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Dec24
IVF in Punjab india
IVF India is one of the best surrogacy and male infertility treatments providers in Jalandhar, Punjab. We use cutting-edge technology with advance labs for patients better health. The cost of all the treatments are very reasonable at our SJS IVF Hospital. We also provide our patients with personalized care of doctors and nurses.


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May16
8 ways to avoid Irregular Menstruation
How to make your menstrual cycles regular- 8 simple ways
How to make your menstrual cycles regular?

In our clinics everyday some patients at different ages will come with complaint of irregular menstrual cycles. But there are other patients who feel embarrassed to seek doctor's help for this problem. While it seems to be a simple problem related to reproduction only, often it is associated with diseases that are matter s of concern.

First, you should know what is meant by the word "irregular"? In most women period movvurs at interval of 28 to 30 days. But it is said to be normal if it happens every 21-35 days. That means you should have periods not more frequently than every 3 weeks or not less frequently than every 5 weeks. But if you had previous cycles at interval of every 4 weeks but now you are having periods every 5 weeks, that is ABNORMAL, although it is occurring every 35 days. In other words change in interval upto 7 days is normal, nit beyond that. For example, if you had periods every 30 days previously and for ladt 2 months it is happening every 33 days or every 25 days, then it's normal. But if it happens at interval of more than 37 days (30 + 7) or les than 23 days (30- 7) then it's of course abnormal.

So what are the things you can do for regular periods.

1. Normal weight
Ideal weight varies according to the height. We express it in terms of BMI (Body Mass Index) that is the weight in Kg divided by square of the height in centimeters. Ideal BMI should be between 19 to 25. If it's more than 25, reduce weight by diet and exercise. IT can resume normal menstruation without any drugs. IF despite your sincere efforts, you are unable to lose weight or even after normalization of weight menstruation remains irregular, you must consult your gynaecologist for treatment.
On the other hand very low BMI can also cause irregular menses. Treatment is weight gain. Tjis is often seen in athletes and they are even at risk of losing bone calcium because if excessive exercise and strict diet control. If gaining weight does not help, you must consult your doctor for having regular periods.

2. Stress, Anxiety, Tension, Depression
These are inevitable part of modern lifestyle. These may noy only cause mental problems but will also cause physical problems by altering the hormone levels. The result is abnormal menstrual cycle. Try to avoid them by relaxation, counseling and if necessary by taking help of doctors.

3. Thyroid disorders
Problem of thyroid gland is common in females and causes abnormal weight and changes action of many hormone s. The result is irregular menstruation. So if you feel lethargy, extreme cold, weakness ir ibcreased weight, do not forget to check thyroid status after consulting doctor.

4. Pituitary disorders
Pituitary gland is a gland situated inside the brain that controls hormone of other gland s of the body. If there is soMe tumour or soNe abnormalities in its function, there will be high lebel of prolactin hormone secretion or there will be deficiency of hormones like FSH and LH. As a result ivaries cannot produce enough hormones and you will have irregular menstruation. So in case of abnormal menstruation, pkease Check your prolactin level.

5. PCOS
Polycystic Ovarian Syndrome is common nowadays. Apart from causing abno menstruation, it increases risk of infertility, high blood pressure, diabetes, heart disease and even cancer. It is diagnosed byclinical feature s, hor tests and ultrasonography. It may also xause weight gain, male like growth of hairs in body and oily skin. The treatment is weight control and drugs to regularize menses. This is particular ly important in young women an teenagers, in whom timiely treatment xan prevent many serious consequences.

6. Premature Ovarian Failure
In some women menopause can come earlier and irregular menstruation may be the early indication of this. This may be followed by permanent cessation if periods. So if you are planning for family expansion but have irregular menses, do not delay pregnancy.

7. Problems in uterus
Excessive trauma to uterus by repeated surgical abortion or infections lije STD r tuberculosis xan damage the lining of uterus. The result is irregular menses folliwed by total cessation of menses. But this problem can be easily treated if you consult your gynecologist in time.

