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Feb10
Importance of Sunlight and Vitamin D for Bone Health in Cities or Urban Areas
Vitamin D is quite important for our bone health and overall system. Not only does it keep our teeth and bones in good working condition, but Vitamin D has shown great results in people suffering from type 1 diabetes. Vitamin D is different from the other vitamins and nutrients as it happens to be the only nutrient that our body can produce on its own.

Sunlight is the most natural and easiest way to get vitamin D. Expose your body to direct sunlight for 10-30 minutes (depending on your skin color and sensitivity). You could also perform simple exercises in the morning (under the sun) to get enough sunlight.

Vitamin D for Your Bone Health

For healthy bones, your body must have the required levels of calcium and phosphorus. However, we can’t only rely on the supplements to get the calcium our body requires. There is a good chance our kidneys will excrete the excess calcium. That’s when Vitamin D comes into the picture.

This nutrient helps your intestines to absorb sufficient calcium, instead of excreting them. The bowlegged appearance in children is highly likely to occur because of severe vitamin D deficiency. If your body doesn’t get adequate vitamin D, it will soften your bones, and cause a medical condition called “osteomalacia”. If that happens, you will suffer from a weak bone structure and musical weakness.

Healthy Pregnancy

Pregnant women are given vitamin supplements in the first trimesters. That’s mainly because the research has shown that pregnant women suffering from the deficiency of vitamin D are likely to give premature birth. It also increases the risk of preeclampsia.

Lower Risk of Flu

According to a 2018 study, vitamin D can help lower your risk of the influenza virus. That makes it one of the most important nutrients in these tough times. It doesn’t guarantee protection from the COVID-19 or any other viral infection, but if the research is to be believed, then vitamin D can make your immune system strong enough to fight infections.

Lower Risk of Joint and Knee Pain

Vitamin d deficiency may not result in pain or a chronic medical condition that could require immediate care. However, the deficiency can increase your risk of developing knee or joint pain after you cross 50. The pain gets worse if the deficiency remains untreated. Dr. Shailendra Patil recommends ACL reconstruction surgery in Thane if the pain worsens or is accompanied by other painful symptoms.

The hip or knee replacement surgery is your last resort for the knee pain that occurs because of osteoarthritis. Not only does vitamin D deficiency cause chronic knee and joint pains, but it is also linked to a slow recovery after the surgery. You can discuss your options with the hip Replacement Surgeon in Mulund if you have been experiencing painful joint symptoms for a while. TKR with Robonavigation in Thane is available for patients who need a complete joint replacement.

source: https://boneandjointcare.co.in/importance-of-sunlight-and-vitamin-d-for-bone-health-in-cities-or-urban-areas/


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Feb04
Laser hair removal cost in India
Firstly I discuss some laser treatment features then I explain to search for your topic.

You know if your hair grows permanently then you face many problems and you do not feel comfortable. so you decide your unwanted hair reduce uses by a method.

And You decide this method laser hair removal method. because this laser treatment gives the service the best.

If you reduce your hair use by other methods then you not get permanent service.

#Laser hair removal means
Laser hair removal means if you remove your unwanted hair uses by any method suppose waxing, shaving, plucking, and other methods then you do not get quality treatment but if you choose laser hair removal treatment then you get quality service.

Laser target our pigment hair follicles areas in which unwanted hair does not grow for a long time.

#Laser hair removal benefits
Hi if you uses laser reduce your hair then you get many benefits like –

Permanent service – laser remove your hair permanently
Safe – laser give safe treatment which you do not get uses other methods
Very fast – if you reduce your unwanted hair uses laser then your reduce hair areas you get very fast service
Painless – laser treatment is not painful
Not creat side effects – if you reduce your hair uses laser then your bodyes areas do not look side effects.
#Laser treatment cost in India
Hi, you know Indian many people are not using laser hair removal service but some educated male and female persons are used laser treatment reduces her unwanted hair. If you think laser treatment costs in India very high then you think wrong. if you reduce your unwanted hair use laser then her cost in India 35000 to 30000(full body).


laser hair removal price in india
#Laser hair removal price list
Hi if you want to reduce your bodyes unwanted hair use by laser then you choose the best methods because this treatment is very popular in the USA country. now I presented some bodyes areas cost you read and if you want more areas price list then comment me.

