rest and consume lots of water. Dehydration can make implantation more difficult and leave you more vulnerable to problems. There are lots of myths about foods that should not be eaten after IVF Treatment but these are a misconception. You can eat all types of food except the outside food so that you do not get your stomach upset. While some foods are high in nutrients that your body requires to support a pregnancy, there is no one-size-fits-all food that will guarantee IVF success.


Remember to take your medicine.

You should take the fertility medications and injections suggested by IVF specialists, as well as any other medications and injections that your body requires, on time. Do not forget to take injections and medicines on time prescribed by IVF Specialists. In case if you fail to do so or you develop any side effects then just report to your Infertility Specialist. If you live with someone, ask them to assist you in remembering to take your prescription on time.

Be ready for both good and bad news.

The success rate of IVF varies greatly depending on a variety of factors. It’s critical to mentally prepare oneself for the risk that the treatment will fail. Preparing for a positive outcome is just as important. IVF is an extremely draining process that can significantly transform your life, regardless of the outcome. You must be ready for any eventuality. Be confident in your ability to continue on this path, and remember that a negative result does not mean your pregnancy aspirations are over. Before successful implantation, IVF may need to be repeated several times.


Top Natural Painkillers

Individuals have utilized fundamental oils, spices, and elective treatments as normal pain killers for many years.

Analysts have not completely investigated these choices; however, some proof recommends that specific cures can help and that many individuals think that they are valuable.

In this article, we examine some regular pain killers and the science behind them.

  1. Turmeric

Turmeric is additionally a typical natural solution for decreasing aggravation. To recollect turmeric for its ordinary design in the eating schedule, have a go at adding it to curries, smoothies, or juices. Fresh or dried turmeric is likely to be safe when pregnant women consume it in small amounts, e.g., the amounts typically found in meals, such as curries and other dishes.

  1. Ginger

Ginger is a root that shows guarantee as a characteristic pain killer.

A 2015 efficient review trusted Source found that ingesting 2 grams of ginger each day unobtrusively decreased muscle pain from obstruction exercise and running when individuals took it for something like 5 days. Ginger is commonly used to ease morning sickness during pregnancy, and studies have shown it’s safe and effective for this purpose. Talk to IVF Specialists about using ginger for morning sickness.

  1. Cloves

Individuals have generally utilized cloves, from the Eugenia caryophyllata plant, as a home solution for ease torment from toothache.

A 2006 study trusted Source observed clove gel to be just about as compelling as benzocaine gel, which is an effective gel that dental specialists regularly use to diminish needle torment.

  1. Capsaicin

Individuals additionally use capsaicin, present in bean stew peppers, for normal help with discomfort. This substance can create a gentle consuming or shivering uproar when an individual applies it topically.

Turmeric is additionally a typical natural solution for decreasing aggravation. To recollect turmeric for its ordinary design in the eating schedule, have a go at adding it to curries, smoothies, or juices.

  1. Lavender fundamental oil

Lavender fundamental oil might assist with alleviating torment normally. People use lavender oil to alleviate the inconvenience, help rest, and ease anxiety.

A limited scale 2012 examination found that breathing in lavender oil might assuage torment related to headache migraines contrasted and fake treatment.

  1. Rosemary fundamental oil

Rosemary is fundamental oil that might calm torment.

A few specialists express that Confided in Source the rosemary plant, Rosmarinus officinalis L. may assist with treating migraine, muscle and bone torment, and seizures. Rosemary may likewise diminish aggravation, loosen up smooth muscles, and lift memory.

  1. Peppermint fundamental oil

Some examination recommends that the peppermint plant has mitigating, antimicrobial, and torment assuaging impacts. The dynamic mixtures in peppermint oil incorporate carvacrol, menthol, and limonene.

  1. Eucalyptus fundamental oil

The last fundamental oil on this rundown of regular approaches to mitigate torment is eucalyptus oil. This homegrown cure from the Eucalyptus plant might assist with decreasing torment, expansion, and aggravation in the body.

Pregenant Women

The Right Time To Drink Water

It’s normal information that drinking eight glasses of water a day is fundamental for the body to work appropriately. Be that as it may, do you realize what the ideal opportunity to drink water is?

Drinking eight glasses of water a day to remain appropriately hydrated is (ideally) not news to the vast majority of us. Yet, did you know there are explicit focuses during the day that is the best ideal opportunity to drink water? Truth be told, drinking water on those occasions can even lift your general wellbeing and psychological working. In case you’re similar to me, you’re presumably contemplating internally, “Water will be water, I need it regardless of the hour of the day!” While this is truth be told self-evident, research shows that you can truly ingest a more prominent measure of water’s clinical benefits and work on your internal cycles by drinking it at ideal occasions in a day.

