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TIPS FOR A SAFE AND HEALTHY PREGNANCY IN WINTER

It’s amazing being pregnant at any season of the year, of course, but winter brings on a few unique challenges. How to stay comfortable and reduce women’s problems when winter hits

Remember to stay hydrated

Just because it’s not warm outside, you may think dehydration is not going to be a difficulty, but winter air can be very dry, and when you are going into cold places or homes you probably will find yourself hot and sweaty. So remember to take more water than you think you need to.

Wear a Winter Jacket

Being soft and warm is the most important thing in the winter period. Buying a new jacket to wear is a good idea as it will help in maintaining the body hot. Instead of going to the thrift store to buy a maternity coat to use only for a few periods, it is a wiser decision to buy a winter jacket and keep the body comfortable and warm by zipping it up correctly. Though it may be attractive to wear the regular jacket that you own, a new jacket will help you stay healthy and survive easily when the winter elements get tough.

Stay in Home as much as Possible

When you are pregnant, your body converts more sensitive and vulnerable to diseases. It can be very dangerous if your body is exposed to severe weather situations and the mother and the baby can be hurt by the bacteria. Some women experience common cold and cough due to severe weather situations. The sensitive body during pregnancy takes time to adjust to the changed environment of chilly winds outside after leaving the cozy home. All outings should be postponed severe weather situations during pregnancy

Regular Exercises

When it is seriously cold, it is not easy to go for a walk as the chilly air makes the lungs feel like they are loaded with icicles. For pregnant women, it is even more complicated. Some indoor activities can be a good replacement to keep yourself healthy and safe. You can go to a local indoor pool, join a gym, do regular yoga to stay healthy and active during peak winters during pregnancy.

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THE PREGNANCY DIET

THE PREGNANCY DIET

Now that you’re trying to conceive, it’s time to overhaul your eating habits. Here are the foods and nutrients you need most.

You don’t have to wait until you’re pregnant to start eating well for your baby.Use this nutrition guide to plan out your meals.

Healthy eating tips if you’re trying to get pregnant

By overhauling your diet now, it’ll be easier to stick to a healthy diet once you get pregnant. Follow these tips:

Eat more fruits and veggies. Vegetables provide a hefty dose of vitamin A, vitamin C, iron and magnesium, while fruits offer up vitamin A, vitamin C, potassium and fiber.

Limit your sugar intake. No one can swear off sugar entirely, but it’s smart to temper your sweet tooth whenever possible.

Analyze your eating habits. If you follow a restricted diet — whether that’s due to personal beliefs or because you’re managing a chronic condition — ask your doctor if you need to shore up any nutritional gaps in your meals

Practice good (food) hygiene. Food poisoning is dangerous for anyone, but when you’re pregnant, it can lead to premature birth and other potential problems. And some foodborne illnesses can affect your baby’s health even before you conceive.

Don’t skip meals. Right now, you might prefer to sleep through breakfast or work through lunch, but we guarantee you that baby will think differently. Time to overhaul your schedule and start eating three square meals a day.

Cut back on caffeine. When you’re trying to conceive, you should drink no more than 200 mg a day, or about one 12-oz cup of coffee.

Don’t smoke. Using tobacco can make it harder for you to get pregnant — and once you are pregnant, you may also be more likely to have a miscarriage.

Don’t drink alcohol. Alcohol can harm a developing baby, warns the CDC, and make it tougher to conceive in the first place. Best to stick with a mocktail.

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the Best Infertility Center in Pune.

Key nutrients to eat when you’re trying to conceive

As a mom-to-be, you’ll need a mix of healthy foods that are packed with nutrients, including:

  1. Folic Acid/Folate:This B vitamin (B9) is one of the most important nutrientsyou can take before (and during) your pregnancy. You can also find it in foods like:
  • Leafy green vegetables.
  • Fortified cereals.
  • Oranges and strawberries. 
  • Beans and nuts. 
  1. Calcium:Calcium keeps your reproductive system functioning smoothly and may even help you conceive faster.
  • Milk
  • Yogurt
  • Cheese
  • Kale and broccoli
  1. Iron:Women with adequate iron stores have less trouble getting pregnant than women with lower levels.
  • Fortified breakfast cereals
  • Lean meats
  • Spinach
  1. Fatty acids:This is one fat that you may need to include more of in your prepregnancy diet.
  • Seafood
  • Grass-fed beef
  • Nuts and seeds
  1. Iodine:This mineral helps your body make thyroid hormones, which work to control your metabolism.
  • Dairy products:Milk, yogurt and cheese all contain iodine.
  • Iodized salt:
  1. Fiber:Including more complex, slowly-digestible carbohydrates like fiber in your diet might help boost your fertility levels.
  • Whole grains
  • High-fiber cereals
  • Fruit and vegetables
  • Beans and legumes
  1. Protein:A staple of everyone’s diet, protein will help supply your baby with important nutrients.
  • Fish
  • Lean meats
  • Black beans

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help.

He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the Best Infertility Center in Pune.

IVF Specialist in Pune
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What is PCOS

What is PCOS?

Polycystic ovary syndrome (PCOS) is a heterogeneous disorder presenting with several complaints including ovarian dysfunction, hyperandrogenism, menstrual irregularity, insulin resistance (IR), and obesity. Hyperinsulinemia is one of the main factors in PCOS causing hyperandrogenism, as it directly induces both ovarian and adrenal androgen release and, increasing glucose concentrations, restrains liver sex harmone binding globulin (SHBG) synthesis, as well as production of insulin like growth factor binding protein 1 (IGFBP-1). The increased androgen signaling causes premature follicular atresia and anovulation. IR and reactive hyperinsulinemia are further stimulated by adipose tissue, being enhanced in obese patients.

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the Best Infertility Center in Pune.

To know more about PCOS visit on – https://www.ashishkale.com/polycystic-ovarian-syndrome-understanding-the-causes-symptoms-treatment/

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Taking the fear out of infertility

Pregnancy, by itself, is understood well by most of us. A woman conceives when her egg is fertilized by a man’s sperm to form an embryo. This embryo then implants itself into the woman’s womb and grows over 9 months.

Most couples don’t have a problem getting pregnant. Regular unprotected sex is all it takes to conceive a child and indeed in up to 85% couples, this is so.

This column is for those who belong to the remaining 15%.

The anxiety of a childless couple is understandable. 1 in 6 couples are diagnosed with infertility, following which they receive tons of free advice. Often, the advice may be well-meaning but incorrect. Consequently, the couple may end up trying self-medication, incorrect treatments, superstitious shortcuts etc. Often, the couple is too shy to ask the doubts and queries they really need the answers to!

The journey from being a carefree and happy couple, to a couple that fears any conversation about fertility, is full of uncertainties. At Ashakiran Hospital, our goal is to take the fear out of the fertility conversation and bring in a scientific patient-oriented approach.

Infertility is a scientific and medical condition. Once the cause is known, it can be treated as well. Difficulty in conceiving can be due to factors in the woman or the man or both.

In a woman, common causes could be –

  1. Ovulation disorder: There are a variety of reasons why a woman may have no ovulation or irregular ovulation cycles. There can be no baby without ovulation.
  2. Blocked fallopian tubes: The fallopian tubes are the pathways in which the ova travel from the ovaries down into the uterus, and if there is a blockage in these tubes, the egg and sperm won’t meet to form a baby and accounts for 25% of infertility cases.
  3. Endometriosis: This is a common cause, affecting 35-50% of the cases. Endometriosis is when the lining of the womb grows outside the womb e.g. in the ovaries or in the pelvis. This can cause ‘ chocolate cysts’ in the ovaries, affecting the quality of eggs. Also during periods this will bleed causing adhesions around tubes and subsequent blockage of the tubes.
  4. PCOS: Polycystic ovarian syndrome is characterized by a hormonal imbalance in the female body where androgen (male hormones) levels are raised. Improper or absent ovulation in PCOS leads to infertility.