Bodyes area maximum minimum

Legs hair – 20000 to 17000
Chest – 8000 to 6000
The stomach is – 8000 to 5000
Bikini line- 6000 to 5000
Hands – 6000 to 5000
Upper lip – 3500 to 1500
Face – 8000 to 6000
Underarms – 3500 to 3000
Lower lip – 3000 to 2000
Back – 20000 to 15000
Full body – 35000 to 30000
Hi, I keep saying this price list may be variable. your area clinic decides which price to take her treatment because they know how much will it cost ?.


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Jan07
How to Know if You Need a Joint Replacement Surgery To Relieve Knee Pain?
How to Know if You Need a Joint Replacement Surgery?

Have you tried every possible non-surgical treatment to get rid of the chronic joint pain only to discover that there’s no relief in your joints? Are you wondering if it is high time you should consider the joint replacement surgery? Well, a majority of the patients consider the idea of joint replacement intimidating. But it is worth to note that nothing can be worse than having to deal with critical joint pain for the rest of your life. Perhaps, this is the reason why there is around millions of joint replacement surgeries performed in the United States annually.

Gone are the days when joint replacement looked overwhelming. In today’s technology-driven world, this surgical procedure is considered one of the safest and effective treatment options for patients struggling with arthritis. Do you still think joint replacement is a severe and intimidating surgery? Well, read on this post to get a clearer view of what this surgical treatment actually is.
All You Should Know About Joint Replacement

Before discussing whether or not you need the joint replacement surgery, let’s first understand some basic details of this surgery. First of all, joint replacement surgery is not limited to the knee or hip replacement, instead, this surgical procedure can be performed on human’s elbows, ankles, wrists, and shoulders too. However, the research suggests a majority of the surgeries are either performed on hips or knees.

The practitioner removes the damaged bone or cartilage from the affected part and recreates a new joint with the help of prosthetic pieces. The best part about these prosthetic pieces is it completely feels like your natural joint. As soon as the patient’s recovery period is over, he/she can experience the natural range of motion and healthy mobility. What else? Some people still consider it an overwhelming surgical treatment but to their surprise, it is considered one of the most common surgical procedures across the world. Joint replacement surgery lasts for 3-4 hours and can be performed in the hospital or an outpatient surgery center. The patients need one-day stay in the hospital and that’s it! They can go home the same day or the following day.
Who Needs Joint Replacement Surgery?

If you have already followed the non-surgical medical treatments and couldn’t find any relief, an orthopedic may recommend you to have joint replacement therapy to fight off pain. But the recommendation of surgery doesn’t always mean you have to get your joints replaced, instead, there are different surgical treatments that may realign your joint or remove the damaged joint. Based on your physical condition, the severity of the pain you are experiencing in the joints, and type of arthritis, the doctor will recommend you to get the permanent solution for this unbearable pain i.e. Joint replacement surgery. To determine if you need Joint replacement surgery, you must meet the following conditions:

You are physically fit and in a good health condition (except for the joint pain caused by arthritis).
You have a high level of chronic and nagging joint pain.
You are struggling with a damaged or problematic joint.
The pain you have is caused by osteoarthritis rather than any casual inflammatory condition.

Basically, the non-surgical treatment options such as physical therapy, medication, weight loss, lifestyle changes, and more are available for arthritis patients. But these treatments are not effective when it comes to aligning your problematic joint or removing the damaged one. If you have been experiencing the symptoms of arthritis, it is the high time you consult with an Orthopedic Surgeon and get a Joint replacement surgery. Are you still in doubt whether the surgery is the only option for your sore joints? Here are some questions you should ask yourself to confirm if you are fit for the joint replacement surgery.

Is there any possibility I can endure the severe joint pain for the rest of my life?
Are the symptoms of arthritis worsening over time?
Am I physically and mentally fit for this surgery?
Am I able to finance the surgical treatment?
Can I face the recovery period?

Though joint replacement surgery is a common procedure for surgeons, getting your joints replaced is completely your decision. Make sure to consult with a joint replacement surgeon to get your joint issue diagnosed at the earliest possible time. The sooner you get the treatment, the faster your recovery. Hope this post helped you to learn everything about joint replacement surgery. Good Luck!

source: https://boneandjointcare.co.in/how-to-know-if-you-need-a-joint-replacement-surgery/


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May21
A rare case of atypical lipoma in retropharyngeal space review of literature
http://dx.doi.org/10.18203/issn.24545929.ijohns20194956


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Apr25
How to maintain your bone & joint health while in a lock-down Scenario
The covid-19 virus has brough the whole world to a lockdown. India is no exception to this and we are now in a lockdown. Which means no going out of your home for except for essential things which is long time which can adversely affect the human body, if proper precautions are not taken. So we at bone and joint care thought of suggesting some tips and precautions to help you maintain your physical health while in the lockdown.

