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May25
Thyroid and Reproduction (Fertility, Sex and Pregnancy)
oday 25th May is the World Thyroid Day. Thyroid disorders are one of the most common disorders of hormones in our body. Thyroid is a small gland situated in front of the neck and secretes hormones like thyroxine (T4) and tri-iodo-thyronine (T3). These hormones control various functions of our body like heart, blood pressure, digestion, metabolism, growth, blood formation, brain function etc. But one of the most important function is its association with reproduction.


In both sexes, T3 and T4 are needed for sexual development during puberty so that full maturation from a child to adult occurs. That means development of hair (pubic and axillary hair), beard and moustache in boys, breast in girls, genital organ development in both sexes and menstrual function are dependent on thyroid gland. Finally production of eggs (rather maturation and release) and sperms are also related to it. In adults, thyroid function is needed to maintain the functions of sex glands particularly ovaries and testes. Desire for sex (libido) and performance of sex are also related to thyroid function.

The thyroid glands in turn is regulated by a hormone secreted from pituitary gland, located inside the brain. That hormone- TSH (thyroid stimulating hormone) controls secretion of T3 and T4., Thyroid gland may be affected by various diseases like autoimmune diseases (body itself destroys its organs), deficinecy of iodine, radiation, tumour, congenital causes (cause present from birth) and certain drugs. The result is that thyroid hormone seceretion may be reduced (hypothyroidism) or increased (hyperthyroidism). As a result, blood tests for TSH, T3 and T4 are commonly done to detect abnormalities of thyroid gland. If abnormalities are detected, further tests may be advised, e.g., ultrasound and scanning of thyroid gland.

So what can happen to reproduction if thyroid function is affected? Thyroid disorders are particularly common in females. Menstrual cycle may be irregular (comin every 2 or 3 months ) or may be scanty in amount or more commonly very excessive flow. These respond well to correction of thyroid hormone levels by drugs.

Thyroid diorder is a common cause of anovlation- that is women cannot release eggs in each month. The result is irregular menstruation and infertility- the inability to conceive a child. Often correction of thyroid hormone levels result in pregnancy. Please remember if you are trying for pregnancy, then your TSH value should not be the same like other people. We usually treat such women if TSH is more than 2.5 (this may be normal for labaoratory standrads for other people but not for those who plan for preganncy and who are pregnant).

It can cause low libido, vaginal dryness, reduced orgasm and painful intercourse.

In case of male, the thyroid disease is not very common but is not rare. It can affect sperm production leading to infertility. Apart from that it can afect sexual performance leading to low libido, easy fatigue and erectile dysfucntion (ED). All these resolve after proper treatment.

Never ignore checking thyroid status for adolescent boys and girls. It may be responsible for delayed puberty (delay in appearance of male like features in boys and female like features in girls) or precocious puberty (early onset of menstruation or breast development in girls; or early development of beard and moustache in boys). These may be associated with serious disorders and need proper attention.

Pregnancy is a condition where there is tremenous pressure on thyroid gland and it is needed to help in proper development of baby inside uterus. Women with thyroid disorders can have miscarriage, premature delivery, death of baby inside uterus or poor growth of the baby. She can experience bleeding in pregnancy, high blood pressure (preeclampsia) and even heart failure. In initial periods babies depend on mother's thyroid gland for its development. If baby does not get proper amount of thyroid hormones, its brain and body deveopment hampers. Particularly the brain development can be affected leading to mentally handicapped baby,as it may not be corrected even after treatment. So proper diagnosis and treatment of thyroid diseases in pregnancy are essential. After birth baby should be tested for thyroid disease and appropriate treatment should be started without any delay.

So, if you feel any of the above problems, please do not hesitate to consult your doctor and request testing of thyroid functions. If drug treatment is started, do not stop the drug without consulting doctor. Uncontroled thyroid disease can lead to heart attack, stroke and emergency situations like thyrotoxicosis or myxoedema- which can be potentially life threatening if not treated in time.


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Mar22
Infertility due to Diminished Ovarian Reserve
Ovarian reserve is a term that is used to determine the capacity of the ovary to provide egg cells that are capable of fertilization resulting in a healthy and successful pregnancy.The ability of a woman's ovaries to produce high-quality eggs is known as ovarian reserve (OR). As women get older, their OR naturally declines, the number and quality of eggs go down, and it becomes harder to get pregnant. Women attempting pregnancy after age 40 often have difficulty getting pregnant for this reason.

Premature Ovarian Aging and Infertility & Diminished Ovarian Reserve

DOR or POA negatively affects female fertility primarily through sub-optimal number of eggs and poor quality of eggs. Smaller number of lower-quality eggs reduce womenís fertility in two ways: they make it more difficult to get pregnant, and once pregnant, miscarriage are more likely to happen.

The standard goal of all fertility treatments is the improvement in pregnancy rates in patients with infertility problems. Within the past years, ovulation induction has contributed to the success of assisted reproduction techniques, in vitro fertilization (IVF) and embryo-transfer (ET). The efficacy of these techniques depends on a personalized protocol of controlled ovarian hyperstimulation (COH) and an adequate oocyte recruitment.

A woman is born with her entire life supply of eggs, approximately 1-2 million. At the time of her first menstrual period, the number of eggs has diminished to 300,000-400,000. Each cycle, hundreds of eggs undergo stimulation and usually only one is released during ovulation; the others are reabsorbed and are not functional. Peak fertility in women occurs before age 30, with a monthly pregnancy rate of 20-25 percent. This monthly rate starts to decrease around age 32, but rapidly declines beginning in the late 30ís and into the 40ís. Approximately one in three women experience infertility by age 40, mainly due to poor egg quality. Egg quality decreases as a woman ages, resulting in impaired fertilization, reduced implantation, and increased miscarriage along with the increased potential for chromosomal abnormalities of the fetus.

