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 http://www.blossomivfindia.com/meet-the-team

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 http://www.blossomivfindia.com/pages/diabetes-and-infertility

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 http://www.blossomivfindia.com/ or you can have their opinion and talk to them at +91 261 2470444

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.

Diarrhea management in children
Passage of 3 or more loose stools in 24 hours period is considered diarrhea. A change in consistency and frequency of stool pattern is noticed by parents. It is estimated that on average a child under 5 years of age will have approximately 3.2 episodes of diarrhea per year. The loss of liquids caused by diarrhea can lead to dehydration and disturbances in body electrolytes which may require medical treatment.
What causes diarrhea in children?
Gastrointestinal tract infections – Mostly Viral, also bacterial and protozoal are the cause of diarrhea. Many a times there may be a non-infectious cause of diarrhea (antibiotic induced, lactose intolerance, etc.)
Additional complaints
Child having diarrhea can also have Vomiting, Fever, Abdominal Pain and Decreased Appetite.
What can parents do at home?
ORS (Oral rehydration solution) should be started for child having loose motions. Parents can also start with home available fluids like dal water, sugar-salt solution (Half teaspoon salt+ 8 teaspoon sugar added to a liter of clean 1 liter water). Parents should consult doctor urgently if:
1. Child is becoming very sleepy or irritable
2. Child is having multiple vomiting and is not able to drink ORS
3. Eyes of child look sunken into the orbit.
4. Child is passing blood in stools
Medical management of diarrhea:
World Health Organization emphasizes on 3 points in management of any acute childhood diarrhea. These are ORS, Feeding and Zinc supplementation. Since most of diarrhea episodes are due to viral infections most children recover with ORS and Zinc therapy. Feeding should not be stopped during diarrhea. Doctor examines the child to look for any dehydration (decrease in body water), rule out possible bacterial cause of diarrhea (which might require antibiotics), other causes of loose motions (transitional stooling in newborns, increased gastro colic reflex, toddlers diarrhea etc.). Antibiotics are not required for every case of diarrhea. Stool or blood tests are not required usually but doctor may decide to perform some tests if diarrhea gets prolonged to more than 2 weeks and in some other conditions.
How to Prevent Diarrhea:
1. Hand washing - after playing outdoors, after going to toilets, before having meals.
2. Prevent eating out at places that seem to have doubtful hygiene standards.
3. Exclusive breast feeding for first 6 months of life prevents diarrhoea episodes in young infants; Bottle feeds can prolong a diarrhoea episode and can be a cause of recurrent loose motions in a child
4. Vaccine: Vaccine to prevent diarrhea caused by Rotavirus is available.

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 http://indiraivf.com/services/blastocyst-culture-and-transfer/

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 https://indiraivf.wordpress.com/category/blastocyst-embryo-implant

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 http://indiraivf.com/ or you can fix up an appointment with us at 0 766 500 9965

चैतन्यवर्षा १: डॉ. श्रीनिवास जनार्दन कशाळीकर

आपल्या अंतरंगात अजरामर असे वैश्वीक चैतन्य आहे आणि आपले जीवन म्हणजे त्या चैतन्याचा अंश आहे असे लहानपणापासून ऐकत आलो. पण ते चैतन्य काय व कसे असते हे माहीत नव्हते.

अशा परिस्थितीत; जेव्हा आपल्यामधील उणीवा आणि दोष सलत होते आणि जगातील समस्या मनाला भेडसावीत होत्या; तेव्हा श्री ब्रह्मचैतन्य महाराज गोंदवलेकर यांच्या द्वारे; सर्वान्तर्यामीचे हे चैतन्य म्हणजेच नाम असून या चैतन्याचा अनुभव घेण्याचे सर्वोत्तम साधन म्हणजे नामस्मरण आहे हे समजू लागले. तसेच नामस्मरण हा सर्वंकष वैयक्तिक आणि सामाजिक कल्याणाचा राजमार्ग आहे; हे कळू लागले.

एकाद्या रोग्याला त्याच्या रोगावरील उपाय सापडल्यावर ज्याप्रमाणे तो रोगी त्याच्यासारख्या इतर रोग्यांना तो उपाय सांगू लागतो त्याप्रमाणे नामस्मरणावर मी पुस्तके लिहायला सुरुवात केली. नामस्मरणाचे साधन जगात सर्वदूर पसरले पाहिजे असा ध्यास लागला.

आज जेव्हा जाणवले की अंतर्बाह्य व्यापणाऱ्या नामचैतन्याचा जगात सर्वत्र वर्षाव होत आहे तेव्हा मन एकदम शांत आणि प्रफुल्लीत झाले! जगभर बरसणारी ही नामचैतन्यवर्षा मनाने चिंब भिजण्यासाठी आणि नामचैतन्यमय होण्यासाठी आपणा सर्वांना सुवर्णसंधी आहे; ह्या जाणीवेने ऊर कृतज्ञतेने भरून गेला!

गुरुर्ब्रह्मा गुरुर्विष्णु: गुरुर्देवो महेश्वर:
गुरुर्साक्षात परब्रह्म तस्मै: श्री गुरवे नम: