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Diabetes and Reproduction & Sex
Today 14th December is World Diabetes Day. India is nowadays considered the “Diabetic Capital” 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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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 woman’s 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 it’s 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 won’t 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. Don’t think of any problems during that time. If still there are problems, don’t 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, don’t 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.

What’s 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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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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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 wouldn’t 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 there’s a lesser-known fertility treatment that is used along with IVF. It’s called ICSI (pronounced ik-see) or intracytoplasmic sperm injection.

Although ICSI has been around since the early 1990s, it’s 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
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 don’t 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?
• ICSI may give you and your spouse a chance of conceiving your genetic child when other options are closed to you.
• If your spouse is too anxious to ejaculate on the day of egg collection for standard IVF, sperm can instead be extracted for ICSI.
• 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.
• ICSI is also used when couples opt for pre-implantation genetic testing (PGD), which screens embryos for chromosomal abnormalities or genetic conditions.
• ICSI can also help couples that attempted IVF but had what’s known as “failed 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 didn’t use ICSI and had no diagnosis of male factor infertility.ICSI overcomes many sperm problems but it doesn’t 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 or you can contact us on 91-261-2599128-9

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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

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 couples’ 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

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 – 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 Couple’s 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

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 Couple’s 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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Tips for special care during pregnancy
Pregnancy is a beautiful phase in women’s life. Finding out you are pregnant is one of the most exciting and daunting times of your life, even if you have been preparing for it for some time. Get ready for the rollercoaster ride of pregnancy on the road to parenthood. Your pregnancy will be a special experience no matter if you've been through it before, or this is your first time. The thought of growing a baby inside your body until it is ready for independent life may sometimes become almost overwhelming. Joy, relief, excitement and fear are common emotions which can come as quickly as they go. Although at first, forty weeks can seem like an eternity, for most women it goes by pretty quickly.

The next 40 weeks of your life will be an amazing time. You may face pregnancy symptoms like morning sickness, frequent urination, fatigue, mood swings, food aversions and more. Most of pregnancy symptoms are caused by hormonal changes and the extra strain your body is under. They are usually temporary, cause minor discomfort and can be treated simply. Extra care needs to be taken by women during pregnancy.

Learn more about pregnancy test, pregnancy symptoms and pregnancy complications at

When the pregnancy test comes back positive, a life-altering journey begins. As the baby grows and changes through each stage of pregnancy, you go through changes, too: in your body, emotions, and lifestyle. You need information to answer your questions and help to make good decisions for a healthy baby and a healthy you. Regular antenatal appointments to check whether you and your baby are well and to spot potential problems before they become serious must always be preferred.

Most pregnancies will continue without any problems at all, however, a small percentage of pregnancies suffer from complications. Pregnancy is a time when a female blossoms into a woman and waits for her turn to become a mother. It enriches a woman with an experience never felt before and prepares her to tend for the new life growing inside her.

There are few experiences in life as powerful as finding out that you're pregnant. It's amazing to think that you have a new life growing inside you. From the moment you begin to feel changes in your body or you know for sure that you're pregnant you may begin to feel protective and look forward to having the baby. You can feel wonderful during your pregnancy if you take good care of yourself.

Increase your odds of a healthy pregnancy by following these pregnancy tips to keep yourself in top condition:

1. Eat five or six well-balanced meals each day. Remember to eat healthy always

2. Take a prenatal vitamin each day as directed by your obstetrician.

3. Drink plenty of fluids at least eight to 10 glasses a day avoiding caffeine and artificial colouring.

4. Don't drink alcohol

5. Don't smoke or allow yourself to be exposed to second hand smoke.

Read in detail the pregnancy tips for mother to be and the baby to be born at

Whether your pregnancy was meticulously planned, medically coaxed, or happened by surprise, one thing is certain – your life will never be the same. While being pregnant can be a trying and often time’s uncomfortable experience, there are moments when being pregnant feels so magical and thrilling that we never want it to end. One thing is for certain: there’s no other experience in life like it. The memory and journey of going to be parents capture the joys and pitfalls of the nine months that for better or for worse will change your life forever.

