Women's Clinic

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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Infertility Center in Pune

Why Asha IVF Centre?

Asha IVF Centre – Infertility Center in Pune

In “All India Fertility and IVF Ranking Survey 2018 by Times Of India” ASHA IVF CENTRE is awarded as 4th ranking as single specialty hospital & clinic in Pune. Ashakiran Hospital is one of the best Infertility Center in Pune

About ASHAKIRAN Hospital:

Name ASHAKIRAN comes to mind in 1975 in the heart of Pune. It came into existence with the aims to serve the patients with appropriate medical help at the affordable price.

Asha IVF Centre is born…

  • Way back in 2009, Asha IUI and IVF center came into existence. More than 1000 infertile couple are been treated successfully.
  • Asha IVF center provides state of the art reproductive services all under one roof.
  • We have the best of IVF lab equipped with ICSI machines and Laser hatching facilities.
  • Our embryo and Oocyte freezing programme is a new ray of hope for patients wanting to preserve fertility as in those undergoing chemotherapy for cancer treatments, or in those patients in whom embryo transfer has to be delayed.
  • Our success rates that are take-home baby rate with the freeze-thaw cycle is almost 80%. This is on par with IVF labs overseas.
  • Asha IVF Centre provides affordable and quality infertility treatments with all advanced reproductive technologies.
  • Our director Dr. Ashish kale got his training from USA, Singapore, and Germany and in accordance has established his own lab. For his immense knowledge of work, he is involved in multiple research projects in India and abroad.
  • He is also frequently invited to share his knowledge in international conferences.
  • Ashish kale is expertise in this field & treating the challenging infertility issues in male and females, which has provided the joy of parenthood to the numerous couples.
  • Ashish kale has treated a number of IVF cases and achieved a high success rate. He is one of the best doctors for infertility treatments.
  • We at Asha IVF center provide a chance to the individuals facing problems in conception to talk about their concerns.

Our Asha IVF Centre

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Our Speciality Services:

  • Women’s Clinic
  • Infertility Clinic
  • Cancer Treatment
  • Menopause
  • Laparoscopic Clinic

Our Asha IVF center is one of the leading best Infertility Center in Pune that caters challenging infertility problems faced by males or females with the standard treatments. So, if you are looking for the treatment of infertility, then you must contact Asha IVF Centre as they have the best doctor and team with the motive to achieve the best.

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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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Male Infertility

What is Male Infertility?

Male infertility is usually caused by problems that affect either sperm production or sperm transport.

Male infertility is any health issue in a man that lowers the chances of his female partner getting pregnant. Through medical testing, the doctor may be able to find the cause of the problem.

Common Causes of Male Infertility:

A few causes are:

–Varicocele(enlarged veins in the testicles)
–Undescended testicle
–Infection in the testicle or prostate
–Chemotherapy for cancer
–Anabolic Steroids
–Genetic Abnormalities

Male Infertility

Symptoms:

The main sign of male infertility is the inability to conceive a child.

Factors that Increase the Risk of Male Infertility

A number of risk factors are linked to male infertility, including:

  • Aging
  • Smoking tobacco
  • Drinking alcohol excessively
  • Being overweight
  • Exposure to environmental toxins
  • Having past or present infections
  • Overheating the testicles
  • Having medical conditions, including tumors and chronic illnesses
  • Taking medication or undergoing medical treatment such as radiation for cancer

 

What strategies help men cope with infertility?

Infertility problems presented in the media may not deal with the couples’ pain or upset, particularly the infertile man’s feelings. Infertile men may experience similar dilemmas and distress. Acknowledging that infertility can create feelings of stress and anxiety is an important step towards coping with the health problem.

A common stress management technique used by men is to look for a solution. In the case of infertility, this often means searching for available treatments and putting aside emotional responses. It is usually helpful for men to take responsibility for finding help for their infertility rather than relying on their partner to organize appointments.

Simple Semen analysis in a standard laboratory will help diagnose and treat the problem With low sperm counts newer modalities like ICSI and IMSI are available to select the best morphological sperm.

Types of Semen problems:

  • Low count
  • Decreased motility
  • Abnormal Morphology
  • Absent speed in Semen sample

 

Can I do anything to prevent male infertility?

It is best to avoid cigarette smoking, excess alcohol, sexually transmitted infections, heat stress from tight-fitting underwear, and anabolic steroids (taken for bodybuilding or sporting purposes) as these factors can be harmful to the production of sperm.

If you work in an occupation that may affect your fertility, it’s important to wear protective clothing and follow all occupational health and safety guidelines. It is recommended that couples trying to conceive avoid exposure to any possibly harmful chemicals. Because of the possible effects on fertility, it’s important to tell your doctor if you have had hormone treatment or had surgery as a child to move your testes into the scrotum.

