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Endometriosis – Symptoms, Risk Factors, and Treatment

December 27, 2020
by Eva Hospital

Endometriosis is a gynecological condition wherein the endometrial tissue that grows normally in the uterus, starts to grow outside of it.

This kind of abnormal growth may occur anywhere but usually, it is found in the pelvic region, affecting the fallopian tubes, ovaries, peritoneum, and lymph nodes.

The tissues are not as much a problem as their behavior. The cells in these endometrial tissues respond to the hormonal cycle and shed blood during menstruation.

Since there is no outlet for this blood, it gets trapped inside.

Secondly, it makes the organs stick to each other, causing disorders and pain. For example, it may block the fallopian tubes and affect a woman’s fertility. In rare cases, tissue growth may spread to other parts of the body.

Endometriosis affects 5-10 percent of women of their reproductive age. It

is difficult to diagnose because the symptoms are very generalized but controllable with treatment.

Symptoms

Endometriosis is a painful condition, with symptoms similar to those of irritable bowel syndrome (IBS), ovarian cyst, or pelvic inflammation. The common symptom of the disorder is pelvic pain, just like in periods.

Symptoms include:

Blockage of fallopian tubes or ovary function.
Extreme menstrual cramps, difficult to control with NSAIDs
Long-term lower-back and pelvic pain
Long periods extending to seven days and more.
Hemorrhagic- extremely heavy menstrual flow requiring changing the pads after every hour or two.
Bowel and urinary problems including pain, diarrhea, constipation, and bloating
Pain during sexual intercourse
Inter-period spotting or bleeding
Traces of blood in urine or stool
Nausea and vomiting

Although all women experience menstrual cramps, the pain in endometriosis is very intense and severe. Symptoms get eased when hormone levels fall, such as in pregnancy or menopause.

Risk factors

Infertility – The most common risk associated with endometriosis is infertility. 30 percent of females suffering from the condition have problems in conception. IVF provides a solution for endometriosis women to get pregnant.

The tissue growth in fallopian tubes can prevent the egg from reaching the uterus and get fertilized by sperm.

Infertility also may result from damage caused to the egg or sperm cells.

Nevertheless, women with mild or severe endometriosis can become pregnant and deliver a healthy child. Dr. Shivani Bhutani, Infertility, and IVF specialist advises patients to not delay childbirth as the symptoms usually deteriorate with time.

Cancer

Although low, there is a risk of developing ovarian cancer for those with endometriosis. Another kind of cancer called adenocarcinoma is associated with it too, though less prevalent.

Altogether, the risk of ovarian cancer is pretty low in women, it gets enhanced.

Causes

There are several reasons for endometriosis and the resulting abnormal cell growth. Possible causes include:

Retrograde Menstruation- This is a problem with menstrual flow. The blood flow passes into the fallopian tubes and the pelvic area instead of leaving the body in a natural way.

Embryonic cell growth: Sometimes, times, embryonic cells present in the abdomen and pelvis begin to convert into endometrial tissue.

Transformation of peritoneal cells: These are cells that form the inner lining of the abdomen. Hormone and immune conditions transform them into endometrial tissue.

Surgical scar: Movement of endometrial cells may occur during surgical procedures such as a section or hysterectomy.

Endometrial cell transport: Endometrial cells get transported to other portions of the body via the lymphatic system.

Heredity: There may be genetic factors involved. A history of endometriosis in close blood relatives puts you at risk.

Immune system disorder: Immune system disorder can also prevent the descent of extrauterine endometrial tissue growth.

Treatment

Early detection and diagnosis of endometriosis by skillful experts, followed by treatment results in better management and control.

Eva Hospital’s specialist team first conducts a pelvic exam, Ultrasound, Magnetic resonance imaging (MRI), and Laparoscopic diagnosis to identify the disorder. Dr. Shivani Bhutani says the treatment is aimed at relieving the patient from symptoms and preventing further consequences and risks.

Advanced treatment is available for endometriosis including:

Hormone therapy
Medical procedures such as Cauterization, Electrocoagulation, and endometrial Ablation
Electrosurgery and Laparoscopic surgery

See Your Doctor

Endometriosis is invariably misunderstood for other disorders that cause pelvic pain.

If you notice any signs and symptoms such as those discussed above, see your specialist doctor for a proper diagnosis and treatment.

Eva Hospital

How can you deal with infertility as a couple

July 29, 2020March 30, 2024
by Eva Hospital

How does Infertility add to Stress in a Couple’s Relationship and Ways to Deal with it?

“Nervous breakdown and depression were just at the doorsteps after three consecutive failed IVFs and prolonged infertility,” shivers Natalie (name changed), thinking about the toughest five years when she had to deal with the marital pressure, infertility, and the agony of not being able to conceive. Each day would bring hope and would end up adding stress to the insurmountable woes. Childbearing and pregnancy are the two most important stepping stones for a happy married life.

Dr. Shivani Bhutani, a leading gynecologist in Punjab at EVA Hospital, addresses her patients asking her the mental and psychological issues they face as they experience the challenging times of infertility. Natalie admits what was once pleasure (sex) had become so timed and mechanical and neither she nor her husband would enjoy it anymore. The zeal to be parents had taken a major chunk of their happiness and was testing their relationship.

Do you Experience Stress and Tension during Infertility?

“A new life, a baby, and the joy of being parents may not be easy for some,” says the infertility expert, Dr. Shivani Bhutani. Infertility or constant failed pregnancy attempts can hover like dark clouds over the couple. While a baby can make your couple bond stronger, infertility can test the relationship to bits and check the strength of the couple bond.

Dr. Shivani says the following are a few reasons why a couple can go through strained relationships during infertility:

Who will take the Onus?