For pregnancy and for being a mother it is said “Making a decision to have a child–it’s momentous. It is to decide forever to have your heart go walking around outside your body."

Rupal Hospital for Women is a premiere leader in women’s health and is widely recognised for its Pregnancy (Ante-natal) care & Delivery services, specialised high risk pregnancy care and painless (epidural) delivery. The doctors are pleased to provide the best education on the latest pregnancy news and parenting tips including fertility boosting foods, labor signs, child birth tips, pregnancy advice and many more pregnancy information that you need to know. Whatever you want to know about getting pregnant, being pregnant or caring for your new baby, you should find it here. At Rupal Hospital we offer info on pregnancy aches and pains, weight gain and nutrition, what's safe during pregnancy and what is not, a pregnancy stage, labor and delivery, and more. We're here to guide you through the ins and outs of all nine months. We've got everything you need, from pregnancy nutrition tips to dealing with all of your symptoms.

From caffeine and soft drinks and juices to which medications are safe to use while you're pregnant, get answers from our experts on what's totally safe to do and eat during pregnancy and what things you should try to avoid at

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Diabetes may be a cause for infertility
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).

Diabetes continues to be a major menace that keeps the medical community on tenterhooks. This is one ailment that affects multiple organs of human body including the kidneys, eyes and heart. Diabetes also wrecks havoc with essential processes like digestion, nervous system functioning and makes life pathetic for the victims. Sadly, diabetes does not spare your sexual prowess either. Both men and women can face fertility problems after becoming diabetic.

People can often have diabetes and be completely unaware. The main reason for this is that the symptoms, when seen on their own, seem harmless. However, the earlier diabetes is diagnosed the greater the chances are that serious complications, which can result from having diabetes, can be avoided. Diabetes is a long-term condition that causes high blood sugar levels.

There are 3 types of diabetes.

Type 1 Diabetes, Type 2 Diabetes and the Gestational Diabetes.

Talk with infertility and fertility experts about the types of diabetes, its implications on infertility and the ways to prevent diabetes at

All types of diabetes are treatable. Diabetes type 1 lasts a lifetime, there is no known cure. Type 2 usually lasts a lifetime; however, some people have managed to get rid of their symptoms without medication, through a combination of exercise, diet and body weight control. The majority of gestational diabetes patients can control their diabetes with exercise and diet. Between 10 to 20% of them will need to take some kind of blood-glucose-controlling medications.

Diabetes and Fertility

Infertility, the inability to become pregnant within 12 months of trying to conceive, affects about 10% of the population. In fact, only about 10% of infertility cases go unexplained. In most instances, simple lifestyle changes like weight loss through proper exercise and nutrition can help reverse the affects of infertility. However, diseases like diabetes can cause extra complications for both women and men when it comes to fertility.

If you have been trying with no luck to get pregnant and have not been able to find a reason for your infertility, it may be time to have a simple blood test to determine if your glucose levels are too high. More and more infertility specialists are looking toward this health issue as a main cause of some otherwise unexplained infertility cases they see.

When it comes to diabetes and infertility the answer is clear: there is a connection.

Diabetes in women:

Diabetes in Men:

Should Diabetic Partners Try and Conceive At All?

Read the whole article in detail about the diabetes, its effects on fertility in men and women and the ways to overcome the diabetes at

Infertility specialists encourage their patients with Type 2 diabetes to focus their efforts on eating healthy, exercising, losing weight and closely monitoring blood sugar levels. Taking vitamin supplements is also encouraged. If those efforts alone don't lead to a healthy pregnancy, then medications may be introduced to improve fertility. It can be a challenge to make the lifestyle changes necessary to deal with Type 2 diabetes. The good news is that those efforts are, quite often, rewarded.