8. Systemic diseases and drugs
Irregular menSes should never be ignored. Sometimes it may be because if so e undiagnosed diseases like diabetes, diseases if heart, liver, kidney, chest etc. Often it may be the side effect if the drugs you are taking- like antacids containing domperidone, psychiatric drugs, Steroid s or chemotherapy.

In conclusion, irregular menstruation may sometimes warn you about serious disease s and may be associated with infertility and early menopause. Stay health y, have health y diet and lifestyle, maintain normal weight, get rid of tension and attend your doctor's clinics in time.


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Feb04
Gynaecological cancers
Today is the WORLD CANCER DAY and the theme of this year is "We can, I can".... Yes we all can battle the cancer. But the irony is that majority of women ignore early signs and symptoms of cancer and do not consult doctors in time. And even some of these cancers are preventable if proper action is taken.

Ovarian Cancer-

What will you do if you feel gaseous distension (gas, bloating), acidity, constipation, change in bowel habit, decreased appetite, feeling of full stomach, weight loss and abdominal swellling? Majority of the women ignore these symptoms and take antacids before it is too late. But these are often symptoms of early ovarian cancer and thus if you ignore these symptoms, you are harming yourself. Ovarian cancer is difficult to treat if detected at late stage. But in early stage, it is curable. So, don't ignore these symptoms.
Who are the women at risk of ovarian cancer- women who are not having baby, who themselves or close relatives (sister/ mother/ daughter) had history of cancer in breast/ ovary/ bowel/ uterus etc. But some women are at lower risk like those using Oral Contraceptive Pills- OCP(- the birth control pills can reduce the risk by 50%) and who had tubal ligation (permanent family lanning methods).
If you had such risk factors, you must not avoid any such above mentioned symptoms. Rather you should consult gynecologist early. Ovarian cancer can be detected by ultrasound, CT scan, some blood tests (CA 125) and some cases biopsy may be needed. And remember, majority of the ovarian diseases are NOT cancer but you must be sure that it's not cancer causing your problem.
If ovarian cancer is diagnosed, the treatment is surgery (to be done by expert personnels) and most of the women need chemotherapy.
Ovarian cancer is common in elderly women but it can afect younger women also. So, all the women should take care of the above mentioned symptoms


Cancer of Cervix: Cervix is the mouth of the terus. In our country, this is the COMMONEST CANCER in GYNAECOLOGY affecting women whereas it is uncommon in the Western countries. The irony is that women die of this disease whereas it is TOTALLY PREVENTABLE

It is caused by a virus (human papilloma virus- HPV) that is sexually transmitted (so afects sexually active women). But it has a peculiar feature that before cancer actually occurs, there is precancerous stage- when the cells of cervix shows some changes that we can detect and treat. So, if women regularly consult doctor (WHEN THEY DO NOT HAVE PROBLEMS), we can check if she is at risk of cervical cancer or not, by some simple tests (Pap Smear, HPV testing etc). Is such changes are found (that is not cancer) we can treat her so that she does not develop cancer. These method of detection, before disease occurs or before an individual feels that she is having disease, is called "Screening".
Another method of preventing it is vaccination of HPV, that should be given to the adolescent girls before they become sexually active. Even it can be given in older women (who are sexually active), although the response is somehow lower than if given at early age. But vaccination is not alternative to screening. SO, both screening and vaccination should be done to prevent this cancer.
Even if detected at early stage, it is totally curable. So, women should not ignore symptoms of excessive vaginal discharge (remember, all excessive discharges are not due to cancer), abnormal or heavy menstrual bleeding, bleeding occuring unredictably in between menstrualtion, bleeding after intercourse etc.
It is treated by surgery and some cases may need radiation also.


