Dr. Ankita Kaushal - infertility and IVF Doctor in Mumbai

Tubal Factor Infertility : Why are fallopian tubes important? Fallopian tubes are hollow muscular tubes, inside they are lined by hair-like bristles, they originate from the uterine cavity and end on top of ovaries. There are 2 fallopian tubes one on each side. The ovarian end has finger-like structures that help to suck in the egg in the tube after ovulation. The sperms swim from the vaginal cavity into the uterine cavity to the tubes. The egg is fertilized by the sperms in the tubes. This is where embryo forms and starts to develop further. After few days of development in the tubes, the embryo is shifted to the uterine cavity where it implants after which you are pregnant. In case of any kind of damage to the fallopian tubes, the sperms will not reach the egg for fertilization, the embryo might not form, the embryo might not survive in damaged tubes. For all of the above to happen and pregnancy to occur, PATENT AND FUNCTIONAL FALLOPIAN TUBES ARE MOST IMPORTANT.

1. Thanda Thanda Cool Cool -  Men should avoid steam / sauna  keeping laptop on their lap tight clothing  2. Cleaning Master : Moderate amount of exercise for women from routine household cleaning, gardening is very helpful. Sedentary lifestyle reduces chances of conception. 3. Phone App FTW : use a phone app to monitor your menstrual cycle, ovulation date, fertile week. 4. Reduce Alcohol : Both partners should limit their alcohol intake. It affects the oocyte fertilization and implantation process. 5. Stop Smoking : Both partners should stop smoking, also passive smoking is harmful. Nicotine directly harms DNA in the sperm resulting in miscarriages. 6. Loose weight : Obesity affects both male and female partners Fertility potential. Keeping a scheduled physical activity helps. 7. Have Regular Sex : It helps Improve the quality of sperms. Studies have shown People who have sex every alternate day have better motile sperm count. 8. Know your Fertilit

Ovulation_Induction (OI):- Various oral and injectable hormonal preparations are used for ovulation induction. Which one will be used for your Fertility treatment depends on a few factors - what is your ovarian reserve ( AMH + AFC), which treatment is planned ( Timed Intercourse /IUI/ ICSI/ IVF), do you have any other factors such as PCOS, extremely low ovarian reserve, previous surgery on the ovaries ( for cyst, endometriosis). The dose also depends on your weight, BMI at the time of the treatment. Ovulation induction agents :  Oral - Tablets - Clomiphene Citrate, Letrozole   Injectable - HMG ( Urinary/ Highly purified) ; Recombinant hormones  Duration of Ovulation Induction :   It starts on day 2 or day 3 of your menses ( periods); usually, continue for the next 12 days. Usually, by day 14/15 the developing follicles reach a size enough to Harbour a mature oocyte ( egg) What can go wrong with my Ovulation Induction cycle :   Poor response: There might be less

Food is the best medicine, and there are no two thoughts about that. Someone rightly said you are what you eat! Nowadays, the food we consume does more harm than good. Today we are going to highlight some food products which help improving Male Fertility. From the desk of our Nutritionist - Dr. Bhavya Rao List of food Items that help improve Male Fertility 1. Zinc:- oysters, shellfish, nuts and beans 2. Folate:- green leafy vegetables like Brussel sprouts spinach and asparagus 3. B12:- whole eggs, milk, and milk products, nutritional yeast 4. Vitamin C:- oranges, Indian gooseberry, all citrus fruits 5. Vitamin D:- salmon mackerel tuna fortified yogurt milk, mushrooms 6. Coenzyme q10:- soybean and canola oil, fish like herring and trout 7. Omega 3 fatty acids:- walnuts, flaxseeds, canola oil, tuna, sardines, salmon 8. Ashwagandha root 9. Restrict the use of soybeans as they are proven to reduce fertility in men - due to the presence of anti-nutritional properties.

CERVICAL CANCER IS :- ⭕5th most common cancer in the world ⭕3rd most common cancer in WOMEN ⭕2nd leading cause of CERVICAL CANCER deaths in women in INDIA Association of HPV infection and Cervical cancer is well documented ( 70-80% cases of CERVICAL CANCER are due to HPV infection acquired in young age) WHO 2010 states that every 7 minutes one women die of CERVICAL CANCER in India. The main reason is less awareness about the disease, and much less awareness about its prevention. Need of HPV Vaccination is the need of the hour! Why you ask? Natural HPV infection induces a weak immune response, which is not strong enough to prevent reinfection. On the other hand, Vaccination induces a very strong immune response. There are 2 types of vaccines available in India - Bivalent ( HPV strains 16,18) and Quadrivalent (6,11,16,18) Strains 16,18 are associated with cervical cancer Strains 6,11 are associated with genital warts In females less than 15 years, only 2 doses are required

It is a simpler method of treatment to increase your chances of getting pregnant, where mid-cycle ( when the female egg is released), the semen sample is collected, processed - a sample of activated, best motile sperms are made, and with the help of an IUI catheter DEPOSITED INSIDE THE UTERINE CAVITY. It is an OPD procedure, no anesthesia is given. Q) When can you opt for IUI : A) 1. Essential requirements - wife should have open fallopian tubes, releasing an egg every month, mild to moderate ovulation disturbances. 2. The husband should have a good sperm count and motility. Q) What are the chances of pregnancy? A) Around 15-20 %. It is different for each couple depending on the problems of Fertility and causes. Q) In Which conditions are it most useful? A) Female : PCOS, grade 1 endometriosis, mild ovulation disorders, Unexplained Infertility, Busy work schedule, Husband and wife staying in different cities because of work B ) Male : Mild low sperm count, Mi