How to select your IVF specialist

By Dr. Shweta Goswami

Searching foran IVF specialist is such a big task as there are numerous IVF doctors availainle across the world. Also, not to mention discussing an issue like infertility which is quite a social taboo even in this day and age is also such a big question itself. Today, as an infertility expert let me help you out explaining about the traits one should look out for in an IVF specialist.

Let us consider below points while selecting your IVF Expert:

1. An IVF Expert should answers all your questions and doesn’t dismiss them as being trivial. Believes the only stupid question is the one you don’t ask. Responds to your email (usually within 24 hours) and doesn’t force you to come in for every little problem.

2. An IVF Expert should be fully staffed, with a full-time experienced embryologist, so he/she does not have to depend upon external experts.

3. An IVF Expert must respect you and treats you like an intelligent adult. He/She should not talk down to you and does his/her best to educate you, so you have realistic expectations of your IVF treatment.

4. An IVF Expert must be open and transparent and provides clear documentation of all your IVF treatment, including photos of your embryos.

5. An IVF Expert must clear about the costs incurred for the treatment and provides a receipt for 100% of your payments.

6. An IVF Expert must has a high success rate because the lab and

Can I smoke while trying for a baby?

By Dr. Shweta Goswami

We make many lifestyle changes while trying to have a baby like by limiting the coffee or alcohol intake But not all changes are equally easy to make. Caffeine, for example, is addictive, it has nicotine. If you are a smoker, you probably already know that you should stop smoking during your pregnancy, but can you smoke while trying to conceive? Many surveys and researches have been conducted in the past which says that women who smoke are 60 percent more likely to ne infertile as compare to nonsmokers.

Cigarettes smoking affects your fertility in major way. Following are the ill effects of smoking:

• smoking may affect different stages of reproduction, including hormone production and embryo transport
• smoking may affect ovarian reserve and the quality and quantity of the eggs.
• smokers may also have a lower

Trying to have a baby but unsuccessful? What’s your next step should be?

By Dr. Shweta Goswami 

I have seen many cases in my career as an IVF Expert where over 10% of reproductive-age couples are unable to conceive even after a year of trying. There are many possible reasons for this, including issues with the male’s sperm, the woman’s ovulation, hormonal issues; from being very underweight or very overweight, or from thyroid, cervical or uterine problems, or blocked fallopian tubes. 

What to do if unsuccessful.? 

The first step to identify possible issues contributing to a couple’s inability to conceive. Both man and her woman should undergo a physical exam depending on the risks identified, further testing is done to specifically identify the limiting conditions. This may include testing to examine the male’s sperm (amount, motility, etc.), evaluation of the female’s anatomy (for example a hysterosalpingogram, ultrasound, and/or other tests) and evaluation of the women’s ability to ovulate (possibly including hormonal testing and/or other tests). 

In fact out of 100% nearly 30% of all infertility cases, the cause is attributed to a problem in the male, 30% of cases, the cause is attributed in female and 30% to both male and female factors and rest 10% is unknown. 

The main cause of infertility is the 

• abnormalities in sperm of males which includes low sperm production or immobile sperm. 
• tubal issues in the woman account for another third, ovulation issues for about 15 percent, and
• other issues or no explanation identified in the rest. 

What treatment to go for when the cause is identified? 

Once a cause is identified, a specific care plan can be developed. This may include treatment for the male partner (or even consideration of using sperm donation), medical treatment of the woman to help increase ovulation (including weight

Breastfeeding benefits for you and your baby

By Dr. Shweta Goswami 

Breastfeeding comes naturally when you become a mother and it’s an amazing experience. To be able to produce more milk and to satisfy the hunger of your baby please make sure you should increase your fluids intake. If you stay hydrated more milk will be produced and it will help you feel energetic the whole day too. 

Now, let’s discuss the benefits of breastfeeding. First of all your breast milk is the best possible food for your baby and will give her the best start in life. It provides the required nutrition as well as immunity for your baby. 