This question as to who is infertile can actually create stress among the couple. Neither the male nor the woman would want the label of being ‘infertile’ and this can delay the procedure of seeking medical help and tests. It takes no time for casual one-to-one talks to become heated arguments, blame-game, and fights which can turn into violent brawls in the worst case. ‘How to bell the cat’ is a stressful question.

Financial Strain

The incessant medical check-ups, the frequent visits to doctors, infertility treatment, expenses on trying various drugs, and hitting the right medical treatment can cause a financial dent in your pocket. Most of the expenses may not be covered under insurance and can further cause a financial burden. Various decisions like how and where to arrange money from, whether to involve family, or whether to utilize old-age savings can further aggravate the financial burden.

Emotional and Mental Stress

Enduring infertility and the effort of trying to conceive is seen as a struggle by many. The relationship of the couple can be on a standstill as they see their beautiful dreams being shattered. You may be on the verge of a breakdown with the continuous litigations and arguments of when to seek medical help, when to step up to next level infertility treatments, and whether or not to disclose the problem to friends and family.

The infertile partner may be embarrassed or maybe feeling ashamed to talk out or reach out for help. This could further add fuel to the fire. Isolation, depression, and self-rejection may become ways of life for you.

Also, read- How many times is IVF possible.

Societal and Family Pressure

The most often asked question or the fact that bothers the couple is what people will think. The judgment or ignorance of the friends and family can add to the agony and worsen it further. Sometimes half-knowledge is dangerous and the myths and tips generated by friends and family can be a bane adding to the delay in pregnancy.

Differences in Opinion

The problem ensues when one of the partners over-reacts while the other partner wants to take it easy. The differences in opinion of the choice of the doctor, when to seek help, and how to proceed with the surrogacy or infertility treatment can become the ‘touchy’ points flagging anger and stress.

How can You Mitigate the Stress of Infertility?

All you need is a baby and some comforting words of assurance from an experienced gynecologist who can guide you to the right path. Dr. Shivani says treating the patients with empathy helps in counseling them and keeping their mental health sane. Infertility can test the strength of marital strands and lead to couples fighting over trivial issues.

The best gynecologist in Punjab, Dr. Bhutani, reiterates that some ways like meditation and communication can help you keep mental health intact during the testing time. The couple must freely communicate with each other and also with the gynecologists. They must open up with any issues in their minds so that a positive solution can be dealt with. Dr. Shivani suggests the couple should ‘cool down’ and find ways to engage themselves in fun activities like dating each other or joining a mutual hobby together. Let the emotions wane off the sleeve so that the couple is relaxed.

Also, read- What are the alternative treatments to cure infertility

“Infertility is not forever and you should not leave onto the hope of having a baby,” says Dr. Shivani. The modern Assisted Reproductive Techniques (ART) like ICSI (intracytoplasmic sperm injection), IVF (in-vitro fertilization), donor eggs, and gestational carrier can go a long way in helping the couple achieve pregnancy. IVF is the most common, result-oriented ART technique. One cycle of IVF takes about three weeks and the success rate of IVF depends on the age, health status of the couple, cause of infertility, and the skill of the gynecologist. “IVF not only gave life to the baby but also gave life and spark to our married life!” adds Natalie.

Over to You

Your relationship with your spouse should remain strong under all circumstances. Infertility is not a permanent hiccup. As a couple, you should seek help from the best gynecologist like Dr. Shivani Bhutani, EVA Hospital, and move on to gear up for the new phase of life. Contact Dr. Shivani and get away with the woes and depression syndromes due to infertility. Her expertise in IVF and words infused with positivity are sure to bring rays of hope.

Eva Hospital

How many times is IVF Possible

July 20, 2020March 30, 2024
by Eva Hospital

Pregnancy and parenting a baby are a dream for many. It becomes a fond dream when you are unable to conceive and get pregnant.

Thanks to modern science and technology, there are many new ways in which you can target to get pregnant and raise a baby.

The infertility drugs and various procedures of ART- Assisted Reproductive Techniques are a scientific blessing to achieve the state of pregnancy.

The most common ART procedures are intrauterine insemination (IUI), In-vitro fertilization (IVF), sperm or egg donation, and Intra-cytoplasmic

Sperm Injection (ICSI). However, the most commonly used procedure with a high success rate is In-vitro fertilization (IVF). Over 200000 babies were conceived with IVF successfully in the US alone in a year and you are no exception.

“Don’t give up!” advocates Dr. Shivani Bhutani, the best gynecologist of Punjab, from EVA Hospital, “With calculated actions and appropriate treatments, pregnancy can be achieved.”

How successful is IVF Treatment?

IVF is the process where the woman’s eggs are extracted and fertilized under controlled laboratory conditions and then the resulting embryo is transferred into the women’s uterus through the cervix.

If you have been trying to get pregnant in natural ways and haven’t been successful, with further investigation, the doctor will examine the causes of infertility. The most likely infertility causes are as follows:

Premature ovarian failure
Ovulation disorders
Hormonal imbalances
Endometriosis
Blocked Fallopian Tube
PCOS
Male infertility (in case of low sperm count, poor motility, and poor quality sperm)
Failed IUI treatment cycle
Unexplained infertility

Patients with any of the above lacunas have known to benefit from the cycles of IVF. Usually, patients around the age of 40 are known to have recommended IVF at the earliest.

IVF has been successful in all countries in the world. The Centre for Disease Control and Prevention (CDC) reports about 4 million births per year in the US. This implies that nearly 1% to 2% of births in the US are IVF babies. This clearly signifies that IVF and other ART techniques are the new buzzwords in combating infertility.

What Are the Factors That Affect the Success of Ivf?

There are a couple of factors affecting the success of IVF. Dr. Shivani Bhutani says, “The age of the woman is a predominant factor in the success of IVF.