Cancer of uterus

Cancer of uterus is common after 50 years of age (although can occur at early years also). It is the commonest gynaecological cancer in the Western World. It mainly occurs in women who are obese (excessive weight), having diabetes or hypertension (high blood pressure), not having any baby, who are having personal or family history of cancer in uterus/ breast/ ovary/ bowel.
It can be prevented by taking OCP (birth control pils) and controlling weight. In many cases, it is also preceeded by some precancerous changes (hyperplasia) that can be detected by ultrasonography and if needed small biopsy procedure.
The common symptoms are abnormal heavy bleeding and bleeding after attaining menopause (after totall stoppage of menses). So, any abnormal menstrual bleeding must be properly investigated.
It is usually well curable if treated early- by surgery and in few cases, may need radiation, chemo or hormone therapy.


Cancer of Vulva: The external genitalia of female is known as vulva. Cancer in vulva is relatively uncommon but still it can happen, especially those who are having diabetes, HIV positive or those having poor hygiene.

Never ignore any symptoms of excessive itching in your private parts. It may be the early symptom of vulval cancer. Some cases, patient may have ulcer or tumour or bleeding.
It can be detected easily by examination by doctor and then taking biopsy. It is treated well with surgery and some cases, radiation may be needed.


Sumary: Majority of the gynaecological cacers are preventable. They can be diagnosed early if women consult doctor at early stage. Majority of them respond to treatment.


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Oct18
MENOPAUSE- How to tackle
Today 18th October is World Menopause Day....
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause.

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored.

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup.

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination.

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy).

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc.

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke.

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required.

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.


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Jul18
FEMALE SEXUAL DYSFUNCTION
Low Libido in Women, Decreased Sex Drive - Female, Sexual Dissatisfaction in Women, Lack of Sexual Desire in Women.

Female sexual dysfunction occurs when a woman is not able to fully, healthily, and pleasurably experience some or all of the various physical stages the body normally experiences during sexual activity. These stages can be broadly thought of as the desire phase, the arousal phase, and the orgasm phase. Sexual dysfunction also includes painful intercourse.

In women, sexual dysfunction takes many forms and has numerous causes. It is important to address all the aspects of a woman's sexuality - whether physical, psychological, physiological , or interpersonal - in order to resolve the problems. Female sexual dysfunction is actually quite common. It has been estimated that about 40% of women are affected by sexual dysfunction to some degree, and approximately 1 in 4 women are unable to achieve orgasm.
Causes of Female Sexual Dysfunction
Female sexual dysfunction may be related to physical factors, psychological factors, or a mixture of both. It can also be a matter of problems with technique: Some women never fully experience sexual arousal and orgasm because they or their partners lack sexual knowledge. They may not understand how female sex organs respond or are stimulated, or don't use appropriate arousal techniques.

At the same time, sexual dysfunction has a strong interpersonal component. A person's view of their own sexuality is largely influenced by culture, society, and personal experience. It may be intimately connected to their own or society's ideas about the appropriate or inappropriate expression of sexual behaviour. These feelings may cause anxiety because of a personal or cultural association of sexual experience and pleasure with immorality and bad behaviour. Anxiety is then expressed physically by the body in a way that prevents normal sexual function. Anxiety can do this, for example, by stopping or slowing the state of sexual excitement that allows for the lubrication or moistening of the female genitalia - an important step towards fulfilling forms of sexual activity.

Personal character, disposition, and life experience play a role in sexual dysfunction. Fear of intimacy can be a factor in arousal problems. Experiences of abuse, either in childhood or in past or current relationships, can establish a cycle of associating sex with psychological or physical pain. Attempting sexual activity in these circumstances causes more psychological or physical pain. For example, if anxiety prevents lubrication, sexual intercourse can be painful.

Conflict, tension, and incompatibility with a sexual partner can cause sexual dysfunction. Depression may be a cause, and stress a contributing factor. Medications, including oral contraceptives, antihypertensives, antidepressants, and tranquilizers are very common causes of sexual dysfunction. Also, the use of oral contraceptives can decrease a woman's interest in sex. If you're taking any of these medications, talk to your doctor about its possible contribution to sexual problems.