As more women are delaying childbirth and more baby boomers are reaching midlife, the problem of diminished ovarian reserve (DOR) is increasing. This has several major medical consequences including infertility, decreased bone mass with risk of fracture, abnormal uterine bleeding from lack of regular ovulation, and hot flashes. This article will address ovarian reserve testing and its impact on treating infertility.

As a woman, your fertility potential is largely determined by your ovarian reserve. Ovarian reserve refers to the number of eggs you carry in your ovaries, as well as the health and quality of those eggs. Assuming no other reproductive problems exist, ovarian reserve plays a large role in determining whether you will get pregnant or not. Your ovarian reserve depends not only on the quantity and quality of the eggs in your ovaries, but also on the quality of the response of ovarian follicles to hormone signals from the brain.

Ovarian reserve is a biological variable, and egg quantity and quality in an individual woman can be average for her age, better than average, or worse than average. Women with poor egg quality are said to have poor ovarian reserve , poor ovarian function, or occult ovarian failure.

Know in detail about Infertility in male and female and their treatment at http://www.blossombestivfindia.com/InfertilityServices

Diminished Ovarian Reserve

Diminished ovarian reserve (DOR) is a condition where the ovary loses normal reproductive potential, which will compromise fertility. DOR can occur from injury or disease, but it is most often the result of normal aging. Around 20% of women diagnosed with infertility have DOR. Diminished Ovarian Reserve (DOR) is a condition meaning a woman's natural reserve of eggs has significantly reduced. This is a process that does normally occur for a woman as she is nearing menopause, but it can occur in a woman of any age. When this occurs, conceiving becomes difficult for a woman as her ability to produce eggs begins to diminish. Diminished ovarian reserve does not eliminate the possibility of pregnancy. However, this problem should encourage a woman to be more aggressive in her quest to become pregnant as time is clearly of the essence.

When a woman is diagnosed with DOR (high baseline FSH, low antral follicle counts and/or low AMH), most often she is told her chances of conceiving a biological child are very slim and that common infertility treatment, such as IVF, may also not be successful. Most of these women are told their only option is to seek out an egg donor to help her successfully achieve a pregnancy.

What are common causes of diminished ovarian reserve?

By the age of 45, few women remain fertile. However, success rates for fertility improve using in vitro fertilization (IVF) and egg donation. Certain things contribute to the diminished ovarian reserve. The common causes include:

Age of 35 years and older
Smoking
Cancer treatments using chemotherapy and radiation
Genetic abnormalities, such as X chromosome abnormalities
Surgical removal of a portion or all of an ovary

What signs and symptoms are associated with DOR?

There are no outright symptoms and signs associated with diminished ovarian reserve, other than shortening of the menstrual cycle (going from 30 days to 24 days). Once menopause occurs, women show symptoms and signs of low estrogen, which include vaginal dryness, hot flashes, missed or absent menstrual periods, and trouble sleeping.

How is the ovarian reserve assessed?

To diagnose diminished ovarian reserve, the fertility specialist will perform a thorough physical examination and take blood samples. Testing is done on the second or third day of the menstrual cycle to measure estradiol and follicle-stimulating hormone(FSH) levels. Fluctuations in normal baseline values of these two hormones indicates a decline in the ovarian reserve. Another blood test that checks fertility is the anti-Mullerian hormone (AMH), which reflects the actual number of eggs in the womanís body. In addition, the doctor will conduct ultrasounds to visualize the number of follicles on the ovaries.

Learn in detail about egg donation, egg quality, sperm donation, sperm management and cryopreservation of egg and sperm at http://www.blossomivfindia.com/archives/1071


How is DOR treated?

At present, there are no treatments for slowing down or preventing ovary aging. After DOR is diagnosed, a woman can cryopreserve (freeze) eggs or embryos for later use. With ovarian failure, or when ovaries do not respond to ovarian stimulating drugs, donor eggs are recommended by the fertility specialist. Women with DOR can use eggs donated from younger women to conceive long after menopause occurs. Part of the treatment for infertility is injectable gonadotropin (FSH). The response of the ovaries following FSH for stimulation is predictive of egg quantity. In vitro fertilization is a treatment option for women who have poor egg quality, as well as few viable eggs. A natural IVF cycle is used for women who produce 2-3 follicles, and it does not require ovarian stimulation. With natural IVF, the success rate is only 5%. However, with regular IVF, the success rate is 10%.

The option which offers the highest pregnancy rate for women with a poor ovarian response is to use donor eggs. While this is medically straight forward, it can be very hard for a young woman with regular cycles to accept this option. Often, it's worth doing one cycle with your own eggs even if the chances are poor, so that you have peace of mind that you did your best. This also may make it easier to explore the option of donor eggs for the future. When making the choice to move on to donor eggs or adoption be sure that you have explored all available treatment options to your satisfaction.

Many treatment strategies have been developed in order to treat women with poor ovarian reserve. Because time is at a premium for these women, treatment needs to be aggressive, in order to help them conceive before their eggs run out completely. IVF is usually their best option, as it offers the highest success rates. Superovulating these women can be quite tricky, and this is where the experience and the expertise of the doctor makes a critical difference ! Blossom Fertility and IVF Centre and its team of experts take individual interest in each and every patient because the problem of ovarian reserve differs from patient to patient. It is true that a skilled doctor will be able to design an optimal superovulation for women with poor ovarian reserve, it is also true that the results are still likely to be poor. We the doctors at Blossom, provide all the help to patients from blood test, counselling, ultra sonography and all other support till the success of the treatment and the ultimate goal of having a baby.

