tag:blogger.com,1999:blog-4090753276930259182024-02-20T15:25:17.981+05:45Infertility Centre, NepalComplete infertility treatment in NepalDr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comBlogger54125tag:blogger.com,1999:blog-409075327693025918.post-42548992990211612112022-07-30T12:52:00.002+05:452022-07-30T12:53:36.906+05:45<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEjckFw4av5iKJGQv39NaSK67-p3sANETfe_oJHphKAXGY8N1ap9CkYcLVFdPo09XitXJ2sAor0jQZbtSoy-q51igPV0VxCu-jl-9lXYWkonoO1ZOgQOiOyUxdqKsmSe3bJOLZONJz8WJgGnH33CGskfUL7yXReZ7L-3DgWx2hO5It4om9gnF1IhYySZcg" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="2835" data-original-width="4417" height="205" src="https://blogger.googleusercontent.com/img/a/AVvXsEjckFw4av5iKJGQv39NaSK67-p3sANETfe_oJHphKAXGY8N1ap9CkYcLVFdPo09XitXJ2sAor0jQZbtSoy-q51igPV0VxCu-jl-9lXYWkonoO1ZOgQOiOyUxdqKsmSe3bJOLZONJz8WJgGnH33CGskfUL7yXReZ7L-3DgWx2hO5It4om9gnF1IhYySZcg" width="320" /></a></div>My book published in April 2022<p></p>Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-74752498434152887922019-01-21T21:56:00.001+05:452019-01-21T21:57:36.110+05:45Combined Clomiphene Citrate-Metformin Versus Letrozole-Metformin in Achieving Pregnancy among Women with Polycystic Ovary Syndrome<div dir="ltr" style="text-align: left;" trbidi="on">
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-30780174850732436322018-02-13T17:23:00.002+05:452018-02-13T17:25:14.945+05:45 Scope of Stem cells in Regenerative medicine <div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal">
<strong>During the journey of conception till birth, the
body structure of any species is generated through biological processes. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>In Human, development of a mature fetus from a
zygote undergoes multiplication of cells and their subsequent controlled and
co-ordinated tissue growth, movement, and differentiation. In addition, it also
crosses phases of degeneration and regeneration of tissues and organs till a complete
Man.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Regeneration continues throughout human life. As a
natural process, it is speedy healing of any injury or ill developed body organs
by de-differentiation & development of these cells into new similar tissue.
Organ such as liver is known to regenerate easily. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>But every organ of our body cannot regenerate
naturally. Inability to regenerate the responses to injuries or diseases
threats our life.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Regenerative Medicine is directed to heal fractured
bones, burns, blindness, deafness, damage of muscle, nerve, blood vessel etc.
to extend lifespan. Age-related degeneration & damage can also be repaired
by such therapy. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>The therapy uses patient's own tissue from other
part of body to repair the injured site. Similarly, biomaterials, metallic
& plastic types are also used to repair tissue damage depending upon the
nature of trauma. Often due to bio-incompatibility these materials are rejected
by the body & creates great problem in healing the damage.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Body itself has a great role in regenerative
process. In case of trauma damaged tissues are replaced naturally by the help
of primitive progenitor cells or Stem cells of the body. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Stem cells are broadly categorized in two types: Embryonic
stem cells & Adult stem cells. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>The embryonic stem cells (ESC) are the inner cell
mass of an embryo at blastocyst stage, which has the ability to differentiate &
develop into any cell type of our body. These cells have unlimited capacity to
self-renewal in culture. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Their abilities were explored only when the cells
were available to manipulate in laboratories. The major contributor of these
stem cells study is the In Vitro Fertilization (IVF) as an Assisted Reproductive
Technology.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>IVF generates numerous embryos for the treatment of infertility.
Usually 2-3 embryos fertilized in vitro are transferred into uterine cavity per
cycle. <span style="mso-spacerun: yes;"> </span>If conception takes place, the
leftover embryos not necessary for those couples are usually donated for
research purposes. Thereby, extensive studies are underway on the use of these
embryonic cells in regenerative medicine & cell therapy. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>In the mean time, there have been controversies
about the use of such embryonic cells for research. Some belief that use of
embryonic cells destroys the embryo which could have been born as a Human.