Patients between the age brackets of 35-41 are more likely to get a successful IVF. There is a 4% success rate of patients who are over 42 years of age. Chances of success of IVF are higher at a younger age than older women with fewer eggs or poor quality eggs.

The fertility problem or the reason for infertility also determines how quickly the patient can get pregnant. Sometimes a large dosage of ovarian stimulation drugs is needed to be administered to patients with ovarian dysfunction. Male infertility problems and unexplained infertility may, however, take longer than anticipated.

Previous pregnancy, miscarriages, age of the donor in case of donor eggs and the duration of time over which the couple has been infertile have been a few other factors affecting the success of IVF.

Dr. Bhutani strongly says apart from medical abnormalities, the lifestyle of the patient plays an important role in determining the success of IVF.

Overweight or underweight women, women who smoke, women who do not exercise or eat healthy have higher chances of prolonged infertility.

How Many Cycles of Ivf Are Recommended?

Depending on the factors mentioned above and the expertise of the doctor, the numbers of cycles of IVF vary from individual to individual.

The cost of IVF hovers between Rs.90000 to Rs.3,00,000 depending on the city and the facilities at the clinic. Research has shown that about 70% of the patients are usually successful after 6 or more cycles of IVF if the woman is about 40 years in age.

Dr. Bhutani recommends patients stop using their own eggs after 3-4 failed IVF cycles. The woman may not be producing sufficient eggs or eggs of good quality, so the doctor usually advises them to go for the donor eggs.

Dr. Shivani is known among her patients to endorse optimism and positivity and not to lose hope in such despairing times. She understands that the patient spends a fortune in each cycle and also adds to the mental agony with each failed IVF cycle. So she always advises her patients with empathy and positivity.

“There is no guarantee with each cycle and the process and the results vary from person to person,” says the best gynecologist in Punjab, dr. Bhutani.

You may be lucky to get pregnant in the first IVF cycle, but it may not hold true for any other couple. Dr. Bhutani says an average couple may need tentatively six IVF cycles before entering the threshold of parenthood.

Final Words

Pregnancy is a dream for many couples and lets the best team on board turn your dream into reality. Analyze the facilities the clinic provides and study the expertise of the gynecologist you plan to approach.

With finesse in skills and expertise and the best modern facilities at EVA hospital, Dr. Shivani Bhutani is the most trusted name for IVF in Punjab. Seek the help of the best team at EVA and get your queries solved and let the aim of parenthood achieve a real shape.

Eva Hospital

What are the Alternate Treatments to Cure Infertility?

June 24, 2020March 30, 2024
by Eva Hospital

Getting married at the age of 32, Shiva, tried her best to mother a baby. After a few months of unsuccessful attempts, she consulted a gynecologist who recommended In-vitro fertilization (IVF). But Shivia knew she could not afford the cost of IVF at any point in time. Shattered, she was upset for a long time. Little did she know that there are alternate treatment therapies that can help the body gain the vitality to nurture a baby.

Dr. Shivani Bhutani, an expert gynecologist in North India, says that getting pregnant is the process of mating two healthy bodies and two healthy minds.

The onus lies in creating a sound body where the embryo can grow and stay. Dr. Bhutani suggests a few alternative therapies that can aid the body to get its nutrients and gain strength to bear a baby.

What are the Safest Alternative Therapies to Get Pregnant?

Dr. Bhutani says that the following alternate therapies are mechanisms, which along with medical treatment, can ensure a healthy and sound body to get pregnant and fight infertility:

Yoga

Yoga is an age-old therapy from the yore of the yogis of the bygone era. Yoga was the secret of their ageless skin and health. Dr. Bhutani says the specific asanas in yoga can help increase the libido, make your body and mind stress-free, improve the blood circulation and heal the vices (doshas) in the body which prevent you from getting pregnant.

The calming techniques in yoga are good for all age groups for holistic development in the body and definitely make you calm enough to deal with the stress of infertility.

Acupuncture

The age-old Chinese practice of using needles and energy, Acupuncture, has now proved that this can be an effective aid to help avoid miscarriages and enhance the success rate of IVF. The anecdotal success of acupuncture as an alternate source of treatment is commendable. Studies have shown that IVF patients can get huge success with the help of acupuncture treatments done at the hands of specialists.

Dr. Bhutani, an experienced infertility expert, says that cases of unexplained infertility, where the cause of infertility or miscarriages cannot be known, can be dealt with with this alternate therapy.

Diet rich in Nutrients

The old saying –

‘You are what you eat, holds true in magnanimous proportion in pregnancy and fertility.

Also, read- What is the right diet to boost fertility?

IVF alone cannot help you get and stay pregnant if your body has been exposed to too many vices like alcohol and cigarettes. A sound body can be prepared by incorporating healthy nutrients, vitamins, minerals, and herbs that promote fertility.

Healthy oils, Omega-3, flaxseeds, green vegetables, sesame, plant-based proteins, and dairy products help in controlling hormones production, keeping insulin in check, and enhancing regular ovulation.

Dr. Bhutani advocates a healthy diet much before you even plan to get pregnant. She emphasizes a healthy diet for both the man as well as the woman to be able to conceive a baby.

Exercise and Meditation

You need to gain control over your lives before entering parenthood. Exercise stimulates the pregnancy hormones and meditation helps alleviate stress due to infertility and other tensions. You need to be at peace to get pregnant soon. Shiva realized that stress was the most important factor that was curtailing pregnancy. Meditation helped her gain peace of mind to welcome the baby and get pregnant.

Last Words

Pregnancy is a feeling of utmost joy in the world. The thought of parenting the little bundle of joy can be the happiest feeling.