Physical causes include disorders of the genitalia and the urinary system, such as endometriosis, cystitis, vaginal dryness, or vaginitis. Other conditions such as hypothyroidism, diabetes, multiple sclerosis, or muscular dystrophy can have an impact on sexual desire and ability. Surgical removal of the uterus or of a breast may contribute psychologically to sexual dysfunction if a woman feels her self-image has been damaged.

Certain prescription and over-the-counter medications as well as the use of illegal drugs or abuse of alcohol may contribute to sexual dysfunction. Cigarette smoking may have a negative effect on sexual arousal in women.

Although women can remain sexually active and experience orgasms throughout their lives, sexual activity often decreases after age 60. While part of this may be due to a lack of partners, changes such as dryness of the vagina caused by lack of estrogen after menopause may make intercourse painful and reduce desire. After menopause, about 15% of women feel a strong decrease in sexual desire.


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May03
PCOS
Polycystic Ovarian Syndrome (PCOS) is a very common syndrome among many young girls and women. Problems like irregular periods, weight gain, acne, hair loss and other hormonal imbalances are the common symptoms. It is a common cause of infertility and pregnancy problems. If left untreated it may lead to diabetes, heart disease and even cancer.

Here are the most natural ways to handle PCOS problem-

1) Mind your Diet: Easiest way is to work on your diet. Avoid junk food. Eat more of fruits, vegetables and whole grains.
2) Physical Exercise Works: Exercise is a must. It will help you manage body weight and can also help in conceiving. Exercise also balances testosterone and insulin levels.
3) Vitamin Supplements: Add more Vitamins A, E and C and Minerals like Zinc and calcium to your diet, in consultation with your doctor.
4) Drugs depending on menstrual problems or infertility. But main treatment is always weight control .


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Mar03
Male Infertility – IVF IUI Procedure – Male reproductive system
Male infertility refers to the inability of a male to contribute to conception with a fertile female. Infertility has traditionally been thought of as a woman's problem, but as it turns out, men don't get off that easily. About one out of every three cases of infertility is due to the man alone, and men are somehow involved in infertility about half the time. A diagnosis of male infertility can be one of the hardest challenges a man can face. For some, it can be devastating. Not being able to father a child can make a man feel like he’s failing at one of his most primal responsibilities.

Advances in male infertility treatment offer real help to the males to become fathers. Male infertility is due to low sperm production, misshapen or immobile sperm, or blockages that prevent the delivery of sperm. Hormonal problems, illnesses, injuries, chronic health problems, lifestyle choices and other factors can play a role in causing male infertility. Not being able to conceive a child can be stressful and frustrating, but a number of male infertility treatments are available like surgery, medication, IUI, IVF and ICSI.

Learn about all treatments and options for male and female infertility at http://www.rupalhospital.com/infertilitytreatmentformaleandfemale.html

Lifestyle factors affect fertility. As most lifestyle factors can be modified, providing advice and support in making healthy lifestyle changes can promote fertility. The evidence relating to the effects on fertility of caffeine, alcohol consumption and smoking are discussed here. Recent Male Infertility study suggests some new facts which are must read and interesting for anyone trying to get pregnant or start creating family.

A prospective dad must consider his health as important in the journey of parenthood. The biggest cause of infertility in men is abnormal sperm. Sperm can be affected by lifestyle factors such as smoking, drinking alcohol, taking drugs, exposure to chemicals, caffeine consumption and lack of exercise and balanced diet.

Mobile phones kept in pockets of trousers

Use of laptops on the lap

Lifestyle factors and modern technology plays a massive role on sperm production and has played a major role in male infertility. The use of laptops on the lap and mobile phones in the trousers pockets are considered to be playing with male fertility. To know the impact and effects of laptops on lap, mobile phones in the pockets and lifestyle factors on sperm reduction and male infertility read the whole article at https://rupalhospital.wordpress.com/male-infertility

Even barring all the scientific evidence, it simply makes sense that laptops, cell phones and other wireless technology can impact the human body once you understand that your body is bioelectric. When you are trying to conceive, it's always better to play it safe. The researchers who conducted the study recommend that men who want to be fathers should work with their laptop on a desk or table, rather than on their lap and avoid the use of cell phones with Bluetooth devices and avoid keeping it in pockets trousers.