 

If you’re having trouble with Infertility, 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 & Male Infertility Treatment in Pune currently practicing at Ashakiran hospital which is one of the best Infertility Center in Pune.

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HIV And Pregnancy

A diagnosis of HIV does not mean you can’t have children. But you can pass HIV to your baby during the pregnancy, while in labor, while giving birth, or by breastfeeding. The good news is that there are many ways to lower the risk of passing HIV to your unborn baby to almost zero. Here are some questions related to HIV and Pregnancy.

1. What can I do before getting pregnant to lower my risk of passing HIV to my baby?
If you plan to become pregnant, talk to your doctor right away. Your doctor can talk with you about how HIV can affect your health during pregnancy and your unborn baby’s health. Your doctor can work with you to prepare for a healthy pregnancy before you start trying to become pregnant.

Everyone living with HIV should take HIV medicines to stay healthy. If you are thinking about becoming pregnant and are not taking HIV treatment, it is important that you begin, because this will lower your chances of passing the virus to your baby when you become pregnant.

There are ways for you to get pregnant that will limit your partner’s risk of HIV infection. You can ask your doctor about ways to get pregnant and still protect your partner.

2. I do not have HIV, but my partner does. Can I get pregnant without getting HIV?
Women have a higher risk of HIV infection during vaginal sex than men. If you do not have HIV but your male partner does, the risk of getting HIV while trying to get pregnant can be reduced but not totally eliminated.

Talk to your doctor about HIV medicine you can take (called pre-exposure prophylaxis or PrEP) to help protect you and your baby from HIV.

You may also want to consider donor sperm or assisted reproductive technology, such as semen washing or in vitro fertilization, to get pregnant. These options can be expensive and may not be covered by your health insurance.

3.I’m pregnant. Will my baby have HIV?
If you just found out you are pregnant, see your doctor right away. Find out what you can do to take care of yourself and to give your baby a healthy start to life.

With your doctor’s help, you can decide on the best treatment for you and your baby before, during, and after the pregnancy. You should also take these steps before and during your pregnancy to help you and your baby stay healthy.

Just because you have HIV doesn’t mean your child will get HIV. In the United States, before effective treatment was available, about 25% of pregnant mothers with HIV passed the virus to their babies. Today, if you take HIV treatment and have an undetectable viral load, your risk of passing HIV to your baby is less than 1%.

4. What can I do to lower my risk of passing HIV to my baby?
Thanks to more HIV testing and new medicines, the number of children infected with HIV during pregnancy, labor and childbirth, and breastfeeding has decreased by 90% since the mid-1990s.

5. Can I take HIV medicine during pregnancy?
HIV-infected pregnant women should take HIV medicines. These medicines can lower the risk of passing HIV to a baby and improve the mother’s health.

If you haven’t used any HIV drugs before pregnancy and are in your first trimester, your doctor will help you decide if you should start treatment. Here are some things to consider:

Nausea and vomiting may make it hard to take the HIV medicine early during pregnancy.
It is possible the medicine may affect your baby. Your doctor will prescribe medicine that is safe to use during pregnancy.
HIV is more commonly passed to a baby late in pregnancy or during delivery. HIV can be passed early in pregnancy if your viral load is detectable.
Studies show treatment works best at preventing HIV in a baby if it is started before pregnancy or as early as possible during pregnancy.
If you are taking HIV drugs and find out you’re pregnant in the first trimester, talk to your doctor about sticking with your current treatment plan. Some things you can talk about with your doctor include:

Whether to continue or stop HIV treatment in the first trimester. Stopping HIV medicine could cause your viral load to go up. If your viral load goes up, the risk of infection also goes up. Your disease also could get worse and cause problems for your baby. So this is a serious decision to make with your doctor.
What effects your HIV medicines may have on the baby
Whether you are at risk for drug resistance. This means the HIV medicine you take no longer works against HIV. Never stop taking your HIV medicine without first talking to your doctor.

6. Can I get help paying for care during pregnancy?
If you are pregnant, Medicaid may pay for your prenatal care. If you are pregnant and living with HIV, Medicaid might pay for counseling, medicine to lower the risk of passing HIV to your baby, and treatment for HIV. Each state makes its own rules regarding Medicaid. Contact your local or county medical assistance, welfare, or social services office to learn more. If you are unable to find that number, search your state’s department of health.

If you don’t think you qualify for assistance, check again. Sometimes states change their Medicaid rules. Under the Affordable Care Act, Medicaid eligibility expanded to cover many more people. Also, you may be newly eligible for Medicaid because of increased income limits for prenatal care and HIV treatment for pregnant women.

You may also access care through the Ryan White HIV/AIDS Program. Find a Ryan White HIV/AIDS Program medical care provider near you.

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.