If infertility or miscarriage are the obstructions, get in touch with Punjab’s best and the most reliable gynecologist, Dr. Shivani Bhutani at EVA Hospital, Ludhiana and seek consultation regarding IVF and effective alternate sources of treatment to enter the world of parenthood.

COVID-19

Covid19 and Pregnancy

June 16, 2020March 30, 2024
by Eva Hospital

How does Covid-19 affect Pregnant Women?

Covid-19 or Coronavirus has impacted the economy and the global dynamics world over. Anything from businesses, Sensex, production houses, travel industry to the economy at large, has taken a nose-dive in the growth charts.

The virus is contagious and has touched millions of people all over the globe. It is observed that children and older people are more vulnerable to the deadly virus.

For a pregnant woman, it is a well-stated fact that pregnancy makes immunity weaker. Now with the virus prevalent all around, you have all the reasons to fear that it might affect you earlier than others.

Ace gynecologist in Punjab, Dr. Shivani Bhutani, at EVA Hospital, Ludhiana says, “There is nothing about pregnancy itself that makes a woman more susceptible to being infected. Pregnancy suppresses a woman’s immune system to some extent but this does not mean pregnant women are more likely to contract COVID-19.”

Dr. Shivani is known to alleviate her patients from Corona’s stress and anxiety by guiding them with the right precautions and she advocates staying indoors to avoid contacting many people or being in a marketplace unless unavoidable.

When can Coronavirus affect Pregnant Women?

You will be more susceptible to Coronavirus in pregnancy if you answer ‘YES’ to one or more of the following conditions:

Are you above the age of 35?
Have you been overweight or obese?
Are you already suffering from medical conditions like high blood pressure or diabetes that worsen immunity?

Affirmative answers to these questions can put you in the vulnerable category. You must adhere to all the cautions and precautions judiciously.

What Are the Changes That May Happen in Antenatal and Postnatal Care?

As a pregnant woman or recently-delivered mom, you require frequent and timely visits to the doctor and diagnostic centers.

However, Dr. Shivani Bhutani, the best gynecologist in Punjab, makes sure she delivers the best care by calling her patients with appointments only. The following precautions at EVA Hospital have helped her in seeing her patients at ease:

Seek Appointments

The first and foremost precaution against Coronavirus is staying away from crowds or groups and avoiding contact with people. Dr. Bhutani sees her patients strictly with appointments to avoid overcrowding in the clinic and follow the protocol of social distancing.

Telephonic Consultancy

A good gynecologist must not hesitate in giving advice over a phone conversation, especially in these testing times.

Dr. Shivani makes sure she is able to diagnose and administer medicines over the phone in case the nursing mother (post-natal) or the pregnant lady (pre-natal) needs help.

This avoids the unnecessary trip of the pregnant lady to the clinic and avoids exposure to people at such times.

Staff Health

Adequate precautions must be taken so that the clinical staff is in good health and adheres to all the Corona precautions carefully.

Dr. Bhutani has always been a rock-solid support for her staff and she guides and counsels them in a way they are not overwhelmed.

The overnight patients and the relatively higher number of patients needing care might flummox the staff keeping coronavirus anxiety in mind. A good gynecologist will help keep her staff patient and calm to be able to serve others.

Mental Health

Coronavirus has affected everyone mentally and created anxiety about meeting friends and family, the pandemic spread of the virus, and the fear of no cure for it yet.

Dr. Bhutani takes consultations on a telephone call over a clinic visit and makes sure her patients are calm, well-guided, and not frayed by the anxiety of the changing societal norms.

Focus on Sanitizing

Pre-natal and post-natal visits are mandatory in some cases. To entertain patients, a stringent sanitization drive is followed regularly at EVA Hospital to rule out even an atom of risk or fallacy.

Right from sanitizing the clinic and the hospital, the staff is also under strict sanitization vigilance.

Dr. Shivani cares for the physical, mental, and moral well-being of her patients. Pre-natal and post-natal care and follow-up are mandatory for the patients and full care and support are needed in such times.

The frequency, appointments, treatments, and care of pre-natal and post-natal treatment changes with the changing scenario at EVA hospital.

What Precautions can you take to Avoid Covid-19?

Coronavirus is termed novel coronavirus and there has been no evidence of what would be the impact on the fetus or the baby if the mother is diagnosed positive with Covid-19. It is a well-known saying-‘prevention is better than cure’. Here are a few tips by the best gynecologist in Punjab for pregnant and nursing mothers to avoid getting infected:

Avoid Social Gathering

You must avoid family gatherings and social outings at all costs. Refrain completely from going to leisure centers, pubs, or similar venues where people can gather and the infection can be easily spread.

Use Online Facilities

Even if something urgent has to be purchased or the opinion of the doctor is to be sought, prefer online shopping or online consultation over actual shopping and running to clinics for insignificant purposes.

Sanitize is the Mantra

Wash your hands as often as possible and do not touch your nose or mouth when outside the home. Practice sanitizing each thing you bring from outside and wash the fruits and vegetables as thoroughly as possible before stocking them in the refrigerator.

Use disposable tissue when you or anyone around sneezes or coughs.

Virtual Friendship

Even if you are feeling gloomy or lonely, get in touch with your friends virtually, and alleviate your own spirits. Avoid meeting friends and family at this time. Safety and care of yourself and the baby should be the priority.

Eat Healthy and Nutritious

Your diet should be full of nutrition and you must consume your vitamin and calcium pills as prescribed by the doctor. A healthy body can fight any virus easily. So make sure your diet in pregnancy is well planned and full of nutrition.

Last Words

COVID-19 has created panic all over the globe. You are a new mother or would-be-mother and you are supposed to enjoy the new phase of life.

