endometriosis and fertility

Endometriosis and fertility in Tamil

Endometriosis and fertility complete details in tamil by Dr Aishwarya Parthasarathy, Fertility Consultant, A4 fertility Centre and A4 Hospital, Chennai.

****************** Content Overview ****************** *

* What is Endometriosis?

* Symptoms of Endometriosis?

* What test might be offered?

* For women seeking fertility

* When to directly go for IVF?

* Success rate of fertility treatment

* Myths and Facts

Endometriosis and Fertility

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๐—™๐—ผ๐—ฟ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฃ๐—ฟ๐—ฒ๐—ด๐—ป๐—ฎ๐—ป๐—ฐ๐˜† ๐—ฟ๐—ฒ๐—น๐—ฎ๐˜๐—ฒ๐—ฑ ๐—พ๐˜‚๐—ฒ๐—ฟ๐—ถ๐—ฒ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐—œ๐—ฉ๐—™, ๐—œ๐—จ๐—œ ๐—ฎ๐—ป๐—ฑ ๐—ผ๐˜๐—ต๐—ฒ๐—ฟ ๐—ง๐—ฟ๐—ฒ๐—ฎ๐˜๐—บ๐—ฒ๐—ป๐˜:
+๐Ÿต๐Ÿญ ๐Ÿณ๐Ÿฏ๐Ÿฌ๐Ÿฑ๐Ÿฌ๐Ÿฑ๐Ÿด๐Ÿฐ๐Ÿณ๐Ÿด

๐ŸŒ€ ๐‘น๐’†๐’๐’‚๐’•๐’†๐’… ๐‘ฝ๐’Š๐’…๐’†๐’๐’”:
โ˜‰ http://bit.ly/pcos_a4 — ๐‘ท๐‘ช๐‘ถ๐‘บ ๐‘น๐’†๐’๐’‚๐’•๐’†๐’…
โ˜‰ http://bit.ly/TrimesterTips — ๐‘ฐ๐‘ฝ๐‘ญ ๐‘น๐’†๐’๐’‚๐’•๐’†๐’…
โ˜‰ http://bit.ly/IVFRelated — ๐‘ป๐’“๐’Š๐’Ž๐’†๐’”๐’•๐’†๐’“ ๐‘ป๐’Š๐’‘๐’”
โ˜‰ http://bit.ly/DiabetesandPregnancy — ๐‘ซ๐’Š๐’‚๐’ƒ๐’†๐’•๐’†๐’” ๐’‚๐’๐’… ๐‘ท๐’“๐’†๐’ˆ๐’๐’‚๐’๐’„๐’š
โ˜‰ http://bit.ly/mythsbuster — ๐‘ด๐’š๐’•๐’‰ ๐’‚๐’๐’… ๐‘ญ๐’‚๐’„๐’•๐’”
โ˜‰ http://bit.ly/a4childcare — ๐‘ช๐’‰๐’Š๐’๐’… ๐‘ช๐’‚๐’“๐’† ๐‘ป๐’Š๐’‘๐’”

โœฆโœฆ ๐—™๐—ผ๐—น๐—น๐—ผ๐˜„ ๐˜‚๐˜€ ๐—ผ๐—ป โœฆโœฆ
๐˜๐จ๐ฎ๐ญ๐ฎ๐›๐ž : http://bit.ly/a4youtube
๐—™๐—ฎ๐—ฐ๐—ฒ๐—ฏ๐—ผ๐—ผ๐—ธ : https://facebook.com/a4hospital
๐—œ๐—ป๐˜€๐˜๐—ฎ๐—ด๐—ฟ๐—ฎ๐—บ : https://instagram.com/a4hospital
๐—ช๐—ฒ๐—ฏ๐˜€๐—ถ๐˜๐—ฒ : https://www.a4hospital.com

maternal age and fertility

Maternal Age and fertility

        Hi, Dr Aruna Ashok, Clinical Director, A4 Fertility Centre wrote about “Maternal age and fertility”. 

With the modernisation and high literacy level in women, the age of childbirth is postponed for many years after marriage. Another point to be mentioned is the age of marriage for women is by itself, being pushed from average 22- 27 to 27 to 30 years.

The best age for a woman to have a healthy child with ease is 22 to 27years, but at least before 30 years. But many are trying for conception only after 30 years.

