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HPV Vaccination, Cervical cancer : by Dr. Ankita Kaushal

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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 ...

What is INTRAUTERINE INSEMINATION

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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...

Know your tests - Antral Follicle Count

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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 

Basic fertility Evaluation – Female Partner

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When a couple visits their fertility doctor (when should a couple visit – please read the blog post ) a basic evaluation is performed or both husband and wife. In this blog post, we will be discussing the evaluation of the female partner. The first step is HISTORY TAKING, paying extra attention to 1.     Menstrual cycles: what was her age when menses started, if they are regular or irregular, how is the bleeding- average, more, less? Are her periods painful, if yes, how painful are they; so on and so forth. 2.     Any previous treatment is done, records available. 3.     On any current medications 4.     Any surgeries in the past, again special attention is given to any surgery involving the ovary, uterus or fallopian tubes. 5.     Any pregnancies in the past. If yes, details of those pregnancies. 6.     Sudden weight loss, weight gain. On any weight loss/ gain programm...