In a man, common causes could be –

  1. Low Sperm Count: 20 million sperm per mL or more is a healthy sperm count. Anything less than that is considered low sperm count and can hamper the chances of conception.
  2. Poor sperm health: This includes sperm motility (movement of the sperm, tail whip), morphology (shape/proper formation of the sperm) and sperm DNA fragmentation. Smoking and alcohol are known to negatively affect both sperm count and sperm health.
  3. V as deferens blockage: The Vas Deferens is the tube in which the sperm travels to be ejaculated. In case of complete blockage of the vas deferens, there may be zero sperm (azoospermia). This blockage is often caused by sexually transmitted diseases like gonorrhoea or chlamydia.

Sometimes, infertility is caused due to a combination of factors affecting both the woman and the man.

So if you’ve been diagnosed with infertility, do not lose heart. Because, while the diagnosis can feel devastating, fertility issues are not uncommon. Taking the fear out of fertility, requires, that you accept professional medical help. At Ashakiran Hospital, we take an evidence-based, individualized approach to fertility treatments. Every couple that comes to us, becomes a partner to the process and knows what to expect next.

When it comes to fertility treatments, it is important to take one step at a time. Don’t scare yourself by imagining that the treatments are difficult or expensive. Don’t preempt the outcome or presume disappointments. Stay focused every step of the way.

Also, remember to ask as many questions as needed, specific to your case, to your doctor. Learn as much about your situation as you can. Let your doctor know your apprehensions. With knowledge comes both faith and empowerment. Not all patients need IVF. Your situation is unique to you and after assessment, a correct plan can be made for you. You are not alone, and there is no need to be embarrassed.

There is greater acceptance of fertility treatments today, and hence, options like EMI may be available to you. Make sure to ask. At Ashakiran Hospital, we believe that the doctor-patient teamwork is what creates exceptional results.

It is time to replace the fear in IVF, with faith.

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the Best Infertility Center in Pune.

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10 Ways Women Should Take Care of Their Health this Women’s Day

A home is not a home without ‘Women’. They are the core part of the family. As a woman, you are a wife, sister, daughter, mother. You play different roles to fulfil the needs of family members. Throughout the day, you’re too busy and focused on taking care of them. And for you, it’s a common thing to push your needs and wishes on your to-do list. Finding ‘me’ time is like next to none in your busy schedule. Sounds something familiar? If you want to take care of others, you must care for yourself first. This International Women’s Day, inculcate below 10 ways to take care of your health and thank yourself every day. The good news is: these activities will really make a difference in your daily life.

1. Eat Healthy, Stay Healthy

Are you the one who heaps food? Stop doing so because unknowingly you are increasing your caloric intake. So, eat the right amount of fruits and vegetables as it can increase your metabolism and give a healthy life. It is advisable to control your meal portions. Switch to three meals and two snacks a day program and try to include more calcium in your diet. Calcium not only protects against bone thinning but also reduces the significance of PMS (Premenstrual Syndrome).

2. Tone-Up with Yoga

Redefine your beauty with Yoga and Meditation. Relax your mind by simply focusing on your breath with easy Yogasanas. This will establish a sense of calm, peace and balance. Also, assist in controlling heart diseases.

3. Enough Sleep

Good sleep is like fuel which runs your body and mind. So, get at least 8 hours of sleep. Think sleep as your long-term investment as it is going to contribute to your mental and physical wellbeing. Try to not rely on pills for sleeping.

4. Keep Moving

Walking is an excellent way to burn calories and it boosts blood flow in the body. According to researchers women who walk at least 6000 steps a day on an average reduce their risk of heart stroke and dementia by 20%. So, move as much as you can and gift yourself an active life.

5. Say No to Sugar & Salt

Cut down the amount of sugar and salt from your food. Studies show that these two evils are mostly associated with the risk of weight gain, high blood pressure, heart disease and others.

6. Hydrate Yourself

Revitalize your mind and body with the regular intake of water. It is advisable to drink 7-8 glasses of water. Stick to this rule to improve digestion and overall health. Bored with normal water intake? Try lemon and honey water, natural juices, green tea, coconut water or water-rich fruits to keep yourself hydrated.

7. Manage Your Stress

Just do what you enjoy every day to slow down your stress level. It might be dancing, listening to music, cooking, reading, chatting with your friends, painting or watching movies. Counting to 10 can also ease stress and help to improve your mood.