Contact Blossom Fertility and IVF Centre if you are facing the infertility issue due to diminishing ovarian reserve and our team of experts will be happy to assist you in all the ways. Visit our website at http://www.blossombestivfindia.com/


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Feb25
HEALTHY PREGNANCY: DR. SHRINIWAS KASHALIKAR
HEALTHY PREGNANCY: DR. SHRINIWAS KASHALIKAR
The ultimate definition of health is realization of the immortal self experienced usually as unshakable and complete fulfillment or satisfaction. Hence, obviously; the best time to start promotion of such health is right from the time of conception.

How?

Through the practice of NAMASMARAN. Even as the conceived embryo cannot do it, the pregnant mother is blessed to enable the conceived embryo to participate in it! Every pregnant mother has this golden opportunity and privilege!


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Jan28
Facts to know about effects of Smoking on Fertility, Infertility & IVF
Smoking is the largest cause of preventable death in the world. Smoking causes 90% of all deaths from lung cancer and chronic obstructive pulmonary disease (COPD). It increases the risk of coronary heart disease, stroke, several types of cancer, infertility, stillbirth, sudden infant death syndrome (SIDS), osteoporosis, and premature skin ageing (wrinkles). Even second-hand smoke is dangerous for health.

Cigarette smoking can cause infertility.

If you are a smoker and are trying to get pregnant, stop smoking now. Quitting may be one of the best things you can do for your health, for family and for your fertility.

Smokers are more likely to have fertility problems than non smokers. If you smoke for many years, or smoke many cigarettes per day, your risk for fertility problems is increased. When you smoke, more than 7000 chemicals spread throughout your entire body and all of your organs.

In females smoking can lead to fertility problems, including the following:

Ovulation problems
Genetic issues
Damage to your reproductive organs
Damage to eggs or premature menopause
Increased risk of cancer and increased risk of miscarriage

Detailed information about male and female infertility treatments, causes and symptoms is available at http://www.rupalhospital.com/infertilitytreatmentformaleandfemale.html

In males Men that smoke are at an increased risk for the following male fertility problems:

Lower sperm count and sperm motility problems
Hormonal issues
Erectile dysfunction - trouble getting or maintaining an erection

In addition, smokers that try fertility treatments tend to take long time to conceive. If you are trying to get pregnant without success and your partner smokes, encourage him to quit. The sooner he quits, the sooner you may be able to conceive.
Here are the few important questions and answers that need to be considered and understood by the persons smoking.

"The best way to protect your fertility is to give up smoking."

Can smoking affect my ability to have a child?

Most people understand that smoking increases the risk for heart, vascular, and lung disease. Many do not realise that smoking can also lead to problems with fertility in both men and women. Sperm count, Erectile dysfunction and pregnancy complication rates increases with smoking.

Will smoking affect my eggs or sperm?

Chemicals (such as nicotine, cyanide, and carbon monoxide) in cigarette smoke speed up the loss rate of eggs. Unfortunately, once eggs die off, they cannot be regenerated or replaced. This means that menopause occurs 1 to 4 years earlier in women who smoke (compared with non-smokers). Male smokers can suffer decreased sperm quality with lower counts (numbers of sperm) and motility (sperm’s ability to move) and increased numbers of abnormally shaped sperm. Smoking might also decrease the sperm’s ability to fertilize eggs.

How can smoking impact my ability to conceive?

Women who smoke do not conceive as efficiently as non smokers. Infertility rates in both male and female smokers are about twice the rate of infertility found in non smokers. The risk for fertility problems increases with the number of cigarettes smoked daily. Even fertility treatments such as IVF may not be able to fully overcome smoking effects on fertility. Female smokers need more ovary-stimulating medications during IVF and still have fewer eggs at retrieval time and have 30% lower pregnancy rates compared with IVF patients who do not smoke.

Does second hand smoke of partner have effect on fertility?

Second-hand smoke can affect your fertility. If you live with a smoker, encourage your loved one to stop. Second-hand smoke exposes you to poisonous chemicals, affecting your fertility. In fact, fertility experts say that second hand smoke is almost as damaging to your fertility as if you were smoking yourself! Exposure to cigarette smoke for even just a few days can affect your health and your fertility. Second-hand smoke is also a known cause of Sudden Infant Death Syndrome (SIDS). If you do become pregnant, you and your partner must stop smoking to protect the health of your baby.

If I stop smoking, will my chances for conceiving and having a healthy pregnancy improve?

Yes. Quitting smoking can improve fertility though the decrease of the egg supply cannot be reversed. The rate of pregnancy complications due to smoking decreases, the longer a person has not smoked.

Can smoking affect my children?

Men whose mothers smoked half a pack of cigarettes (or more) a day had lower sperm counts. Smoking during pregnancy also can lead to growth restriction of the baby before birth. Children born with lower-than expected birth weights are at higher risk for medical problems later in life (such as diabetes, obesity, and cardiovascular disease). Children whose parents smoke are at increased risk for sudden infant death syndrome (SIDS) and for developing asthma.

Read about the factors affecting fertility and infertility in men and women of fertile age at https://rupalhospital.wordpress.com/

Quitting smoking can be very, very difficult but studies show that the chance for success is much higher if you work with your health-care provider and/or a support group. Sometimes, temporary use of a nicotine replacement (such as nicotine gum or patch) and/or prescription medication can improve quitting smoking rates, and you can use these while trying to conceive, if needed. Though it generally isn’t advised to use these during pregnancy, you and your health-care provider might consider their use during pregnancy after weighing the risks and benefits.

The facts about smoking and fertility

Smokers take longer to conceive than non-smokers and are more likely to have fertility problems. While smoking can lead to some long-term fertility damage, studies have also shown that fertility rates can improve after one year of quitting.

