Infertility : When to see a doctor ?

Infertility : When to see a doctor ?

What should I Know before meeting a Fertility Specialist?

[su_quote style=”default” cite=”” url=”” class=””]

  • WOMEN – A woman’s fertility gradually declines with age, especially in her mid-30s, and it drops rapidly after age 37. Infertility in older women may be due to the number and quality of eggs, or to health problems that affect fertility.

[/su_quote]

When to see a doctor if you are a female patient?


You probably don’t need to see a doctor about infertility unless you have been trying regularly to conceive for at least one year. Talk with your doctor earlier, however, if you’re a woman and:

  • You’re age 35 to 40 and have been trying to conceive for six months or longer
  • You’re over age 40
  • You menstruate irregularly or not at all
  • Your periods are very painful
  • You’ve been diagnosed with endometriosis or pelvic inflammatory disease
  • You’ve had multiple miscarriages
  • You’ve undergone treatment for cancer

When to see a doctor if you are a male patient?


  • You have a low sperm count or other problems with sperm
  • You have a history of testicular, prostate or sexual problems
  • You’ve undergone treatment for cancer
  • You have testicles that are small in size or swelling in the scrotum known as a varicocele
  • You have others in your family with infertility problems

What are General factors responsible for infertility?


  • Diabetes mellitus,
  • thyroid disorders,
  • undiagnosed and untreated coeliac disease,
  • adrenal disease

What are environmental factors responsible for infertility?


Environmental factors

  • Glues,
  • Volatile organic solvents
  • Pesticides.
  • Tobacco smokers are 60% more likely to be infertile than non-smokers.

 What is the effect of age on fertility? 


  • Age.
    • WOMEN – A woman’s fertility gradually declines with age, especially in her mid-30s, and it drops rapidly after age 37. Infertility in older women may be due to the number and quality of eggs, or to health problems that affect fertility.
    • MEN -Men over age 40 may be less fertile than younger men .
  •  What is the effect of tobacco on fertility? 


    Smoking tobacco –

    • reduces the chances of pregnancy.
    • reduces the possible benefit of fertility treatment.
    • Miscarriages are more frequent in women who smoke.
    • Smoking can increase the risk of erectile dysfunction
    • low sperm count in men is common in tobacco use.

 What is the effect of tobacco on fertility? 


  • WOMEN -Avoid alcohol if you’re planning to become pregnant. Alcohol use increases the risk of birth defects, and may contribute to infertility.
  • MEN – Heavy alcohol use can decrease sperm count and motility.

 What is the effect of Weight on fertility? 


  • Overweight- Inactive lifestyle and being overweight may increase the risk of infertility.
    • WOMEN -Ovulation Disorders .
    • MEN – A man’s sperm count may also be affected if he is overweight so a normal weight is always healthy for fertility.
  • Underweight. Women at risk of fertility who follow a very low calorie or restrictive diet.So eat healthy foods and develop healthy habits .

What is the effect of Exercise on fertility? 


  • Exercise- Insufficient exercise contributes to obesity, which increases the risk of infertility.
  • Heavy Exercise – Ovulation problems are associated with frequent strenuous  and  intense exercise in women who are not overweight.Hence , it is important to avoid heavy exercise when you want to be pregnant.

What are infections associated with infertility?


  • Sexually transmitted infections 
  • chlamydia,
  • gonorrhea
  • Adeno-associated virus might have a role in male infertility so it is important to have a screening for these infections.


[su_quote style=”default” cite=”” url=”” class=””]

  • WOMEN – A woman’s fertility gradually declines with age, especially in her mid-30s, and it drops rapidly after age 37. 
  • MEN -Men over age 40 may be less fertile than younger men .

[/su_quote]



www.femelife.com

www.wikiHealthNews.com

HDL : THE GOOD CHOLESTEROL

HDL : THE GOOD CHOLESTEROL

What is cholesterol?

Cholesterol is a  lipid or  fat-like substance that’s found in all the cells in your body. Your body needs some cholesterol to work properly. But having too much cholesterol in your blood raises your risk of coronary artery disease.