8. Gift Yourself a Spa Treatment

Pamper yourself with a Spa treatment and enjoy looking your best at all times. If possible, give yourself a new look from head to toe. It would definitely make you look and feel great about yourself.

9. Spoil Yourself by Travelling

Plan a trip for yourself and spend quality time with your friends & family. This will lessen feelings of depression, anxiety & anger. It also helps to put aside your responsibilities and allows you to focus on the moment.

10. Regular Health Check-up

If you want to enjoy your life and achieve goals, then it is important to have good health. Listen to your body and accordingly schedule your health appointments. Keep a track of your Health check-ups and cut down your healthcare cost.

Remember, no one can care you better than you. Show some care to yourself because you deserve it and be there for your loved ones. Recharge your battery by doing what you love and of course, don’t forget to appreciate yourself!!

Happy Women’s Day!

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Pregnancy Symptoms — Early Signs Of Pregnancy

Pregnancy symptoms differ from woman to woman and pregnancy to pregnancy; however, one of the most significant pregnancy symptoms is a delayed or missed period.

Understanding the signs of pregnancy is important because each symptom may have causes other than pregnancy. You may experience pregnancy signs within a week of conception.

Most Common First Signs Of Pregnancy

What are the most common first signs of pregnancy? The most commonly reported first symptoms of pregnancy include:

  • 29% of women surveyed reported a missed period as their first pregnancy symptom
  • 25% indicated that nausea was the first sign of pregnancy
  • 17% reported that a change in their breasts was the initial symptom of pregnancy

While implantation bleeding is often considered the first pregnancy symptom, the survey revealed that only 3% of women identified implantation bleeding as their first sign of pregnancy.

Symptoms Of Pregnancy Explained

Each of your symptoms of pregnancy below could be explained by other causes. What else could they be?

Spotting or light bleeding: If pregnant, this symptom is usually associated with implantation bleeding and is considered one of the earliest signs of pregnancy. The embryo usually implants to the uterine between 6 to 12 days after conception. Some women will experience spotting as well as cramping. Other women do not even notice implantation bleeding or cramping, so don’t worry if you are trying to get pregnant and don’t experience these symptoms; you could still be pregnant.

When this implantation occurs, light bleeding or spotting is perfectly normal. This symptom is sometimes accompanied by light cramping. Many women will conceive and not notice any implantation bleeding, so do not worry if you are trying to get pregnant and do not see this symptom, you could still be pregnant.

 Missed period: A delayed or missed period is the most common pregnancy symptom leading a woman to test for pregnancy. When you become pregnant, your next period should be missed.

Is it possible to be pregnant and still have a period? Some women can bleed while they are pregnant, but typically this bleeding will be shorter or lighter than a normal period. A missed period can be a symptom of pregnancy caused by something else.

Nausea or morning sickness: Nausea or morning sickness is the second most commonly reported first sign of pregnancy. Experienced to some degree by most expecting women, nausea typically shows up between 2 to 8 weeks after conception.

Nausea can be experienced with or without vomiting. It is important to know that nausea, frequently called morning sickness, can actually be experienced at any time of the day. Similarly, it usually occurs during the first trimester and subsides after that for most women, but some will experience nausea all throughout their pregnancies.

Swollen or tender breasts: The third most frequently cited symptom of pregnancy changes in the breasts.  These changes are usually indicated by swelling or tenderness. Changes to the breasts can start as early as 1 to 2 weeks after conception.

Fatigue or Tiredness: Following conception, as early as the first week after, many women cite feeling tired as a sign of pregnancy. This fatigue is commonly experienced by those who are expecting and is recognized as a typical symptom of pregnancy.

Frequent Pregnancy Symptoms

The previous symptoms are usually the first signs you experience when pregnant. There are other signs also commonly experienced by those who are expecting as well:

Backaches: Lower backaches are commonly reported by women who discover that they are pregnant. This symptom can occur with the onset of pregnancy, but it is often experienced later as the pregnancy progresses. This makes it an easy pregnancy symptom at week 27 to week 34.