Some women may be tempted to keep smoking until they get pregnant. However, it's best for you and your future baby if you quit before you achieve pregnancy. It'll improve your chances of conceiving, be easier on your body, healthier for your baby, and lower the risk of miscarrying the pregnancy before you've even had a chance to give up smoking. The take-home message for young women is that smoking irreversibly damages an irreplaceable population of ovarian cells. Numerous studies had identified specific effects of maternal smoking during pregnancy, including foetal growth retardation, neonatal deaths, pregnancy complications, premature delivery and possible effects on lactation and long-term effects on surviving children.
Further, there have been indications that smoking decreases fertility in women increases the frequency of menstrual abnormalities and decreases the age of spontaneous menopause. In males, it has been suggested that cigarette smoking negatively affects every system involved in the reproductive process. Spermatozoa from smokers have reduced fertilising capacity, and embryos display lower implantation rates.

If your partner is also a smoker, it's best to quit together, and there are many good reasons to do so. Dropping the habit together will increase your chances of successfully quitting, too.

Fertility often improves for women after they stop smoking. Studies show that female smokers can increase their chances of conceiving by quitting at least two months before trying to get pregnant. Quit smoking and you may just find it easier to get pregnant. In conclusion, although smokers as a group may not experience reduced fertility, males with marginal semen quality may benefit from quitting smoking. Also, smokers should quit smoking for the sense of responsibility for their future generation as tobacco smoke contains numerous mutagenic substances.

The best way to protect your fertility is to give up smoking. Despite these warnings, millions of women of childbearing age still continue to smoke. By doing so, they risk their own health and the health of their babies and put the family building at stake.

Its in the interest of the family that couple makes healthy choices for themselves, their partners, and their future children. Rupal Hospital is dedicated to provide the highest quality of services in women’s health. It is the result of years of experience, knowledge, understanding and constant updating and effort that has made the Rupal Hospital the best amongst all. Doctors at Rupal Hospital take keen interest in public health education. We believe that preventive interventions are equally important as curative medicine, and prevention always requires awareness and educations. We conduct several workshops and seminars that will improve the health being of couples and in turn will help them to attain pregnancy.

Get Awesome Facts on pregnancy and and benefit of our expertise on Infertility Treatment, male and Female infertility symptoms and solutions at http://www.rupalhospital.com or you can contact us on 91-261-2599128-9


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Dec14
Things You Really Need to Know About IVF Before Using It
In vitro fertilization is a popular option for women who are looking for help conceiving, but there's a lot that comes along with the fertility treatment. Thatís why itís important to have all the IVF treatment facts ahead of time. You must speak with your obstetrics and gynecology or reproductive endocrinologist or our IVF experts at our reproductive Center to share
information to help prepare for your future.

Start with a fertility test first.

Whether you want to get pregnant now or wait a little longer, itís a good idea to know where your fertility levels stand. Fertility doctors suggest a simple test called Anti-Mullerian Hormone Blood Test (AMH), which is a good indicator of egg reserve and grades your fertility levels between high, medium, and low.

IVF isnít always a first option.

Many women think IVF is their first option if they want it, but the truth is most fertility doctors will tell you to try natural pregnancy first. If youíre 30 to 35, you should try for at least six months and if itís not working, then you need to do a work-up to see what procedure to target. Even after that, our Infertility doctor will try oral or injectable fertility medication before IVF. Of course, thereís always exceptions and those include a low score on your AMH or if youíre 40-years-old or older. If thereís a small sperm count you have to go straight for IVF or if a woman has tubal blockage, recurrent miscarriage (like three or more) or if thereís potential for certain genetic disorders, then you can start off with IVF.

IVF works best when youíre younger.

Fertility experts says though we might think IVF is a treatment option when weíre older, the truth is, it actually works better if weíre younger. IVF doesnít really fix the age of your eggs so you have to think about that early. Unfortunately, along with fertility, IVF success rates or successful pregnancies decline as women get's older.

IVF Treatment - It comes at a cost.

Youíve likely heard that IVF can be expensive. Itís true. There are affordable and economical fertility clinic to make treatment more accessible, like ours.

Be patient - During IVF Treatment

One of the biggest misconceptions about IVF is that it works right away. Itís very common youíll need to do it more than once. In younger patients it may be a little less (if youíre not pregnant in the first cycle, youíll likely get pregnant in the next), but if youíre in your forties the average is like three cycles. This is only an indicative figure and will vary from person to person and case to case basis. Please consult our experts for more on this.

You can have IVF using donated eggs and/or sperm

For some, the hope of having children is diminished by unforeseeable circumstances, such as developing cancer or finding out that you or your partner have low ovarian reserve or low sperm count. In such situations, fertility clinics offer donor conception, which uses sperm, eggs or embryos donated by someone else for your fertility treatment. The use of donor eggs and sperm is becoming more common today.

You are more likely to fall pregnant with a multiple pregnancy through IVF than natural pregnancy

It's true with assisted reproduction treatments, such as IVF or egg donation. This is because fertility clinics will often use a process called double embryo transfer when carrying out IVF, as traditionally, it was deemed to increase the chances of pregnancy.

Itís not 100 percent successful.

The most important fact to know about IVF is that itís not 100 percent successful. The process can take time, money, and even an emotional toll on your life, and in the end, it might not work. Thats where choosing the correct IVF clinic will help you a lot in evry single step of the fertility treatment process.

Despite the fact that IVF success rates are on the incline because of constant advancement in Assisted Reproductive Technology, it is still important for women and couples who are seeking IVF treatment to take age into consideration. This is because the success of an IVF cycle is very much determined by the age of the embryo and sperm that is being implanted, for example the younger the embryo or oocyte, the greater the chance of conception.

Thereís a significant emotional drain on the couple and the relationship. We encourage couples to find alternative outlets like exercise, counseling therapy to find balance throughout the treatment process. There are so many errors built into conception and things we canít control due to genetics. Most IVF failures are not something that a couple can fix, even if a woman has a good, healthy diet and exercisesóthose are important, but itís very age dependent.