Precautions:

Cooking or cleaning utensils requires standing for a long period of time this can put immense load no the hip and knee joint leading to joint pain. Hence, when cooking or cleaning always try to shift your weight between legs while standing
Avoid bending forward and sweeping rather use standing position and use long broom. Bending forward and doing this activities take toll on back muscle and make it prone to injuries.

If you intend to be the couch potato this lockdown or going to sit in front of the PC while working from home, try to get up from sitting position every 40-45 minutes and if you can muster the courage stand up and perform some simple stretches. as shown below

TIPS:

Get your daily dose of Vitamin D: Vitamin D is essential to maintain bone & joint health Staying at home means minimal to no exposure to sun at all. Sunlight is essential to maintain the Vitamin D levels of the body. If possible, Try to get some sunlight for atleast 15-30 mins. If you have joint pain this is essential… you can also consult an orthopaedic for vitamin D supplements. Be warned – self-medication and overdose can cause complications.

Try Simple Exercises for 20-30 minutes every day or atleast alternate days to maintain your joints and muscles. You don’t have to go all pro like the celebrities or follow any regime. Just even simple exercises, even the ones taught in school PT classes should suffice.

If exercise is not your piece of cake Just Walk in your house or the building compound from one end to the other 30- 60 minuses will keep your health in check until the lockdown ends. (maintain proper distance and sanitary precautions like a mask and alcohol rub is essential)

This long lockdown period is going to take toll on your mental health aswell. Hence, try to do yoga or meditation to keep your mental health in check. So keeping your mind well exercises is as important as your body.
Yes it’s just that simple to maintain your health while in the lockdown. We hope that by following these simple steps will help you get back to normal life after lockdown without any joint pain.

So keep smiling..

Source: https://boneandjointcare.co.in/how-to-maintain-your-bone-joint-health-while-in-a-lockdown/


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Apr24
Sperm Abnormality- Donor Sperm is NOT needed
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. They ask, if they require sperm donor. The answer is "NO".

Two things must be remembered-
1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of 3-5 days. This is important, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.

2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.

Unfortunately, in many of such cases, medicines cannot work. Still, you can become biological father using your own sperms. Initially you can take medicines. but even after taking medicines, sperm counts remain abnormal, you should consider IUI or IVF.

That means, we may not be able to improve your sperm count in most of the cases, but we can definitely help you to become the biological father of your baby.
What is IUI (Intrauterine Insemination) ?
Medicines (tablets, injection) are given to your wife to help her eggs grow. By ultrasound, we see whether eggs are growing. If the eggs about to rupture, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 10-15% per cycle. That means out of 100 couples trying IUI, 10-15 can conceive after the first cycle. You can try maximum 3-4 cycles of IUI.

When IUI can be done?
If the sperm count is mildly/ moderately low, IUI can be tried. However, for doing IUI, at least one fallopian tube of your wife MUST be open. Moreover, the success rate of IUI is higher if your wife's age is less than 35 years, she is having good number of eggs in the ovaries and you are not trying for pregnancy for long time.

What is IVF (in vitro fertilization)?
Your wife will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. She has to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usually, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from her body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then transferred after 2-3 days (Fresh Transfer) or after 2-3 months (Frozen Transfer). The success rate of IVF is 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle.

When IVF should be done?
If you have tried IUI for 3-4 cycles and failed, you should consider IVF. If your wife's fallopian tubes are blocked, her age is on the higher side, she is having less number of eggs in the ovaries and you have been trying for pregnancy for longer time, you should NOT delay IVF.

What to do if the sperm count is severely low?
In that case, you require a special type of IVF, called ICSI (Intracytoplasmic Sperm Injection). Here, the sperms collected from you, will directly be injected inside the eggs collected from your wife to form the embryo. It increases the success rate.

What to do if there is no sperm (Azoospermia)?
There is also no need to use donor sperms. You can father your own baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Sperm Aspiration). Those sperms can be used for ICSI.

Donor sperms are used for IUI ONLY when your sperm count is very low, you require IVF-ICSI but unfortunately you cannot afford. Donor sperms can ONLY be used after taking consent from BOTH the husband and the wife.
Conclusion-
In most of the case, you can become biological father of your own baby using your own sperms by IUI or IVF. If the problem is mild, IUI can be tried. In case of severe problem, you should not delay IVF. Donor sperm is not usually needed.


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Apr24
Sperm Problems- IUI or IVF- What to do?
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. Naturally, they are very much worried and want to know whether medicines can be helpful.