Research has shown a strong correlation between PCOS and Type 2 diabetes. Both PCOS and Type 2 diabetes are characterized by unhealthy levels of blood glucose and a resistance to insulin. A variety of medications can be prescribed to help lessen or reverse the effects of PCOS. As with Type 2 diabetes, a healthy lifestyle can also go a long way toward reducing or eliminating PCOS. The key is to bring blood sugar levels into a normal and stable range while combating insulin resistance.
Diabetes doesn't preclude men and women from reproducing. It does, however, require professional guidance, meticulous maintenance of health, and monitoring of blood sugar and hormonal levels. With proper care and attention, the vast majority of diabetics can have healthy offspring.

To help explain diabetes complications in relation to female infertility and male infertility, Specialists at Blossom Fertility and IVF Centre are well-versed in obstetrics, gynaecology and reproductive endocrinology. The Blossom Fertility Centre aims to reduce the stress and hassle associated with infertility investigations and treatment, by offering a one-stop diagnostic and treatment service for infertile couples. While coping up with infertility, it is important that all the test and diagnostic treatment options are considered. The team of specialists at Blossom Centre are in favour of the entire test for blood to be done at the beginning of any diagnosis for the fertility treatment. So if at all any variation in blood sugar levels are there, it is treated initially only. We at Blossom offer to our patient’s clinical excellence, cost-effective treatment options, personalized compassionate care, and exceptional success rate. Our clinic symbolizes excellence, experience, and professionalism in treating all cases of infertility whether it is due to diabetes, PCOS, male infertility, women infertility, hormonal imbalance or egg or sperm production.

You can meet our team of endocrinologist and obstetrician at or you can have their opinion and talk to them at +91 261 2470444

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World Tobacco Day
Today is World Tobacco day. You all know that tobacco causes cancer- cancers in almost all the organs of our body.
But what else? can it affect your sexual and reproductive life?
In female- it causes problems in menstruation, irregular periods and abnormal amount of bleeding. In addition, it causes difficulty in having baby- by interfering with normal hormone release.
Even if pregnancy occurs, the ending may not be happy one. It is responsible for repeated pregnancy loss (repeated miscarriages), ectopic pregnancy (pregnancy outside the uterus- that cannot survive, on the other hand it can endanger mother's life). It also causes abnormal bleeding in pregnancy by early separation of placenta (the flower) and thus endangering life of both mother and baby. It is also responsible for inadequate growth of baby inside the uterus. This can result in early delivery (premature baby), ow birth weight, permanent damage to baby's brain (mental retardation) and other organs, even death of the baby before or soon after birth. Tobacco also causes early rupture of membranes during pregnancy ("breaking of water") causing preterm delivery and infection.
As a result of hormonal deficiency caused by tobacco, there may be infertility and other hormonal problems like sexual dysfunction (dryness especially), discomfort in passing urine and bone pain (all due to hormone deficiency).
In older women it can cause prolapse (coming down of uterus outside).

In males- tobacco is responsible for low sperm count, low motility and abnormalities in sperms. The result is male infertility.
It can also cause hormonal problems in males leading to sexual dysfunction and bone loss.
It is responsible for erectile dysfunction and also premature ejaculation.

So, the decision is yours whether to choose tobacco or to choose life.

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Treatment for Genital tuberculosis in Males and Females
Tuberculosis is a rampant disease in developing countries like India-and one that cuts across all classes. Tuberculosis of the genital tract occurs quite commonly following tuberculosis infection anywhere else in the body. It mainly spreads through the blood stream to the genital organs. When the infection invades the reproductive system (the genital tract), it commonly targets the fallopian tubes and the uterus and may lower your chances of conception. Women between the age of 20 and 40 years are most susceptible.