Support during the fertility treatment is absolutely vital...infertility treatment can be such a solitary experience otherwise. Counselling can provide emotional support before, during or after fertility treatment. If dealing with infertility leaves you struggling to cope with everyday life or causes you to revisit past problems, counselling can be very therapeutic.

You can contact the team of IVF experts at Blossom Fertility & IVF Center in India - Surat Gujarat at http://www.blossomivfindia.com or you can fix up an appointment with us by calling on +91 261 2470333. Get started today by contacting us today for all further info on infertility treatments like IVF, ICSI, IUI, IMSI, Surrogacy or at http://www.blossombestivfindia.com and gather all information to attain happy parenthood.


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Nov14
Diabetes and Reproduction & Sex
Today 14th December is World Diabetes Day. India is nowadays considered the ďDiabetic CapitalĒ of India. The rate at which diabetes is increasing in modern societies is, indeed, a matter of concern. Diabetes does not merely mean increased and sometimes uncontrolled blood sugar. It affects various organs and systems of our body , particularly affecting heart (coronary artery disease), brain (stroke), eye (retinopathy), kidney (nephropathy), blood pressure (hypertension), liver (fatty liver), nerves (neuropathy), increased risk of infection and even some cancers. Obesity and diabetes go hand-in-hand. So, the main control measures are life style changes (controlling weight, diet, exercise, avoidance of alcohol and smoking); drugs (oral drugs and insulin) and monitoring by physician.
1. Sexual Dysfunction-
Diabetes is a major cause of sexual dysfunction in both male and female. It can reduce the libido (sexual desire) by altering the sex hormone levels. In case of male, Erectile Dysfunction (ED) is sometimes the first symptom of diabetes. So, if a male suffers from ED, rather than taking drugs directly from medicine shops, the cause of ED must be evaluated, particularly diabetes. Often patients do not know that they are diabetic but when the cause of ED is investigated, diabetes is discovered incidentally. It can also affect the nerves and thus can worsen the sexual problems. In female, it can lead to decreased arousal leading to avoidance of sexual activity. In some cases, it is responsible for premature ejaculation (PE) in males. Thus any person with sexual problems, should be evaluated for diabetes. Control of diabetes often resolves the problem.

2. Menstrual problems-
Obesity and diabetes together can affect hormone balance leading to irregular menstruations ranging from periods occurring at every 2-3 months, sometimes too frequently (every 10-15 days), scanty flow and sometimes heavy flow. This is particularly true in case of polycystic ovarian syndrome (PCOS) which can affect various organs and systems of the body. In PCOS, insulin is there in the body but it cannot function properly and ultimately it leads to diabetes. In some cases, this high blood sugar may be responsible for appearance of excessive hair growth (male-like hairs) in females. Even in some cases, diabetes may be associated with increased thickening of the endometrium (the inner lining of the uterus). In thw worst cases, these women may have cancers in endometrium. So, women with menstrual problem need proper evaluation. Reduction in weight and control of blood sugar help to control menstrual problems.

3. Infertility-
As mentioned above, PCOS is a common cause of infertility. Similarly, diabetes and obesity can lead to problems in ovulation and thus creates problems in having pregnancy. Control of weight and blood sugar lead to successful conception in most cases. Similarly in male, high blood sugar can affect sperm production and thus impairs male fertility. Sexual dysfunction can aggravate the problem. Infection also plays a important role.

4. Infection-
Diabetes is notorious for increasing susceptibility to infection and often interferes with eradication of infection. In female, the infections may lead to vaginal white discharge and even in severe cases can block the fallopian tubes leading to infertility permanently. In male, it can cause phimosis (tight foreskin) and sometimes infection of sperm conducting-passage leading to infertility. So, male and female with genital infection must be evaluated for diabetes. Proper control of blood sugar and antibiotics are needed to control these.

5. Pregnancy problems-
Women with diagnosed diabetes are encouraged to control blood sugar before pregnancy. Otherwise there will be problems for mother as well the baby. Diabetes can cause miscarriage, preterm labour and worsens maternal problems like hypertension, nephropathy and retinopathy in pregnancy. It can lead to sudden unexplained death of the baby inside the uterus. The baby can have excessive weight (that leads to its diabetes in later life) and other problems like low blood sugar at birth, problems in breathing, problems in brain and problems in heart etc. So, proper control of blood sugar is needed before pregnancy and should be continued throughout pregnancy.

6. GDM-
Some women may have normal blood sugar before pregnancy but may develop diabetes in pregnancy. This is called gestational diabetes (GDM). It is also associated with increased risk of complications to mother and baby. 50% women with GDM can develop diabetes in later life. So, women with repeated miscarriage, still birth and very large baby should be evaluated for diabetes. Treatment must be continued throughout pregnancy.

To summarize, diabetes is not only responsible for diseases of heart and brain but it can affect your reproductive life, particularly sexual function, conception and pregnancy. So, if you suffer from these problems, do not hesitate to check blood sugar. If diabetes is detected, there is no need to worry as proper control will solve all these problems.


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Sep18
Stress and Family Life
In our modern life, stress is an indispensable part. Career, jobs, studies, incomes, business, money, property- all are associated with some sorts of stress. The problem gets exaggerated when it affects the family life. Because, at the end of the day, we all want to enjoy a happy family life. And a family life has its sense when the husband and the wife are in harmony. Needless to say, that a family is incomplete without a kid.

How stress affects family life? Effect of stress is not limited to mind. It has serious effects in the body. It affects blood circulation and the heart. It puts pressure on nerves. It also alters the blood sugar level. And he end result is diabetes, hypertension (high blood pressure) and heart diseases. Ultimately these diseases affect all the organs of our body. Some people try to get rid of stress by smoking and alcohol. These will simply put burden on already affected heart and blood.