What is the function of cholesterol?

Cholesterol is an essential structural component of all animal cell membranes and is essential to maintain both membrane structural integrity and fluidity. It is helpful in synthesis of vitamin D and all steroid hormones.

What are the types of lipoproteins?

Types of lipoproteins in the blood. In order of increasing density, they are –

  • Chylomicrons,
  • Very-low-density lipoprotein (VLDL),
  • Intermediate-density lipoprotein (IDL),
  • Low-density lipoprotein (LDL),
  • High-density lipoprotein (HDL).

Whatis good Cholesterol?

HDL particles are thought to transport cholesterol back to the liver, either for excretion or for other tissues that synthesize hormones, in a process known as reverse cholesterol transport (RCT ) .  So HDL  is called good cholesterol.  HDL is called the “good” cholesterol because it carries cholesterol from other parts of your body back to your liver.Liver then removes the cholesterol from  body.

 

How do I know what my HDL level is?

A blood test called LIPID PROFILE  can measure your cholesterol levels, including HDL.

How frequently we should check blood lipid profile?

For people who are age 19 or younger:

  • The first test should be between ages 9 to 11
  • Children should have the test again every 5 years
  • Some children may have this test starting at age 2 if there is a family history of high blood cholesterol, heart attack, or stroke

For people who are age 20 or older:

  • Younger adults should have the test every 5 years
  • Men ages 45 to 65 and women ages 55 to 65 should have it every 1 to 2 years

What is normal level of HDL ?

HDL cholesterol, higher values are better for health. High HDL level can lower your risk for coronary artery disease and stroke. How high your HDL should be depends on your age and sex:

  • Age 19 or younger                                 – More than 45mg/dl
  • Men age 20 or older                                 – More than 40mg/dl
  • Women age 20 or older                 – More than 50mg/dl

 

How to increase blood HDL level?

Lifestyle changes help to increase HDL levels and gives protection against cardiovascular diseases.

  • Eat a healthy diet. To raise your HDL level, you need to eat good fats instead of bad fats .
  • Stay at a healthy weight. You can boost your HDL level by losing weight, especially if you have lots of fat around your waist.
  • Getting regular exercise can raise your HDL level, as well as lower your LDL. You should try to do 30 minutes of moderate to vigorous aerobic exercise on most, if not all, days.
  • Avoid Smoking and exposure to smoke can lower your HDL level.

Why HDL is called good cholesterol?

Large numbers of HDL particles correlates with better health outcomes,whereas low numbers of HDL particles is associated with atheromatous disease progression in the arteries. High HDL levels gives protection against cardiovascular diseases. So HDL is called good Cholesterol.

What are the drugs that can affect HDL level?

Certain medicines can lower HDL levels .

  • Beta blockers
  • Anabolic steroids
  • Progestins
  • Benzodiazepines

Which food is advised to avoid for a favourable lipid profile?

Avoid  trans fats –  they can increase LDL cholesterol and lower HDL cholesterol levels. Foods such as cakes and cookies , fried foods , some margarines.

 

Health Tips

Cholesterol and Heart

Surrogacy In India – A Technology Impasse

Surrogacy In India – A Technology Impasse

Surrogacy is a method of assisted reproduction that helps biological parents start families when they cannot conceive naturally or by artificial methods. Couples pursue surrogacy for several reasons and come from different backgrounds.

There are two types of surrogacy arrangements: gestational surrogacy and traditional surrogacy. In gestational surrogacy, an egg is removed from the biological mother or an anonymous donor and fertilized with the sperm of the biological father or anonymous donor. The fertilized egg, or embryo, is then transferred to a surrogate who carries the baby to term. The child is thereby genetically related to the woman who donated the egg and the father or sperm donor, but not the surrogate. In a traditional surrogacy arrangement, a surrogate becomes pregnant with the use of her own eggs. Indian government legalised surrogacy in 2002 and from then gestational surrogacy is practiced in India.