Female genital tuberculosis is fast emerging as a major health issue that affects fertility levels in women. Doctors say tuberculosis is a major cause of infection leading to infertility among 25-30% of women in India. There is an increasing trend of genital tuberculosis among women. The infection can attack the ovaries, uterus and tubes leading to infertility problems among women. The disease is also becoming more evident among men causing infertility. Even among men, who are responsible in 50% of infertility cases, tuberculosis is a major reason for infection.

Is it possible that TB increases the infertility issues in couples?

TB (Tuberculosis) is the infectious disease and infertility is the inability to conceive. Yes TB can cause infertility, but usually it does not show any kind of symptoms until the infection has advanced to a severe level and can affect the infertility in women as well as in men. In the woman it causes tuberculosis in uterus and fallopian tubes where as in the man it cause tuberculosis of epididymo orchitis, as a result of which no sperm can get into the semen.

TB only cause infertility when it infects the genital tract, which is very hard to diagnose and called as genital TB. Genital TB is responsible for infertility in 5-10% of women. The only way to diagnose this TB is by culturing the tubercle bacillus from the tissue and sent it to the lab for testing.

Know in detail about Genital Tuberculosis, its symptoms, treatment available and for the investigation procedure at

What is genital tuberculosis?

Tuberculosis or TB is a bacterium which can affect any part of your body, but most often affects the lungs. The primary infection in the lungs is known as pulmonary tuberculosis. In some cases the TB infection moves through the blood to other parts of the body. It can thus cause secondary infections in the genital tract, pelvic area, kidneys, spine and brain. When the bacterium reaches the genital tract it causes genital tuberculosis or pelvic TB. It affects the genital tract (in both men and women), fallopian tubes, uterus, and ovaries. In some cases it also affects the cervix, vagina and vulva.

How does genital TB spread?

What are the symptoms of genital TB?

Treatment Option for genital TB

How can genital TB affect my fertility?

How to screen for tubal scarring?

Several methods can help detect the tubal involvement. Sonography helps in diagnosing pus in the tubes, while hysterosalpingography helps to diagnose blocked tubes. Laparoscopy is a direct visualisation of the tubes giving us an opportunity to take a biopsy from the suspected lesions. TB-PCR from the endometrium or the inner lining of the uterus (a tissue sample is taken and cultured to detect the genetic make-up of the bacteria) is a newer test for diagnosis of tuberculosis. Routine blood tests such as CBC, ESR assist in the diagnosis. Permanent damage may be avoided if anti-tubercular drugs are started in the early phase of the disease.

Read the whole article about investigation procedures and treatment options for Genital Tuberculosis at

If a family member or colleague is an active TB patient, then people around them need to be cautious and should go for tests like chest X-Ray, tuberculin test to know whether they have been hit by TB or not. Two out of 10 women suffering from TB cannot bear children. Doctors say that nearly 90% of women with genital tuberculosis (GTB) are diagnosed in the 15-40 years age range. Infertility on account of GTB is 40-80%. Experts say that with advanced medical treatment now available, if the diagnosis is early enough, GTB can be treated and the woman can regain fertility.

Various patients neglect the diagnostic test for TB when they are unable to conceive, but it might be the major cause for your infertility problem. So it would be good to test and ensure the root cause of infertility. Rupal Hospital for Women is a premier leader in women's healthcare since 45 long years and is committed in providing women with the highest quality and most advanced healthcare throughout all stages of their lives. The team of doctors at Rupal Hospital believes in the power of information and in spreading education to patients. When the patient is detected with infertility and all test are done, we at Rupal hospital advise our patients to go for all test including blood test, Hysterosalpingography, Ultrasonography, Cervical cytology, Endoscopy, Laparoscopy, Hysteroscopy and Cystoscopy. If the patient is detected with genital tuberculosis, we advise them to complete the entire course of the treatment. It is a course of antibiotics that lasts about six to eight months. We at Rupal hospital make them aware that once the course for GTB is over there are chances of achieving normal pregnancy.