The major drawbacks of advanced maternal age are

  1. Difficulty in conception

  2. Increased risk of miscarriage

  3. Increased risk of anomalies

  4. Increased risk of morbidities

The physical ageing in women is postponed by good dietary habits, exercise, yoga and lifestyle, but ovarian ageing cannot be postponed by these methods. On an average, 12 years before menopause, that is, at 38 years the ovarian reserve of eggs drops drastically. Asian women age 5years earlier than western women, as per evidence. Hence, any female not conceived after 32 years should seek medical advice.

There are good indicators for predicting the number/quantity of eggs instore ( blood test โ€“ AMH ), but unfortunately not many indicators for quality of eggs. Hence, sometimes even with IVF, the success rate is a little low. On fertility, aspects to explain simply, consider a scenario 15 eggs are retrieved from two patients, one from 29 years and another from 39 years. The younger patient will have at least 6 blastocyst embryos of good quality, whereas the older patient might have only 3 to 4 average quality embryos. But in reality, the 39 years, will usually get 6 to 7 oocytes/eggs only in one cycle, she may need 2 IVF cycles to get 15 oocytes.

Hence, balancing health, work, finance and family is very important and wishing all to happy motherhood.

Breastfeeding tips for new moms

Dr Lavanya, Paediatrician wrote breastfeeding tips for this BreastFeeding week (August 1 to 7) 

Prepare for breastfeeding while pregnant

  • Check your nipples
  • Get a lactation counselor advice were available
  • Learn how frequent to feed your baby
  • Learn how to maintain breast milk supply

At Birth-Skin to Skin contact

  • This helps in earlier breastfeeding
  • Should be done  soon after birth
  • Baby is dried and laid over mother bare chest covering both with a blanket.
  • Also regulates baby temperature

Breastfeed As soon as possible

  • This stimulates breast milk production
  • The increased bond between mother and baby 
  • Keep the baby close to you to encourage  frequent breastfeeding

Breast feed-Let baby get a good latch 

cues baby is hungry-breastfeeding - a4 fertility centre
  • Tickle the baby lips to encourage open moth wide. 
  • Position your self  baby nose to nipple and belly to belly
  • Pull your baby close so that chin and lower jaw move into the breast first.
  • Baby should have a mouth full of breast
  • Should feel a tuggling pulling sensation and no pain

Sign of a good latch


Positioning of a baby during feeding

  • Side lying position is good position to breast feed for a mother who has had a caesarian section
  • Cradle position is commonly used to feed babies
  • Here the head of baby is held in forearm with the body and head held in same line.
  • There are also other positons of feeding you can learn from your pediatrician
  • Frequency of breastfeeding 

    • Feed every 2-3 hours
    • Each feed duration should last for 15-20 minutes
    • Frequent feeding boosts milk supply

    Cues baby is hungry


    Breastfeeding when nipple hurts 

    • You can continue breastfeeding even when nipple hurts.
    • Nipple hurts when latching is not proper and this has to be addressed with your pediatrician or lactation counselor

    Diet during breastfeeding

    • Mother should have a properly balanced diet during breastfeeding
    • Whatever they eat will be tasted by babies in their milk and will get baby ready for table foods 
    • Breast milk has 88%water so must stay hydrated adequately 
    Happy World Breastfeeding Week, see you at next topic