Let the panic of Coronavirus not affect this beautiful phase of life. Eat healthily and stay fit. If you feel anxious or perturbed, feel free to consult the most humble and expert gynecologist, Dr. Shivani Bhutani, and get a genuine suggestion.

Eva Hospital

How to Choose Between IVF and IUI?

March 9, 2020
by Eva Hospital

The reason you are reading this blog is that infertility and motherhood are the two inverse terms that are bothering you right now.

You wish to parent a baby but the doctor labels your condition generically as ‘infertility’ and you are flummoxed for a while.

Dr. Shivani Bhutani, the leading gynecologist and fertility expert of Punjab, says infertility is on the rise as nearly one in every four couples find it difficult to conceive and plan a baby naturally.

She also encouragingly states that modern technology has brought Assisted Reproductive Techniques (ART) which take care of the woman’s egg and the embryo and even makes pregnancy possible even at the age of 40.

There are many techniques of ART treating differently. Out of all the ART options, IVF (In-vitro fertilization) and IUI (Intrauterine Insemination) are the most commonly sought-after techniques. The goal of both processes is the birth of a healthy baby; however, the treatment module is very different.

What is the difference between IVF and IUI?

In the process of IVF, the female is administered ovary stimulating medicines to increase the number of eggs. The doctors continuously monitor this with the help of blood tests and ultrasounds.

The doctor then retrieves the eggs (after they are mature) by inserting a fine needle through the vagina into the ovary.

The eggs are then fertilized with washed and prepared sperm using the conventional fertilization or the process of ICSI and the resulting embryo is then planted into the uterus.

The process of IUI or artificial insemination is the ART treatment where the woman is given the ovary stimulation medication just like in IVF.

The doctor injects the sperm directly into the woman’s uterus (using a thin catheter) during ovulation days. This leads to direct fertilization as there is a high concentration of healthy sperm close to the eggs.

IVF implies egg stimulation, retrieval, fertilization, and transfers whereas IUI decreases the sperm travel distance and is directly injected into the uterus. Both processes solve different infertility problems.

Which Process is More Suitable for You?

The best infertility expert of Ludhiana, Dr. Shivani Bhutani, EVA Hospital says there are success stories in both IVF as well as IUI.

She usually runs tests and advises potential treatment modules to her patients depending on the reasons for infertility.

A quick comparison between the two processes will give you a fair idea as to which process is more suitable for you:

Invasive and Complication

The technique of IUI is less invasive and can be performed during the natural cycle or with the help of a medicated cycle.

Also, the sperm is washed in IUI which means the ratio of motile sperm increases. In addition, the distance traveled by the sperm is cut down by directly inserting the sperm into the uterus; hence the chances of fertilization are better than the natural process.

The process of IUI is recommended to patients who, apart from having infertility issues, aren’t able to conceive because of other reasons- travel schedule, work schedule, or sexual dysfunction.

Insurance Cover

You have to consult your insurance company to check which treatment option is covered in insurance policies and you may decide accordingly.

Causes of Infertility

As said, IUI is suitable for patients with unexplained fertility issues. However, IVF is a more popular process for couples who face severe male infertility, couples with genetic disorders, women above 40, failure of IUI sessions, or patients with blocked Fallopian tubes.

Patients who have had miscarriages or multiple unsuccessful IUI cycles opt for IVF. Even patients with endometriosis are advised for IVF.

It is noteworthy that in IVF the embryo can be tested for chromosomal abnormality or any genetic disorder and only the best embryo can be transferred.

The costs of IVF would vary from clinic to clinic. EVA Hospital, Ludhiana, offers the most affordable and reliable IVF treatment.

Risks

Since the woman takes ovary stimulation medicines, there are chances of multiple pregnancies and the possibility of birth of twins or even more babies.

This may not sound threatening but it may bring potential danger to the lives of the mother and babies.

Choose the Best

For deciding whether IVF or IUI is better for you, get in touch with Dr. Shivani Bhutani, EVA Hospital, and ask her for suggestions.

With profound experience in infertility treatments and having helped infertile patients of even higher ages in delivering babies successfully, Dr. Shivani guides her patients with the most genuine advice.

Eva Hospital

Does Stress Impact Pregnancy

March 6, 2020March 30, 2024
by Eva Hospital

How does Stress Impact Pregnancy?

Stress is innate in today’s lifestyle. Right from managing a household to running an enterprise, the lifestyle, in general, is full of stress.

Stress affects the peace of mind at the foremost and affects health adversely. The increase in heart diseases, blood pressure, and early age health ailments is proof of the detrimental effect of stress.

Bringing a baby into the world is the biggest joy in the world. Lucky are those who wish to get pregnant and can conceive at their wish.

Stress affects pregnancy in two negative ways. Stress affects the ability to get pregnant and also affects the fetus at all stages of pregnancy.

What Causes Stress in Pregnancy?

Stress takes the body to ‘fight mode’ or ‘flight mode’ where the release of cortisol and other hormones puts the body in danger.

The stress starts with questions like when I can expect to get pregnant to the right kind of diet for pregnancy. Various other issues like IVF and financial considerations to post-maternity care may bother you.

Since the process of pregnancy and delivery are new to you, there are umpteen questions running on in the mind. Consulting a good gynecologist, like Dr. Shivani Bhutani (from EVA Hospital), is always a wise decision.

Following are the main stress initiators in pregnancy:

Hormonal Changes

The body goes through a lot of hormonal changes in pregnancy. Mood swings are majorly predominant in pregnancy and can make it difficult to manage stress.

Anticipation

You don’t know what to expect, how would delivery be, what would the delivery pain be like, how to manage the increased expenditure, the expenses of delivery, the results of a scan, and the all-time dilemma of what to do and what-not-to-do. Anticipation all day long can be havoc.

Dr. Shivani laments that sometimes half-information on Google or excerpts from someone else’s experience can be major causes of stress.