Two things must be remembered

1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of 3-5 days. This is important, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.

2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.

Unfortunately, in many of such cases, medicines cannot work. Still, you can become biological father using your own sperms. Initially you can take medicines. but even after taking medicines, sperm counts remain abnormal, you should consider IUI or IVF.

What is IUI (Intrauterine Insemination)?
Medicines (tablets, injection) are given to your wife to help her eggs grow. By ultrasound, we see whether eggs are growing. If the eggs about to rupture, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 10-15% per cycle. That means out of 100 couples trying IUI, 10-15 can conceive after the first cycle. You can try maximum 3-4 cycles of IUI.

When IUI can be done?
If the sperm count is mildly/ moderately low, IUI can be tried. However, for doing IUI, at least one fallopian tube of your wife MUST be open. Moreover, the success rate of IUI is hiogher if your wife's age is less than 35 years, she is having good number of eggs in the ovaries and you are not trying for pregnancy for long time.

What is IVF (in vitro fertilization)?
Your wife will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. She has to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usualy, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from her body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then transferred after 2-3 days (Fresh Transfer) or after 2-3 months (Frozen Transfer). The success rate of IVF is 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle.

When IVF should be done?
If you have tried IUI for 3-4 cycles and failed, you should consider IVF. If your wife's fallopian tubes are blocked, her age is on the higher side, she is having less number of eggs in the ovaries and you have been trying for pregnancy for longer time, you should NOT delay IVF.

What to do if the sperm count is severely low?
In that case, you require a special type of IVF, called ICSI (Intracytoplasmic Sperm Injection). Here, the sperms collected from you, will directly be injected inside the eggs collected from your wife to form the embryo. It increases the success rate.

Whether IUI or IVF/ ICSI will be done using your sperms or donor sperms?
We always encourage the couples to become biological parents. Therefore, we always prefer using your own sperms. Donor sperms are used for IUI ONLY when your sperm count is very low, you require IVF-ICSI but unfortunately you cannot afford. Donor sperms can ONLY be used after taking consent from BOTH the husband and the wife.

What to do if there is no sperm (Azoospermia)?
There is also no need to use donor sperms. You can father your own baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Sperm Aspiration). Those sperms can be used for ICSI.

Conclusion-
In most of the case, you can become biological father of your own baby using your own sperms by IUI or IVF. If the problem is mild, IUI can be tried. In case of severe problem, you should not delay IVF. Donor sperm is not usually needed.


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Apr24
Sperm Abnormal- Can Medicines Help?
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. Naturally, they are very much worried and want to know whether medicines can be helpful.

Two things must be remembered
1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of 3-5 days. This is important, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.

2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.

What medicines should I take if the second semen analysis report is also abnormal?
It all depends on how abnormal the report is. In case of mild abnormalities, we give medicines called "Antioxidants" (special types of minerals and vitamins that act on the sperms) for 2-3 months and ask to repeat the test again to see if there is any improvement. At the same time, some life-style changes are advised. These include avoidance of smoking and alcohol, reducing weight, avoidance of using tight underwear, prolonged sitting and driving.

However, if the problem is severe, you can take antioxidants. But it is more IMPORTANT to do some tests to FIND OUT THE CAUSE. Sometimes, we can find the cause like diabetes, which if controlled, can improve your sperm count without any other treatment.

What tests are required?
You may need physical examination of your genital organs by the doctor. You may be advised some blood tests for hormones (Testosterone, FSH, LH, Sugar etc). Some ultrasound examination of your testicles or prostate gland may be advised. In severe cases, some genetic testing (blood test to see if there is any chromosomal problem) may be needed.

Can any medicines help if there is severe problem?
In most of the cases, medicines cannot help. You can take antioxidants but SHOULD NOT RELY solely on it. In most cases, you will require IUI or IVF. However, there is ONLY ONE CASE where medicines can ACT DRAMATICALLY. That is if there is problem in the pituitary gland (situated in the brain). In that case, taking gonadotrophin injections for 3-6 months will significantly improve your sperm count.

What's the problem if medicines are taken for long time?
As such, medicines will not harm. But if you take medicines despite the fact that your sperm count is not improving, you can land up in azoospermia. This is because, in male having severe oligospermia, there is a tendency that sperm count may further decrease over time. Therefore, relying on medicine will INDIRECTLY HARM you. Rather, you should think of IUI or IVF.