Science shows that drinking water at the right occasions of the day can assist with forestalling normal health-related issues, for example, stomach torment, IBS, bulging, exhaustion, gorging, high blood pressure, constipation, and even coronary episode and stroke. Drinking water at right time is also good for pregnant women.

1) After waking up

Drink one glass of water after awakening to assist with actuating your inward organs. The water will assist with eliminating any poisons before your first supper of the day.

2) Before a meal

Drink one glass of water 30 minutes before supper to help absorption. Recall not to drink too early previously or after supper, as the water will weaken the stomach-related juices. Drink water an hour after the feast to permit the body to ingest the supplements.

3) Before a bath

Drink one glass of water before cleaning up to assist with bringing down your pulse.

4) Before sleep

Drink one glass of water an hour before sleep time to recharge any liquid misfortune that can happen during the evening.


Nature’s 11 Most Powerful Antibiotics


Turmeric and particularly its most dynamic compound, curcumin have many deductively demonstrated medical advantages, like the possibility to further develop heart wellbeing and forestall against Alzheimer’s and malignancy. It’s an intense mitigating and cancer prevention agent. It might likewise assist with further developing manifestations of misery and joint pain.

  • Ginger

Individuals have utilized ginger in cooking and medication since ancient times. It is a famous home solution for queasiness, stomach torment, and other medical problems. Ginger might have mitigating, antibacterial, antiviral, and other energizing properties.

  • Onion

Though all vegetables are very important for health, it has some unique benefits.

Onions belong to members of the Allium genus of flowering plants that also includes garlic, shallots, leeks and chives. These vegetables contain different nutrients, minerals and powerful plant intensities that have been displayed to advance wellbeing from multiple points of view.


  • Apple Cider Vinegar

Apple cider vinegar has different healthful properties, including antimicrobial and it also acts as a cancer prevention agent Also, there are some medical advantages for example,

  • Helping weight reduction
  • Decreasing cholesterol
  • Bringing down glucose levels
  • Improving the symptoms of diabetes


  • Garlic

Garlic (Allium sativum), is utilized broadly as an enhancement in cooking, however, it has likewise been utilized as a medication all through old and present-day history; it has been taken to forestall and treat a wide scope of conditions and illnesses


  • Oregano Oil

Oregano oil is the concentrate and, even though it’s not as solid as the fundamental oil, it has all the earmarks of being valuable both when devoured or applied to the skin. Fundamental oils, then again, are not intended to be devoured.


  • Raw Honey

Raw honey has been utilized as a society cure since the beginning and has an assortment of medical advantages and clinical employments. It is good for pregenant women 


  • Echinacea (Herb)

Advertisers of Echinacea accept that the enhancement helps the resistant framework and can lessen side effects of diseases and different ailments, including the normal virus.


  • Colloidal Silver

Colloidal silver can kill certain germs by annihilating proteins, which is the reason it was recently utilized in injury dressings.


  • Horseradish Root

 A few people take horseradish by mouth for urinary parcel contaminations, kidney stones, liquid maintenance, diseases of the respiratory plot, hack, pain-filled joints (ailment), gallbladder issues, sciatic nerve torment, gout, colic, and intestinal worms in youngsters.

  • Habanero

      It Lowers your cholesterol. Eating these startlingly scrumptious treats has been  displayed to bring down terrible cholesterol.

Breast Feeding

Breast Feeding and its Benefits




Breastfeeding is when you feed your baby breast milk, usually directly from your breast. It is the best gift that a mother can give to her baby. Breastfeeding builds physical & emotional bonding between mother & baby. It defines to protect, promote and helps the health of both the mother & the baby.

Benefits of Breast Milk

Breast milk provides the ideal nutrition for infants for normal growth and development, in good proportion and in a form that is easily digested and absorbed. Breast milk also contains important antibodies. 

It contains:


  • Lactose is in a high concentration (6-7 g/dl) 
  • Galactose is vital for ideal mental health in developing babies.
  • Lactose helps in absorption of Calcium
  • Lactose upgrades the development of lactobacilli in the digestive system 



  • Rich in polyunsaturated unsaturated fats essential for myelination of the nervous system. 
  • Contain omega-3 (long-chain unsaturated fats). Docosahexaenoic acid (DHA) provides the right substances for manufacturing myelin, the fatty sheath that surrounds nerve fibers.
  • Lipids present in human milk includes-EPA, prostaglandin precursor, fat-soluble vitamins, steroids & phospholipids.