    Doโ€™s & donโ€™t Chart for Antenatal & Post-natal

    Antenatal(Before Birth) / Post-natal(After Birth) – Doโ€™s & donโ€™t Chart
    ย 
    About:
    ย ย ย ย โ€ข Health in pregnancy, including a healthy diet
    ย ย ย ย โ€ข Exercises to keep you fit and active during pregnancy
    ย ย ย ย โ€ข what happens during labour and birth ?
    ย ย ย ย โ€ข Information about different types of pain relief
    ย ย ย ย โ€ข How to help yourself during labour and birth
    ย ย ย ย โ€ข Relaxation techniques
    ย ย ย ย โ€ข Health after the birth
    ย ย ย ย โ€ข Refresher sessions for those who’ve already had a baby
    ย 
    Why should you do exercise during pregnancy?ย  Find the reasons Below!!
    ย 
    ย 
    Exercise tips for pregnancy: As a general rule,ย 
    If you start an aerobic exercise programme (such as running, swimming, cycling, walking or aerobics classes), begin with
    no more than 15 minutes of continuous exercise, three times a week. Increase this gradually to at least four 30-minute
    sessions a week. Remember that exercise doesn’t have to be strenuous to be beneficial.
    ย 
    Exercise tips when you’re pregnant:
    ย ย ย ย โ€ข always warm up before exercising, and cool down afterwards
    ย ย ย ย โ€ข try to keep active on a daily basis: half an hour of walking each day can be enough, but if you can’t manage that,
    any amount is better than nothing
    ย ย ย ย โ€ข drink plenty of water and other fluids
    ย ย ย ย โ€ข Try swimming because the water will support your increased weight.ย ย 
    ย 
    Exercises for a fitter pregnancy
    If you are pregnant, try to fit the exercises listed below into your daily routine. This will strengthen your muscles so that
    you can carry the extra weight of pregnancy. They’ll also make your joints stronger, improve circulation, ease backache,
    and generally help you feel well.
    ย 
    Abdomen-strengthening exercises pre / postnatal:
    As baby gets bigger, you may find that the hollow (lordosis โ€“ Medical term) in your lower back increases and this can
    give you backache. These exercises strengthen stomach (abdominal) muscles and may ease backache,
    which can be a problem in pregnancy:
    Start in a box position (on all fours) with knees under hips, hands under shoulders, with fingers facing forward and
    abdominals lifted to keep your back straight
    ย ย ย ย โ€ข pull in your stomach muscles and raise your back up towards the ceiling, then slowly return to the box position
    take care not to hollow your back: it should always return to a straight/neutral position.
    ย ย ย ย โ€ข Extend your arms and legs separately with few secs of holding and relax. Do cross hand and legs once you
    master this after 3 weeks.ย 
    ย 
    ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
    ย 
    General Flexibility training and yoga postures:
    ย 
    Pelvic tilt exercises:๏ฟผ๏ฟผ
    ย ย ย ย 1. Lie with your back on the floor in a neutral position with your legs bent and toes facing forward.
    ย ย ย ย 2. Pull your belly button in toward your spine, pushing your pelvis up toward the ceiling.
    ย ย ย ย 3. Tighten your gluteus and hip muscles as you tilt your pelvis forward. Hold for 5 seconds.
    ย ย ย ย 4. Do 5 sets of 10 repetitions.
    ย 
    ย 
    Pelvic floor exercises
    Pelvic floor exercises help to strengthen the muscles of the pelvic floor. If your pelvic floor muscles are weak,
    you may find that you leak urine when you cough, sneeze or strain. This is quite common and you needn’t feel
    embarrassed. It’s known as stress incontinence and it can continue after pregnancy.
    ย 
    You can strengthen the muscles by doing pelvic floor exercises. This helps to reduce or avoid stress incontinence
    after pregnancy. All pregnant women should do pelvic floor exercises, even if you’re young and not suffering
    from stress incontinence now.
    ย 
    How to do pelvic floor exercises:
    ย ย ย ย โ€ข hold up your anal muscles as if you’re trying to prevent a bowel movement
    ย ย ย ย โ€ข at the same time, draw in your vagina/your urethra as if to stop the flow of urine, at first, do this exercise quickly,
    tightening and releasing the muscles immediately
    ย ย ย ย โ€ข then do it slowly, holding the contractions for as long as you can before you relax: try to count to 10, try to do
    three sets of eight squeezes every day: to help you remember, you could do a set at each meal
    ย 
    As well as these exercises, practise tightening up the pelvic floor muscles before and during coughing and sneezing.
    ย 
    Strength training & Swizz ball exercises:
    The strength training and Swizz ball needs specific guidance which can be given by your Physiotherapist and Fitness trainer.
    ย 
    sleep and female fertility

    Sleep and female fertility

    • Women can be affected right from Menarche, Pregnancy to menopause due to lack of sleep.
    ย 
    • Its important to get information on how fertility is affected by sleep distrubances.
    ย 
    General health effect
    ย 
      • Cardiovascular disease
      • Hypertensionย 
      • Glucose dysregulation
      • Depressionย 
      • Anxiety disorders
    Pregnancy effect:
    ย 
      • Problems With Fertility
      • Conceptionย 
      • Implantationย 
      • Gestationย 
      • Delivery
      • Neonatal Health
    ย 
    ย