Headaches: Experiencing headaches at the onset of pregnancy is another common early sign of pregnancy. Experts believe that the sudden rise of hormones in your body leads you to experience the headaches.

Headaches during pregnancy may also be caused by the increase of blood flow. There is an approximately 50% increase in the volume of blood flowing while you are expecting.

Frequent urination:  Don’t be surprised if you feel like you have to pee more often. Increase urination starts for most people between 6 to 8 weeks.

You will find that increased urination will pick back up or continue throughout your pregnancy as the expanding baby and uterus place pressure on your bladder.

Food cravings or food aversions:  The reason for certain food cravings or food aversions is not known. Don’t be surprised if you find yourself drawn to something you normally do not care for, or avoiding things that you normally like.

The food that expecting women crave or seek to avoid varies and are quite sporadic. It is alright to allow yourself the freedom to pursue those cravings and avoid the things you don’t want as long as you are getting the nutrition you need for a healthy pregnancy.

These cravings or aversions can occur early in pregnancy or anytime throughout your pregnancy.

Darkening of the Areolas: Some people lump darkening of the areolas into the symptom of pregnancy referred to as breast changes. That’s alright, it is important to note that if the areolas, area around your nipples, darkens, that is normal.  It is a common occurrence within those who are expecting.

Mood Swings: Expecting mothers frequently experience mood swings. This believed to be primarily caused by the hormonal changes that affect the neurotransmitters of the brain. The types of mood swings can vary from woman to woman.  Some may experience elevated highs and lows, whereas others alternate between states of happiness to states of depression or anxiety.

It is important to note that mood swings are normal; however, if you find yourself struggling with depression or extended periods of sadness, you should contact your healthcare provider. Some women prefer to go directly to a counsellor or mental health professional.

Pregnancy Symptom Alternatives

It is challenging already to determine if you are pregnant or not, but with symptoms of pregnancy varying from woman to woman and even pregnancy to pregnancy, it gets even more difficult. Additionally, most of the typical “pregnancy symptoms” can be explained by something else.

What else could it be?

A missed or delayed period, the most commonly reported first sign of pregnancy, could be caused by any of the following:

  • Pending menstruation
  • Excessive weight gain or loss
  • Fatigue or exhaustion
  • New workout regimen
  • Hormonal imbalance
  • Tension or stress
  • Change in birth control usage
  • Various illnesses
  • Breastfeeding

Nausea or morning sickness, the second most frequently cited symptom of pregnancy, might be explained by one of the below:

  • Food poisoning
  • Tension or stress
  • Anxiety
  • Change in hormonal birth control
  • Other stomach ailments

Tender or changing breasts, as the third most noted pregnancy symptom, might be triggered by any of the following:

  • Hormonal imbalance
  • Change in hormonal birth control
  • Impending menstruation

Fatigue or tiredness can be brought on by any of the following:

  • Tension or stress
  • Exhaustion from working too hard
  • Depression or other mental health struggles
  • Common cold or flu
  • New workout regimen
  • Allergies or other ailments
  • Lack of sleep
  • Improper nutrition

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the best Infertility Center in Pune.

 

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Diabetes, Obesity & PCOS – Did You Know It Is The New Epidemic?

PCOS is a common hormonal abnormality seen mostly in reproductive Age groups Affects about 30% females.

Diagnosis is by Rotterdam criteria: 2/3 should be present.

  • Oligo/anovulation
  • Polycystic ovarian morphology
  • Hyperandrogenism

It also affects other metabolisms like insulin resistance causing diabetes, impaired glucose tolerance and this ultimately exacerbates obesity

  • It has a genetic predisposition.
  • PCOS can either be lean PCOS or obese PCOS.
  • This classification is important to categorize the causal effect and treatment also differs
  • Insulin-mediated glucose disposal reflects the action of insulin on muscle cells and this is decreased by 30-40% in women with PCOS.
  • This is further worsened with obesity.
  • The endogenous glucose production is also affected and this causes glucose intolerance.
  • They also have menstrual irregularities and infertility due to lack of mature egg (anovulation ) production.