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6 Ways To Ensure High Success Rates For IVF

IVF Specialist in Pune

 

For the average couple, the chances of getting pregnant are approximately 20% in any given month. But couples who face fertility issues may have less than a 5% chance of conceiving without fertility treatment. Fertility treatments such as IVF  have become very popular. They can increase the chances of conceiving to as much as 40% of people who cannot conceive.IVF involves the extraction of eggs which are then fertilized with sperm in a specialized lab and the resultant embryos are then transferred to the woman’s uterus. There are several ways to increase the success rate of IVF treatments so that you get it right on the first go. Dr. Ashish Kale is one of the best IVF Specialist in Pune, contact us to get more information

Natural Methods To Ensure High IVF Success Rates

Repeated IVF cycles are very stressful and can become quite a financial burden. Which is why fertility experts often recommend that couples take steps to increase their chances of a successful IVF cycle. Here are 6 simple ways to increase your chances of conceiving through IVF.

1. Reduce Stress Levels

IVF is an effective infertility treatment but the procedure involves blood tests, daily hormone injections, egg retrievals, and multiple cycles. Which can be a source of emotional upheaval and stress, especially for the woman. However, high levels of stress can reduce fertility levels. studies show that women with high-stress levels have a 2-fold increased risk of infertility and would. therefore have lower IVF success rates as compared to other women. It is not possible to completely eliminate the stress of infertility and IVF cycles. But reducing stress levels will go a long way in increasing the chances of a successful IVF cycle. Meditation or simply relaxing while listening to soothing music for 30 minutes at the end of the day will help to lower stress levels and can improve IVF success rates.

2.Reach Your Ideal Weight

Obesity and weight gain have been linked to several health problems including lower fertility levels. Studies show that the probability of pregnancy is reduced by 5% per unit of BMI exceeding 29 kg/m2. Animal tests show that obesity could cause a decrease in pregnancy rates of up to 60%. Excessive body weight disrupts a woman’s hormonal balance. Increases her chances of irregular periods and reduces her fertility levels. Fertility experts also point out that obesity raises a woman’s risk of premature delivery, miscarriage, and stillbirth. Why it is best to have a healthy body weight before starting IVF treatments. A woman should follow a healthy diet and exercise routine. Aim for her ideal weight for IVF success – which is between 19 and 25.

3. Avoid Heavy Exercise

Light exercise on a regular basis can help to improve fertility levels. Strenuous or heavy exercise can reduce fertility levels. This is why fertility experts warn women to avoid high-intensity workouts while they are undergoing IVF treatments. Studies show that women who indulged in 4 hours or more of high-intensity exercise over.  A prolonged period are 40% less likely to have a live birth. Furthermore, women who exercise that much are also twice as likely to have an implantation failure. Doctors advise women undergoing IVF treatments to switch to low-intensity exercises such as walking or yoga.

4. Give Up Alcohol 

Ideally, both partners should give up alcohol completely. Even moderate amounts of alcohol can affect fertility. While excessive amounts have been proven to negatively affect sperm quality. Consumption of just 4 alcoholic drinks a week has been associated with a decrease in IVF live birth rates. The odds of live birth are reduced even further if both partners consume alcohol regularly. This also applies to people who smoke or consume tobacco products.

5.Practice Yoga

Yoga for IVF success has gained recognition only within the last decade. Studies show that yoga increases the success rates of ART (Assisted Reproductive Technology). Treatments such as IVF by improving the physiological and psychological states of both partners. Practicing yoga on a regular basis reduces depression, anxiety, and stress and can also help to increase blood flow to the reproductive organs, thus improving the chances of a successful IVF cycle.

6.Moderate Ejaculation Frequency

Men are advised to refrain from sexual intercourse and masturbation for approximately 3 days before their semen sample is required. This can help to increase sperm count and increase the chance of a successful IVF procedure. Men are not advised to abstain from ejaculation for prolonged periods. Studies show that this can impact sperm health and reduce the mobility of sperm.

Fertility rates and IVF outcomes are also affected by unhealthy lifestyle choices such as smoking and drinking. It is important for both partners to abstain from such habits in order to optimize their chances of a successful IVF cycle.

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.

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Polycystic Ovarian Syndrome: Understanding The Causes, Symptoms & Treatment

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic ovary syndrome (PCOS) is a health problem that can affect a woman’s hormones, menstrual pattern, ability to have children and appearance. Women with PCOS, typically have high levels of androgens (male hormones), which lead to many small fluid-filled sacs in their ovaries. About 20% of women of childbearing age suffer from PCOS.

What causes PCOS?

The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.

A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.

It is also thought that insulin may be linked to PCOS. Insulin is a hormone that controls the conversion of glucose and other food into energy. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels also lead to acne, excessive hair growth, weight gain and problems with ovulation.

What are the symptoms of PCOS?