GUIDELINES FOR SURROGACY –

  • The ART clinic or Fertility Hospital must not be a party to any commercial element in donor programmes or in gestational surrogacy.
  • A surrogate mother carrying a child biologically unrelated to her must register as a patient in her own name. While registering she must mention that she is a surrogate mother and provide all the necessary information about the genetic parents such as names, addresses, etc.
  • She must not use/register in the name of the person for whom she is carrying the child, as this would pose legal issues, particularly in the untoward event of maternal death (in whose names will the hospital certify this death?).
  • The birth certificate shall be in the name of the genetic parents. The clinic, however, must also provide a certificate to the genetic parents giving the name and address of the surrogate mother.
  • Surrogacy by assisted conception should normally be considered only for patients for whom it would be physically or medically impossible/ undesirable to carry a baby to term.
  • Payments to surrogate mothers should cover all genuine expenses associated with the pregnancy. Documentary evidence of the financial arrangement for surrogacy must be available. The ART centre should not be involved in this monetary aspect.
  • A third-party donor and a surrogate mother must relinquish in writing all parental rights concerning the offspring and vice versa.
    A child born through surrogacy must be adopted by the genetic (biological) parents unless they can establish through genetic (DNA) fingerprinting (of which the records will be maintained in the clinic) that the child is theirs.
  • A prospective surrogate mother must be tested for HIV and shown to be seronegative for this virus just before embryo transfer. She must also provide a written certificate that (a) she has not had a drug intravenously administered into her through a shared syringe, (b) she has not undergone blood transfusion; and (c) she and her husband (to the best of her/his knowledge) has had no extramarital relationship in the last six months.
  • No woman may act as a surrogate more than thrice in her lifetime
  • A relative, a known person, as well as a person unknown to the couple may act as a surrogate mother for the couple. In the case of a relative acting as a surrogate, the relative should belong to the same generation as the women desiring the surrogate.
  • A surrogate mother should not be over 45 years of age. Before accepting a woman as a possible surrogate for a particular couple’s child, the ART clinic must ensure (and put on record) that the woman satisfies all the testable criteria to go through a successful full-term pregnancy.

Surrogacy Rules and Regulations in India

2002 – gestational surrogacy allowed in India

2008- Commercial surrogacy allowed

2012- India bars foreign gay couples, singles from surrogacy

2016-Bill to Ban Commercial Surrogacy Introduced In
Lok Sabha, Bill is still under discussion.

No Visas to Foreigners Wanting to Visit India For Surrogacy

Surrogacy Should Be Allowed Only for Indian Couples, Government Says

2018- Central government’s women employees, whose children are born through surrogacy, will now be entitled to maternity leave, according to an official order of the personnel ministry.

Discussion on surrogacy bill

In August 2017, the Parliamentary Standing Committee submitted its 102nd report on the Surrogacy Regulation Bill, 2016.

The report gives a clause by clause analysis of the Bill. In it, the Committee has pointed out certain pertinent observations which clearly indicate the draconian nature of the Bill, which is based on impractical and paternalistic presumptions.

Traditional surrogacy or gestational surrogacy?

One of the biggest and most prominent drawbacks is the contradiction in the Bill with respect to whether traditional surrogacy is allowed or gestational surrogacy. Traditional surrogacy is one where the egg of the surrogate mother and the intended father’s sperm is used to conceive the child with the help of IVF technology. It is the most widely practised forms of surrogacy.

However, it has been widely criticised due to the genetic link with the surrogate mother, which can lead to several emotional complications for the parents. On the other hand, gestational surrogacy – also referred to as “full surrogacy” – is the case where the egg and sperm are of the commissioning parents and the surrogate mother carries the fertilised egg of the intended parents. Thus, all of the genetic material involved originates either from the intended parents or donors.

The Surrogacy Regulation Bill, 2016, under Section 4 (iii) (b) (III) lays down: “No women shall act as a surrogate mother or help in surrogacy in any way, by providing gametes or by carrying the pregnancy, more than once in her lifetime.”