  • The protein is mostly whey protein (60%) rich in Lactalbumin and Lactoferrin& the rest is casein (40%) which are easily digestible.
  • Lactalbumin is rich in tryptophan, the precursor of serotonin that plays an important role as a neurotransmitter.
  • Lactoferrin guarantees assimilation of iron and zinc, and it is bacteriostatic also.



  • Peroxidases, lipid lipases, bile salt invigorated lipase (BSSL)kills the organisms by working with fat ingestion and hydrolyze bacterial lipids. 
  • The Bifidus factor and acidic pH related with human milk prompt colonization by Lactobacillus. 
  • Lactobacilli and lactic corrosive that aides in absorption are called probiotic substances


Breast Milk is protected, non-hypersensitive contains – immunoglobulins, secretory parts and secretory IgA. Additionally, Plasma cells, polymorphs, lysosomes, lactoperoxidase, development factors, and so on. Serum IgA gives surface security to the respiratory &Gl parcels. S IgA opposes proteolytic debasement in the neonatal gut and offers insurance. 

So as per research, Breast milk contains cell components, for example, macrophages (up to 80%) lymphocytes (T and B), which are an essential protection against contamination and supply T and B lymphocytes. 

Nutrients in human milk are a decent wellspring of nutrients except nutrients K and D. Minerals in breast milk like iron, zinc, etc., are small quantities. Still, the bioavailability is much better because of carrier proteins, and Osmolality is low – decreased solute load on the kidney.

Initiation of Breastfeeding:
As ahead of schedule as conceivable bosom taking care of must be started in both ordinary and LSCS conveyance inside one hour of life. After birth-child is naturally prepared and the inception is simple, Later on, the child goes to delayed rest, and thus it’s troublesome. Recurrence 2-3 hourly/request taking care of. Term – elite bosom taking care of for a half year.
Time for each feed: 15-20 minutes.

Exclusive Breast Feeding:
No pre-lacteal feeds.
No conventional feeds.
No pacifiers.
No extra liquids.

BreastMilk Composition

Breast Milk Composition

The composition of Breast Milk is as follows:


It is discharged during introductory 3-4 days after delivery. It is in little amount, yellow thick. 

Also, it contains a large amount of nutrients A, D, E, K, proteins, and immunoglobulins.


It is Discharged from day 4 up to 2weeks and wealthy in fat and sugar content.


It is more slender and watery and contains every fundamental nutrient.


It is discharged toward the beginning of the feed, and it is watery, plentiful in protein, sugar, nutrients, minerals, and water, which fulfills the infant’s thirst.


It is more extravagant in fats and comes later towards the finish of the feeds, which gives more energy and satiety.

Breast milk contains important antibodies:

Breast milk is stacked with antibodies that help your child fend off infections and microscopic organisms, which is basic in the early months. This especially applies to colostrum, the primary milk. Colostrum gives high measures of immunoglobulin A (IgA), just as a few different antibodies. When you’re presented with infections or microscopic organisms, you begin creating antibodies which later is infused into the milk. It is believed that children who are not breastfed are more helpless against medical problems like pneumonia, loose bowels, and disease.

Mothers who breastfeed have a lower risk for depression:

Postpartum depression (PPD) is a type of depression that can develop shortly after childbirth. Women who breastfeed seem less likely to develop postpartum depression than mothers who wean early or do not breastfeed. However, those who experience postpartum depression early after delivery are also more likely to have trouble breastfeeding and do so for a shorter duration. If you have any symptoms of PPD, tell your doctor as soon as possible.

There are some myths about breastfeeding

There are a few misconceptions about nursing.

  • Many women do not produce enough milk.
  • During the first three or four days after birth, there is insufficient milk.
  • The youngster should breastfeed for 20 minutes on each side.
  • In a hot climate, a breastfeeding child requires additional water.
  • Bottle feeding is easier than breastfeeding.
  • If the kid has loose bowels, the mother should stop breastfeeding immediately.
  • Mothers who have had a breast reduction medical operation are unable to nurse their children.
  • Those with small breasts produce less milk than women with large breasts.
  • Breastfeeding mothers are unable to use a contraceptive pill.

It is protected, non-unfavorably susceptible.
• Contains – immunoglobulin’s, secretory parts, and secretory IgA. Likewise Plasma cells, polymorphs, lysosomes,
lactoperoxidase, development factors, and so forth
• Serum IgA gives surface insurance to the respiratory and Gl plots
• S IgA opposes proteolytic corruption in the neonatal gut and offers assurance.
Bosom milk contains cell components for example macrophages (up to 80%) lymphocytes (T and B). These are the essential safeguard against contamination. Bosom milk supplies T and B lymphocytes.

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