 

Treatment

  1. Change in lifestyle and diet
  2. Exercise
  3. Weight reduction
  4. Drugs to regularise menses and antidiabetic drugs
  5. Ovulation-inducing agents with or without IUI for subfertility

In case you have a concern or query you can always consult Dr.Ashish Kale & get answers to your questions!

If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the best Infertility Center in Pune.

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What you need to know about Ovarian Hyperstimulation Syndrome (OHSS)

Complications from fertility treatments are rare; nevertheless, some people do experience side effects. Anyone undergoing ovarian stimulation is at risk of developing ovarian hyperstimulation syndrome (OHSS), one of the most serious side effects of fertility treatments. Because if this, It’s to your advantage to be informed and on the lookout for symptoms to bring to your doctor’s attention.

What is OHSS?

OHSS is irritation of the ovaries that can happen when they are stimulated to produce a lot of eggs at once. OHSS is caused by high levels of estrogen in the bloodstream, which causes the ovarian blood vessels to become leaky to fluids. This means fluids leave the bloodstream and collect in the abdominal cavity.

Even though a woman with OHSS drinks plenty of fluids, she can become severely dehydrated. As a result, the blood becomes thickened leaving her at risk for blood clots in the legs and lungs.

What are the Symptoms of OHSS?

The symptoms of OHSS may be mild, moderate, or severe and usually begin four to five days following egg collection. The accumulation of fluid in the abdominal cavity can be very uncomfortable and cause bloating, sometimes breathlessness. In severe cases, the fluid enters the lungs and causes respiratory distress.

Mild OHSS

  • Mild abdominal pain
  • Abdominal bloating and weight gain
  • Mild nausea
  • Vomiting
  • Diarrhea
  • Tenderness around the ovaries

Moderate to Severe OHSS

  • Rapid weight gain
  • Severe abdominal pain
  • Persistent nausea and vomiting
  • Decreased urinary frequency
  • Dark urine
  • Shortness of breath
  • Tight and enlarged abdomen
  • Dizziness

Who is at risk?

Some women are more at risk than others of developing this complication. Women with polycystic ovaries are most at risk because they have many tiny follicles present that Respond to the stimulation medicine. Other women at risk are those who have a high number of antral follicles, high anti-mullerian hormone (AMH) levels, high luteinizing hormone (LH) blood level and high LH to follicle-stimulating hormone (FSH)ratio.

An individual’s risk should be assessed by a doctor ahead of starting an IVF cycle to adjust the starting dose of stimulation medication accordingly. Additionally, the doctor will do regular ultrasound scans of the ovaries during the stimulation phase and monitor the circulating estrogen levels as they rise.

If the blood estrogen level is rising too high or too quickly, the doctor can reduce the dose of FSH medication or “coast” the treatment by stopping the FSH injections for a few days. This will give the ovaries a break from being over-stimulated and help to reduce the chance of OHSS.

How common is OHSS?

Mild OHSS occurs in around 30% of all treatment cycles and is considered a normal side effect of ovarian stimulation for IVF. The symptoms are easily managed with over-the-counter painkillers, dietary changes, and increased fluid intake.

Severe OHSS affects around 3 to 8% of cycles and is managed well with medical help.

Clinical Treatment of OHSS

For more severe cases, the following may be required:

  • Cancellation of embryo transfer until a later date
  • Prescription anti-nausea medication
  • Drain excess fluid from the abdomen with a needle puncture, similar to an egg retrieval
  • Administer intravenous fluids

How can OHSS be prevented?

Prevention is better than cure, and your doctor should monitor the stimulation phase of the IVF cycle carefully. Ultrasounds and blood tests measure the ovaries’ response to the stimulation drugs.

The dose will be lowered if the estrogen levels become too high or you may take a break from injections for a day or two. It is better to start with a lower dose and add extra FSH during ovarian stimulation than start too high and be at risk for complications. If the ovarian response is extremely high the doctor might choose to cancel the cycle altogether and start again with a lower dose next time.

If you’re having the trouble, Dr. Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practicing at Ashakiran hospital which is one of the best Infertility Center in Pune.

Dr. Ashish Kale should be able to choose the best treatment regimen for you that minimizes the chance of complications while maximizing the treatment outcome.

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