Unexpected Deadlines and Work Pressure

Insurmountable pressure at work premises can be stressful along with pregnancy. To deal with sudden deadlines along with initial pregnancy nausea and discomfort can be stressful. Any unforeseen event or unplanned workload affects the peace of mind.

Physical Discomforts

Some of the physical changes can be overwhelming and can cause discomfort like nausea, constipation, back problems, and hurt the legs or abdomen. This can be a major reason for stress.

All in all, stress can leave an indelible mark on pregnancy which can hamper the physical and mental health of the fetus.

How does Stress affect Pregnancy?

Dr. Shivani says stress can negatively impact the ability to get pregnant and once you are pregnant, stress can harm the fetus and its mental health.

Stress can aggravate anger, blood pressure, and some obnoxious thoughts in pregnancy. Research has shown that stress troubles the digestion pattern of the body.

Also, you may experience troubles in sleeping and breathing patterns and this can affect the fetus’ blood supply.

Chronic stress in pregnancy can affect the fetus’ growth, mental development as well as behavioral issues in the child. If chronic stress continues for a long time, it can permeate in the form of health issues like high blood pressure and heart diseases.

This leads to an increase in the chances of premature delivery, low-weight baby or babies with deformities. Premature babies (born before 37 weeks) or low weight babies (less than 2.8 kg) have birth deformities and low immunity. Stress can be alarming in pregnancy.

What are the Best Ways to Reduce Risk?

For a smooth pregnancy and safe delivery, you must make sure that you keep stress at bay. Normal stress due to anticipation is genuine; however, prolonged stress can harm the baby and his mental growth. Following are the ways you must implement to keep stress away:

Prenatal Yoga

Yoga focuses on physical as well as mental stability and peace. Specialized prenatal yoga classes have picked up momentum because the testimonials prove that yoga helps the mother bond well with the child and enjoy pregnancy.

Yoga helps in relieving pains through guided stretches and positions. Even the delivery of the baby is relatively a cakewalk if you pursue proper yoga techniques and postures. You must enroll in pregnancy yoga classes and stay stress-free.

Indulge in Hobbies

Pregnancy is the best time to pamper yourself and keep yourself happy. You must plan and indulge in activities that bring a smile to you-listening to music, painting, catching up with friends, soaking in a bath, or maybe just reveling in the magic of a magazine along with a cup of hot favorite tea. Relive the long-lost passions and kindle yourself to be able to give a calm and nourishing womb to the baby.

Exercises (Walking and Swimming)

The main reason for stress is a physical limitation or physical ailments during pregnancy. Dr. Shivani highly recommends walking daily and if you can swim at ease, swimming is a good exercise to strengthen core muscles.

Gentle daily walks and swimming build your stamina and endurance. The core muscles and the back are well strengthened to take the burden of increasing weight. Along with this, walking amidst nature or with someone you love is the biggest stress buster.

Planning

Read, learn and be well-aware. Plan your guard against possible changes and do not be caught off-guard. This means that you start being aware of yourself, your surroundings, and all that is around you.

This gives you a better idea as to what can happen next instead of anticipating or brooding over minor changes. Stay prepared to enjoy the little changes in you.

Over to You

Pregnancy is a beautiful phase where you cherish the little one inside. Let not stress or any external stimulus passes on to the baby and enjoy each second.

Keep stress at bay and for any guidance or consultation regarding a healthy and stress-free pregnancy, get in touch with Dr. Shivani Bhutani, the best gynecologist and infertility expert at EVA Hospital, Punjab.

She helps her patients have stress-free pregnancies and enjoy the privilege of motherhood.

Eva Hospital

What are the Precautions for a Female before an…

February 21, 2020March 30, 2024
by Eva Hospital

Motherhood and happiness are almost synonymous. If you are desperate for a child or plan to have a baby you will understand this feeling much better.

With almost 10%-15% of women finding it difficult to get pregnant, the infertility rates are bothersome and are further expected to rise because of the lifestyle and stress in today’s world.

With nearly 1 out of 8 women having difficulty in getting pregnant and giving birth to a child, infertility treatments are gaining popularity.

IVF or In-vitro fertilization is the most frequently chosen infertility treatment. In this procedure, the woman’s egg is fertilized with the sperm outside the uterus in a clinically controlled environment and the embryo is either frozen or transferred to the woman’s uterus.

IVF is a process of one or more cycles depending on the success of the treatment. With the increase in the number of cycles, the costs also rise.

It is natural for a couple to be anxious, disturbed, or full of emotions because of uncertainty and the rising costs of IVF.

Dr. Shivani Bhutani is a leading infertility expert of Punjab and she suggests that for the success of IVF, the man and the woman must prepare their bodies and mind almost three months prior to the treatment.

5 Precautions for the Female before the IVF Process

Women have to go through a lot during the ‘pregnancy trying’ phase. Dr. Shivani from EVA Hospital says that stress is one major reason for the difficulty in pregnancy.

She lists a few dos and don’ts for success in IVF. Here is a list of precautions that a female must follow from almost three months prior to IVF:

1. Pregnancy Booster Diet

A healthy diet full of vitamins, fiber, and nutrients is a must before an IVF. Dr. Shivani endorses a Mediterranean diet to her patients. She insists on including plant-based colorful fruits and vegetables on the plate.

Mediterranean diet is proved to enhance the chances of IVF pregnancy in non-obese women below 35 years of age. Even the male partner should follow certain precautions and focus on this diet for enhanced sperm production.

The couple should introduce lean protein (fish, poultry), whole grains (like quinoa, whole-wheat pasta), and legumes like beans, chickpeas, lentils in the diet on a regular basis. You must switch to low-fat dairy products and incorporate nuts and seeds in the diet for their high nutritional value.