Stress also alters important hormone levels in our body. The hormones needed for basic reproductive function (sex, conception and pregnancy) are either increased or decreased. Prolactin hormone is increased. Normally prolactin is needed to secrete milk from breast to fed the baby. But abnormally increased prolactin leads to milk secretion from breast (even without pregnancy) and irregularities in periods. Very high prolactin may even lead to problems with ovulation (at middle of each period, the egg gets released from ovary) and as a result, the woman cannot conceive a baby. Even in male, high prolactin leads to difficulty in erection of penis. In some male, it can lead to gynaecomastia (growth of male breast). Excessive high dose of prolatin leads to loss of sex desire in male and interferes with spermatogenesis (sperm production).

Apart from increasing prolactin, stress can directly affect the hormones secreted from the pituitary gland of both male and female, the testes in male and the ovaries in female. As a result, all the reproductive functions get disturbed leading to problems in sex (loss of desire in both male and female, problems in erection and ejaculation in male), irregular periods in female and ultimately pregnancy cannot occur.

The diseases occurring as a result of stress (diabetes, hypertension etc) also affect the normal functions of ovaries causing irregular periods, even no periods at all. There may be problems in ovulation and thus difficulties in achieving pregnancy. Even if pregnancy occurs, it may be aborted because of these diseases. Similarly in male, diabetes and hypertension will cause sexual dysfunction and will affect sperm production.

The lifestyles accompanying stress are also responsible for harmful effects on family life. Smoking and alcohol have been mentioned earlier. Stress may be associated with abnormal weight gain and that will affect the womanís life in badly manner. There will be disturbances in periods, ovulation problems, infertility and even pregnancy loss. Sitting for long time while driving or keeping laptops on laps, will increase the temperature of scrotum in male and thus will decrease the sperm production.

Again there is a vicious cycle- stress leads to family problems like problems in sex and in having pregnancy. That will in turn increase pressures from family (especially in-laws) and the society. This will simple aggravate the stress.
So, what can be done to avoid these problems? The answer seems to be simple- that is avoiding stress. But itís very easy to say and difficult to commit. First thing is try to bring stress at home just keep it at your workplace. Avoid smoking and cut down alcohol consumption. Avoid sitting long time in front of computers and take periodical rests when you are working continuously. The rest does not mean that you have to lie down in bed; just have a short walk. Start exercise that will keep you healthy and reduce your stress. Yoga is an Indian culture that taught the Western world how to reduce stress. Take plenty of water and green vegetables and fruits. Avoid fast food. Always put on comfortable dresses. And if all of these do not work, try if you can do something to avoid the stress- like changing the workplace, talking directly to your co-employees or the employer. If still all these cannot help, consult psychological counselor. A timely counseling will reduce stress significantly. In very few cases, drugs may be needed to reduce stress. But remember, drugs can only be useful if you are trying all the other measures. Simple dependence on drugs wonít help much.

Now regarding family problems associated with stress follow simple measures. Often we feel embarrassed to discuss these issues. Try to enjoy time of personal intimacy to the fullest. Donít think of any problems during that time. If still there are problems, donít hesitate to take medical help. And please remember, the drugs used to solve sexual problems may have side effects. So, these should be taken only after medical consultation.
In case of female, maintain optimum weight. Avoid fast food, alcohol and smoking. If periods are irregular, maintain a menstrual diary. Consult a doctor to find out if there are some serious issues associated with these problems (like hormonal problems, thyroid diseases, even some tumours). You doctor will then decide the best treatment for you. If there are low desire for sex, donít hesitate to take help of doctor. It may be a symptom of hormone deficiency that can affect your different systems (like bone, heart, blood etc). Now a days, there are lots of treatment options available for this.

For male, if there is low desire, consult your doctor to find out the cause of this problem. At the same time, avoid any anxiety, alcohol and smoking. Sometimes there are problems with erection. Instead of trying drugs shown in media or newspaper, feel free to talk to your doctor; because erection problem may be caused by some serious issues like heart disease, diabetes etc. So, if you have erection problems, consult doctor. He/ she will counsel you and give you the best treatment. Now if the problem is with ejaculation (like early loss of semen or very low semen), that issue can also be solved in the same way.

Whatís about infertility problems? Stress and infertility are inter-related, as described before. Now, if there is problem with fertility, please remember few facts. Even in totally healthy couples, the chance of pregnancy after regular intercourse in fertile period (in the middle of menstrual cycle, usually) is only 20%. Though it appears disappointing, majority of couples conceive in course of time. So, couples are requested to report to doctor only if they tried regularly for one year without any protection. Then your doctor will assess you and try to find out the problem. And again, treatment of infertility is also depending on chance. Hat means we have to increase the chance above the natural chance (which is 20%). So, even one treatment fails, there is enough scope, so no need to lose hope. In other words, there is no need to increase the stress.

So, stay healthy, keep your mind healthy by avoiding stress and keep your family relationship totally stress-free.


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Sep15
Care before Pregnancy- The "Pre-conceptional Care"
Most of us have an idea that the couple should go to gynecologist only after they fall pregnant or when there is difficulty in conceiving. But we all know that "PREVENTION IS BETTER THAN CURE". Then why should not we take precaution to avoid complications in pregnancy so that we can have healthy mother and healthy baby.

Some of the diseases can manifest during pregnancy, like some diseases of heart, blood pressure, blood sugar etc. But if the couple comes to doctor when they are planning pregnancy, then we can diagnose it and start treatment so that pregnancy can be safe to both the mother and the baby.

On the other hand, some pre-existing disease may turn serious during pregnancy and endanger life of both mother and baby. This includes thyroid disease, hypertension, epilepsy, renal disease, cardiac disease etc. If taken care of properly, the disease can be controlled before pregnancy so that the risk can be reduced. Again all the drugs are not safe for the baby. So, if treated before pregnancy, the mother can be put on safer but effective drugs before pregnancy.