You can contact our team of doctors for any information on GTB, how to diagnose GTB, treatment options available for Genital tuberculosis and to know the chances of conceiving after diagnosed with GTB at

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Blastocyst Embryo Implant
Blastocyst embryo transfer (BET) is a new assisted reproductive technology that has been incorporated with in vitro fertilization (IVF) treatment to increase pregnancy rates while simultaneously decreasing the risk of multiple pregnancies. In vitro fertilisation usually involves the transfer of embryos two to three days after they have been successfully fertilised. Blastocyst Culture and Transfer is a technique in which an embryo is developed in the laboratory for 4-6 days after fertilisation before being placed in womb. The embryo gains many cells as a result of being developed for so many days. The embryos developed for 4-6 days are much more advanced than the ones developed for just three days. These Embryos are called blastocysts. BET helps reduce the incidence of multiple gestation pregnancies by transferring fewer embryos.

What is Blastocyst culture?

Until recently, successfully culturing embryos to the blastocyst stage was difficult. This term describes the process when the embryos grow for longer in the laboratory, and undergo critical developmental changes before being returned to the womb. Scientific advances have led to the development of culture media that mimic the changing environment of the reproductive tract and meet the unique requirements of the embryo as it travels from the fallopian tubes. This now allows up to 60% of embryos to successfully grow to the blastocyst stage in the laboratory environment. This period of extended culture helps experts to select the most competent embryo (s) for transfer to your womb. Therefore, blastocyst culture maximises the chance of you achieving a viable pregnancy. During the additional two days of in vitro culture (day 3 to 5), the embryologists have an opportunity to observe embryonic development and to select those embryos which appear to have the best potential for continued growth and implantation. Although this period of extended culture doesn’t necessarily improve the quality of the embryos, or guarantee that they reach the blastocyst stage, there are impressive success rates available for this treatment.

Learn from the experts in IVF field about Blastocyst Embryo Transfer, its advantages, disadvantages and risk associated with the treatment at

What is the procedure involved into Blastocyst embryo transfer?

During IVF treatment with blastocyst transfer, unfertilized eggs (oocytes) are retrieved from the ovary. They are then fertilized in an IVF laboratory setting, creating an embryo. Instead of being transferred to the uterus after three days, which is the case during traditional IVF treatment, the embryos are allowed to progress to the blastocyst stage over a period of five to six days. During unassisted fertilization, the embryo must reach the blastocyst stage in order to attach to the uterine wall. Because, during blastocyst transfer IVF, the embryos are implanted in the uterus during this same stage of development, some consider this to be a more natural implantation method. Blastocyst transfer mimics natural conception in which the embryo travels down the fallopian tube and reaches the uterine cavity five days after fertilisation. This synchronises the development of the embryo and the lining of the womb to increase the chance of implantation. Only healthy embryos are selected for transfer.

For whom is Blastocyst Embryo Transfer Recommended?

Blastocyst transfer is not suitable for everyone. It is a laboratory selection process to identify the best embryo. Couples who have had unsuccessful prior attempts with IVF or IVF and ICSI treatment despite having many good quality eggs retrieved are being offered Blastocyst Culture as an alternative treatment. Couples with multiple good quality embryos on day 3 are also good candidates for Blastocyst Culture. The ability to select the most viable embryos for transfer and implantation should improve their chance of achieving a pregnancy. Blastocyst transfer is not an option for all IVF patients. The technique is most successful with patients who are younger and have a large number of eggs available at retrieval. On average, patients with six or more high quality embryos on day three are the best candidates for blastocyst culture because there is a better chance of more embryos growing successfully till day five.

