NARI HOSPITAL Celebrates Happy Children's day!!
What is infertility?
Infertility is a common problem affecting one in six couples at some point in their life. It is usually defined as the inability of a couple to conceive after 12 months of unprotected intercourse. However, some couples suspect they have a fertility problem within a year. Approximately 80% of couples will be pregnant after 12 months of trying, while another 5-15% will conceive in their second year of trying.
Female age is a very important factor to be pregnant when trying to conceive. A woman has a 22% chance of conceiving each month in her twenties, 10% each month in her mid-thirties and 3% per month at forty. This happens because as age advances, both the number and quality of women’s eggs decline. Success rates for all forms of fertility treatment decline with female age, as well. So it is important that you seek help early if you are trying to conceive at an older age. The success rate to conceive also decreases with the increase in age of the male partner as well, but to a lesser extent than that seen in women.
Relatively many couples are truly ‘infertile’ from the beginning and have no chance of conceiving naturally. For many couples, one or a number of reasons together are responsible for reducing their monthly chance of conception. For some couples, other general health issues can also reduce the chances of conception.
So, if you feel, you have fertility problem & you are planning for a child, try to find out the appropriate reasons & its treatment with the help of an appropriate specialist doctor.
Nutrition has a great impact on our health, in similar way nutrition does
effect male fertility factors, female fertility factors & it also affects
What diet should be followed for healthy sperms & oocytes (eggs) is a
Taking plenty of fruits & vegetables are usually advised as it replenishes
you with a variety of vitamins, minerals & boost your immunity
Try including whole grains like wheat, brown rice, millets (Bajra, Jawar,
Ragi) and oats in your diet, it gives you variety in your recipes and adds
fibers to your diet, easily you can say no to the refined floor.
Also add pulses like kidney beans, peas, chickpeas, lentils, and
legumes. Sprouts are full of essential nutrients & fibers, so adding
sprouts to your diet make your dish enriched with vitamins.
Avoid trans-fats but the moderate amount of dairy & milk products is
advised. Egg white is good & be happy to include in your meals.
Having oily fish helps & lean meat is ok but avoids red meat. It’s very
important to add good quality proteins so egg whites, fish are a good
choice. For vegetarian’s nuts, beans, pulses, milk & milk products act as
Say no to processed food & big No to sugary food as well!
Few Vitamins needed pre-pregnancy are,
Folic Acid supplements pre-pregnancy are important as Folic acid plays
a major role in the development of Baby’s brain and spinal cord. Deficiency
of Folic Acid leads to Neural Tube Defects. Baby’s brain starts
developing before the woman realizes that she is pregnant. So make
sure you have started it.
Vitamin D – The basic research showed that vitamin D plays a role in
biological processes in sperms and ovary cells and may affect levels of
sex hormones. Increasing vitamin D through diet or spending time in the
sun would help. TAKE ADVICE FROM YOUR DOCTOR BEFORE
STARTING VITAMIN D TABLETS as it may do HARM by causing
Vitamin C – Few studies have shown that vitamin C supplements could
be helpful for female infertility
Vitamin E- supplements of vitamin E showed improvements in sperm
Make sure you are not deficient in any of the micronutrients as traces of
Zinc, Copper, selenium, Iron, Vitamin B6 & DHA is also important &
have a positive impact on fertility.
Obesity can cause infertility in males as well as females, so adopting
healthy diet & doing exercises regularly is important.
Women with Polycystic Ovarian Disease also require special diet as
women with PCOS have insulin resistance.
CAUTION- SEEK MEDICAL ADVICE BEFORE TAKING ANY
SUPPLEMENT AS YOUR INFERTILITY MAY BE CAUSED BY SOME
PCOS & Infertility (Polycystic Ovarian Disease Syndrome)
If you are having irregular menstruation, have excessive unwanted hair on certain areas of your body, there is a considerable weight gain or you have given a diagnosis on ultrasound scan reports &/or after your hormone tests that you have PCOS. You are already suffering from infertility & this diagnosis! you have low esteem so on and so forth. Not all with scan report of PCOD have PCOS, 30 % of the scan reports show PCOD, but only 10% of those women have PCOS.
In India & Asia, it is observed that there is more insulin resistance with PCOS, means your hormone is just lazy & creating troubles. In the western population as well there is PCOS but presenting symptoms are different.
Unfortunately, PCOS run in families & 50% of first degree relatives are affected, Male members do get hormone troubles because of resistance of hormone action.
Many women with PCOS are overweight/obese, there could be almost 30-40% of women with PCOS thin. But thin or obese, both have hormone irregularities & require interventions.