Breastfeeding helps you lose weight too: 

Besides giving your baby nourishment and helping to keep your baby from becoming sick, breastfeeding may help you lose weight. Many women who breastfed their babies said it helped them get back to their pre-pregnancy weight more quickly, but experts are still looking at the effects of breastfeeding on weight loss 

Breastfeeding gives life to you and your baby: 

• Right nutrients and right balance: Breast milk has the right proportions of proteins, carbohydrates, fats and other nutrients your baby needs to grow and develop. 
• Easy to digest:  Unlike proteins found in regular cow’s milk, the proteins in breast milk are naturally gentle and easy to digest. 
• Builds tolerance power:  it helps protect your baby against early food allergies, protein intolerance and sensitivity. 
• Offers protection: it provides natural protective antibodies and other immune-related benefits; protects babies from infections and illnesses that

5 things that can affect your fertility

By Dr. Shweta Goswami 

Many a times we didn’t realize that there are very basic things that causes hindrance in getting pregnant. Let’s get to know what are all these factors that can affect one’s fertility 

1.     Being obese   

Women who are overweight or obese have less chance overall of getting pregnant than women of a healthy weight (with ‘healthy’ defined as having a body mass index – or BMI – of between 20 and 25). Overweight and obese women are also more likely to take longer than a year to conceive. Being obese (BMI of more than 30) can cause pregnancy and birth complications, such as hypertension and pre-eclampsia. 

Overweight and obese men have worse sperm quality than men of healthy weight. Being overweight or obese can also cause hormonal changes that reduce fertility and make men less interested in sex. Men who are very overweight are also more likely to have problems getting an erection. 

Being overweight or obese in pregnancy also has implications for your baby’s health later on, as children born to overweight or obese mothers are more likely to become obese children and adults – with associated health problems (including fertility issues). 

The good news is that if you’re overweight or obese and planning to try for a baby, losing even a few kilos can increase your chances of getting pregnant. 

2.     Drinking too much caffeine  

Although there is not absolute evidence to suggest caffeine having a negative effect on your fertility, studies are constantly indicating that it can disrupt ovulation and hormone levels, as well as the efficiency of the fallopian tubes. 

3.     Alcohol and Smoking  

Everybody knows that smoking and drink alcohol are big NOs when pregnant but did you also know that excessive alcohol consumption over long periods of time and constant inhalation of cigarette fumes can affect your future fertility; Smoking can affect your hormone production and the environment in the uterus. It can also

What you should know about Ovarian Cancer?

By Dr. Shweta Goswami 

Ovarian cancer - the cancer of ovaries has been known as a ‘silent killer' in the past because it's hard to diagnose. 

Its symptoms are:

• persistent tummy or pelvic pain  
• increased tummy size or persistent bloating – not bloating that comes and goes 
• Difficulty eating and feeling full quickly.  

Some women may also experience other symptoms like: 

•  the need to wee more frequently,  
• changes in bowel habit,  
• extreme fatigue or pain.  

If you have these symptoms more than 12 times in a month, you should seriously consider going to see your doctor. 

According to the American Cancer Society about 1 in 75 women will get ovarian cancer in her lifetime, but young women are rarely affected. The risk escalates starting at age 63, 

Diagnosis of Ovarian cancer: 

It is often diagnosed at a late stage. Ovarian cancer is frequently diagnosed when the cancer is already at an advanced stage and women often delay seeking help. This may be because the woman thinks her symptoms are due to menopause or confused with other common stomach and digestive complaints. Doctors also often initially suspect less serious

5 reasons why your period may have stopped

By Dr. Shweta Goswami 

Missing out on your period doesn’t mean that you're pregnant. Also, people take it for granted that we'll have periods from puberty until middle age. But what happens when your periods suddenly stop? It's fairly common to experience irregular periods from time to time – lifestyle changes and environmental factors such as shift work can make you late but absent periods (amenorrhea) especially at the early age should always be checked out. 

If you are a young woman and has regular periods but you missed out one for three months, but you are not pregnant then you should see your gynecologist as it could be more serious. Below, we look at some of the most common reasons your periods might have stopped. 

1. You're stressed Severe stress can have a major affect on your periods. High levels of stress hormones such as cortisol in your body interfere with menstrual hormones surges, resulting in a cycle that's delayed or that just stops.

How to change your diet and exercise routine if you have PCOS

By Shweta Goswami 

PCOS - polycystic ovary syndrome as we all know is one of the most common hormonal disorders for women. But when you've been diagnosed with it, no matter how severe your symptoms are, from excess hair to spots, irregular or absent periods and weight gain, it can be really hard to know what to do next. Firstly, it's important to remember that although PCOS is related to our hormone levels, and insulin production, it's not your 'fault' if you have it. The symptoms can sometimes, however, be managed and hopefully, improved through diet and exercise. 

1. If you are overweight (with a BMI of over 25) even a small reduction in weight can significantly improve symptoms, including a low mood or depression.  