When faced with the problem of not conceiving, it is always better to seek the assistance of the doctor. The doctor will help you determine the cause of any fertility problems you may have and at the same time you can discuss the treatments available to increase your chances of conceiving. Your doctor may refer you to a fertility specialist at a fertility clinic. Couples that are having difficulty getting pregnant may benefit from changing some lifestyle habits and taking help of fertility specialist in ascertaining the real cause of infertility.

Rupal Hospital fertility Clinic offers Comprehensive facilities for full Infertility Tests and diagnosis for male & female infertility and successful In vitro treatment for infertility. The first step at our clinic is helping you start your family and to identify possible causes for the problem you and your partner are experiencing. Our facility performs a comprehensive infertility evaluation of couples facing infertility. The infertility evaluation includes complete physical examination of the male and female partners, as well as an array of laboratory studies. Our highly skilled fertility specialist and IVF Specialist give you an insight about your options for having a baby using IVF & assisted reproductive technology. All Male and Female infertility treatments are available like Intrauterine Insemination (IUI), In Vitro Fertilisation-Embryo Transfer (IVF-ET), Intra Cytoplasmic Sperm Injection (ICSI), Laser Assisted Hatching (AH), Donor Egg, Donor Sperm, Embryo Freezing, Sperm Freezing and Surrogacy.

Consult our infertility team experts at http://www.rupalhospital.com/ or have a word with them at +91-261-2599128-9 or fix an appointment with them at +91-261-2591130


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Jan27
Huge bilateral ovarian cysts in adulthood as the presenting feature of Van Wyk Grumbach syndrome due to chronic uncontrolled juvenile hypothyroidism
Cases of multicystic ovaries with primary hypothyroidism
have been reported in girls as a cause of pseudoprecocious
puberty,[1,2] and in adult females with abdominal pain.[3] The
ovarian cysts are thought to be due to increased ovarian
sensitivity to gonadotropins[4] or more likely an action
of increased circulatory levels of thyroid stimulating
hormone (TSH) (secondary to chronic untreated primary
hypothyroidism) on follicle stimulating hormone (FSH)
receptor (FSHR) causing gonadal stimulation.[5,6] Here
we report a case of juvenile primary hypothyroidism
presenting in adulthood as abdominal mass due to huge
bilateral ovarian cysts.


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Jan20
Have a healthy balanced diet - getting pregnant faster
You may have spent many years trying to avoid getting pregnant but once you've made the decision to try for a baby you want it to happen as soon as possible!

If you want to get pregnant as soon as possible, give these six conception tricks a try. They can boost your chances of conceiving quickly.

Once you know when your egg will be released from your ovary, you can plan to have sex during your most fertile days: from three days before ovulation through the day of ovulation.


How to get pregnant ?
A woman can practice any routine to help her get pregnant. The rules are very simple, but needs close attention to your body and a specialist advice when pregnancy doesnt happen within a year. Having a balanced diet, fertility awareness and timed intercourse would give you a good chance to get pregnant. Please read the tips below to know 'How to get pregnant' by the fertility specialists at Surat Rupal Hospital Dr.Rupal Shah.


Find a Good Physician

Start your journey of parenthood by first finding a good physician. It will give you a peace of mind and a clear path to make your dream come true. The specialist will educate you on fertility awareness which has worked wonders for many couples. The fertility specialists at Surat Rupal Hospital Dr.Rupal Shah has helped many couples to achieve natural pregnancy by just candid advice.

?Does more Sex increase your chances of getting pregnant ?

