Dr. Ankita Kaushal - infertility and IVF Doctor in Mumbai

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...

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 :   ...

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.

Antral Follicle count is the total number of follicles in both ovaries, between 2-10mm, seen on a transvaginal ultrasound during the early follicular phase, between day2-4 of your menstrual cycle. It is a very important marker for ovarian reserve. If AFC is less than 5 then it is labeled as a poor ovarian reserve. Between 5-15 is considered normal. 15-25 is high AFC and >25 is seen in PCO patients. In recent studies, AMH ( antimullerian hormone) is said to have clinical significance only if AFC is poor (<5). If so then AMH and AFC both are considered to make a diagnosis of the poor ovarian reserve. AMH does not have much role when AFC is normal or high. A baseline scan on Day 2/3 of your menses is an important scan in your initial evaluation for subfertility . Dr. Ankita Kaushal www.drankitasfertilitycenter.com