2. Keep your sugar controlled; as you can't handle high sugar levels in PCOS. So, your diet is a chance to really change things and this can also help you in future too, during pre-menopause and before and during pregnancy. By keeping your weight stable, your pregnancy is likely to be more straightforward health wise.  

Here I have listed out few important Do’s to do if you have PCOS: 

1. Focus on nutrition, not diet 

Eat clean. Have lots of leafy green vegetables, blueberries, pineapples and a focus on whole foods and sources of protein like fish, eggs and chicken breast, and good fats like nuts and avocado. Also add spices like turmeric, cinnamon, fenugreek, and ginger, that are anti-inflammatory and believed to help with insulin resistance. 

2. Cut out processed foods 

It simply means swapping fruit drinks and smoothies for whole fruit, because they contain more fibre, which is vital for a healthy gut. Fruits low in fructose are best, like grapefruits, lime, lemon, raspberries, blackberries and strawberries. 

3. Try and balance your blood sugar throughout the day 

Start with breakfast. Don't leave home with an empty stomach and then grab a sandwich at 12 or simply a big aaple. Just make sure

Prepare yourself for IVF Treatment

By Dr. Shweta Goswami 

Before the beginning of IVF treatment everyone has this question in mind; how do I prepare myself for this? So, here is your answer. Today in this blog I will mention few tips on how to prepare oneself for the IVF treatment. 

1. First of all start an exercise routine as exercising and remaining active is not just good for fertility health but also for the overall body. It opens up the muscles and makes them flexible. Furthermore, it regulates blood flow

 in the body. This makes the body much more responsive to medications given during the treatment. 

2. You can also try your hand at Yoga. It may sound same like exercise for some people but yoga is much more than just something that improves the flexibility and stamina of the body. It calms the mind and creates an emotional balance amongst the people who do it. It harmonizes the whole body and lots regular practice prevents the person from the maximum amounts of diseases also, it also strengthens the immunity system. 

3. Eat a good fertility diet. What you eat is directly affects your overall wellbeing. It is very important for a woman to eat a healthy holistic diet to enhance the fertility. For example - Vitamin C is very important to women undergoing IVF as

Every woman should know these 4 things

By Dr. Shweta Goswami 

Being a Gynecologist and IVF specialist it is my duty to inform all the women I know about few things. No matter what if you are a student, a housewife, a working professional, a mother or a grandmother, you should get informed about these below mentioned things. 

1. PCOS and PCOD: 

Poly Cystic Ovarian Syndrome and Poly Cystic Ovarian Disease are the disease both associated with ovaries; ovaries are the very important part of women’s reproductive body. PCOS is an endocrine system disorder in which woman’s levels of sex hormones estrogen and progesterone gets out of balance. This leads to growth of ovarian cysts. PCOD is a condition developed by the hormonal imbalance, which lead to collection of mature eggs in the ovary, as they cannot be discharged. These also become cysts and some of the cysts lead to more cysts and this cycle goes on. One of the causes would be insulin diet; hormonal disturbances or stress that leads to PCOD. 

Symptoms:    

• you  have irregular menstrual cycle or prolonged cycles (beyond 35 days or so)   
• increased growth of hair on the face, chest, stomach, back, thumbs, or toes   
• your skin is breaking out or you get acne, oily skin, or you are getting dandruff   
• you have gained extra weight around your tummy   
• darkening of skin around your neck  

  

  DNA

2. POF: 

Premature ovarian failure refers to a loss of normal function of your ovaries before the age of 40. If your ovaries fail, they don't produce normal amounts of the hormone estrogen or release eggs regularly. In simple words, you get menopause before the age of 40. 

Symptoms:          

• Vaginal dryness 
• Hot flashes 
• Mood swings 
• Lack of sleep 
• Reduced sex drive 

3. Thyroid: 

Hypothyroidism is a condition in which the thyroid gland doesn't produce enough of certain important hormones. For women, there is

When to go for fertility treatment?

By Dr. Shweta Goswami   

Infertility or unable to conceive is a common problem in today’s modernized society. Today, fertility treatment is a gift of modern science which has helped millions of couples across the globe to conceive.   