You must strictly avoid red meat, sugar, refined grains, and other packaged and processed foods. IVF will be successful sooner if you follow the right type of diet.

2. Work out and Exercise

You may be caught in the battle of to-exercise or not-to-exercise as according to you it may harm the IVF treatment. However, Dr. Shivani has tremendous experience in infertility and she strongly recommends continuity in the fitness regime. Yoga, swimming, and walking are strongly recommended. You must seek permission from your doctor before speedrunning or hitting the gym.

3. Avoid Chemicals and Certain Medications

Certain chemicals can disrupt the functioning of the endocrine and are usually found in regular routine products. Some of them are:

Formaldehyde (found in nail polish)
BPA and other phenols (found in food packages made of plastics)
Parabens (found in commonly used items like cosmetics, lip balms, moisturizers, and soap)
Perfluorinated compounds (found in most commonly used non-stick pans and stain-resistant materials), etc.

These are a few chemicals that are found in items of daily use and a strict note must be made of the same.

Dr. Shivani also recommends against the use of certain medications and the doctor must be apprised of the use of the same. Some such drugs are listed below:

Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) such as Aspirin, Ibuprofen found in Advil, Combiflam, etc.
Anti-depressant medicines
Steroids for asthma or any other purpose
Thyroid Medications
Chemotherapy Drugs
Certain skin products which contain estrogen and progesterone

Your gynecologist must be aware of medications of any type that you have been taking.

4. Induce the Intake of Supplements

Supplements nurture the body and help in supporting pregnancy. Pre-natal vitamin-Folic acid is a must to include in your daily regime almost two to three months before IVF and pregnancy. It is an essential vitamin for the brain and body of the fetus. Also, Dr. Shivani recommends fish oil and supplements of Vitamin D after consulting the doctor. Supplements support the strong health of the mother and the fetus alike.

5. Rest, Sleep and Stay Stress-Free

A stress-free lifestyle and mind are likely to get pregnant faster. So the doctors advocate seven to eight hours of sleep daily along with a stress-free lifestyle. Both the man and the woman must incorporate activities like yoga and meditation for enhancing fertility and calmness in mind and relationship.

Before bedtime, you may listen to soft music or read a light book and limit the screen-time almost an hour before sleep. These activities are likely to increase the happiness quotient and can make your lifestyle stress-free.

Over to You

Pregnancy and IVF are no rocket science. Dr. Shivani, the best fertility expert in Punjab, states that incorporating some lifestyle changes and a positive frame of mind are quintessential for a successful IVF and pregnancy.

For any kind of advice or prenatal consultation, get in touch with Dr. Shivani at EVA Hospital, Ludhiana, and enjoy your way to parenthood.

IVF

Can Smoking affect Fertility?

February 11, 2020March 30, 2024
by Eva Hospital

If fertility and making a baby are at the top of the priority chart for you at the moment, you must have shifted to healthy food and exercises and loaded up vitamins and folic acid on your plate. Having tried all that you could, you are still finding getting pregnant impossible each month. Before one gets frustrated, check for the silent damage invigorator- Smoking.

You may be an active smoker or a passive smoker and you haven’t realized that smoking affects fertility and the pregnancy adversely. Both men and women are worse affected by smoking and if you want to get pregnant, both must quit smoking. Easier said than done but smoking is a silent culprit affecting your eggs, sperms, fertility and delays pregnancy.

Can Smoking by my Partner affect Pregnancy?

Smoking affects the rate of conceiving even if one or both the partners are smoking. The couple will have some irreversible fertility issues and are likely to take much longer to get pregnant. The chemicals in cigarettes and alcohol affect the quality of eggs and sperms and make them incapacitated to fertilize.

Dr. Shivani Bhutani, the best infertility expert of Punjab, states that there is no limit to smoking and any amount of smoking will affect the fertility rate and pace. She even insists that women who are exposed to a smoking atmosphere (passive smokers) damage the pregnancy and the health of the unborn babies as much as a smoker.

What are the Side-Effects of Smoking in Fertility and Pregnancy?

A couple who smokes will take much longer to conceive than non-smokers with similar given conditions. The chemicals in a cigarette- nicotine, carbon monoxide, and tar affect the health of the unborn baby as well as the immunity of the baby after birth.

Following are the ill-effects of smoking on pregnancy:

Miscarriage: This is a common sight for people who smoke. Losing a baby in the first three months of pregnancy or even after 20 weeks of gestation (stillbirth) can be wrecking for the couple and can torment them enough.
Placenta Previa: A low lying placenta may cause miscarriage or covers the cervix partially or fully. The placenta usually tears in such cases and causes excessive bleeding and the fetus shall be deprived of the necessary oxygen and nutrients.
Miscarriage and Still Childbirth: The termination of pregnancy at any stage can be tormenting for the couple and chances of miscarriage are higher if either or both the partners smoke. Smoking couples have also reported a higher chance of stillbirth after 20 weeks of pregnancy. The harmful chemicals cause irreversible damage to the body which may lead to miscarriage and stillbirth.

Placental Abruption: The placenta is the life-support system of the fetus and provides it with essential nutrients and oxygen. If the female smokes or is exposed to passive smoking, chances of placental abruption are high. The placenta separates from the uterus before childbirth and this puts the life of both the mother and child in danger. This also causes enormous blood loss and cannot be stitched back. Hence smoking causes acute damage to pregnancy.

Ectopic Pregnancy: This is a life-threatening situation where the fallopian tubes have contracted due to smoking. Consequently, the embryo cannot pass through fallopian tubes, and the fertilized egg implants outside the uterus or in the abdomen. As a result, the pregnancy has to be terminated timely.

