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

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.

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  

  

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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

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

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

5 most important things you should know about IVF Treatment

By Dr. Shweta Goswami 

As we know infertility means when you are unable to concive naturally despite of one year of trying. As you age your fertility levels will decline plus there are many lifestyle factors that affects your fertility and then you opt for IVF treatment to conceive. So, here are few things that you should know about IVF: 

1. When women's and men’s fertility really starts to drop: 

First and foremost you should know about the time when a woman's fertility starts to drop dramatically i.e from the age of 30 onwards. Diminishing egg numbers along with diminishing egg quality is one issue. A simple blood test, known as AMH, will tell a woman if she has a normal number of eggs for her age but tells us little about the quality of the eggs remaining. 

On the other hand, men's fertility can also reduce with age. While women are born with all the eggs they will ever have, men are continually producing new sperm. However, as men age, the quality of the genes in their sperm deteriorates.  

2. Success rate of IVF treatment: 

There are ‘N’ number of fertility clinics and infertility specialists in the world and many have achieved the highest success rates in IVF in the world. However, an individual couple's chance of success depends on a number of factors such as the cause of infertility, age and lifestyle. As a general guide, there is a 60 to 70 percent chance of conception per IVF treatment if aged under 30. This goes down to a 20 percent chance for your first IVF treatment over the age of 40. 

3. Cost factor:

Infertility is increasing at a fast paced and IVF is becoming a common option for all. So, as a result IVF has become more affordable in India than in other developed countries. It is just 1/5th of the costs outside India with success rate at par with the world. 

4. Risks involved: 

IVF has been around for more than 30 years. It is a very safe procedure, with no long-term risks to mother or child. The most serious medical complication is

Dealing with infertility

By Dr. Shweta Goswami 

We are living in a society where barrenness ia a taboo. In today’s era also people look down to such women who cannot bear a child in their womb. No matter how society as a whole we are progressing there are many issues which needs to be dealt carefully and one such issue is infertility. Today, we talk about on how to deal with infertility. It is very normal thing these days as there are many lifestyle factors that affects ones fertility be it a male or a female. But without losing our self confidence we need to deal with it.  

So, here are few tips that may help you to get through it: 

1. Love your body  

No matter what God has given you beautiful body. Self-care is utmost important things that you can do Just nurture and love your body. Diet and exercise can be a great way to take control and give your body what it needs. From taking a long hot water shower bath to treating yourself to lovely food, to pampering yourself with a spa etc just do that. 

2. Give yourself time 

Take each day as if it’s today only. It is a cliché that ‘time heals’, take each day as it comes and try not to beat yourself up. Manage your work home time equally and do what the time needs at a particular given hour. 

3. Do not get over emotional 

It is completely ok if you feel a loss for sometime but hanging to such a loss for a longer period of time is not good. Today thanks to the technology we have so many options to

Vitamin E improves fertility among men

By Dr. Shweta Goswami 

Infertility is a common problem now. No one knows that what the exact cause of infertility is. Lifestyle plays a vital role in our fertility issues. For example what we take inside our body directly impacts on fertility if we drink alcohol or smoke regularly it badly affects our fertility. 

Studies have shown that certain nutrients if we consume on a regular basis can directly impact the sperm quality in men and can ultimately results in improved pregnancy rates. Many times it is said that low levels of Vitamin E can cause impotence in men. Lack of vitamin E also causes low sex drive and infertility. So, in a way vitamin E is considered as very important nutrient for men. Vitamin E acts as a anti oxidant protecting cell membranes from oxidative damage. 

In a study conducted in USA, men undergoing IVF treatment who have been given vitamin E have shown better fertilization rates which suggest that the antioxidant activity of vitamin E makes the sperm more fertile. Vitamin E is known to

Some Do’s and Don’ts during IVF treatment

By Dr. Shweta Goswami 

In Vitreo fertilization (IVF) is a blessing for infertile couples and indeed IVF trend has picked up in India from quite a while now.  When a couple chooses IVF for conception, it affects both the partners physically and emotionally.  There are a few things that you need to keep in mind to improve your chances of conception. 

1. First of all de-stress yourself; be calm and composed think positive.  Also avoid making major life changes such as moving to a new house or starting a new job the same time you’re going through the IVF process. As High stress levels are known to reduce fertility in both men and women and compromise the outcome of an IVF cycle. 

2. Take good care of yourself; It’s very hard to combine your job with an IVF treatment. Don’t stop living. Don’t put everything on hold for your big dream. The impact will be massive. 

3. Eat good amount of nutrients; before your IVF begin start eating fertility diet. Getting nutritious foods is vital for producing healthy eggs and promoting implantation of the embryo. Your diet should consist of 4-6 small meals each day and each should consist of some complex carbohydrate (such as brown rice or quinoa) interspread with fresh fruits and vegetables. For a fertility diet read here. 

