Your journey from fat to fertile

By Dr. Shweta Goswami 

As we all know that fat is no fun. Being overweight or obese has its own plethora of problems. Being overweight affects everything.  Yet another growing problem in today’s time among the population is infertility caused due to Obesity. Weight problem cases are on increase everywhere, and so are infertility clinics. Almost 10% of couples in the country get affected by infertility and are hesitant to take medical advice. The obesity rates in India have been rising at an extensive rate, out of which quarter of the women’s population is defined as medically obese. 

People in cities follow a sedentary lifestyle. Little or no physical activity, easily jumping up to junk food, sitting for prolonged hours, night shifts, wrong eating patterns etc are to be blamed for being obese and there by infertile. 

Obesity also leads to low stamina, which reduces the urge of having sex. Obesity in women is known to contribute to anovulation, a reduced conception rate and at greater risk of pregnancy complications like having a C-section, giving birth to a large baby or even developing gestational diabetes and hypertension. On the other hand men who are

All you need to know about Surrogacy

By Dr. Shweta Goswami 

Surrogacy is now a well explored and accepted form of starting a family that people are turning to. Surrogacy simply means a biological or non biological mother carrying the child of another woman for full nine months. 

Indian Council of Medical Research (ICMR) data says that approximately 2,000 babies are born every year through commercial surrogacy. Confederation of Indian Industry (CII) figures claim that surrogacy is a $2.3 billion industry in India, because it is largely unregulated and cheap. 

These days awareness about surrogacy is increasing. People who would have never thought that they would be able to become proud parents are finally getting chance to be. 

Surrogacy is advised to those who have either no or a malformed uterus, uterus damaged due to infection/ tumor, and where the uterus is removed for some clinical process. Surrogacy is also for those couples intending to be parents but where the woman is having repeated miscarriages. 

In IVF surrogacy or gestational surrogacy a pregnancy is created by the egg and sperm of the parent couple. The surrogate is just a carrier and is not genetically related to the child. While the procedure costs Rs. 15 lakhs or upwards, a surrogate earns Rs. 5-6 lakh and is paid Rs. 9-10,000 per month during the pregnancy. 

Surrogacy is a legal deal between a couple and an individual and a third party to carry their baby to term. There may be many reasons why couples opt for surrogacy; it may be a missing uterus, multiple pregnancy losses, or failed in vitro fertilization attempts. So, now the couple can have their own biological baby by hiring a surrogate. 

Sometimes a family member or friend offers to be a surrogate. This can deeply reduce the cost of surrogacy. However, because not everyone knows

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

How old is too old to have a baby.?

By Dr. Shweta Goswami 

We all witnessed the recent news of an Indian couple where the woman of 72 years of age and her husband 79 years of age gave birth to a baby boy but at the same time we know that age factor is directly associated with decreasing fertility in women; their eggs grow old. But age does affect the fertility level in men too. 

Yes, you heard it right. Age is not a difficulty in women but after the age of 30, there is a drop in testosterone of 1% per year in men too. Testosterone is the energy, the hormone that you need to make good-quality sperm. It’s not just women who have to worry about their ticking reproductive clock. Men's sperm quality seems to decline after the age of 35. The older a man is the more his sperm cells are dived, and the more divisions present, the more there is a chance for an abnormality to occur. 

In males, sperm motility changed with age. Sperm motility is how well the sperm swim. Sperm motility is usually the best before age 25 and lowest after age 55. In fact, when comparing the number of “good swimming” sperm in men between the ages 30 to 35 with men over age 55, sperm motility decreased by 54 percent. 

In fact many studies have claimed that pregnancy rates decrease between 23% to 38% in comparisons between men under 30 and men over 50. Increased paternal age

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