Couple, who practice regular sex, even when the woman may not be ovulating, have a reasonable chance to get pregnant. The best is to practice timed intercourse; the best time to have sex is prior to your ovulation. Not only time but we insist that the couple need to have a cosy and enjoyable sex. Usually the sperm stays alive for 3 -5 days, where as the egg can survive for only 24 hours. So making love before your ovulation and using the missionary position will allow the sperm to be drawn up into the uterus.Surat's leading fertility expert recommends that you stay flat in the bed for at least 20 minutes after sex. The idea behind this is to allow the sperm to stay longer in the vagina in order to improve the chances for successful reproduction.


Have a healthy balanced diet

For a successful reproduction, your body requires a balanced diet of greens, fruits, whole grains, dairy products and meat to get the essential supply of vitamins and minerals for conception. For a hale and healthy reproductive system, the couple require intake of Zinc, Vitamin E, Cod liver oil and other prenatal vitamins. Taking Zinc regularly will improve a Man’s semen quantity and helps women to have a good ovulation. Vitamin E is an antioxidant and it’s involved in synthesis of red blood cell formation, essential for your fertility and reproduction.The fertility specialists at Surat Rupal Hospital Dr.Rupal Shah recommends to take these nourishment for at least 3 months for good results.

?Lifestyle Modifications

Many women have difficulties to get pregnant due to smoking, drinking or using drugs. These habits affect both your fertility and your unborn child. It should be completely stopped before getting pregnant. A high intake of caffeine and chocolate lowers the body's ability to absorb calcium and iron and may reduce your fertility by a good percent. Successful conception can be fairly simple for many women. Don't ever think that you are trying too hard. Most women get pregnant within a year, but all of these procedures are important and can be followed without much difficulty.


Getting Support
It is vital that you develop mutually helpful and supportive friends. There are many people going through the struggles of infertility and it can be a big help to share your experiences with people who can communicate to your emotions. If you find that you are not coping and are showing signs of depression, it is important to consult with a professional, The fertility specialists at Surat Rupal Hospital Dr.Rupal Shah.

If you are younger, under the age of 35, and have attempted pregnancy for more than a year, then it is time to see a fertility specialist. Get our Expert's Free Opinion today and achieve your goal to mother a baby.
Consult The fertility specialists at Surat Rupal Hospital Dr.Rupal Shah to get your dream come true. Rupal Hospital is one among the top fertility centre in India. We wish you good luck. www.rupalhospital.com

When you're trying to conceive, remember simple "do's" for how to get pregnant:
? Do have sex regularly. ...
? Do have sex once a day near the time of ovulation. ...
? Do make healthy lifestyle choices. ...
? Do consider preconception planning. ...
? Do take your vitamins.

Start creating your family by contacting today Rupal Hospital for Women and Know today about your options for having a baby using IVF & assisted reproductive technology. You can contact our fertility and IVF specialist at http://www.rupalhospital.com or http://rupalhospital.wordpress.com or simply call on +91-2612599128 or email at drshahrupaln@gmail.com

Contact Women's Hospital Surat - Gujarat
Women's Health Centre Of Excellence
Hospital : +91-261-2599128
For appointment Call :+91-261-2591130


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Dec25
Enjoy Painless Epidural Delivery with Rupal Hospital
All mothers who are on the verge of motherhood have one common fear. The fear is of acute labor pain during the time of childbirth. The quantum of pain varies from one mother to another mother. Some has very less labor pain and the pregnancy is easy and many have long delayed labor pain.

Labor pain is severe for most women who do not receive pain relief. With advent of modern medicine and availability of techniques with skilled practitioners, it is now possible to relieve the pain of labor. Management of pain is the most crucial thing in the delivery of baby and painless delivery techniques are providing respite from excessive pain, be it in normal deliveries or caesarean (that need operations). The technique of painless delivery called as Epidural Analgesia or Epidural Anesthesia is a popular technique used by women, if advised by the doctor, during labor. The technique is not only cost-effective, but also gives relief from unbearable labor pain during deliveries. Such deliveries have registered 6-7% rise in the past two-three years.