Frozen Blastocyst Transfer (FBT)

There is a chance that you may have some blastocysts (advanced five to six day embryos) available for freezing (using a process called vitrification) after you have had your best embryo (s) transferred. Freezing and warming can cause damage to the cells of blastocysts, particularly those which are not good quality. For these reason only very good quality blastocysts embryos are selected for freezing. Having blastocysts frozen means that you can undergo future cycles of IVF without having to stimulate your ovaries, collect and fertilise your eggs. Instead we can warm the frozen blastocyst (s) and transfer them to your womb in a much more simplified frozen blastocyst warming cycle. Your chance of becoming pregnant following replacement of frozen warmed blastocysts is comparable to that following replacement of fresh embryos. There is no evidence that any babies resulting from warmed blastocysts have an increased risk of abnormality.

Advantages of blastocyst transfer

Although you can choose to have the embryos transferred on the third day after fertilization, a blastocyst transfer has many obvious. The first is that it makes it easy to weed out the healthy embryos from the abnormal ones without spending for expensive screening procedures. Studies show that embryos that do not reach the blastocyst stage are more likely to have abnormal chromosome numbers, which means they would have eventually miscarried. Doctors observed that as much as 40% of embryos fail to make it to the blastocyst stage. Thus, waiting for the embryos to reach the blastocyst stage decreases the number of abnormal embryos, leaving you with the ones that are most likely to develop into a healthy baby. The fact that the embryo has already hatched out of its shell also gives it an improved implantation rate. In fact, blastocyst embryos have a 50 % chance of implantation. This means you will only need to have one or two blastocysts transferred, leaving you with a few back up embryos just in case this cycle fails. Spare blastocyst embryos may be cryopreserved until they are needed in the future. Another advantage of developing all embryos to the blastocyst stage is that it makes embryo cryopreservation (freezing) more efficient, since embryos without the capacity for full development are not frozen. Blastocyst transfer also allows the option of single embryo transfer.

Solution to all infertility related treatments including IVF, ICSI, IUI and others and the newly introduced technique Blastocyst Transfer can be obtained at

What are the disadvantages of blastocyst transfer?

Although blastocyst embryo transfer increases your chance of getting pregnant, it also increases the risk of multiple births. It is more difficult for an embryo to develop into a blastocyst. Therefore, there is the possibility that an IVF cycle will not result in a transfer of any embryos if none of the three day old embryos develop into blastocysts. The other disadvantage of the procedure has to do with cryopreserving the remaining embryos. Blastocysts cannot survive the freezing and thawing process as well as day 3 embryos do, and you might end up losing most or all of the embryos in the process.

Risks of IVF blastocyst transfer

The primary risk of attempting blastocyst transfer is that some embryos will die in the laboratory. Therefore, the total number of embryos available for transfer and freezing will be less. Unfortunately, some couples undergoing blastocyst ivf treatment will have all their embryos die in the laboratory and will not have any embryos available for transfer. BET does not guarantee a normal pregnancy. It is expected that some pregnancies will miscarry and some babies will develop birth defects similar to that which occurs in couples that are able to achieve pregnancy naturally. Excess blastocysts may be frozen and some of them will not survive the freeze-thaw process when utilized for a later attempt at achieving pregnancy. This is a similar risk to transferring embryos at earlier stages.

In this field of medicine, continued refinements and change offer greater opportunity for infertile couples. Blastocyst culture is one important step and one at which specialists at Indira Infertility Clinic has expertise. We offer our patients this promising state-of-the-art technique, as it provides us the ability to balance the success versus risk in favour of couples, when we assist them in their pursuit of parenthood says Dr. Ajay Murdia, Scientific director at Indira IVF Clinic. Our doctors and embryologists will advise on whether blastocyst transfer is possible and this will depend on the number and quality of embryos available on day 3. Otherwise normal IVF is recommended. Whether day 5 or 6 transfer is recommended for you, it is a decision made by the experienced and expert clinical and laboratory teams aligned to give you the best individualized advice for a safe and successful outcome. Let us help you decide your journey of parenthood.

You can contact the team of experts at Indira IVF at or you can fix up an appointment with us at 0 766 500 9965

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