Often the question arises when should we seek for fertility treatment? Consider following points if:   

• You haven’t conceived even after having one-year of regular unprotected sex, see a fertility specialist  
• You are under 35 who find it difficult getting pregnant after having regular unprotected intercourse for a year must seek medical help.   
• You are over 35 and having difficulty conceiving after having six months of regular unprotected sex must opt for fertility treatments.   
• You are having irregular menstrual and ovulation patterns poses a high risk for infertility. If you are going through these issues, then it is highly recommended to see a fertility specialist to increase your chances of getting pregnant.  
• Either of the partners has been

Let’s talk about myths and facts about infertility

By Dr. Shweta Goswami 

There are many myths associated with infertility and IVF treatment. Today let’s burst some myths and consider facts about it. 

Myth No.1: Infertility is a psychological problem, not a physical one! 

Fact: Friends and family may suggest that infertility is due to you being under stress or due to worrying too much. While infertility is usually a condition of the reproductive system, in 30% of cases the cause is unexplained. Stress in any situation is never good for your health and studies indicate that time to achieve pregnancy can be reduced and success rates for achieving pregnancy increased by cutting down on stress. Start relaxation techniques such as yoga or meditation for about 10-20 minutes a day, which can relieve your stress and improve your overall well-being. 

Myth No. 2: A woman can get pregnant only on a single day of her menstrual cycle. 

Fact: The fertile window is the six-days that end on the day of ovulation. Pregnancy is most likely to occur with intercourse within the three days before ovulation. Keep track of ovulation with the calendar method (ovulation occurs around 14 days before the menstrual period is due) or by using an ovulation predictor kit. Frequent sex boosts your chances of conceiving. It’s important to have a happy sex life. Be relaxed and have sex often throughout the month. 

Myth No.3: Infertility treatment is expensive 

Fact: In some cases infertility treatment can be expensive, but in many cases, it is simple, brief and inexpensive.  The sooner patients

Fertility over 40, what’s the secret?

By Dr. Shweta Goswami 

Age is one such issue which tops the list if you want to become pregnant because you can’t do anything about it. There’s no medicine, no cure for old age and the disabilities that come with it. The only thing you can do is plan your future well and make the best of today. The ideal age for pregnancy is the mid-to-late 20s. If you want to wait, then you can push that limit to 35. After 35, the chances of a successful pregnancy start declining. 

IVF, for so long considered the only hope for women who are unable to fall pregnant on their own but I believe that IVF isn't the only answer for women wanting to get pregnant. 

There are other options too and that many could find their fertility better boosted through acupuncture, making simple lifestyle changes and, actually, just having more sex. I've known many patients who wanted to go for IVF treatment and aren't regularly having sex. Often people are looking for every possible option not but sex. Physical intimacy between couples is of utmost importance. They've created a joyless life for themselves and they're doing endless yoga or furiously

Eat good Eat right for your fertility

By Dr. Shweta Goswami 

I have earlier also talked about the fertility diet but it's not only what you eat for your fertility, but how you eat too is also important. Too many of us are eating too late in the day or when we go to bed at night, we're meant to digest our day, not our dinner. Our lifestyle and health do not support fertility, particularly when we are waiting longer to get pregnant. It is very important to remember that the preparation of food itself is a bit like alchemy. 

Try these simple tips for preparing your food and the results will certainly follow : 

1. Try to make your dishes mainly plant-based, with a little high-quality meat included in your weekly diet. Cook mainly with second-pressed olive oil and use cold-pressed oils to add to food after cooking 

2.  Don't forget your nuts, vegetables and pulses for healthy fibre and limit sugar. 

3.  Remember your bones. Broth is nourishing and soothing to the digestion and has a reputation as a traditional healing food. Fertile contains a recipe for

Why there is a loss of libido?

By Dr. Shweta Goswami 

Loss of libido (sex drive) is a common problem that can affect men and women of any age. It is normal for many people to loss sex drive after a certain age especially women. Usually it happens when you attain Peri-menopausal age which is 42 onwards. Usually women feels mood swings, vaginal dryness and pain during intercourse during the peri-menopausal phase i.e before menopause and after the age of 45 and above which is the ideal age of menopause, levels of the female hormone oestrogen begin to fall in their blood, which can affect libido and they loss interest in sex. 

