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Thursday, 19 May 2016

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Saturday, 23 April 2016

Interview done by Kalaignar TV with FRCIVF Doctor Mrs. Geetha Haripriya MD. DGO.,FRCOG

Interview done by Kalaignar TV with Prashanth Fertility Research Centre's Doctor Mrs. Geetha Haripriya MD. DGO.,FRCOG(Lon) about causes & solution for infertility, necessary treatments to be taken for infertility also given some tips for the woman to follow to take care of their reproductive system.For more details log onto : http://www.pfrcivf.com/




Thursday, 3 March 2016

INCREASED Number of POLYCYSTIC OVARY CASES

Polycystic ovaries are a condition where ovaries contain excess primordial follicles. Despite the name Polycystic it does not contain any cyst and contains only follicles. The follicles are naturally present in the ovaries and they are small fluid filled sacs containing ovum or eggs. Normally during reproductive years each ovary contain 5-12 follicles but when there are 12-15 follicles in an ovary the ovary is called Polycystic.


When the presence of follicles is severe say more than 50 follicles then the condition is called as Polycystic Ovarian Syndrome (PCOS) which is different from Polycystic Ovaries and causes infertility, increased facial hair and disturbed hormonal balance. 

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Monday, 1 February 2016

Intrauterine Insemination vs. In Vitro Fertilization




Couples are always confused about choosing between IUI and IVF. The success of either procedure depends on a lot of factors and there is a marked price difference between the two procedures. It is advisable to take  your doctors opinion based on the diagnosis of your fertility problem to choose the right procedure.
Even though there are lots of factors that can affect the success rate, age is an important aspect that can have a significant impact on the result.
The IUI Advantage
Intra Uterine Insemination ( IUI )is a helpful procedure that will enable a couple to conceive. Usually the sperm has to travel a long distance to reach an egg and fertilize it. With IUI,  the sperm from the male partner is collected, washed and then the good motile sperms are  carefully injected directly via a catheter into the uterus. This means the sperm has to travel a lesser distance, thus increasing the chances of  conception. 



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Wednesday, 27 January 2016

ENDOMETRIOSIS




Endometriosis is a condition when a tissue which usually grows inside the uterus, is found growing outside the uterus in abnormal places. for eg., ovaries etc.

Whenever the patient has menstrual cycles, this tissue also bleeds. This bleeding heals but form adhesions. So finally endometriosis results in restricted mobility of both sides of the fallopiantubes and there may be severe adhesions between ovaries, tubes, uterus and even intestines.

How can it present clinically?

During menstrual cycles, patients suffering from endometriosis may have severe pain. They may have pain during   intercourse and may also present with infertility (or) chronic lower abdominal pain.

How to manage an unmarried girl with endometriosis?

As said earlier, whenever the girl menstruates, she bleeds in ectopic endometrial tissues.  So   our medical management aims at reducing the number of cycles and to control the progress of the disease till she gets marrie.

Can all endometriosis be diagnosed using ultrasound?

No all endometriosis patients cannot be diagnosed by ultrasound unless it is an ovarian   endometriosis .Many a time; we diagnose endometriosis intra operatively, when a patient undergoes laparoscopy for treatment of infertility.

What is the advice given to previously diagnosed endometriosis patients who got newly married?

We advice them to plan for family early and not to postpone conception as the disease progresses during every cycle.         
                                                                        

What are the modalities of treatment available for management of endometriosis?

Both surgical and medical management.

Regarding medical management, we have GnRH analogue injections which we can use limitedly and tablets to be taken for a few months.

A female who has completed her family and having endometriosis, needs to be treated (or) not?

Even though the female has completed her family she needs to be treated if symptomatic like pain (or) any other symptoms due to adhesions.

What are the modalities of treatment for a female who has finished family and is having endometriosis? 

Surgical---3D Laparoscopy-Removal of cyst alone
 Removal of uterus and ovaries if both are damaged
                      
Medical – oral contraceptive pills
                          Intra uterine devices like mirena
                       Projesterona
                       Dinogest  tablets

KEY POINTS


       Contact your gynaecologist for

  •   Painful  periods
  •   Painful  inter course
  •   Heavy prolonged  periods
  •   Inability to conceive
  •   Pain abdomen
  •   Back pain.




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Wednesday, 20 January 2016

POLYCYSTIC OVARIAN DISEASE


Polycystic Ovarian Syndrome is the most common cause of irregular menstrual cycles due to hormonal abnormalities. It is characterized by menstrual irregularity, increased androgen levels, obesity and Ultrasound Scan showing multiple small follicles in the ovary i.e. Polycystic Ovaries.

FEATURES OF PCOS;
·         Irregular menstrual  Cycle i.e.; scanty menstrual  bleeding
·          Delayed menses
·         Obesity
·         Acne
·         Excessive facial hair
·         Infertility
·         Blackish discoloration of skin at the nape of neck

HORMONAL  ABNORMALITIES
·         Obesity – androgen from the ovaries
·         LH : FSH ratio altered
·         Increased insulin levels
·         Increased cholesterol Levels

Consequences of PCOS
·         Infertility  due to anovulation i.e. failure to produce ovum/egg
·         Diabetes mellitus
·         Increased cholesterol levels
·         Endometrial cancer after some years due to hormonal abnormalities

Treatment
·         Lifestyle modification i.e.
a. Healthy diet
b. Exercise for weight reduction
·         Regularization of menstrual cycle with continued oral contraceptive pills

When to contact your Gynecologist?
·         Increased weight
·         Irregular delayed periods
·         Prolonged period
·         Increased facial hair growth


Treat the problem early, avoid complications later.