Others belief that artificially fertilized embryos unless implanted in the
uterus have no legal status & they are not even part of a human being. However,
the research is also a means of the welfare of mankind. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>The embryonic stem cells are being cultured & engineered
into the necessary cell type. For example, development of structurally &
functionally similar cells of pancreas which can produce insulin can save life
of many suffering from Type1 diabetes (Insulin dependant type). In this
condition the cells of pancreas are diseased or damaged, cannot produce insulin
to digest the glucose containing meal, hence glucose level rises in blood. Thereby
diabetes develops which is controlled only with the help of insulin injections
life-long.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Adult Stem cells are localized within wide variety
of tissue & organ such as skin, muscle, bone marrow, blood etc. with
limited ability to divide, differentiate & self renewal into other cell
type. The hematopoietic cells which develop blood cells are also adult stem
cells. They have great role in tissue regeneration & repair. In tissue
damage, they migrate to the site of injury & differentiate into blood
cells, cartilage, bone, fat cells & even outer layer of blood vessels to
repair the damage. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Stem cell based therapies currently available
adult-derived stem cells are from bone marrow and skin. Little is known about
the degree of their plasticity and there are difficulties in purifying and
culturing these cells.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Regenerative medicine researches have found similar
ability as embryonic stem cells of differentiation & development in
Umbilical Cord blood cells. In animal model it has been reported that these
cells can be engineered to produce many cell types. In comparison to embryonic
stem cell, availability of the cord blood cells is easier. Due to its easy
availability, now -a -days, cord blood is used in a variety of conditions as an
alternative of bone marrow for transplant, in stroke, in heart diseases etc.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>The Human umbilical cord blood stem cells multiply
fast & increase their number in laboratory culture. These cells can also
change into muscle, liver, bone, nerve, skin cells etc. according to culture
conditions. However, culturing these tissues for therapy is not so easy. It
utilizes high-tech such as Reverse Transcription–Polymerase Chain Reaction
(RT-PCR), Immunostaining and imaging, Flow cytometry analysis techniques etc. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>By this method, the cultured specific cells can be
isolated, stored & transplanted in need. In case of liver disease, they can
be used for replacement of liver cells. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Burns or skin diseases use skin grafts for
treatment. These grafts if developed from patients own stem cells there is no
danger of tissue rejection. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Researchers have found that bone disease such as
osteoporosis can be treated using umbilical cord blood cells.<span style="mso-spacerun: yes;"> </span><o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>In neurological diseases, the damaged nerve can also
be repaired by these cells. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>These cells also have profound role in Cardiology
for repairing heart tissue & blood vessels. Extensively concentrated areas
of medical research include Diabetes, Parkinson's disease, Alzheimer's & Cancer.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>The disadvantage on the use of cord blood is that it
contains not only stem cells but also the non-stem cells with specific
immunological properties may sometimes be rejected with severe immunological
reaction. More attention is on that line to make these cells easily acceptable
to any individual.<o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Researches are underway around the world to make
proper use of the cord blood cells. Large scale expansions of these stem cells
into numerous cell types are produced by culture. They are packed & stored
at an appropriate temperature before use. These cells have a very good
International market & are promoting medical industries. There is a great
need of such activities in this country as well. At least cord blood storage
& transfusion would have saved a lot of life. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>Moreover, the technique would be of a great interest
to all the Medics. In India, there are many such institutions where
regenerative medicine has been well advanced. The potential of such activities
centre could be the Biomedical engineering institutions where tissue
engineering can be expanded with foreign collaborations if our hospitals
demand. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>In the last decade all the miracles of stem cells were
highlighted. This decade some utilization of stem cells is underway. In coming
decade we may be using stem cells in every disease conditions as tablets, ointments,
injections etc. & reduce the use of chemicals. <o:p></o:p></strong></div>
<div class="MsoNormal">
<strong>The ability of stem cells seems much more than what
we know till date. We can assume that stem cell therapy & gene therapy may
even extend Human life expectancy.<o:p></o:p></strong></div>
<div class="MsoNormal">
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<div class="MsoNormal">
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-38535454926044592712018-02-10T13:53:00.002+05:452018-02-10T13:58:36.643+05:45<div dir="ltr" style="text-align: left;" trbidi="on">
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-79921782267709582352017-12-15T15:53:00.000+05:452018-02-10T14:00:22.990+05:45A guide to those seeking treatment of infertility at Infertility Centre, Bijulibazar, Kathmandu, Nepal<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><u><span style="font-family: "times new roman" , "serif";"> </span></u></b><b><u><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">A guide to those seeking treatment of infertility at Infertility Centre, Bijulibazar, Kathmandu, Nepal<o:p></o:p></span></u></b></div>
<div class="MsoNormal">
<b><span style="font-family: "times new roman" , "serif";">Investigations of your infertility for proper diagnosis<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Both the couple needs to see a Consultant Reproductive Endocrinologist (<b>RE</b>) at the Infertility Centre in addition to other doctors for counseling infertility. You need to bring reports of any treatment you had before. You can come any day of your menstrual cycle. The Centre is open 24 hrs. 7 days a week but you can see doctors strictly with appointments. Appointments are made at 10am-7pm except Saturdays. The clinic is open on Govt. Holidays<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Counseling is a longer session when you will be told about the whole process & treatment pattern you may need. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">On D2/D3 of your menstrual cycle you need to test your hormone levels. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Husband's semen will be tested after 3 days of abstinence within 1/2 hr. of ejaculation. Sperm Count >50million with >50% motility is accepted as normal test. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Hormones will be assayed if the sperm count is abnormal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">USG of pelvis is done on D2/D5 of period by trans-vaginal route to see any cyst or tumors around your uterus & ovaries. There may be multiple small cysts as black pearl necklace which is a case of Polycystic Ovarian syndrome. <b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">A Radiological or Sonographic Hysterosalpingography (HSG) is done after the bleeding stops on D6/9 of your period to assess the patency of your fallopian tubes. Normally both are patent. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Those couples who had recurrent abortions are tested for TORCH test, Blood glucose & genetic testing. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.5pt;">
<b><span style="font-family: "times new roman" , "serif";">Treatment of the problem you may be having<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Fertility is possible only when all the above tests result are normal. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Treatment may take several months till fertility recovery.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">In case of abnormal hormone profile <b>RE</b> will adjust hormone levels. <b>RE</b> will take care of this condition & also regularize your period if they are irregular. This may take several months. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto;">
<b><span style="font-family: "times new roman" , "serif";">RE </span></b><span style="font-family: "times new roman" , "serif";">will also<b> </b>guide you about your weight if you are overweight or underweight. If your ovaries are inactive <b>RE </b>will<b> </b>provide some ovarian stimulants to induce proper egg development in the ovaries. This will be followed -up by USG usually after a week of stimulation & hormone therapy may continue for sometimes till recovery.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Poor sperm count will be taken care by hormone therapy, sperm tonics as well as Intrauterine Insemination (IUI) of husband' sperm. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">In case of nil sperm in semen analysis, IUI of donor's sperm is done with a written consent of the couple.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Recurrent abortions are treated according to their test results.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Blocked fallopian tubes are offered a very effective non-invasive technique of Clear Passage Therapy using pelvic maneuver followed by hydrotubation. This is non-surgical treatment, may take 1-3 cycles for recovery.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Unsuccessful treatment cases whom tubes could not be open, if they can afford, In Vitro Fertilization (IVF-test-tube treatment) is the treatment of choice for these couples.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Couples who cannot afford IVF are advised for adoption.<o:p></o:p></span></div>
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-79906656537195814322017-02-25T18:53:00.001+05:452017-02-25T18:53:16.346+05:45Improvement of pain in endometriosis <div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";"><br /></span></b></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif";">Endometriosis
is identified as 3D disease. There is Dysmenorrhoea- painful menses, Dyspareunia-
painful sex, & Dyschezia- painful defecation. The patients do not suffer
from the size of the cysts they develop, but they severely suffer from the
formation adhesions & inflammations. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif";">After
a small study on 50 patients, the Infertility centre has been successful in
treating the 3Ds of endometriosis. A complex therapy of vitamins & calcium have
been very effective in reliving all three types of pain. </span></div>
</div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-22618182848766730402016-08-11T22:05:00.000+05:452017-02-25T18:54:51.354+05:45Nepalese believe<div dir="ltr" style="text-align: left;" trbidi="on">
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "times new roman" , "serif";">In Nepal infertility is </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">bio-psychosocial
problem therefore counseling is the most important part of infertility
assessment before any medical intervention. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">In
western part of Nepal some men prefer remarriage easier & cost-effective
than going through the diagnostic & therapeutic line in female infertility.
<o:p></o:p></span></div>
<div style="text-align: left;">
</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Similarly,
in male infertility, some men prefer to remain infertile than getting donor
inseminated children. <o:p></o:p></span></div>
<div style="text-align: left;">
<span class="apple-style-span"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">It is also widely believed that sons “open the gates
of heaven” by carrying out the last rites of parents. Daughters are “given
away” in marriage. These explain, to an extent, the prevalence of sayings like
“let it be later but let it be a son.”</span></span></div>
</div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-77643429421645009002016-02-11T21:24:00.001+05:452016-02-11T21:24:53.505+05:45Blasctocyst transfer baby<div dir="ltr" style="text-align: left;" trbidi="on">
Blastocyst transferred Baby was born at 33 wks. gestation with 1.3 kilogram body weight four months ago. The baby survived with difficulty & has gained weight of 5 kilogram.</div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-8777999285481482512016-01-20T20:03:00.001+05:452016-01-20T20:03:24.033+05:45Asherman Syndrome<div dir="ltr" style="text-align: left;" trbidi="on">
A successful full term Baby girl delivered one month ago in a case of Asherman Syndrome. </div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-32119995661995121732015-05-29T20:04:00.002+05:452015-05-29T20:05:39.290+05:45Outcome of First ICSI -FET (frozen embryo transfer) <div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdOlhd5PDkkcajZZUFxXnnQBH6-RuR2N0mSRuBoiSZ6TPiJrU_aTSYUQEaYww0tVo2AYx7i8h0aOQf31Jx6ihpKBkijmNNXEisf_SAk6Q8Z2MK18QS41VekEImi_Gn8_Vpx1j3tzP8WTXD/s1600/20150529_154450.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdOlhd5PDkkcajZZUFxXnnQBH6-RuR2N0mSRuBoiSZ6TPiJrU_aTSYUQEaYww0tVo2AYx7i8h0aOQf31Jx6ihpKBkijmNNXEisf_SAk6Q8Z2MK18QS41VekEImi_Gn8_Vpx1j3tzP8WTXD/s400/20150529_154450.jpg" width="300" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguVSX4Y6wsX5O-7XvwoKcDHFOyEqze_WAXZYnPc66yYH_NZvtn6TgHnmmmMk-_Wez3CiY7hTMuzvCz2rvCLMkhrX7eAb6kNRHIVDuq7iqUKDhB-aBeZW33xshQdGBp1FBuclrHOo3fmJfd/s1600/20150529_154934.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguVSX4Y6wsX5O-7XvwoKcDHFOyEqze_WAXZYnPc66yYH_NZvtn6TgHnmmmMk-_Wez3CiY7hTMuzvCz2rvCLMkhrX7eAb6kNRHIVDuq7iqUKDhB-aBeZW33xshQdGBp1FBuclrHOo3fmJfd/s400/20150529_154934.jpg" width="300" /></a></div>
<br /></div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-81620140962677765902015-02-15T20:14:00.002+05:452015-02-15T20:15:13.097+05:45Good News<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
The Infertility Centre team feels blessed to have 23 -25 pregnancies per month for last 4 months. In addition, there are some days even 5 pregnancy tests show positive results.<br />
This is due to all hard work & dedication of the team members which includes the patient attandants, nurses & the doctors.</div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-56822314011720593282015-01-12T22:21:00.000+05:452015-01-12T22:21:30.501+05:45<div dir="ltr" style="text-align: left;" trbidi="on">
<h2 class="separator" style="clear: both; text-align: center;">
Few new embryos with ICSI</h2>
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-34173631310770391732015-01-12T21:56:00.003+05:452015-01-12T22:21:42.676+05:45First blastocyst transfer<div dir="ltr" style="text-align: left;" trbidi="on">
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First blastocyst transfer on 11th Jan 2015</h2>
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-83482533939469801692014-07-28T23:07:00.001+05:452014-07-28T23:07:13.744+05:45Infertility cases rising<div dir="ltr" style="text-align: left;" trbidi="on">
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<strong>ANJALI SUBEDI</strong></div>
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<span style="font-weight: bold;">KATHMANDU, Feb 11: </span>Life has never been so difficult for 32-year-old Meena Thapa (name changed) of Terathum. If she is not able to conceive some time soon, her married life might come to an end.<br />
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Married for seven years now, Thapa realized last year that she has an infertility problem, and she is receiving treatment at an infertility center at Bujulibazar, New Baneshwor. However, despite having to spend a hefty amount on the treatment, there is no guarantee she will be blessed with a baby.<br />
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“I am undergoing treatment and it´s so expensive. However, it is not certain I´ll eventually have a baby. I wish instead that I had never married,” said the visibly distressed woman. “I will let my husband marry another woman if the treatment fails,” she added.<br />
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The Thapa couple run a small grocery shop at Gairidhara. They planned their stay in Kathmandu in the hope that good mkedical treatment might solve their problem.<br />
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Mrs. Thapa´s case is definitely not exceptional. Sedentary lifestyle, unsafe sex, late marriage, overuse of drugs, alcohol and tobacco, water and environment pollution and improper food habits, among other things, are causing more and more couples to take recourse to infertility treatment centers, doctors state.<br />
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For instance, at least six new cases of infertility are registered per day at the renowned infertility center at Bijulibazar, as compared to just one case a day or less only five years ago. While infertility in men or women can literally devastate their personal and family life and their finances, doctors admit that treatment and cure cannot always be guaranteed.<br />
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According to Chariman of Om Hospital Dr Bhola Rijal, infertility is such a serious problem that married couples can go to any extreme to cope with it. He also says that a cure cannot always be guaranteed. According to him, infertility is not only physical, it is even more a psychological or social problem, and the factors that cause it need to be addressed.<br />
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“The misery of such couples is beyond measure, and sadly, the problem is just getting worse. This calls for serious intervention by the government; the entire health sector has to be revamped,” he remarks.<br />
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The assessment of Dr Uma Srivastav, founder of the infertility care center, is no different. “If you ask me whether infertility is on the rise, my answer is definitely yes, and it´s on the rise both in the cities and villages. The lack of proper health services in the villages has worsened the problem,” Srivastav said.<br />
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“People come here for treatment all the way from Dailekh, Jajarkot, Rukum and Rolpa. Many come when it is too late,” she adds. According to her also, there used to be one client per day or less until five years back. Now, at least six cases are registered in a day. “Awareness levels have increased, but not sufficiently.”<br />
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According to Dr Srivastav, late marriage, obesity, induced abortion in the first pregnancy and inactive lifestyle are the main reasons behind infertility among women in urban areas. “And the common causes like genital tuberculosis, infection in the related parts and poor egg quality apply to all.”<br />
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As far as males are concerned, abnormal sperm production, sub-fertility and blockage of sperm delivery are common reasons preventing them from fathering children, Srivastav said. “Excessive consumption of tobacco and alcohol, sexually transmitted diseases and abnormal hormones pose high risk of infertility for both males and females.”<br />
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Dr Rijal adds that infertility in Nepal is also rising because of the increasing number of males going abroad for employment. “In course of treatments I have found the problem of infection or tube blocks due to infection in a maximum number of women.<br />
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“Millions of Nepalis who work in India and other countries transmit sexual diseases to their wives, and in case of lack of timely treatment, the tubes are permanently blocked in some women. Men might also lose their fertility due to excessive manual work.”<br />
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Rijal says,“People are least aware about reproductive health, and they have no access to timely treatment when problems arise, which leads to them becoming totally infertile.”</td><td width="5"></td></tr>
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<span class="footertext">Published on 2012-02-11 05:36:26</span></div>
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MedStedhttp://www.blogger.com/profile/17270354004783475953noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-15123212734354389962014-06-14T18:54:00.000+05:452015-01-17T18:57:44.399+05:45Started ICSI <div dir="ltr" style="text-align: left;" trbidi="on">
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<li style="text-align: left;">Started ICSI as part of infertility treatment at Grande City Clinic.</li>
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-9056214112756699942014-02-27T15:54:00.000+05:452014-04-10T20:11:50.339+05:45Ovarian Hyperstimulation Syndrome<div dir="ltr" style="text-align: left;" trbidi="on">
<b>Ovarian Hyperstimulation Syndrome (OHSS), a serious complication of Polycystic ovarian syndrome (PCOS) can be prevented during Controlled Ovarian Hyperstimulation!</b><br />
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Infertility Centre has been well known in the successful treatment of infertility with PCOS.<br />
As anovulation is the major problem with PCOS, different ovulation inducers (CC, Letrozole, Gonadoliberins, Gonadotropins) are used to recover ovulation. During the induction period scannig shows a variety of pictures of growing follicles. The sizes of follicles may vary from 10-100mm. Similarly number of follicles may also vary from 12-40 or above. When the size of the ovary increases more than 5cm, there may be a danger of OHSS.<br />
A study was done to overcome this situation. Study duration: Jan 2011-Dec.2013<br />
The ladies were advised to take egg white (albumin) twice or thrice daily (depending on their body weight) from the time they are induced. The number of eggs they took varied according to the number & size of the cysts during monitoring.<br />
Serial scanning & serum estradiol monitored the follicle development. If there was >5cm of ovaries with >12 follicles with 15mm, no HCG! If there was pain in the pelvis, acetaminophene was prescribed.<br />
There had been no cases of OHSS during these years.<br />
The conception rate has also <b>not</b> been reduced. </div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-59925859252360383402014-02-27T14:51:00.001+05:452015-02-15T20:16:31.556+05:45Endometriosis - a serious pelvic condition leads to infertility. <div dir="ltr" style="text-align: left;" trbidi="on">
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Here is a good news for all involved in the treatment of Endometriosis with chocolate cysts, pelvic adhesions & uterine tumors in the form of adenomyosis.<br />
A small study carried out at the Infertility centre<br />
A group of ladies with the above mentioned conditions were given Norethisterone 15 mg along with Letrozole 2.5 daily for three months.<br />
After three months USG showed 65% had markedly decreased size of the cysts & 35% had no cysts, no adhesions & markedly reduced uterine mass.<br />
The last 35% had blocked Fallopian tubes due to cysts recovered the tubal patency once the cyst disappeared. Conception recovered in 20% of these cases.<br />
Try the method.<br />
Good Luck!</div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-71017774946649644832013-12-25T19:10:00.000+05:452014-04-10T20:03:36.106+05:45Twenty weeks Male fetus<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>Twenty weeks Male fetus</b><br />
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-89147315467845011962013-12-11T22:08:00.000+05:452014-04-10T20:02:06.673+05:45interesting fetal USG<div dir="ltr" style="text-align: left;" trbidi="on">
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-30382479044144176122013-12-11T21:56:00.003+05:452014-04-10T20:03:39.075+05:45Few interesting fetal USG pictures<div dir="ltr" style="text-align: left;" trbidi="on">
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-34494873449243122902013-11-14T21:11:00.003+05:452014-04-10T20:02:23.531+05:45 Meaning of motherhood (true story) <div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"></span><br />
<a name='more'></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">This
is a story of Sita a thirty two years highly educated lady working in a bank.</span><br />
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Her
beauty used to tease many of her school-mates and it still does so to her
recent colleagues.<span style="mso-spacerun: yes;"> </span>This beautiful lady
was attracted to a handsome businessman & Sita got married to him 12 years
ago. She started to live with him, his parents & his younger brother. The
couple enjoyed their married life for 4 years & for last few years they
were trying to have a child in their family.</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">They
consulted in different clinics with different specialists.<span style="mso-spacerun: yes;"> </span>During the course of investigation, Sita
discovered that her husband had no abnormality, but she herself had a problem
which would not allow the couple to conceive. Her menses were never in time, actually
always late since it started at the age of 13. <span style="mso-spacerun: yes;"> </span>Instead of every month, her menses used to
come once in every 6-10 months period.<span style="mso-spacerun: yes;">
</span>For this problem her husband used to tease her that he had married a man
not a woman.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">She
underwent treatment in many renowned hospitals & nursing homes but could
not conceive. She even gave up her job for the sake of treatment. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sita
had a brother with family in the United States.<span style="mso-spacerun: yes;">
</span>The couple went to him seeking the possibility of any treatment there.
They tried treatment for about three months but there was no success for
fertility even in the US.<span style="mso-spacerun: yes;"> </span>In US also, the
problem was found in Sita’s ovaries which were not able to produce healthy eggs
to support fertility, while her husband was found to have normal fertility
ability. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">After
they returned home, the husband started to behave very oddly with Sita.
Although they were known to be “couple made for each other” they were not seen
together for a long time. Her husband used to go to parties alone & come
home late from office. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">The
in-laws were also behaving unusually, as if they were trying to avoid her during
every occasion. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">One
day Sita discovered from the in-laws that all arrangements were made for a
second marriage of her husband.<span style="mso-spacerun: yes;"> </span>They were
trying to get her permission for her husband’s re-marriage.<span style="mso-spacerun: yes;"> </span>When Sita discovered about the rumor she
asked her husband about this matter but he refused to discuss anything about it.</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sita
was in agony. She was shearing this problem with her friends but they were
scared to support her and meddle in her family matters. Some of them tried to
talk to her husband but he denied to discuss it. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sita
had a widow mother who was living with her elder sister in a joint family. Her
mother & sister were the only persons, from whom she could receive some
moral support. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">It
was the month of Ashwin when everybody was preparing for Dashain. Sita’s
loneliness had no end. She was severely depressed and used to cry every now
& then. One day when there was no one at home, she tried to commit suicide by
poisoning herself. She was found unconscious when her husband reached home. After
hospitalization for a week she recovered and since then, someone escorted her
every time she went somewhere. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Her
friends in the bank were very much concerned about her problem. One of her
friends had heard about Infertility Centre & Sita was brought there by her.
When she visited the centre she already had lost her period for 6 months. During
her visit she looked very pretty but had dressed-up quite weirdly. She was
severely depressed & was not willing to disclose matters relating to her
relationship with her husband. When she was counseled alone in a friendly
environment she mentioned about her late period which, according to her, was
the major problem of their infertility. <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">She
was investigated appropriately & was found to be a case of Polycystic
ovaries. These polycystic women do not produce normal eggs, and hence do not
menstruate in time due to hormonal problems. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Her
abnormal hormones were supported with appropriate hormonal supplements. She was
followed up carefully for three weeks. This time, she did not menstruate in the
expected time. As a rule before starting next treatment, a pregnancy test is
necessary. The test was done & surprisingly she had a positive pregnancy
test. </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">This
news surprised everyone known to her. Her conception was a great miracle for
her husband as well as her in-laws. There brought a drastic change in her life
style! She became her husband’s beloved once again. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Her
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delivering a healthy baby boy after fifteen months of missed period. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">She
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Again
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sita
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">She
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boys are handsome, friendly & intelligent.<span style="mso-spacerun: yes;">
</span></span></div>
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-81865621930957558872013-07-06T19:21:00.000+05:452014-04-10T20:02:35.492+05:45Celebrating 20 years of glory!<div dir="ltr" style="text-align: left;" trbidi="on">
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-26639085538792389622013-06-12T10:46:00.002+05:452014-04-10T20:02:40.658+05:45Infertility Counseling<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="MsoNoSpacing" style="margin-left: 115.5pt; mso-list: l4 level3 lfo4; mso-text-indent-alt: -16.5pt; tab-stops: 93.5pt; text-indent: -115.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span><span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><u><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Infertility
Counseling</span></b></u></div>
<div class="MsoNoSpacing" style="margin-left: 115.5pt; text-align: left; text-indent: -115.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"><span style="mso-tab-count: 2;"> </span></span></div>
<div class="MsoNoSpacing" style="margin-left: 115.5pt; text-align: left; text-indent: -115.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"><span style="mso-tab-count: 2;"> </span>For counseling
session, the couples must come together.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"><span style="mso-tab-count: 2;"> </span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">The followings
are</span></div>
<div class="MsoNoSpacing" style="margin-left: 115.5pt; text-align: left; text-indent: -115.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"> necessary interrogations during counseling</span>. <b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span></b>
</div>
<div class="MsoNoSpacing" style="margin-left: 115.5pt; text-align: left; text-indent: 0in;">
<span style="font-family: Symbol; font-size: 14.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Marriage
duration (use of contraception)</span></div>
<div class="MsoNoSpacing" style="margin-left: 115.5pt; text-align: left; text-indent: 0in;">
<span style="font-family: Symbol; font-size: 14.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Duration
of infertility</span></div>
<div class="MsoNoSpacing" style="margin-left: 115.5pt; text-align: left; text-indent: 0in;">
<span style="font-family: Symbol; font-size: 14.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Frequency
& timing of intercourse<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNoSpacing" style="margin-left: 115.5pt; text-align: left; text-indent: 0in;">
<span style="font-family: Symbol; font-size: 14.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Physical
fitness of husband </span></u></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Weakness
during intercourse, premature ejaculation, retrograde ejaculation</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Past
medical history (tuberculosis, mumps, STD etc.)</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Surgical
history</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">History
of varicocoel/hydrocoel/hernia in male</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Behavioral
history of couple/stress factor</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Social
history</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Occupational
history</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Food
habit</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Other
habits </span></div>
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<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Smoking
/drinking/drug </span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Habit
of using tight underwear </span></div>
<div class="MsoNoSpacing" style="margin-left: 137.5pt; text-align: left; text-indent: -22pt;">
<span style="font-family: Symbol; font-size: 14.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"><u> </u></span></span></span><u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Physical
fitness of wife </span></u></div>
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<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Age
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</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Past
medical history</span></u><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"> </span></span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Tuberculosis</span><u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span></u><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"> </span></span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Sexually
Transmitted Diseases (STD)</span><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"> </span></span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Toxoplasm,
Rubella, Chlamydia & Herpes (TORCH) infections</span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"> </span></span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Family
history of infertility</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Habit</span></u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"></span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"></span></span><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"></span></span><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o <span style="font-family: Times,"Times New Roman",serif;">Food habit</span><span style="font: 7.0pt "Times New Roman";"></span></span></span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Habits
-Smoking /drinking/drugs</span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span><u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Any
family torture due to infertility</span></u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"> </span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Surgical
history</span></u></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Behavioral
history of couple/stress factor</span></u></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: left; text-indent: -27.5pt;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Social
history</span><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span></u></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: justify; text-indent: -27.5pt;">
<u><span style="font-family: "Courier New"; font-size: 14.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">Occupational
history</span></u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"></span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: justify; text-indent: -27.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-align: justify; text-indent: -27.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;"><span style="mso-tab-count: 1;">NB: </span>In counseling session, it is
important to mention about the fertile days of the menstrual cycle. During counseling,
the couple must be orientated about the possible causes of their
infertility.<span style="mso-spacerun: yes;"> </span>It is equally important to
explain them about the type of investigations they need to carry out. They must
be explained about the reasons why they need those tests. </span>
</div>
<div style="text-align: left;">
</div>
<div class="MsoNoSpacing" style="margin-left: 165pt; text-indent: -27.5pt;">
<br /></div>
</div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-35542452452180428702013-04-10T21:37:00.004+05:452014-04-10T20:02:43.533+05:45 Association between Polycystic Ovarian Syndrome (PCOS)<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<a name='more'></a><br /><br />
<div class="MsoNormal">
<b><u>Diagnosis of PCOS<o:p></o:p></u></b></div>
<div class="MsoNormal">
<b>(Rotterdam diagnostic criteria) </b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Oligomenorrhoea
and/ or anovulation </b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Clinical
(Hirsutism) or biochemical hyperandrogenism </b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Polycystic
ovaries presence of >12 follicles of 2-9 mm or ovarian volume >10 mL</b></div>
<div class="MsoNormal">
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<div class="MsoNormal">
<b><u>Diagnosis of
Hypothyroidism </u></b><u><o:p></o:p></u></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Measurement
of Serum TSH level</b></div>
<ul style="margin-top: 0in;" type="square">
<li class="MsoNormal"><b>Higher
than 4mIU/ml </b></li>
</ul>
<div class="MsoNormal">
<b><u>PCOS & Hypothyroidism are they related?<o:p></o:p></u></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Women
with PCOS often have abnormal thyroid function</b> </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Hypothyroidism
is also associated with anovulation & infertility in female</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Menstrual
abnormalities in Hypothyroidism leads to Infertility</b></div>
<div class="MsoNormal" style="margin-left: .5in;">
<b>
<i>J Clin Endocrinol Metab</i> 12<i>:</i>846<i>–855</i></b></div>
<div class="MsoNormal">
<b><u>Common factors between PCOS & Hypothyroidism<o:p></o:p></u></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>PCOS
– Obesity- Infertility</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>Hypothyroidism
– Obesity-Infertility</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b>PCOS-Obesity-Hypothyroidism-Infertility
</b></div>
<div class="MsoNormal">
<b><u>Does PCOS with
abnormal thyroid function affect outcome of fertility in women receiving
treatment for infertility?</u></b><u><o:p></o:p></u></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">q<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><b><u>PCOS
infertile women with hypothyroidism have 2.2 times more chance of failure to
conceive than PCOS infertile with normal thyroid function</u></b><u><o:p></o:p></u></div>
</div>
Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.comtag:blogger.com,1999:blog-409075327693025918.post-17527579766431886542013-03-16T19:45:00.001+05:452017-02-25T18:57:51.383+05:45A guide to those seeking treatment of infertility at Infertility Centre, Bijulibazar, Kathmandu, Nepal<div dir="ltr" style="text-align: left;" trbidi="on">
<b><u><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 17.5px;">A guide to those seeking treatment of infertility at Infertility Centre, Bijulibazar, Kathmandu, Nepal</span></u></b><b><u><span style="font-family: "times new roman" , "serif";"> </span></u></b><br />
<div class="MsoNormal">
<b><span style="font-family: "times new roman" , "serif";">Investigations of your infertility for proper diagnosis<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Both the couple needs to see a Consultant Reproductive Endocrinologist (<b>RE</b>) at the Infertility Centre in addition to other doctors for counseling infertility. You need to bring reports of any treatment you had before. You can come any day of your menstrual cycle. The Centre is open 24 hrs. 7 days a week but you can see doctors strictly with appointments. Appointments are made at 10am-7pm except Saturdays. The clinic is open on Govt. Holidays<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Counseling is a longer session when you will be told about the whole process & treatment pattern you may need. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">On D2/D3 of your menstrual cycle you need to test your hormone levels. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Husband's semen will be tested after 3 days of abstinence within 1/2 hr. of ejaculation. Sperm Count >50million with >50% motility is accepted as normal test. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Hormones will be assayed if the sperm count is abnormal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">USG of pelvis is done on D2/D5 of period by trans-vaginal route to see any cyst or tumors around your uterus & ovaries. There may be multiple small cysts as black pearl necklace which is a case of Polycystic Ovarian syndrome. <b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">A Radiological or Sonographic Hysterosalpingography (HSG) is done after the bleeding stops on D6/9 of your period to assess the patency of your fallopian tubes. Normally both are patent. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Those couples who had recurrent abortions are tested for TORCH test, Blood glucose & genetic testing. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.5pt;">
<b><span style="font-family: "times new roman" , "serif";">Treatment of the problem you may be having<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Fertility is possible only when all the above tests result are normal. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Treatment may take several months till fertility recovery.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">In case of abnormal hormone profile <b>RE</b> will adjust hormone levels. <b>RE</b> will take care of this condition & also regularize your period if they are irregular. This may take several months. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto;">
<b><span style="font-family: "times new roman" , "serif";">RE </span></b><span style="font-family: "times new roman" , "serif";">will also<b> </b>guide you about your weight if you are overweight or underweight. If your ovaries are inactive <b>RE </b>will<b> </b>provide some ovarian stimulants to induce proper egg development in the ovaries. This will be followed -up by USG usually after a week of stimulation & hormone therapy may continue for sometimes till recovery.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Poor sperm count will be taken care by hormone therapy, sperm tonics as well as Intrauterine Insemination (IUI) of husband' sperm. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">In case of nil sperm in semen analysis, IUI of donor's sperm is done with a written consent of the couple.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Recurrent abortions are treated according to their test results.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Blocked fallopian tubes are offered a very effective non-invasive technique of Clear Passage Therapy using pelvic maneuver followed by hydrotubation. This is non-surgical treatment, may take 1-3 cycles for recovery.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Unsuccessful treatment cases whom tubes could not be open, if they can afford, In Vitro Fertilization (IVF-test-tube treatment) is the treatment of choice for these couples.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 40.5pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: "times new roman"; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif";">Couples who cannot afford IVF are advised for adoption.<o:p></o:p></span></div>
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Dr. Uma Shrivastavahttp://www.blogger.com/profile/09395637356286225084noreply@blogger.com