What causes loss of libido: 

1. Physical issues: Physical issues such as low testosterone as they are responsible for building muscles and bone mass and stimulating sperm production. Decreasing testosterone is a normal part of aging. However, a drastic drop in testosterone can lead to decreased libido 

2. Medications: Certain medications can sometimes reduce libido in men: like medication for high blood pressure medications may prevent ejaculation and erections or any other allergy to certain drugs medication for hyperprolactinaemia, a rare disorder in which the gland at the base of the brain is producing too many hormones; anti-androgenic drugs such as

Tips for breastfeeding after an IVF delivery

By Dr. Shweta Goswami 

Breastfeeding is a natural process and it comes to mothers naturally. In many cases after delivery the mother’s body undergoes a lot of changes that makes breastfeeding little difficult especially if you had cesarean delivery. But this not at all means that you should give up on breastfeeding. Stress, hormonal imbalances and fatigue are very normal for a new mother and some mothers even face post partum depression that can interfere with breast milk production.

Please consider the following tip that helps in overcoming issues with breastfeeding: 

1. Address stress from your life – First of all stop feeling too much stressed. Though it is very normal to feel stressed out after delivery especially if it’s your first baby. But stress at this time could hamper breastfeeding. Remember, a stressful mother will often find it difficult to lactate or even help the baby latch on correctly. Practice deep breathing or take bath in your tub feel the water and try to do everything that keeps you calm and relaxed. 

2. Eat right foods - It is very important for you to eat right and good foods whatever you eat directly influences your breast milk production so try to have a balanced diet, stay hydrated and drink lots of fluids. All these things help to boost milk production and help a mother get on with breastfeeding. 

3. Take small breaks from breastfeeding - . If your child keeps on suckling frequently, production of milk could be hampered though suckling helps to

5 Tips to combat male infertility

By Dr. Shweta Goswami

By this time we all know that infertility is not only a women problem; men too are equally responsible for being infertile. 4 in 10 men usually have impaired fertility and 40% of all conception problems are down to defective sperm. I have listed out 5 simple measures that can give your sperm a boost: 

1. Keeping your testicles cool: 

It is very important to keep your testicles temperature cool for making the best sperm production. Do not wear too tight pants or underwear and stop placing your laptops on your lap as they can increase scrotal temperature by almost 3 degrees in just 15 minutes.  Place it on a desk instead, or position it on the sofa next to you. 

2.  Omit stress from your life: 

Stress today is very common but it interferes with the sperm-producing hormones. If possible stay away from stress as much as possible.  Practice relaxation techniques and spending time doing the activities which can help you to cope up with stress. 

3. Cut down smoking and limit alcohol consumption: 

Male smokers are 30% more likely to struggle making their wives pregnant. The harmful products of tobacco smoking can kill sperm cells. On the other hand alcohol consumption can reduce libido and affect sperm quality. 

4.  Have sex frequently: 

A young healthy couple only has a 20 – 25% chance of falling pregnant from one sexual encounter. So, the more you do it, the better your chances are. Daily ejaculation also improves the quality of sperm. 

5. Taking supplements and vitamins improves fertility: 

Taking sufficient amount of supplements helps in improving fertility among men. For instance Zinc which is vital to sperm production. Consuming just 15mg per day has been scientifically proven to increase fertility. Sources of zinc are lamb, whole grains, nuts, seafood, peanuts and pumpkin seeds. Also, try to meet your daily allowance of Vitamin C and

Should I travel during my IVF treatment?

Dr. Shweta Goswami 

Many questions keep pondering us during IVF treatment. One of them would be should I travel when my IVF treatment is going on…? Many couples ask me, if they can take vacations and travel before, after, or during treatment. Actually, IVF medications and procedures can interfere dramatically with your day-to-day life. In all honesty, the bottom line is better safe than sorry. 

It would be quite difficult for one to travel during the medication phase of the IVF process. Regardless of your medication schedule, which is likely to be sturdy, you will be seeing your doctor on a regular basis for monitoring appointments that include blood work and ultrasounds. It is likely that you won’t be able to get away during this phase of your treatment. Keep in mind, you also don’t know how your body is going to react to the medications, you might want to be near your doctor just in case you have some bad side effects or concerns. 

The next part of the IVF process includes two procedures; egg retrieval and embryo transfer. You won’t be able to find here to travel at all. Some IVF patients do travel from their home quite some distance to seek treatment in a larger town or city. This type of traveling is okay, as you will need to travel back and forth between your home and treatments. Some doctors do recommend a hotel stay for a night or two immediately following each procedure. 

So you are thinking to yourself, after all that I have gone through I need a little time to get away. Dependent on your doctor, you typically will have bed rest for at least 1 day following your embryo transfer. Some doctors recommend up to 5 days, but the average is typically 2-3 days. Do to your work schedule and or planned vacations, many women wonder if it O.K to proceed with life as normal. Part of the answer is yes, you need to