It is estimated that out of every 25 deliveries, there are around 8-10 painless deliveries. In fact most of those going for it are educated and come from well-off families. As threshold to bear labor pain among women has reduced, they prefer to go for epidural anesthesia. Most of patients come to us after knowing about it from friends and relatives. With women postponing motherhood till late thirties and conditions like obesity and hypertension, chances for normal delivery become less. As one grows old, threshold to bear pain also reduces but epidural anesthesia increases chances of having normal deliveries, doctors say. With women postponing motherhood till late thirties, with conditions like obesity, diabetics and hypertension becoming common, chances for normal delivery were becoming less.

In an Epidural procedure a small injection is placed in your lower back, through which a fine tube (epidural catheter), the size of a thread, is passed into your back. Drugs can be injected through this tube to relieve the pain of labor. These drugs are local anesthetics which cause numbing of the nerves and pain sensation without affecting the ability to move. These drugs are also very safe for the baby. With an epidural in place, you may feel the contractions, but they will not be painful. It provides respite to expectant mother from unbearable pain during delivery. The anesthesiologist and your nurse will check that the epidural is working well.

Pain is the reason to have epidural and whenever your pain is significant you can request for an epidural. All women in labor who need pain relief can have an epidural, except those on blood thinning drugs or abnormal blood tests. Epidural is not necessary for you to have delivery, but it can be beneficial in reducing the pain of labor. You only need to be in established labor, but there is no need to wait for a particular dilatation of the cervix. Also in those very anxious or keen to have an epidural, it can be placed at a convenient time before the labor pain is too bad, so that your cooperation is better.

Advantages: There are quite a few advantages of administering Epidural Analgesia. A few are listed below:

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Disadvantages: Disadvantages of epidural anesthesia include its potential for contributing to uncommon minor complications such as persistent positional headache afterwards, shivering, ringing of the ears, backache, soreness where the needle is inserted, nausea, or difficulty urinating. Epidural makes pushing more difficult and additional medications or interventions may be needed such as forceps or cesarean.

Who should have an epidural?

WHO should not have an epidural?

Can an Epidural Fail?

Get all the details and read more ...........

To Read Complete article,please visit our blog at http://rupalhospital.wordpress.com/2014/12/17/painless-delivery-epidural-anesthesia

Your obstetrician and anesthetist will discuss these with you.

Occasionally, epidural may not work as well as we would like it to. If this happens, the anesthesiologist will help by giving extra doses or changing your position or the catheter position. If it still does not work, the procedure has to be repeated (by placing the epidural catheter again).

Do epidurals increase the chance of a cesarean section?

A large amount of research has been done on this topic and it is clear that epidural per se does not influence the rate of cesarean section. A proportion of women planning normal delivery will end up having a cesarean section. This proportion remains the same with or without an epidural.

Seeking pain relief methods for child birth is mother’s choice. This is discussed beforehand only with the doctor in charge of delivery at the clinic. Moreover, a well informed patient is usually more cooperative and adaptive during labor and delivery. Hence, prenatal pain-relief education should work and mutually benefit parties, the patients as well as the care providers. Not every woman needs an epidural and not every woman wants an epidural. But women who are interested shouldn't wait. Rupal Hospital for Women in Surat is a one stop place for all Gynaec and Obstetrics problems and our expertise lies in providing affordable Laparoscopic surgeries and difficult cases of infertility. Rupal hospital is renowned for its comprehensive services under one roof for all your Obstetric need like Painless Normal Deliveries and Caesarean Deliveries and Post natal care and advice. We have one of the best facilities of painless delivery using epidural analgesia in Surat. For the backup, we have the most sophisticated sonography machines at our disposal.

You can contact the team of our doctors at http://www.rupalhospital.com/obstetrics_maternity.html or at http://www.rupalhospital.com


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