Some diseases may run in family and often goes undetected and can affect the baby. Thlassaemia, hemophilia etc are the best examples. So, if the couple comes to us before pregnancy, we can screen them to diagnose whether they are bearer of the disease or not and then we can take care to prevent birth of defective baby.

Some diseases indicate that there may be problems in having pregnancy, like problems in periods or abdominal pain in female, sexual problems in male and female etc. If treated properly, it will avoid unnecessary time wastage for trying for pregnancy.

The woman can be instructed how to remain healthy to have normal baby, before pregnancy. She can be advised some drugs (like folic acid), can be asked to avoid harmful drugs and substances (like drugs, excessive vitamin A, excessive vitamin D, excessive caffeine, smoking etc). Even the husband can be asked how to improve his fertility (by avoiding heat exposure to his scrotum).

Again some infections can be dangerous for the baby. So, before pregnancy we can treat the women for the infections and in some cases we can vaccinate her to prevent infection.

"A STITCH IN TIME SAVES NINE". So, why don't you consult your gynecologist when you are planning for pregnancy? have smooth journey throughout pregnancy and enjoy parenthood.


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Sep01
ICSI Fertility Treatment for Male Factor Infertility
Intracytoplasmic sperm injection (ICSI) can be used as part of an in vitro fertilisation (IVF) treatment to help you and your spouse to conceive a child. ICSI is the most successful form of treatment for men who are infertile and is used in nearly half of all IVF treatments.
ICSI is primarily indicated for men with male factor infertility: The important thing for most couples is to realize that the sperm actually do play a very significant role in the fertility process.If someone has an abnormal semen analysis; the recommendations are that the man should get evaluated before they undergo any sort of fertility treatments. Both parties have to improve their health, especially if there are parameters that show there was a sperm quality issue.
Find out what ICSI is, who the best candidates are, and what you should consider before opting for treatment.
What is ICSI?
Unlike conventional fertilization, whereapproximately 30,000 sperm are dropped onto the egg in a Petri dish, during ICSI, a single sperm is injected into the egg in order to improve the chances of fertilization.It has allowed many couples to have children who otherwise wouldnít be able to have one.ICSI is primarily indicated for men with male factor infertility.
When it comes to infertility, most people immediately think about in-vitro fertilization (IVF), but thereís a lesser-known fertility treatment that is used along with IVF. Itís called ICSI (pronounced ik-see) or intracytoplasmic sperm injection.

Although ICSI has been around since the early 1990s, itís increasingly being used to help couples struggling with infertility. As with any new technology, some experts have concern about its overuse as well as how it may affect the health of the babies born to it?
An Intracytoplasmic Sperm Injection (ICSI) is a form of In Vitro Fertilization (IVF) which is used to treat severe cases of male factor infertility. This procedure involves the injection of a single sperm directly into a mature egg,making it different from conventional IVF wherein fertilization takes place by placing many sperm near an egg in a dish.
Read more about Miscarriage and Successful Pregnancy at https://rupalhospital.wordpress.com/2015/08/11/miscarriage-and-successful-pregnancy
Male factor infertility problems include low sperm count and issues withmotility (movement), or morphology (shape) of the sperm. Men may also use ICSI if they donít have sperm in their ejaculate either because of a production problem or a blockage. Their sperm would then be extracted from the testicle. ICSI can also help men who had a vasectomy or who were born without a vas deferens.

What are the advantages of ICSI?
ē ICSI may give you and your spouse a chance of conceiving your genetic child when other options are closed to you.
ē If your spouse is too anxious to ejaculate on the day of egg collection for standard IVF, sperm can instead be extracted for ICSI.
ē ICSI can also be used to help couples with unexplained infertility, though experts haven't found that ICSI makes pregnancy any more likely than standard IVF.
ē ICSI is also used when couples opt for pre-implantation genetic testing (PGD), which screens embryos for chromosomal abnormalities or genetic conditions.
ē ICSI can also help couples that attempted IVF but had whatís known as ďfailed fertilization or Failed IVF"

Is ICSI the answer for all male fertility problems?
ICSI isn't the solution to every male fertility problem. If your spouse has a low sperm count as a result of a genetic problem, this could be passed on to any sons you have together. Your doctor will usually recommend that your spousehas a blood test before you start the ICSI cycle.

You and your spouse may find should be offered IVF ICSI counselling before and after taking the test, to help you through both the decision and the process. Your doctor could to refer you to a fertility counsellor.
How long does ICSI treatment last?
One cycle of ICSI takes between four weeks and six weeks to complete.
Its known now that success rates for ICSI are similar to IVF alone. When looking at ICSI for male factor infertility, the percentage of cycles that resulted in a live birth were about the same as those cycles who didnít use ICSI and had no diagnosis of male factor infertility.ICSI overcomes many sperm problems but it doesnít overcome all problems.
The first step ICSI Treatment
The first step is usually the hardest - making that initial call. But remember, you are not alone; simply phone us in the strictest confidence and one of our friendly team will help guide you through the options open to you.

Whether you have recently become concerned about your fertility or have had treatment elsewhere and want another opinion, we will do our best to help you achieve a successful outcome. Fertility Experts at Rupal Hospital in Surat have renowned female Doctors and each one of them is outstanding in their own field of expertise. Rupal Hospital is dedicated to provide the highest quality of services in women's health. It is the result of years of experience, knowledge,understanding and constant updating and effort that has made the Rupal Hospital the best amongst all.
Get more information on pregnancy, Infertility causes, male infertility symptoms at http://www.rupalhospital.com or you can contact us on 91-261-2599128-9


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Jul28
The emotional stress during IVF Journey
In Vitro Fertilization is a one assisted reproductive technology (ART) commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish, and then transferring the embryo to the uterus. Other forms of ART include gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT).