The symptoms of PCOS can vary from woman to woman. PCOS is the most common cause of female infertility. This is because of problems in ovulation. Infrequent, absent, or irregular menstrual periods are also common Hirsutism which is increased hair growth on the face, chest, stomach or back occurs because of increase in male hormones. This is usually treated with Laser hair removal and creams. Acne and oily skin also occur due to the same reason. Women with PCOS generally tend to put on extra weight.

How is PCOS related infertility treated?

  • Lifestyle Modification: Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level.
  • Supportive Medications: The medicine metformin is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn’t approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels.
  • Fertility Medications: Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Treatment options include :
  •  Clomiphene – The first choice therapy to stimulate ovulation for most patients.
  • Metformin is taken with clomiphene – Maybe tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins – Given as injections if the ovaries do not respond to tablets.
  • Laparoscopic Ovarian Drilling: This is a procedure that may increase the chance of ovulation. It’s sometimes used when a woman does not respond to fertility medicines. This surgery can lower male hormone levels and help with ovulation. These effects last a few months.
  • In-Vitro Fertilization (IVF): IVF offers the best chance of becoming pregnant in any given cycle. It also gives better control over the chance of multiple births.

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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Diabesity and PCOS in Females

Diabesity and PCOS Ovaries: 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
1.oligo/anovulation
2.polycystic ovarian morphology
3.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

 

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Pregnancy Planning

Pregnancy Planning

family planning

What is pregnancy planning?

It is possible to have a healthy pregnancy and baby without a pregnancy plan, developing a pregnancy planning is one way to help ensure that your baby has the greatest chances of having good health and that you have a healthy pregnancy.

Your chances of becoming pregnant and having a healthy pregnancy and baby are better if you and your partner are as fit and healthy as possible.

Before you try for a baby there are some things to consider that can help improve your chances of getting pregnant and having a healthy pregnancy, pregnancy Planning Play most important role.

What you eat, how much you exercise, and whether you smoke or drink alcohol are all important factors to look at.

Pregnant or trying to get pregnant

Things to remember:

  • Foods to avoid: Pregnant women are advised to avoid foods that have a higher risk of causing food poisoning as these could harm you or your baby.
  • Exercise: Regular exercise will improve your health and help reduce stress, but if you’re not used to exercising, start off slowly. Don’t suddenly take up strenuous exercise.
  • Cut Back on Caffeine: Some experts suggest you get no more than 200 milligrams of caffeine a day while you’re trying to get pregnant and during pregnancy.
  • Your weight: Being overweight or underweight can disrupt your periods and reduce your chances of getting pregnant.
  • Vitamin D: All adults, including pregnant and breastfeeding women, need 10 micrograms (10mcg) of vitamin D a day.
  • Alcohol: Alcohol can damage sperm production, so men should cut down on drinking too.
  • Smoking: Try to stop smoking. Women who smoke during pregnancy have a greater risk of:
    1. Stillbirth
    2. Giving birth too early (premature birth)
    3. Miscarriage
    4. Complications during and after pregnancy and labor
    5. Having low birth weight babies.

Medical Causes For Not Getting Pregnant:

The causes of infertility are different in men and women.

The medical causes of infertility in women are:

1)Irregular periods:

Irregular periods indicate inconsistent ovulation, and conceiving without an egg is impossible. Therefore, the less you ovulate, the less are your chances of getting pregnant.

2) Endometriosis:

This is a chronic disorder of the reproductive system in which the endometrial cells grow outside the uterus. It will block the tubes preventing fertilization or the fertilized egg from traveling towards the fallopian tubes.

3) Ovulation problems:

Almost 20 to 40% of infertility problems in women are caused due to irregular ovulation, which prevents the release of mature eggs from ovaries. Where some women can never ovulate, others ovulate once in a quarter. Hormonal fluctuations, excess weight gain or loss, excessive exercise, or severe stress could be the key reasons of ovulatory disorders

4)  Polycystic ovary syndrome (PCOS):

It is a complex condition caused by hormonal imbalance, which interrupts ovulation. Small cysts are formed in the ovaries that disrupt ripening of ovarian follicle and maturation. The other possible symptoms include irregular menstruation, weight gain, excess hair growth, and acne.

5) Sperm problems:

Poor sperm mobility, low or no sperm count, and abnormally shaped sperms can decrease a man’s fertility.

Why Am I Not Getting Pregnant The Second Time?

Your fertility can reduce from your first pregnancy and women may find it difficult to become pregnant for the second time. This is known as secondary infertility. Here are some common reasons for not getting pregnant:

  • If you are a woman over 35 years, then the egg count will fall, leading to no or lesser eggs
  • Men over 50 have a decreased fertility and abnormal sperm
  • Changes in ovulation and menstrual cycles due to hormonal dysfunction, weight issues, stress, medications (steroids, antibiotics, and antihistamines), and substance abuse (drugs, tobacco, and alcohol)
  • The complication in your first pregnancy or labor

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.

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