4. Drink lots of fluids; Some women during IVF process suffer from OHSS (Ovarian hyper stimulation syndrome) so drink lots of fluids during this time. Drinking 3-5 liters of water per day can prevent OHSS in some cases. 

5. Stop consuming alcohol; Alcohol consumption, even in small amounts, can reduce a woman's chance of conceiving by more than 50%, so why take a chance. 

6. Communication

Trying to conceive then quit smoking

By Dr. Shweta Goswami

If you are a chain smoker and trying to get pregnant then please stop smoking as cigarette smoking is harmful to the ovaries, and the degree of damage is dependent upon the amount and length of the time a woman smokes or is exposed to a smoked environment. Nicotine and other harmful chemicals in cigarettes interfere with the body’s ability to create estrogen, a hormone that regulates folliculogenesis and ovulation. Female smokers also have decreased rates of fertility and decreased fallopian tube function. It not only can lead to all kinds of serious problems with the baby but also reduces the chances of IVF producing a live birth by 34% and increases the risk of an IVF pregnancy miscarrying by 30%. A pregnant woman who smokes also adds a risk to pregnancy. 

If you smoke for many years or smoke many cigarettes per day, your risk for fertility problems is increased. When you smoke, more than 7000 chemicals spread throughout your entire body and all of your organs. This can lead to serious fertility problems like blocked fallopian tubes, damage to your reproductive organs, premature menopause, genetic issues etc.  Ovarian aging is thought to be a major contributor to unexplained infertility. 

Not only that but due to the toxins that released from cigarettes; smokers are more likely to suffer from miscarriage than nonsmokers. In addition, smoking increases

With IVF it’s possible

By Dr. Shweta Goswami 

Motherhood completes a woman; in fact it makes you a better person. Every married woman dreams of having own her baby but due to fast paced life and sedentary lifestyles these dreams seem to have taken a back seat and people are busy in building their careers. 

Many times we don’t know that small lifestyle issues severely affect our fertility and there by reduces the chances of conceiving naturally. Fast paced life, junk food, late working hours affect the fertility levels in both men and women thereby making you infertile. 

According to ICMR (Indian council of medical research) bulletin it is estimated that globally between 60-80 million couples suffer from infertility every year, of which probably between 15- 20 million are in India alone. 

The reason behind infertility are many few of them could be PCOS, sedentary lifestyle, eating junk food, depression, problematic womb, consumption of alcohol, smoking, stressful life, uterine problems, fallopian tube blockage, low sperm count, etc. The causes of infertility are present in both the genders. A woman cannot be blamed alone for this. 

But thanks to modern technology In Vitreo Fertilization or IVF technique, a woman can now enjoy motherhood with their own biological child even after crossing their puberty age. However, many do not know about the advanced treatment presented by the medical science 

The fertility of a woman starts declining after she crosses 27 and men fertility too starts dropping after 35. The chances of miscarriage, ectopic pregnancy or

Time to seriously think of PCOS

By Dr. Shweta Goswami    

PCOS which is called Poly cystic ovarian syndrome is a hormonal imbalance disorder in which woman’s levels of sex hormones estrogen and progesterone gets out of balance. This leads to growth of ovarian cysts. To elaborate what actually cysts is that in girls with PCOS, the ovaries produce higher levels of androgen than normal, and this interferes with egg development and release. Some of the eggs develop into cysts which are little sacs filled with liquid and instead of being released during ovulation, these cysts build up in the ovaries and even get enlarged , hence the name poly cystic ovaries or Poly-Cystic Ovarian Syndrome. Thus a girl or woman with PCOS does not actually have cysts in her ovaries, she has lots of egg follicles in various stages of maturation which on an ultrasound give the appearance of numerous fluid filled cysts in both ovaries  

Mostly more than half of women with poly cystic ovary syndrome don't even realize they have PCOS; mainly hormonal imbalances and genetics play a pivotal role in developing PCOS.   

Women with infrequent menstrual periods or irregular bleeding are likely to have PCOS. Moreover if you notice these symptoms in your body then please do consult a good IVF specialist as PCOS could give you infertility as well which means that you are unable to get pregnant on your own.  

One should consider getting evaluated for PCOS if:   

• 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    

If PCOS is not diagnosed early and treated properly it can lead to problems as well like type 2 diabetes , high cholesterol, high blood pressure, abnormal bleeding from the uterus, and very occasionally cancer too. The most important step is screening the condition and PCOS can be easily diagnosed through Blood tests and Ultrasound and therefore the chances of having serious side effects are reduced. The important thing is to diagnose