All Posts

Different Routes of Progesterone For ET – Dr. Ira Biswas

Different Routes of Progesterone For ET – Dr. Ira Biswas

DIFFERENT ROUTES OF PROGESTERONE FOR ET During assisted reproductive technology (ART) treatment, the use of gonadotropin-releasing hormone (GnRH) agonists and the aspiration of follicular fluid can lead to a relative progesterone deficit and inappropriate preparation of the endometrium for embryo implantation. Defective production of progesterone (P4) may impair implantation and pregnancy rates. Different routes of natural progesterone supplementation have been…

Learn More

Natural Methods Of Improving Fertility In Men And Women – Dr. Pavithra

Natural Methods Of Improving Fertility In Men And Women – Dr. Pavithra

There is growing evidence that lifestyle choices account for the overall quality of health and life reflecting many potential lifestyle risks widely associated with alterations of the reproductive function up to infertility. There is a close relationship in men and women between stress, quality of life and reproductive function. This association is more likely reported in infertile rather than fertile…

Learn More

ERA BIOPSY – Dr.Neha

ERA BIOPSY – Dr.Neha

ERA BIOPSY The endometrium undergoes cyclic changes each month, under the overall control of fluctuating levels of estrogen and progesterone. This hormone dependent endometrial remodelling is a continuum of structural and functional changes that make up the menstrual cycle. The endometrium regenerates and grows under the influence of estrogen during the proliferative phase of the cycle, while during the secretory…

Learn More

Ovarian Stimulation Protocols

Ovarian Stimulation Protocols

Ovarian 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…

Learn More

Drugs used in IVF By – Dr PAVITHRA

Drugs used in IVF By – Dr PAVITHRA

Drugs used in IVF Clomiphene[SERM] Aromatase inhibitors(Letrozole) Gonadtrophins GnRha GnRhan Progesatgens Estrogen Dopamine agonist Insulin sensitizer Antioxidants CLOMIPHENE CITRATE Most widely used Simple to use Minimal side effect Cost effective   Starting day of treatment ,whether on day 5 of the cycle does not influence results. Less then 50% of patients response to 50 mg so 100mg seems to be…

Learn More

Types of Ovarian Cyst and Management – Dr. Ira Biswas

Types of Ovarian Cyst and Management – Dr. Ira Biswas

Types of ovarian cyst and management Ovarian cysts are closed, sac-like structures within the ovary that are filled with a liquid or semisolid substance. Ovarian cysts are very common. They can occur during the childbearing years or after menopause. Most ovarian cysts are benign (Non-neoplastic) (not cancer) and go away on their own without treatment. Rarely, a cyst may be…

Learn More

Burch Colposuspension – Dr Neha

Burch Colposuspension – Dr Neha

DEFINITIONS Urinary incontinence is defined as involuntary leakage of urine. In addition to the urethra, urine can also leak from an extraurethral source, such as fistulas or congenital malformations of the lower urinary tract. International Continence Society guidelines, urinary incontinence is a symptom, sign, as well as a condition. stress urinary incontinence (SUI), a patient may complain of involuntary urine…

Learn More

Definition of Poor Responder

Definition of Poor Responder

ESHRE DEFINITION: At least two of the following three features must be present advanced maternal age or any other risk factor for poor ovarian response (POR); a previous POR; and an abnormal ovarian reserve test (ORT). Two episodes of POR after maximal stimulation are sufficient to define a patient as poor responder in the absence of advanced maternal age or…

Learn More

Granulocyte Colony Stimulating Factor-GCSF For Endometrial growth-Dr Pavithra.E

Granulocyte Colony Stimulating Factor-GCSF For Endometrial growth-Dr Pavithra.E

CAUSES OF THIN ENDOMETRIUM Endometrial resistance to circulating estrogen Reduced blood flow to the endometrium Over exposure to testosterone Permanent damage to the basal endometrium Infection like MTB Asherman syndrome PERSISTANT THIN ENDOMETRIUM Evaluate for STB-incidence of genital tuberculosis is very high in India. For all practical purposes, completely damaged basal endometrium cannot be regenerated Permanent damage to basal endometrium…

Learn More

OVARIAN HYPER STIMULATION SYNDROME (OHSS) TREATMENT AND PREVENTION

OVARIAN HYPER STIMULATION SYNDROME (OHSS) TREATMENT AND PREVENTION

Ovarian hyper stimulation syndrome (OHSS) is an exaggerated response to ovulation induction. The OHSS is typically associated with exogenous gonodotrophin stimulation and is rarely observed with oral ovulation induction agents. OHSS is usually a self-limiting disorder. Milder forms resolves spontaneously within few days, but may persist for longer periods and progress to severe disease especially if conception occurs. More over…

Learn More