IVF can help you get pregnant if you have problems with ovulation or egg quality, blocked fallopian tubes, or endometriosis; if your partner has problems with sperm count or motility; or if you're using donor eggs to become pregnant.

It takes about four to six weeks to complete one cycle of IVF. You have to wait a few weeks for your eggs to mature. Then you and your partner spend about half a day at your doctor's office or clinic having your eggs retrieved and fertilized. You have to go back again three to five days later to have the embryos inserted into your uterus, but you'll be able to go home that same day. Finally you have to wait till the pregnancy test is taken.

To have own children is insatiable human need. This strong natural urge exerts tremendous pressure on couples unable to have a baby. And the pressure to reproduce becomes increasingly acute as couples grow older and become more aware of their own mortality. The introduction of In Vitro Fertilization (IVF) more than 30 years ago has made parenthood possible for millions who otherwise would never have been able to conceive.

Learn more about IVF procedure, ivf treatment, ivf cycle, its success rate and everything about ivf at http://www.blossomivfindia.com/ivf

The biggest decision an infertile couple will ever make in regard to IVF is whether or not they really want to become parents. An IVF procedure requires an enormous emotional commitment at each level of the treatment, whether or not IVF is successful. Stress is one of those paradoxes of living with infertility. Both partners should be prepared to respond to a variety of emotionally stressful demands as they undergo IVF. It turns out that stress and tension, while detrimental to overall health, may have little impact on couplesí chances of getting pregnant with in vitro fertilization.

While general assumptions may be made about stress levels during IVF, the experience for infertility patients will be personal and unique--each patient will experience the stress differently based upon his or her own personality and life experiences.

Unexpected Challenges

The treatment of IVF stressful and affect all parts of couples life - marital, social, physical, emotional, financial, and religious. Time is stressful, both in the time commitment to an intense treatment which leads to disruption in family, work, and social activities, and for some, in long waiting periods for treatment services. Couples also may find themselves stretched financially, paying for the high cost of IVF treatment with a somewhat limited probability of success.

Coping Strategies

Despite the stressful consequences of infertility and IVF, the vast majority of patients adjust well emotionally. Further, there seems to be no long-term impact on the marital relationship and individual functioning. In fact, some research has shown that the crisis of infertility may actually improve marital communication and emotional intimacy.

If you are a patient about to begin an IVF cycle, here are some tips to help you get ready for IVF while minimising stress level during the process of IVF:

1. Gather information and plan ahead

2. Prepare for decision-making

3. Tend to your psyche and your relationships

Read the whole article in detail at http://www.blossomivfindia.com/pages/fertility-treatment-stress

4. Garner your support

5. Identify your stresses and your coping mechanisms

6. Decide what you have control over and what you don't

7. Anticipate problem areas

The 10-14 day waiting period between transfer and receiving the pregnancy test results is often described as the most difficult part of the cycle. During the IVF cycle you are constantly on monitoring with your ivf specialist and once the embryo is transferred, you have to wait for your pregnant test. This period is very stressful as you are filled with lots of anxiety, fear and hope. One has to be ready for all the possibilities- positive pregnancy test or negative pregnancy test.

Both partners should be prepared to respond to a variety of emotionally stressful demands as they undergo IVF. The decision to pursue fertility treatment is never easy. That is why you need a fertility centre with the proven ability to succeed Ė a trusted partner that delivers results to thousands of patients every year. Blossom Fertility and IVF Centre is deeply committed in helping patients become parents. Our expertise in fertility treatment and cutting edge technology has helped majority of our patients achieve pregnancy and has made us the most successful fertility centre in Surat, Gujarat. The IVF treatment is a complex and stressful process. The team of IVF specialist at Blossom Centre understands the pain, stress and agony faced by the couples undergoing the treatment and hence offers them all possible help from information about the ivf process, no. of embryos to transfer, when to go for egg and sperm donation and most importantly offer them support and counselling from the experts about dealing with stress and anxiety during the whole process. When needed, we advise our patients to seek help of professional independent counselor.

Get answer to all your questions related to::
How to Manage the Stress of IVF & Preparing for Emotional Considerations - Coping with the Emotional Roller Coaster Ride in IVF -
Emotional Effects of Infertility on the Coupleís Relationship - Managing your anxiety before an IVF treatment cycle for positive Pregnancy - Learn to reduce IVF stress with Specialist at Blossom Fertility Centre - IVF, Infertility Clinic, Fertility Clinic in Surat, Gujarat -
IVF and stress management Coping - Dealing with IVF stress - Stress Doesn't Impact Success of IVF - Fear of IVF failure and Anxiety - Stressful Fertility and Infertility Treatment - The emotional stress during IVF Journey - Minimise stress during the Two Week Wait of IVF Cycle - Agony of the IVF husbands - infertility depression support

You can contact our fertility experts at any time to know about IVF cycle, the treatment process of IVF procedure and the success rate involved at http://www.blossomivfindia.com

How to Manage the Stress of IVF & Preparing for Emotional Considerations - Coping with the Emotional Roller Coaster Ride in IVF -
Emotional Effects of Infertility on the Coupleís Relationship - Managing your anxiety before an IVF treatment cycle for positive Pregnancy - Learn to reduce IVF stress with Specialist at Blossom Fertility Centre - IVF, Infertility Clinic, Fertility Clinic in Surat, Gujarat -
IVF and stress management Coping - Dealing with IVF stress - Stress Doesn't Impact Success of IVF - Fear of IVF failure and Anxiety - Stressful Fertility and Infertility Treatment - The emotional stress during IVF Journey - Minimise stress during the Two Week Wait of IVF Cycle - Agony of the IVF husbands - infertility depression support


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