Low-weight Birth or Pre-term Birth or Birth Defects: Having a child is a blessing but with parents who smoke, chances are that babies are born prematurely with low weight and low immunity.
Moreover, the chances of health risks like mental disability, visual and hearing impairments, learning, and behavioral problems in kids are on the rise as a result of excessive smoking by parents.
Not only this, even anomalies like congenital birth defects and heart problems can be attributed to the genes of smokers.

What is Worse- Smoking by Man or Woman?

Smoking by both the man and woman affect pregnancy and delivery in an adverse manner. The infertility ratio in both men and women doubles up if they are smokers. Dr. Bhutani laments that even treatments like IVF may not be fully successful in overcoming the damages done by smoking.

Erectile dysfunction and pregnancy delays are the direct ill-effects of smoking. Smoking is equally bad for both men and women. Smoking attacks on all sides- the uterus and it’s inside where the baby grows, the chromosomes of the baby, hormone levels of man and woman, and the fertilized egg’s pace to reach the uterus.

Following are the adverse effects of smoking in men:

Men who smoke face more problems in getting erections.
Sperm usually takes three months to mature and smoking damages the DNA of the sperm which has to be passed on to the babies.
Children of heavy smokers are more susceptible to severe health ailments like leukemia.

Following are some irreversible damages done by the cigarettes in a woman’s body:

The chances of miscarriages, stillbirth, low weight birth, or premature delivery increase manifold times in the case of women who smoke.
Active or passive smoking affects the ovaries and organs of the newborn baby.

Last Words

Smoking has detrimental effects on pregnancy. It may affect either the man’s sperms or the woman’s eggs and cause severe health troubles to the baby as well. Dr. Shivani Bhutani, leading infertility expert of Punjab from EVA Hospital, strictly recommends quitting smoking at least three months before planning a baby. For any queries or genuine advice on pregnancy, infertility, and planning a baby, get in touch with Dr.Bhutani.

IVF

Unexplained Fertility

November 20, 2019March 30, 2024
by Eva Hospital

[wbc_heading title=”Unexplained Fertility
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It is startling that globally about 10% of infertile couples have unexplained fertility. Approximately one in four fertility challenged couples are usually told that there is no explanation as to why they haven’t been able to conceive. This is an alarming proportion and the unexplained or idiopathic infertility, as it is usually called, can be a reason of frustration to the childless couples.

Good news is that Dr. Shivani Bhutani, Eva Hospital has made an indelible mark in treating patients with unexplained infertility. She often says to her patients that this is not the end of the world and shows them the magic doors to treating unexplained infertility.

Unexplained fertility or UI is an oft-repeated term where the doctors are unable to diagnose the type or reason for infertility. The couple has got all possible tests and even after negating the prominent causes of infertility, the reason or the cause for infertility in their case is yet unknown.

The couple has consistently been failing to get pregnant despite unprotected sexual intercourse or any visible symptoms of anomalies. Even the experts in the field are also clueless about idiopathic infertility.

Unexplained infertility is justified if it is proven that:

The female is ovulating regularly
The female ovarian reserves are good
The female fallopian tubes are open and healthy
The sperm count, sperm shape and sperm movement is normal
Hysteroscopy reveals there are no uterine fertility issues.

When the normal infertility causes are ruled out, the following symptoms may be checked to detect the possible causes of unexplained infertility:

Some unrelated health ailments have come to light in cases of infertility. It could be celiac disease, diabetes, undiagnosed thyroid disorder or autoimmune illness that could affect fertility.

There may be improper functioning of cilia or the way in which fimbria picks up the egg during ovulation.

While the eggs may be mature, follicle inside which the eggs mature doesn’t burst to release the eggs. As a result the egg remains trapped inside the unopened corpus luteum. This anomaly is called Luteinized Unruptured follicle (LUF).

Too much stress, incompatibility, relationship issues are inexplicable reasons which may affect fertility in couples. Dr. Bhutani recommends some fertility yoga exercises and a diet to alleviate stress and help patients get pregnant.

The doctor may take time in guessing that with normal sperm count, the male sperm is unable to fertilize the eggs. During the transition period, the semen may reach cervix from the cervical mucus. The condition is called hostile cervical mucus and technically difficult to comprehend.

Endometrium lining or uterine lining can be a major barrier for implanting the embryo. Endometrial cysts may cause fallopian tube blockage or disrupt ovulation. A series of ultrasound scans have to be carried out to detect this cause of infertility.

A series of tests may be conducted if you are under 35 years and have been trying for one year or if you are over 35 and have been trying for more than 6 months. Various tests like laparoscopy (to detect endometriosis), semen analysis, blood tests (to check hormone levels), ovulation tests, Hysterosalpingogram (HSG) for detailed fallopian tube analysis, FSH/AMH tests (to check for egg quality) and analysis of basic medical history may be conducted to detect any unexplained cause of infertility.

Dr. Shivani is very optimistic for her patients and thoroughly conducts all the tests to determine the root cause of the problem. The treatment for unexplained fertility is empiric as the cause is not restricted to a particular impairment.

Following are the possible treatments that can help in unexplained infertility:

Gonadotropins are the hormones which help in stimulating the reproductive organs of the body. Treatments such as IVF and IUI use gonadotropins as a part of treatment to stimulate the ovaries.

In this process sperms are placed directly inside the uterus and moved to the fallopian tubes so that fertilization takes place.

FSG and LH are the natural hormones which are used to make medicine. These help to stimulate the ovaries and produce more eggs. This increases the chances of getting pregnant.

Eva Hospital offers the best diagnosis of infertility and Dr. Shivani insists that unexplained infertility is the result of incessant stress or ‘trying too hard’. She counsels her patients in the best way and offers logical and result derived conclusions. For any difficulty in getting pregnant get in touch with Dr. Shivani for best results.