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

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

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

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

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

Is Thyroid giving you infertility?

By Dr. Shweta Goswami 

Infertility as we all know is the inability to conceive after one year of regular intercourse without contraception. It is one of the medial, social and psychological burdens in the world. The thyroid hormone regulates cellular function; abnormal thyroid function can affect your fertility. 

According to Indian Thyroid society about 70% of women with PMS have low thyroid levels, which make the ovaries less able to produce progesterone leading to PMS symptoms. 

Having trouble getting pregnant? Your thyroid could be the problem - and your doctor may not even know it. Standard blood tests miss up to 80 percent of cases in which low tissue thyroid levels are causing or contributing to infertility. 

What are the factors affecting your Thyroid health? 

Your thyroid levels can be affected by a variety of reasons such as: 

• High stress levels 
• Nutritional deficiencies, if you are not taking proper balanced diet 
• Immunity disorders 
• Excessive levels of estrogen and prolactin in the body 

Under active thyroid (hypothyroidism) is a condition in which the thyroid gland doesn't produce enough of certain important hormones. For women, there is a link between hypothyroidism and infertility. Low levels of thyroid hormone can interfere with ovulation, which impairs fertility. In addition, some of the underlying causes of hypothyroidism — such as certain autoimmune or pituitary disorders — impair fertility. 

Since standard thyroid blood tests are not sensitive enough to detect low ovarian tissue levels the majority of the time, Women must find a knowledgeable physician who understands that standard tests will often not be useful in detecting low ovarian thyroid levels. 

Let’s look at the symptoms of developing thyroid: 

The symptoms of hypothyroidism can be of many types. Some patients show no symptoms, while others show some marked symptoms. The symptoms usually depend on the severity of the hormone deficiency and the rate at which it develops in the patient. The symptoms are usually milder at the beginning but develop gradually as the condition deteriorates.

• weight gain 
• fatigue 
• constipation 
• muscle