The effect of this provision under the bill is that the surrogate mother can provide her gametes and be a surrogate as well. On this, the Standing Committee opined that, “… on the one hand the Department asserts that only Gestational surrogacy is permitted under the Bill, whereas clause 4(iii)(b)(III) advocates the concept of Traditional Surrogacy. Thus, there is an apparent contradiction between the Department assertions and provisions of clause 4(iii)(b)(III). The Committee, therefore, recommends that the infirmity in clause 4(iii)(b)(III) be rectified and the clause be amended suitably so as to spell out in unambiguous terms that the surrogate mother will not donate her eggs for the surrogacy.”

The object of the Bill is to prevent exploitation, PREVENT COMMERCIAL SURROGACY-

However, this very basic provision if not rectified can lead to the opening of a Pandora’s box, especially since the current Bill provides that surrogacy can only be performed by a “close relative”. The emotional stress and complications of having a close relative as a surrogate, on the life of the surrogate child, surrogate mother and the commissioning parents, is immeasurable.

Close relative as a surrogate

The Committee has very beautifully dealt with the issue of “close relative” being a surrogate. The object of this provision was to curtail exploitation of the surrogate; however, it would be unrealistic and very complex. The provision can be analysed from two perspectives. First and foremost, infertility is a taboo in India and for couples to come forward and undergo Artificial Reproductive Technique (‘ART’) procedures and surrogacy procedures is frowned upon. In such a situation, to force couples to only be able to have close relatives as surrogates is arbitrary and violative of their basic reproductive rights.

Second, in the context of the surrogate mother, it would be unfair for her to have to see the child repeatedly, and the effect the same would have on the child is a different matter of concern altogether. The Committee has recognised these factors and suggested that “limiting the practice of surrogacy to close relatives is not only non-pragmatic and unworkable but also has no connection with the object to stop the exploitation of surrogates envisaged in the proposed legislation.

“The Committee, therefore, recommends that this clause of “close relative” should be removed to widen the scope of getting surrogate mothers from outside the close confines of the family of the intending couple. In fact, both related and unrelated women should be permitted to become a surrogate.”

Waiting period 5 years before commissioning surrogate-

ART and surrogacy procedures have emerged essentially due to increasing infertility in the society. The current Bill defines infertility as the inability to conceive after five years whereas the previous draft Bills, of 2008 and 2014, defined it as the inability to conceive after one year.

The Committee has compared this definition of infertility with that given by the WHO and suggested that “since conception has many interplay functions, a five-year time bar would add to the misery of already distressed intending couples. The five-year waiting period is therefore arbitrary, discriminatory and without any definable logic. The Committee, therefore, recommends that the definition of infertility should be made commensurate with the definition given by WHO. The words ‘five years’ in clause 2(p) and 4 (iii) (c) II, be therefore, replaced with ‘one year’ and consequential changes be made in other relevant clauses of the Bill.”

This suggestion by the Committee is based on the basic fundamental Right to Reproduction and the Right to Privacy. How and when individuals wish to reproduce is their own personal discretion. The government can impose limitations and set criteria, however, the same should be rational and not arbitrary.

Other suggestions

The Committee makes several other laudable suggestions, some of which take root from the previous ART Bills and some which are based on reasonable analysis of the current social-medical scenario. It suggested that ‘compensated surrogacy’ should be allowed and that single parents and live-in partners should be allowed to commission surrogacy.

Provision of breast milk banks

The Committee also recommended that there should be a provision of breast milk banks for the surrogate child, and a tripartite surrogacy agreement should be entered into between the parties instead of separate agreements, to make the process easier.

The Committee has analysed the bill in a very comprehensive manner and put forward suggestions which if not incorporated would have a domino effect and push the entire surrogacy industry underground, which in turn could lead to the exploitation of the all the members of the surrogacy arrangement. Surrogacy is undertaken by individuals to procreate and to found a family; the essence of that needs to be understood and retained.