Can Testosterone be taken?
Even if your testosterone is low, if you start taking tablet/ injection of testosterone from outside, your SPERM COUNT WILL DECLINE FURTHER. Therefore, under any circumstances, if you want to become father, you SHOULD NOT TAKE TESTOSTERONE. Sometimes, after hormonal tests, we can advise tablets like Letrozole, which can help to improve the testosterone level, indirectly.

IUI or IVF- What to do?
If the sperm count is mildly/ moderately low, IUI (Intrauterine Insemination) can be tried. however, if its severely low, you should go for special type of IVF (in vitro fertilization), called ICSI (Intracytoplasmic Sperm Injection). All of these will be done using your sperms only.

What to do if there is no sperm (Azoospermia)?
You need some investigations to find out the cause. If there is pituitary gland problems, injections can be helpful. In most of the other cases, no medicines can help. But you can become the biological father of your baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Spwerm Aspiration). those sperms can be used for ICSI.

Conclusion-
In most of the case, we may not be able to improve your sperm count by medicines. Taking medicines years after years, can rather be harmful. In most cases, you can become biological father of your own baby using your own sperms.


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Apr24
Polycystic Ovary in USG does NOT always mean PCOS
Sometimes women are coming to us with ultrasonography (USG) report showing "PolyCystic Ovaries" and they are thinking that they have PCOS.
What is PCO (Polycystic Ovary)?
Polycystic ovaries have more number of follicles (fluid-filled spaces containing the eggs), which appear like cysts. However, the “cysts” in PCOS are not tumours.

What is polycystic ovary syndrome (PCOS)?
PCOS is hormonal disorder where there are irregular periods, excessive hair growth on face or body (“hirsutism”), loss of hair on head, oily skin, acne and weight gain along with polycystic ovaries found in ultrasound. The main problem in PCOS is not the “cysts”, rather cysts are arising because of hormonal problems.

The symptoms vary from woman to woman. Some women have very few mild symptoms, while others are affected more severely by a wider range of symptoms.

When a woman is said to have PCOS?
A diagnosis is made when you have any two of the following:

1.irregular, infrequent periods or no periods at all

2.an increase in facial or body hair and/or blood tests that show higher testosterone levels

3.an ultrasound scan that shows polycystic ovaries.

Therefore, if you have PCO in USG but you do NOT have irregular periods and you don't have excessive hair growth etc, then you DO NOT have PCOS. You just have polycystic Ovaries.

It is a quite common condition, affecting 2 to 26 in every 100 women. Unfortunately, there is no cure for PCOS. However, it can be kept under control.


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Apr24
IVF in PCOS- When it is needed
Women with PCOS have good number of eggs inside the follicles but they cannot be released (Ovulation). As a result, sperms cannot meet the eggs, leading to infertility. Unfortunately, there is no cure for PCOS. However, it can be kept under control. You should aim to keep your weight to a level that is normal.

Is IVF ONLY treatment for PCOS?
Treatment of PCOS-Infertility depends on your age, duration of infertility and other fertility factors. Usually the first line of treatment is OI (Ovulation Induction). If patient fails to conceive with OI, then IUI is offered. If IUI also fails, then ONLY IVF is usually advised. Therefore, majority of the women with PCOS conceive without IVF; especially if they are young (age less than 35 years), infertility duration is short, husband;s sperm condition is OK and Fallopian tubes are alright.

When IVF is suggested for PCOS?
If your age is on the higher side (age more than 35), infertility duration is of longer time, husband's sperm reports are not good or your fallopian tubes are blocked then you should consider IVF. Moreover, if you tried OI several cycles (4-6 cycles) with oral tablets and injections and also tried IUI 3-4 cycles, the chance of pregnancy is low, without IVF. Therefore in that case, you should seriously consider IVF.

What should you do before IVF?
First of all please remember, the success rate of IVF is only 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle. Some may need additional cycles. Keep your weight normal. reducing weight helps to improve success rate of IVF.

How IVF is done?
You will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. You have to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usually, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from your body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then frozen and are transferred after 2-3 months.

Why embryos are not transferred in the same cycle and are frozen?
In PCOS, there is a risk called, OHSS (Ovarian Hyperstimulation Syndrome), where excessive number of focllicles can develop, leading to fluid accumulation in tummy and chest. It may turn serious, sometimes. Therefore, if we freeze the embryo, the OHSS severity decreases. At the same time, during IVF, we give some medicines to reduce the risk of OHSS, ask to come for regular monitoring and request the women to take protein rich diet and plenty of water.

Overall, the success rate is higher in PCOS, after IVF, compared to other causes of infertility.


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