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STIMULATION PROTOCOLS

STIMULATION PROTOCOLS

STIMULATION PROTOCOLS Conventional ovarian stimulation protocols for IVF are designed to achieve maximum oocyte yields. Conventional protocols, however, are associated with patient discomfort, increased risk of ovarian hyperstimulation syndrome and higher costs. In recent years, mild stimulation protocols have risen in popularity. These protocols typically use lower doses (≤150 IU/day), shorter duration of exogenous gonadotrophins, or both, compared with conventional…

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PCOD- Dr.Sonam

PCOD- Dr.Sonam

Polycystic ovarian syndrome or disease (PCOS/PCOD) is a hormonal disorder that affects women in their reproductive age. PCOS is a common health condition that affects teen and young women, it is seen in 1 out of o10 women in their childbearing age.  The reproductive system of women is controlled by the complex interplay of primarily five reproductive hormones namely estrogen,…

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INSUFFLATORS

INSUFFLATORS

Laparoscopy is endoscopic visualization of the peritoneal cavity usually assisted by a pneumoperitoneum that distends and separates the abdominal wall from its contents.  Visual clarity, space to perform diagnostic and therapeutic procedures and maintenance of a normal physiologic state is required for safe effective surgery.  To perform laparoscopic procedures the abdominal cavity is inflated with gas to create the pneumoperitoneum.…

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HISTORY OF LAPAROSCOPY- Dr.IRA

HISTORY OF LAPAROSCOPY- Dr.IRA

“The measure of intelligence is the ability to change” -Albert Einstein One of the biggest changes in the world of surgery in the evolutionary shift of open surgeries to laparoscopic ones. Laparoscopy has revolutionalised the life of gynaecologists too. The historical prospective goes back to ancient times,the easily accessible body parts were inspected by the help of speculums. The first…

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ERRORS IN LAPAROSCOPY- Dr.Pallavi

ERRORS IN LAPAROSCOPY- Dr.Pallavi

Major vascular injury is not a rare complication of laparoscopic surgery. Prospective studies have reported that injury to the bowel or major vessels during laparoscopic procedures occurs in about 3 per 1000 cases. Vascular injury to the major vessels is second only to neglected bowel injuries as a cause of death in laparoscopic surgery. Such vascular injuries carry a reported…

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Dual Stimulation Protocol- Dr.Sirisha

Dual Stimulation Protocol- Dr.Sirisha

Dual Stimulation Protocol   The increasing number of women who delay pregnancy and must undergo assisted reproductive technology (ART), poses the challenge of finding increasingly efficient ovarian stimulation protocols, since oocyte donation is not always accepted. It is known that 76% of the blastocysts produced from women older than 40 years are aneuploid.In these women, the ovarian response is below…

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“Three-Parent IVF”- Dr.Ira

“Three-Parent IVF”- Dr.Ira

“Three-Parent IVF”   Three-Parent IVF using mitochondrial replacement therapy (MRT) is an innovation , giving hope to those families with inheritable mitochondrial disorders that they may be able to have healthy offsprings . This technology has enabled us to get rid of certain fatal diseases to be inherited from one generation to another.   In brief the technique uses electrofusionto…

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Advantages and disadvantages of laparoscopy

Advantages and disadvantages of laparoscopy

Laparoscopic surgery, also known called minimal invasive surgery, hand aid or key hole surgery is a modern surgical technique. Laparoscopy is derived from Ancient Greek word by combining two words. Laparo Meaning ‘flank’ and Scopy Meaning ‘to examine’. Although commonly performed in patients with benign disease, laparoscopic surgery is also playing an expanding role in management of gynecological cancers. Laparoscopic…

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MOLECULAR INFLAMMATION IN ENDOMERIOSIS – DR.SONAM

MOLECULAR  INFLAMMATION  IN   ENDOMERIOSIS – DR.SONAM

Inflammation plays an important role in the pathogenesis of endometriosis. Infiltration of peritoneal macrophages and local proinflammatory mediators in the peritoneal microenvironment affect ovarian function and pelvic anatomy leading to the symptoms and signs of endometriosis. The identification of a noninvasive marker for endometriosis will facilitate early diagnosis and treatment of this disease. Introduction Endometriosis is considered a chronic inflammatory disease. It is defined as the presence of endometrial stroma and glands outside the uterine cavity. The prevalence of endometriosis in women of reproductive age is about 10%.Although the…

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Computer Assisted Semen Analysis – Dr. IRA

Computer Assisted Semen Analysis – Dr. IRA

CASA (computer assisted semen analysis)   CASA or computer assisted semen analysis is a sophisticated electronic imaging system to visualize the sperm. An advanced software program is used to evaluate dozens of individual sperm parameters. The overall clinical value of semen analysis varies from center to center, and despite efforts in more recent years to introduce standardization and quality control,…

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