COMMERCIAL SURROGACY

The parliamentary standing committee on health after examining the Surrogacy (Regulation) Bill 2016 has made a case to allow surrogacy on payment of money on the grounds that “economic opportunities available to surrogates through surrogacy services should not be dismissed in a paternalistic manner”.
The committee observed that if many impoverished women are able to provide their children with education, construct home, start a small business, etc. by resorting to surrogacy, there is no reason to take this away from them. While it is mandated that organ, donation should be altruistic, the committee has held that altruistic surrogacy was “extreme and entails high expectation from a woman willing to become a surrogate without any compensation or reward”.

The Union Cabinet, chaired by Prime Minister Narendra Modi, on 21 st March 18 gave approval for amending the Surrogacy (Regulation) Bill, 2016 to provide for rights of child born through surrogacy to that of a natural child or biological child and mandate for surrogacy clinics to be registered with the appropriate authorities in the states.

The amendments also seek 16 months of extended insurance coverage for the surrogate mother to cover all complications besides a strict clause to safeguard the surrogate mother from exploitation, the Union Health Ministry said.

Also, Assisted Reproductive Technology (ART) now has been kept out of the purview of the Bill, it added.

The proposed legislation ensures effective regulation of surrogacy, prohibit commercial surrogacy and allow altruistic surrogacy to the needy Indian infertile couples, as per an official statement.

Once it becomes the Act, it will regulate the surrogacy services in the country, control the unethical practices in surrogacy and prevent its commercialization of surrogacy. It will also prohibit potential exploitation of surrogate mothers and children born through surrogacy.

HOW EVER THE FERTILITY CONSULTANTS AND PROSPECTIVE CUSTOMERS ALL OVER INDIA ARE EAGERLY WAITING FOR THE LEGALISATION OF SURROGACY BILL ,AS FOR THE TIME BEING THE TECHNOLOGY IS AT STANDSTILL.

www.femelife.com

READ MORE

Talk with IVF Specialist : Call +91 9941551661

www.wikiHealthNews.com

START CARDIO TODAY . CARDIO  KEEPS YOUR HEART HEALTHY

START CARDIO TODAY . CARDIO KEEPS YOUR HEART HEALTHY

What is Cardio?

Cardio is a type of  aerobic exercise. This  is physical exercise of low to high intensity that involves or requires utilisation of  free oxygen to meet energy demands during exercise through aerobic metabolism.

What are the different types of exercises?

Isotonic  Exercise – increase your breathing and heart rate. They keep your heart, lungs, and circulatory system healthy and improve your overall fitness. Examples : brisk walking, jogging, swimming, and biking.

Isometric  exercises make your muscles stronger. Some examples are lifting weights and using a resistance band.

Balance exercises – help prevent falls. To improve your balance, try tai chi or exercises like standing on one leg.

Flexibility exercises stretch your muscles and can help your body stay limber. Yoga and doing various stretches can make you more flexible.

What are the aerobic exercises?

Examples of aerobic exercises are

Indoor :Stair climbing , Elliptical trainer , Stationary bicycle,Treadmill , Aerobic gymnastics

Outdoor: Walking , Cycling, Running

Does Cardio help to reduce weight?

Health guidelines recommends:

Continuous moderate exercise  should be performed for at least 30 minutes five times a week. This will reduce obesity by 19% versus no activity at all.

What are the health benefits of doing cardio or aerobic exercise  ?

Benefits of  regular aerobic exercise are:

  • Strengthening the muscles involved in respiration, to facilitate the flow of air in and out of the lungs
  • Strengthening and enlarging the heart muscle, to improve its pumping efficiency and reduce the resting heart rate, known as aerobic conditioning
  • Improving circulation efficiency and reducing blood pressure
  • Increasing the total number of red blood cells in the body, facilitating transport of oxygen
  • Improved mental health, including reducing stress and lowering the incidence of depression, as well as increased cognitive capacity.
  • Reducing the risk for diabetes. One meta-analysis has shown, from multiple conducted studies, that aerobic exercise does help lower Hb A1Clevels for type 2 diabetics.
  • It prevents Depression and keeps a good mood.

Click here to Read How Exercise Prevents Depression

 

What are the limitations of cardio ?