Women affected with Polycystic ovaries are- at risk of developing diabetes in pregnancy, develop diabetes later on in their life, get heart disease. There is an increased risk of getting thickened endometrium (uterine lining) which may lead to increased Endometrial cancer. Ovulation problems lead to menstrual irregularities, hormones excess cause increased hair growth on the chin, upper lip, chest, back, there is obesity in many of the women, So all these symptoms cause psychological, physical & social issues.
What’s the treatment?
Lifestyle modification is the FIRST Line treatment. Avoid fatty food & go for high fiber diet & low sugar diet. Get set for workouts like aerobics, yoga, jogging swimming. If you have an issue of obesity, on a diet plan so that your diet & exercises help you make shed some weight & the few problems of PCOS, like low esteem & obesity & menstrual irregularity will be slowly corrected.
There are many hormone tablets to treat your condition, it depends on your priority to treat the ailment. Various hormone preparations are available to treat menstrual irregularities, to treat hirsutism, to treat endometrial hyperplasia.
Medical treatment for ovulation induction & medical treatment to treat insulin resistance can be prescribed so that ovulation & pregnancy can be achieved. Your doctor will give you complete advice on this.
For Infertility & PCOS, laparoscopic ovarian drilling is useful and it is seen that spontaneous ovulation & pregnancy can be achieved in the good number of patients. There is an advantage in laparoscopic surgery, as other factors for fertility like tubal patency, adhesions, infection or endometriosis can be seen & treated simultaneously.
If all medical & surgical treatment fails to achieve pregnancy, IVF (In Vitro Fertilization) & ET (Embryo transfer) is reserved. Treating doctor takes care of injection doses & type of protocol so that the risk of OHSS (Ovarian hyperstimulation syndrome) can be reduced.
Feel free to talk & ask questions about PCOS.
Are you undergoing a test for SPERMS/SEMEN ANALYSIS?
It’s frustrating when you & your wife/partner are trying but not able to get pregnant. It’s more frustrating to undergo many tests to investigate. Since male infertility many times is caused by low sperm count, SEMEN ANALYSIS IS A VERY IMPORTANT TEST in diagnosing & guiding you. This is the first & foremost investigation of the male partner for fertility. For better diagnosis, especially if there is a low count or less motility, you would be required to produce one or two more samples.
How many days abstinence?
All semen specimens should be collected following abstinence from all sexual activity (No sexual intercourse, No masturbation etc.) of no less than 48 hours and no more than 7 days.
Where to collect the sample?
Producing the sample in a private room in the laboratory, with or without your partner. If sample collection is difficult in the clinic area, you have an option to collect the sample at home, provided sample reaches laboratory within 30-45 minutes of collection.
We will provide you with a sterile container which is non-toxic for the sperms & has a wide opening for collection of the sample. Your name, Hospital number will be marked on the container.
How to collect?
You will be advised to wash your private parts & make the area dry just before collection. The small amount of soap or water contamination in the sample will make sperms immotile & alter the report.
A specimen is collected by masturbation directly in a sterile container. Please avoid use of oils or lubricants. Condom collection is not allowed as it alters the results.
If there is spillage of the sample, please inform us, mention if initial part spilled or the end part.
Why the semen analysis test advised?
In 30% of cases, it’s the male partner having some problem & in 40% of cases both male & female partner responsible for suffering from infertility.
What the test will tell you?
Semen analysis is an important test to see Number of sperms, motility of sperms & how the sperms look (morphology), if there is any infection suspected. How much is the liquefaction time etc?
If the test comes abnormal, you will be required to undergo further testing.
We are celebrating a New Year 2019, let’s take care of our health.
We know, prevention is always better than cure. As January is Cervical Cancer awareness month, let’s see how we can prevent it.
A simple test (Pap smear) can be easily done in your Gynaecologist’s opd/office. This test involves taking cells from the cervix (Entrance of uterus) with the help of a small brush/wooden spatula. Then a doctor at Pathology laboratory, examines the pap smear under the microscope, to see any abnormal cells are visualized. It can also detect changes in cells that suggest cancer may develop in the future.
Pap smear test is started usually at the age of 25 (sometimes at 20 years of age if high-risk factors).
This test needs to be repeated every 3 years until the age of 50 years thereafter every 5 years till 65 years of age. Sometimes the test needs to be done frequently if your previous smear is abnormal & you in high-risk cases. Your Gyn- Doctor would advise you when to repeat the test.
If abnormality is detected on the smear test, Colposcopy & biopsy is advised to confirm the diagnosis & treat the abnormality.
Getting abnormal pap smear doesn’t mean that you have got cancer, it only means that you need to do frequent tests & may require to undergo a small procedure according to your doctor’s advice.
In India, Cervical cancer kills 1 in 52 women. From today ask your friend, ask your mother, ask your wife, tell your sister that if she knows about pap smear & has she got one done?