Limitations of  aerobics or cardio  include:

  • Overuse injuries.
  • Doesn’t help for building muscle.
  • Only effective for fat loss when used consistently.

 

www.femelife.com

www.wikiHealthNews.com

COST OF IVF TREATMENT

COST OF IVF TREATMENT

Cost of fertility treatment is the single most deciding factor to have a baby

 

 

Why IVF treatment is costly?

IVF cost

IVF cost

 

IVF treatment is a programmed procedure extending from 4 to 6 weeks of time. It includes treatment for both the couples simultaneously. Initial investigations for both the couple may vary from 5000 -50 000 INR depending on the extent of problem. Pre-IVF treatment includes corrections of any underlying disorder which may hamper success of IVF. These include any chronic medical disorders like hypertension, diabetes, autoimmune diseases, heart disorders, skin diseases, infections and inflammatory diseases.

IVF programme starts with daily hormone injections to the female partner which are costly. These fertility medications may cost around one lakh rupees. Along with these injections continuous monitoring of follicular growth is required. Duration of the injections depends on the protocol decided by the IVF specialist. The protocol may be of long or short duration depending on the patient profile. Once the follicular growth is satisfactory the patient is take for collection of eggs. Oocyte retrieval or egg collection is usually done in an operation room under sedation. This procedure cost will be around 30,000 -50,000 INR.

IVF or ICSI procedure is carried out inside a laboratory with advanced microscopes and hi-tech equipment. It usually takes 3 to 5 days to grow the embryos in the laboratory. There are various optional procedures carried in the laboratory apart from IVF/ICSI depending on the need of patient. Some of them are sperm freezing, freezing of oocytes and embryos, IMSI, PGD/PGS, Assisted hatching. Total IVF laboratory cost may vary from 50,000 to 1,50,000 depending on the various steps taken for the couple.

IVF/ICSI is not a sure success treatment. It depends on the patient profile, the expertise of IVF specialist and Embryologist. It also depends on the quality of drugs used, culture conditions which varies among Fertility clinics and IVF laboratories. Due to the repeated failures IVF packages become very costly for the trying couple.

Cost of IVF in India

Cost of IVF in India

The decision to have a baby is the first step in a lifelong commitment of love, time, and financial resources. At Femelife Fertility we understand the long-term implications of the couple’s decision and wish to lessen the financial burden from the beginning. Our attention to quality, coupled with innovations in the treatment of infertility, has led to our excellent success rate.

What are the alternative to IVF Treatment?

Like many aspects of our health, fertility is improved by adopting a healthy lifestyle. Maintaining an ideal weight, a diet rich in antioxidants (found in fruits and vegetables), as well as multi-vitamins may improve the quality of egg and sperm. Avoiding pollution, smoking, junk food, reducing stress and controlling chronic medical conditions such as high blood pressure and diabetes may also improve a couple’s chances of fertility. Couples with underlying medical or genetic conditions should see a doctor so that they can increase their overall health before conceiving. Dr Nabaneeta Padhy at Femelife Fertility evaluates all aspects of the couple and gives suggestions for improving natural fertility.

Is low cost IVF Successful?

 

The costs of fertility treatment depend on individual needs. Treatment options range from intrauterine insemination (IUI), which is the least expensive, to in vitro fertilization (IVF) with donor egg, which is the most expensive. Often there are less expensive options than IVF that may work for the couple. The only way to find out how much treatment will cost is to set up an initial consultation. Cost of IVF treatment in India is expensive but at Femelife Fertility infertility treatment is cheaper with high IVF success. Hence Femelife Fertility is the best IVF centre in INDIA.

Wide network of IVF clinics of Femelife makes IVF treatment easily accessible for patients from all regions of the world.

What are IVF packages?

 

Is it wise to go for IVF packages?

 

Femelife Fertility has designed several discounted packages to meet the varying needs of patients.  Many centres charge for each service individually, and these pays can significantly increase the total IVF cycle costs paid by the patient. Femelife Fertility prefers discounted fees, which are designed as a single price that is paid prior to starting of IVF cycle.